Crosstalk between E2F3 and p19ARF/p53 in the regulation of cell cycle progression and tumorigenesis by Aaron Spencer Aslanian B.S. Biology, M.S. Biology Stanford University, 1999 Submitted to the Department of Biology in partial fulfillment of the requirements for the degree of Doctor of Philosophy at the Massachusetts Institute of Technology September 2005 ( 2005 Massachusetts Institute of Technology. All rights reserved. I Signature of Author A. w - IV / Aaron S. Aslanian Department of Biology Certified by Jacqueline A. Lees Thesis Supervisor Accepted by MASSCHUSTTSINSTTUT i II MASSACHUSETTS INSTllTE. OF TECHNOLOGY AUG 2 9 2005 LIBRARIES II 5--' qStpnhn P Rll Graduate Committee Chairman ARCHIVES ABSTRACT E2F activity was originally identified as a critical component of the cellular machinery responsible for promoting cell cycle progression that is co-opted during transformation and tumorigenesis. Classic E2F target genes have functions required for S-phase entry and progression. However, the role of E2F has expanded in recent years through the identification of novel E2F target genes. Now E2F is linked to many different cellular processes beyond basic cell cycle control. One such example is p19ARF, a positive upstream regulator of the p53 tumor suppressor protein. This dissertation examines the relationship between one member of the E2F family of transcription factors, E2F3, and the p19ARF/p53 pathway. E2F3 has previously been shown to be critical for cell cycle re-entry, cellular proliferation, and tumor development. The contribution of p19ARF/p53 to E2F3 function was assessed through the generation of compound mutant cells and mice. The nature of the relationship between E2F3, p19ARF, and p53 was highly context dependent. E2F3 is required to repress pl9Arf expression in quiescent cells. This places E2F3 upstream of p19ARF and p53 during cell cycle re-entry. The loss of either p9Arf or p53 completely suppresses the cell cycle re-entry defects in E2f3-deficient cells. In contrast, E2f3-loss impairs the proliferation of both p]9Arf and p53 knockout cells that are cycling asynchronously. In this setting, E2F3 appears to function primarily through pl9Arf-independent mechanisms. Additionally, the impairment of cellular proliferation in this setting occurs without any detectable defect in classic E2F target gene expression. Finally, the effect of E2f3-loss in transformation and tumorigenesis appears to depend on the underlying genetic alterations. In the background of pl9Arf-deficiency, E2f3-loss impairs tranformation and tumorigenesis. However, in the background of p53deficiency, E2f3-loss has no effect on transformation or tumorigenesis. This distinction between p19ARF and p53 also suggests that the regulation of cellular proliferation cannot be the only function of E2F3 relevant to transformation and tumorigenesis. This work has established that the loss of E2f3 has multiple effects on cells that are relevant to tumor biology. As these roles become more clearly defined, we will gain a better understanding of what are the consequences of E2F activity deregulation. 2 ACKNOWLEDGEMENTS I would like to thank my adviser, Jackie, for her helpful advice over the years. I would also like to thank the members of my thesis committee, Terry Orr-Weaver, Steve Bell, Tyler Jacks, David Housman, and Phil Hinds, for the time and thought that they put into this challenging project. Additionally, I am thankful for the opportunity to work and interact with the members of my lab, the fifth floor of the Center for Cancer Research, MIT, and the Boston scientific community. I am especially indebted to my parents, who have always sought to provide the best for me. I am continually grateful for their support and caring. Finally, I would like to dedicate this dissertation to my Grandma Coffee and Grandma Ethel, who were my best friends as a child, and from whom I learned so much. 3 TABLE OF CONTENTS C hapter 1: Introduction -- -- -- -- -- -- -- -- - -- -- ,---- -- -- -- -- -- - The cell cycle, exit and checkpoints -------------------------------------- 6 7 The RB pathway -.. -------------------------10 ....... The E2F family of transcription factors------------------------------------12 Regulation of E2F by the RB pathway------------------------------------23 The p53 pathway ------------------ 31 References 46 Chapter 2: Repression of the Arftumor suppressor by E2F3 is required for normal cell cycle kinetics -----------------------------------77 Abstract 78 Introduction 79 Results 82 Discussion 94 Materials and Methods References 101 105 Chapter 3: The proliferation defect in cycling E2f3-deficient cells is pl9Arf-independent 110 Summary -------------------------------- 111 Results and Discussion Materials and Methods References 112 123 126 Chapter 4: Tumor development in the absence of p53 is not dependent on the regulation of proliferation by E2f3 ---------------------------------------128 Abstract Introduction Results Discussion .141 Materials and Methods References 129 130 133 145 147 4 Chapter 5: Discussion ,.. . ............................... 149 S-phase: Cell cycle re-entry versus the proliferation of cycling cells ----------151 E2F3 regulation of the p53 pathway through p]9Arfand its role in proliferation .-....................................................... 153 E2F3 regulation of E2F target genes and their role in proliferation Dissecting E2F3 function ----------------------------Concluding remarks ..-.......................... .......... 160 164 169 References 171 Appendix A: E2f3-loss leads to increased cell size -................................. References 176 185 Appendix B: E2f3-loss impairs E2F target gene expression in a pure strain background ..........-.................................................. 187 References 191 Appendix C: 'The role of E2f3 in tumorigenesis in p53 heterozygous mice -------------192 References 202 Appendix D: E2f3-loss impairs cell cycle exit -................................. References 203 213 Appendix E: The retinoblastoma protein: will the real tumor suppressor function please stand up? -,,---------------------------------------------------215 Preface Introduction Pocket protein family --------------------------------- 216 216 217 Cell cycle progression ----------------------------Cell cycle exit ---------------------------Differentiation Conclusions Text box 1 219 223 225 228 230 Text box 2 References 231 232 5 CHAPTER 1 INTRODUCTION 6 Progression through the mitotic cell cycle requires duplication of the genome and equal segregation of DNA into two daughter cells. Faithful transmission of genetic material during cell division is not only essential for proper development, but also survival. Tumor development is a complex, multi-step process that can adversely affect an organism's survival (Vogelstein and Kinzler, 1993). Errors in the genome and in gene regulation that arise during cell divisions can result in the disruption of key pathways and, ultimately, tumorigenesis (Sherr, 2004; Vogelstein and Kinzler, 2004). Understanding the checks and balances through which cells normally control these pathways will improve our ability to treat and perhaps prevent cancers. The regulation of cellular proliferation represents one critical process targeted by tumor cells (Hanahan and Weinberg, 2000). THE CELL CYCLE, EXIT AND CHECKPOINTS The cell cycle consists of a period of DNA synthesis (S-phase) and a period of DNA segregation (mitosis) separated by two gap phases (Gi and G2) during which cells grow and synthesize proteins, preparing themselves for the next phase of the cell cycle. Concurrent with the cell cycle regulation of DNA synthesis and segregation is the duplication of the centrosome, an organelle that participates in the equal segregation of the DNA during mitosis (Hansen et al., 2002; Wang et al., 2004b). In mammalian cells, the decision to proceed through the cell cycle is made late in G1, at what has been defined as the restriction point (Pardee, 1974). If the requirements for cell cycle progression are not met, cells temporarily exit the cell cycle and arrest in a GO/G1 state known as quiescence. The decision to proceed through the restriction point 7 is dependent on appropriate growth factor signaling (Zetterberg and Larsson, 1985). Afterward, cells are committed to proceed through the cell cycle and are no longer dependent on growth factor levels. In actuality, there are probably several "restriction points" feeding into this decision, as cell-cell contact and cell adhesion are also factors that affect continued cell cycle progression prior to S-phase (Gad et al., 2004). Quiescent cells can be stimulated to re-enter the cell cycle by restoring them to the appropriate growth conditions. Many cell cycle regulatory proteins must be synthesized anew once quiescent cells re-enter the cell cycle, marking one important distinction between this process and the proliferation of continuously cycling cells (Coverley et al., 2002; Petersen et al., 2000; Wirth et al., 2004). Primary cells do not proliferate indefinitely, but instead possess a finite replicative lifespan (Hayflick, 1965; Hayflick and Moorhead, 1961). This was first described in human cells as the Hayflick limit. Cells that have reached the end of their replicative potential are described as senescent. Senescence is a permanent GO/GI state of cell cycle exit, although recent work has demonstrated that genetic manipulation can reverse senescence (Sage et al., 2003). Mutations that arise prior to the onset of senescence can also confer on cells the ability to bypass senescence. These cells are then immortal. In human cells, senescence has been shown to occur as a result of telomere attrition (Harley et al., 1990). Senescence-like phenotypes can be induced artificially, such as through the generation of reactive oxygen species (Parrinello et al., 2003). Murine cells also undergo senescence, and the availability of knockout strains has been used to probe the genetic requirements for senescence in this system (Blasco et al., 1997). The presence of active telomerase and long telomeres at the onset of senescence in murine cells suggest that the 8 process of senescence differs between human and murine systems. One conclusion that has been made from these studies is that the occurrence of senescence is merely a tissue culture phenomenon (Sherr and DePinho, 2000). However, an alternate theory supported by in vivo data indicates that senescence may be part of a tumor surveillance mechanism (Chen et al., 2005; Denchi et al., 2005; Zindy et al., 2003). In an adult organism, most cells are no longer actively cycling. Differentiation involves the permanent exit from the cell cycle and initiation of a tissue-specific pattern of gene expression. Indeed, from the point of fertilization, the zygote proceeds from a pluripotent state and gives rise to a multitude of highly specialized and distinct cell types. Our understanding of the cell cycle comes primarily from the study of primary fibroblasts and tumor cell lines. It is likely that the regulation of the cell cycle and other processes varies subtly among different cell types, and work done in other systems such as lymphocytes suggests that this is indeed the case (Randle et al., 2001). Additionally, forced expression of certain pro-proliferative genes has been shown to prevent complete withdrawal from the cell cycle in differentiated cells (Chen and Lee, 1999; Scheijen et al., 2003). This may be relevant in our understanding of the development of cancer. Cell cycle checkpoints exist to remedy errors that occur during DNA replication and segregation (Bharadwaj and Yu, 2004; Kastan and Bartek, 2004). These checkpoints are designed to prevent cells from proceeding through the cell cycle when it would compromise the fidelity of the genome. In accordance with this role, checkpoints often act through the reversible inactivation of proteins normally involved in promoting cell cycle progression. It is easy to see how the lack of cell cycle checkpoints could quickly 9 promote the development of cancer through increased mutation rate or genomic instability. This thesis examines two key pathways, the RB pathway and p53 pathway, which regulate S-phase entry and progression (Figure 1). Growth factor stimulated cellular proliferation signals ultimately feed through the RB pathway, making its components critical targets of tumorigenesis. The p53 pathway functions as the guardian of the genome, regulating S-phase entry and progression in response to cellular stress. As a result of bearing this great burden, p53 is functionally inactivated in almost all cancers. There is considerable crosstalk between these two pathways, which represents an emerging aspect of their function in tumorigenesis. The following sections review the role and regulation of key components of the RB pathway and p53 pathway. THE RB PATHWAY The E2F family of transcription factors represents the key downstream target of the RB pathway (Trimarchi and Lees, 2002). Classic E2F target genes play an important role in cellular proliferation through the control of S-phase entry and progression. E2F activity is regulated primarily through association with the tumor suppressor protein pRB and the related proteins p107 and p130, which comprise the pocket protein family. Sequential phosphorylation of the pocket proteins by cyclin dependent kinases (cdks) modulate the interaction between E2Fs and the pocket proteins. Finally, two families of cdk inhibitory proteins (the INK4 family and the CIP/KIP family) cooperate with the pocket proteins to enforce both temporary and permanent cell cycle arrest. As a result of their central role in cell cycle regulation, components of the RB pathway are targeted in 10 Figure 1. GROWTH FACTORS: STRESS: p16 IN K 4 A pl9ARF p1 cyclin D/cdk4 mdm2 I I pRb p5 3 I E2F p21CIP S-phase S-phase Figure 1. The RB pathway and the p53 pathway both regulate S-phase. The RB pathway regulates S-phase entry and progression in response to growth factor signaling. The p53 pathway is normally inactive, but can be activated to control S-phase in response to many types of cellular stress. Both pathways are critical targets in the process of tumorigenesis. Additionally, components of these two pathways can communicate with each other during S-phase regulation. the majority of cancers. Evidence of this is seen in the frequent inactivation of the tumor suppressor protein pRB or the cdk inhibitor p16INK4A as well as the activation of cdk activity through amplification of cdk4 or D-type cyclins. THE E2F FAMILY OF TRANSCRIPTION FACTORS Discovery of E2F and general properties Studies involving mammalian DNA tumor viruses provided early information regarding cell cycle progression, DNA replication, transcription and transformation. Because of their relatively small genome sizes, these viruses often employ cellular factors in processes such as viral genome replication and transcription, rather than encoding viral factors to carry out these processes. By studying how viruses co-opt these processes, we gained insight into how these cellular processes normally proceed and what cellular proteins are involved. Examples of these viruses include SV40 polyomavirus, human papilloma virus (HPV) and adenovirus. Immediately after infection, adenovirus initiates a coordinated attack on the cellular machinery to carry out viral transcription and replication, induction of cell cycle progression and inhibition of apoptosis. The first viral transcript to be produced following adenoviral infection is E1A, which in turn activates the expression of several other early viral transcripts. To accomplish this, E1A recruits the efforts of a variety of cellular proteins. In particular, expression of E1A stimulates transcription of the E2 gene by recruiting a cellular activity to the promoter, termed the E2 promoter-binding factor (E2F) (Kovesdi et al., 1986). 12 E2F is a family of transcription factors, which to date is encoded by eight genes. E2F1-5 interact with the pocket protein family, and will be the primary focus of this section (Figure 2) (Trimarchi and Lees, 2002). E2F6, E2F7 and E2F8 lack the domain required for E2F to bind the pocket proteins and have been shown to repress transcription independently (Cartwright et al., 1998; de Bruin et al., 2003; Di Stefano et al., 2003; Logan et al., 2004; Maiti et al., 2005; Trimarchi et al., 1998). Several studies have suggested that E2F6 as a member of the Polycomb complex (Attwooll et al., 2005; Ogawa et al., 2002; Storre et al., 2002; Trimarchi et al., 2001). This complex was originally characterized in Drosophila melanogaster, and regulates the transcription of patterning genes such as the Hox genes (Ringrose and Paro, 2004). The mechanism by which E2F7 and E2F8 repress transcription remains to be elucidated. Concurrent with the identification of E2F, studies utilizing murine F9 embryonal carcinoma (EC) cells identified a differentiation-regulated transcription factor (DRTF1) that possesses a similar activity to E2F (La Thangue and Rigby, 1987; La Thangue et al., 1990). This activity was substantially down-regulated when F9 EC cells were stimulated to undergo differentiation. Further studies of DRTF1 led to the cloning of DRTF1polypeptide 1 (DPi) (Girling et al., 1993). There are two known mammalian DP genes, DPi and DP2 (Ormondroyd et al., 1995; Rogers et al., 1996; Wu et al., 1995; Zhang and Chellappan, 1995). Expression of DPi is generally greater than that of DP2. Although no functional distinctions have been made regarding these two proteins, experiments suggest that DP2 has a greater capacity to enter the nucleus than DPi (de la Luna et al., 1996). E2F and DP genes are found in non-mammalian species where they also play key roles in cell cycle progression and development (Ceol and Horvitz, 2001; Dimova et al., 13 Figure 2. ZI[ E2F1 E2F2 ZZI [ · · ~~ I Il E2F3A i II E2F3B II 11 E2F4 ....... a· [[ E2F5 El = NLS = DNA binding I II I = dimerization = transactivation and pocket protein binding Figure 1. Six members of the E2F family of transcription factors interact with the tumor suppressor protein pRb and/or the other pocket protein family members, p107 and p130. I 2003; Frolov et al., 2001; Gutierrez et al., 2002; Page et al., 2001; Philpott and Friend, 1994). E2F activity consists of a heterodimeric complex between one E2F subunit and one DP subunit (with the exception of E2F7 and E2F8) (Helin et al., 1993b). Dimerization of E2F and DP involves residues comprising a leucine zipper and a separate domain known as the marked box. The marked box was originally identified as a highly conserved region among E2Fs lying outside of the DNA binding domain (Lees et al., 1993). This domain was first shown to interact with the adenoviral E4 ORF 6/7, which facilitates the interaction between E2F and DP (Jost et al., 1996; Obert et al., 1994). To date, there is no equivalent cellular factor. The crystal structure of E2F/DP complex showed that it is a member of the winged-helix family of transcription factors (Zheng et al., 1999). Although amino acid conservation within the DNA binding domain as a whole is not high, the amino acids that contact DNA bases are perfectly conserved among all E2Fs and DPs. Mapping and mutagenesis studies identified a consensus DNA binding site of E2F in the E2 promoter (Loeken and Brady, 1989; Murthy et al., 1985; Zajchowski et al., 1985). Further studies showed that the binding site, TTTCGCGC, is also present in a number of cellular genes (Hiebert et al., 1991; Mudryj et al., 1990). Given the focus of early adenoviral studies, it is not surprising most classic E2F target genes had roles in DNA replication and cell cycle progression. However, with the sequencing of the genome and the development of techniques such as microarrays and chromatin immunopercipitation (ChIP) the list of E2F targets has been greatly expanded to include genes with functions in mitosis, apoptosis, DNA damage and differentiation 15 (Ishida et al., 2001; Kalma et al., 2001; Kel et al., 2001; Ma et al., 2002; Markey et al., 2002; Muller et al., 2001; Polager et al., 2002; Ren et al., 2002; Stanelle et al., 2002; Vernell et al., 2003; Wells et al., 2002). Consistent with these reports, mouse models also support a role for E2F in differentiation and development (Cloud et al., 2002; Fajas et al., 2002; Humbert et al., 2000a; Landsberg et al., 2003; Lindeman et al., 1998; Rempel et al., 2000; Yamasaki et al., 1996). These experiments helped demonstrate that E2F has critical roles in processes beyond basic cell cycle regulation. At the carboxy-terminus of the E2F proteins are overlaying domains specifying a transcriptional activation domain and pocket protein binding domain (Helin et al., 1992). So intertwined are these two domains that the generation of mutations to separately define them has proved difficult. E2Fs interact with multiple histone acetyltransferase (HAT) complexes including GCN5 and Tip60 activate transcription of target genes (Lang et al., 2001; Taubert et al., 2004). However, binding of the E2Fs by pocket proteins masks the transcriptional activation domain and presumably precludes interactions between the E2Fs and HATs. Pocket proteins also associate with histone deacetyltransferases (HDACs) and histone methyltransferases to mediate transcriptional repression through E2F (Brehm et al., 1998; Ferreira et al., 1998; Lai et al., 2001; Macaluso et al., 2003; Magnaghi-Jaulin et al., 1998; Nicolas et al., 2000; Rayman et al., 2002). Although E2Fs collectively mediate both transcriptional activation and transcriptional repression, these two functions are generally thought to be subdivided into two classes of E2Fs (Trimarchi and Lees, 2002). E2F1, E2F2 and E2F3A are known as the activating E2Fs because of their potent ability to induce transcription of E2F target 16 genes. E2F4 and E2F5 are known as the repressive E2Fs. The classification of these E2Fs as either activators or repressors is based upon functional and structural characterizations of the individual E2Fs. Additionally, there are key differences in the subcellular localization, the expression patterns, and the regulation of the activating E2Fs and the repressive E2Fs. E2F1, E2F2, and E2F3A all possess over 100 amino acids amino terminal to their DNA binding domain, whereas E2F3B, E2F4 and E2F5 possess only short stretches of amino acids in this region. The significance of these amino-terminal sequences remains unclear, as the sequence identity in this region is very poor. Closer to the DNA binding domain lies a short sequence which confers cyclin A binding to E2F1-3 (Krek et al., 1994; Xu et al., 1994). Although E2F4 and E2F5 do not share this direct interaction, they indirectly associate with cyclin A through their interactions with p107 and p130 (Castano et al., 1998; Chibazakura et al., 2004; Woo et al., 1997; Zhu et al., 1995). Subcellular localization of E2Fs is controlled through cis-acting amino acid sequences. E2F1-3 are constitutively nuclear due to the presence of a nuclear localization sequence (NL,S) (Allen et al., 1997; Magae et al., 1996). It has not been demonstrated whether certain circumstances exist during which they shuttle in and out of the nucleus. In contrast, E2F4 and E2F5 are predominantly cytoplasmic (Verona et al., 1997). E2F4 possesses multiple nuclear export sequences (NES), characterized by many hydrophobic leucine or isoleucine residues (Gaubatz et al., 2001). When in complex with pocket proteins, the NES is masked, allowing for the presence of E2F4 and E2F5 in the nucleus. When released by the pocket protein, E2F4 and E2F5 are rapidly exported out of the nucleus. Interestingly, in cells lacking both p107 and p130, E2F4 and E2F5 are reported 17 to be unable to enter the nucleus (Rayman et al., 2002). These properties explain why E2F4 and E2F5 are potent repressors but poor activators of transcription. E2Fs are widely expressed, but the specific expression patterns of the individual E2Fs in different tissue and cell types has been only partially characterized (Kusek et al., 2000). The expression pattern of the E2Fs during the cell cycle has been more carefully documented. E2FI, E2F2 and E2F3A are not expressed in quiescent cells. Transcription of these genes initiates late in G1, and the promoters of these genes possess multiple E2F and E-box sequences (bindings sites for the transcription factor c-myc), suggesting some degree of positive feedback (Adams et al., 2000; Hsiao et al., 1994; Sears et al., 1997). E2F4 and E2F5 are expressed throughout the cell cycle, with little fluctuation. Currently, the transcription factors that regulate the promoters of these genes have not been characterized. E2F3B, which is discussed in more detail below, shows a pattern of expression similar to E2F4 and E2F5 (Leone et al., 2000). Finally, recent reports indicate that the E2Fs are translationally regulated by microRNAs, although this mechanism of regulation is not well understood (O'Donnell et al., 2005). In addition to these types of control, E2Fs are also regulated by multiple post-translational mechanisms including ubiquitination, acetylation and phosphorylation (Campanero and Flemington, 1997; Dynlacht et al., 1994; Dynlacht et al., 1997; Galbiati et al., 2005; Gaubatz et al., 2000; Hallstrom and Nevins, 2003; Hateboer et al., 1996; Hofmann et al., 1996; Krek et al., 1994; Martinez-Balbas et al., 2000; Marzio et al., 2000; Trouche et al., 1996; Xu et al., 1994). 18 Models of E2F function Many models have been proposed to explain the mechanism of E2F target gene regulation, although there is not a consensus. One question addressed by various models is whether E2F target gene expression is primarily regulated by activation or repression. During cell cycle re-entry, there is a clear use of repression during quiescence and of activation once cells re-enter the cell cycle. However, this may not model the regulation of E2F target genes in cycling cells. In this setting, expression of E2F target genes may be achieved by the binding of activating E2Fs to the promoters of target genes. However, it is equally likely that expression of E2F target genes may be achieved by the removal of repressive E2Fs from the promoters of target genes. There is data in support both models, suggesting that the mechanism of target gene regulation may vary from gene to gene. Another question about E2F target gene regulation is the issue of regulation by specific E2Fs versus overall E2F dosage. Some E2F target genes are believed to be specifically regulated by a single E2F or perhaps a subset of E2Fs. In other cases, it appears as if the determining factor is E2F dosage. The sum of activating E2Fs less the sum of repressive E2Fs equals the E2F activity regulating a particular gene. Thus the relative levels of' different E2Fs would determine E2F target gene expression. Again, there is data consistent with both models. The question of compensation is also relevant here. If there is normally specificity involved in the regulation of a given E2F target gene, by one member of the E2F family, the absence of that E2F should be sufficient to deregulate expression of the target gene. On the other hand, if the remaining E2Fs can 19 compensate for the loss of one E2F, this may obscure the correct understanding of target gene regulation. The E2F3 locus My studies on E2F have focused primarily on one family member, E2F3. The E2F3 locus specifies two gene products (Lees et al., 1993; Leone et al., 2000). The two transcripts encoded by this locus utilize distinct first exons, but share the remaining exons and are read in the same reading frame. Consequently, the two E2F3 proteins are identical except at their amino terminus. One hundred twenty-two amino acids at the amino terminus of E2F3A are replaced by six novel amino acids in E2F3B. However, all known domains in E2F3A are present in both proteins and no function has yet been assigned to the amino terminus of E2F3A. E2F3A and E2F3B show different patterns of expression (Leone et al., 2000). E2F3A is not expressed in quiescent cells. As cells proceed from G1 into S-phase, expression of E2F3A is induced. The promoter of E2F3A contains several E2F consensus binding sites as well as E-boxes (Myc binding sites) (Adams et al., 2000). In contrast, E2F3B is expressed in both quiescent and cycling cells, and its levels do not vary during the cell cycle. The promoter of E2F3B contains several Ets and Spl consensus binding sites. E2F3A has been extensively characterized as a transcriptional activator and a positive regulator of cell cycle progression (Lees et al., 1993). Once quiescent cells reenter the cell cycle, E2F3 binding activity accumulates in late GI and then decreases as cells exit S-phase (Leone et al., 1998). However, E2F3 binding activity reappears at the 20 following G /S transition, indicating that E2F3A plays a recurring role during each cell cycle. Additionally, overexpression of E2F3A induces S-phase entry and causes quiescent cells to re-enter the cell cycle (Lees et al., 1993). There is considerable disagreement on whether expression of E2F3A can also induce apoptosis, and the results appear to be highly influenced by the method of overexpression that is used. Some studies suggest that the ability to induce apoptosis is an E2F1-specific function not shared by E2F3, while others suggest that E2F3 can also induce this pathway (DeGregori et al., 1997; Leone et al., 2001). Overexpression of E2F3A in the pituitary induces abnormal proliferation of previously quiescent melanotroph cells (Denchi et al., 2005). However, these cells cells do not undergo apoptosis, but instead ultimately cease cell division and enter a senescent-like state. This suggests that cells are actively monitoring E2F activity, and in some tissues additional mutations would be necessary for de-regulated E2F activity to promote tumorigenesis. Mouse embryonic fibroblasts (MEFs) lacking both isoforms of E2f3 display impaired cellular proliferation and this phenotype is exacerbated when cells are grown at lower densities (Humbert et al., 2000b). Additionally, E2f3-deficient MEFs driven into quiescence by serum deprivation re-enter the cell cycle following the re-addition of serum with decreased efficiency. This is apparently due to a delay in S-phase entry as well as a defect in S-phase progression. Decreased/delayed expression of E2F target genes correlates with this observation. MEFs lacking E2fl-3 exhibits more profound defects in proliferation and cell cycle re-entry, suggesting that E2F1 and E2F2 can also influence these phenotypes but to a lesser degree than E2F3 (Wu et al., 2001a). 21 Protein-protein interactions may explain some reason for the specific importance of E2F3 in the regulation of cellular proliferation. A yeast two hybrid using the marked box of various E2Fs identified RYBP as a specific interactor of E2F2 and E2F3 (Schlisio et al., 2002). This interaction positively regulates the Cdc6 promoter. A similar approach was used to identify TFE3 as a binding partner of E2F3 (Giangrande et al., 2003; Giangrande et al., 2004). Together, E2F3 and TFE3 coordinate the expression of several genes, including the p68 subunit of DNA polymerase alpha and ribonucleotide reductase. Regulation of these genes appears to be cooperative, as MEFs lacking either E2f3 or Tfe3 show similar defects in gene regulation. However, not all genes affected by the loss of E2f3 were also affected by the loss of Tfe3, and generally the loss of E2f3 resulted in a more severe defect. Given the key role of E2F3 as a regulator of cellular proliferation and the highly proliferative state of tumors, it is not surprising to know that E2F3 protein is abundant in many types of cancer. However, more recent evidence suggests that E2F3 may be specifically targeted in some tumors. Bladder cancer often displays amplification of chromosome 6p22, which contains the E2f3 locus (Veltman et al., 2003). In both bladder and prostate tumors, high E2F3 expression correlates with poor prognosis and invasive cancer (Feber et al., 2004; Foster et al., 2004; Oeggerli et al., 2004; Veltman et al., 2003). Metagene analysis has been used to model the downstream activity of E2F3 relative to other E2Fs, and may provide some clues to its specific role in tumorigenesis (Huang et al., 2003). Mouse models have been used to further probe the function of E2F3. Germline deletion of E2f3 in mice results in complete embryonic lethality in pure strain 22 backgrounds, and partial lethality in mixed strain backgrounds (Cloud et al., 2002; Humbert et al., 2000b). Analysis of pure strain background E2f3-deficient embryos reveals cardiac defects. Additionally, E2fl;E2f3 compound mutant mice display earlier embryonic lethality, as early as e9.5 (Cloud et al., 2002). This suggests that the transcriptional activation is critical for proper embryo development. Surviving adult E2f3 knockout mice in the mixed strain backgrounds eventually succumb to dilated cardiomyopathy (DCM), although the cause remains unknown. Unlike E2fl-deficient mice, E2f3 knockout mice are not prone to spontaneous tumor development (Yamasaki et al., 1996). Nevertheless, the role of E2F3 in cellular proliferation suggests that it could play a positive role in tumorigenesis as a result of deregulation of the RB pathway. REGULATION OF E2F BY THE RB PATHWAY Rb-i was first identified as an important tumor suppressor gene mutated in cancer (Friend et al., 1986; Fung et al., 1987; Lee et al., 1987). Humans with a germline mutation in the Rb-1 gene develop spontaneous bilateral retinoblastoma. These individuals are also prone to secondary tumors such as osteosarcoma (Fletcher et al., 2004). Additionally, pRB is functionally inactivated in a majority of other tumor types. Concurrent with studies of retinoblastoma, pRB was also identified as a key interacting protein of viral oncoproteins such as adenovirus E1A, human papilloma virus (HPV) E6 and SV40 large T antigen (Dyson et al., 1992; Dyson and Harlow, 1992). These viral gene products bind and inactivate pRB and its pocket protein family members (Ewen et al., 1991; Li et al., 1993; Mayol et al., 1993). The importance of pRB in tumor biology is 23 illustrated by fact that it is both a target of mutation as well as inactivation by transforming viral oncoproteins. General properties of the pocket protein family pRB, p107 and p130 comprise the pocket protein family, so named for a conserved region through which many of their known interactions and functions occur. The small pocket consists of an A domain and a B domain separated by a spacer region. It binds to an LxCxE motif found in many known pocket protein interactors. The crystal structure of this interaction has been solved (Lee et al., 1998). The E2F transcription factor does not possess an LxCxE motif, and interacts with a large pocket consisting of an additional C domain (Helin et al., 1992; Shan et al., 1996). Endogenous E2Fs and pocket proteins exhibit specificity among their preferred protein-protein interactions. pRB interacts with E2F1, E2F2, E2F3A and E2F3B; p107 interacts primarily with E2F4; and p130 interacts with both E2F4 and E2F5 (Moberg et al., 1996). The reason for this specificity is not known, nor is whether it contributes to pRB's role as a tumor suppressor protein. However, re-organization of pocket protein complexes has been observed in cells lacking pRB (Callaghan et al., 1999; Lee et al., 2002). This is seen in MEFs, differentiated neuronal stem cells, and in the pituitary. In these settings, E2F1 and E2F3 associate with p130 and p107 respectively. This phenomenon is exacerbated in E2f4;Rb double knockout cells and may be critical for the ability of these cells to effectively exit the cell cycle. 24 Regulation of the pocket protein family The expression pattern of the three pocket proteins is differentially regulated (Classon and Harlow, 2002). The expression of pRB does not vary significantly during the cell cycle or upon cell cycle exit. p107 is not expressed in quiescent cells, but its expression is induced during the G1/S transition as a result of transcriptional regulation by E2F. In contrast, p130 is highly expressed in quiescent and differentiated cells. Upon cell cycle re-entry, p130 levels decrease as a result of ubiquitin-mediated degradation by the proteasome (Bhattacharya et al., 2003). As mentioned earlier, regulation of the E2F and pRB interaction occurs primarily via pocket protein phosphorylation (Classon and Harlow, 2002). This change in phosphorylation status affects the ability of pRB to associate with many of its protein interactors. In GO or Gi cells, pRB is present in a hypo-phosphorylated state. Sequential phosphorylation events by cyclin-cdk complexes during cell cycle progression lead to the accumulation of' hyper-phosphorylated pRB. Mutation of cdk phosphorylation sites on pRB results in a constitutively active pRB (Knudsen and Wang, 1997). Both p107 and p130 are also substrates for cyclin-cdk phosphorylation. Regulation of E2F by the pocket protein family Pocket proteins inhibit E2F target gene expression through at least two mechanisms. First, the pocket protein binding domain of E2F overlaps with its transactivation domain leading to passive repression of E2F when the two proteins interact (Helin et al., 1993a). Second, pocket proteins interact with several different histone and chromatin modifying enzymes to actively regulate gene expression. The pocket proteins interact with histone deacetylases (HDACs) as well as histone 25 methyltransferases such as Suv39H1 and Suv39H2 (Brehm et al., 1998; Ferreira et al., 1998; Lai et al., 2001; Macaluso et al., 2003; Magnaghi-Jaulin et al., 1998; Nicolas et al., 2000; Rayman et al., 2002). Pocket proteins also interact with nucleosome remodeling proteins such as Brgl and Brm (Strobeck et al., 2000; Strobeck et al., 2002). The expression of these histone and chromatin modifying enzymes has been shown to be essential for pRB to block cell cycle progression. There appear to be differences in the repression of E2F target genes mediated by pRB and that mediated by p107 and p130. Chromatin immunopercipitation (ChIP) experiments suggest that p107 and p130 bind the promoters of E2F target genes during the cell cycle (Rayman et al., 2002; Takahashi et al., 2000). In contrast, pRB cannot be found to be associated with the promoters of E2F target genes during the cell cycle. Instead, pRB looks to be involved in permanent repression of gene expression. pRB co- localizes with senescence-associated heterochromatic foci (SAHFs) (Young and Longmore, 2004). Additionally, pRB positively regulates the activity of several differentiation specific transcription factors and can be found at the promoters of target genes involved in differentiation. In addition to playing a key role in events during the cell cycle, the pocket proteins and E2F have an important function in the decision to exit the cell cycle. Deletion of both Rb and p107 results in bypass of the serum-dependent restriction point (Gad et al., 20041). Interestingly, acute ablation of Rb but not the germline deletion renders cells incompetent to exit the cell cycle in response to serum deprivation (Sage et al., 2003). The may be explained by the up-regulation of p107 observed in the germline deletion of Rb, and the ability of p107 to compensate for pRB in this setting. Cells 26 deficient for all three pocket proteins fail to arrest in response to serum deprivation, contact inhibition or the loss of adhesion and are immortal (Dannenberg et al., 2000; Sage et al., 2000). Reintroduction of pRB into cell lines lacking Rb-1 induces a senescence- like state (Alexander and Hinds, 2001; Tiemann and Hinds, 1998; Xu et al., 1997). Additionally, the acute loss of Rb in senescent cells is sufficient to allow them to re-enter the cell cycle (Sage et al., 2003). Pocket protein family mouse models Mice heterozygous for the Rb gene do not develop retinoblastoma like their human counterparts. Instead, they succumb to spontaneous tumors of the pituitary and thyroid (Clarke et al., 1992; Jacks et al., 1992; Lee et al., 1992). Rb chimeric animals exhibit the same tumor predisposition (Williams et al., 1994b). Animals lacking p107 or p130 are not prone to spontaneous tumor development. However, ablation of Rb in the background of pl07 or p130-deficiency gives rise to retinoblastoma (Chen et al., 2004; MacPherson et al., 2004b). This suggests that p107 and p130 are playing "back-up" roles as tumor suppressors. Viral oncogenes have also been used to functionally inactivate the pocket proteins. For example, the T121 mouse expresses a transgene containing a truncated version of the SV40 large T antigen. This mouse has been used to characterize the role of the pocket proteins in tumor development in several different tissues (Pan et al., 1998; Simin et al., 2004; Xiao et al., 2002). Knockout mouse strains have been used to determine the contribution of specific E2Fs in various tumor models. Rb heterozygous mice that are also deficient for E2fl possess a greatly extended the lifespan, supporting the conclusion that E2F is deregulated in Rb-deficient tumors (Yamasaki et al., 1998). This appears to be a general property of 27 the activating E2Fs, as the deletion of E2f3 similarly improved the survival of Rb heterozygous mice (Ziebold et al., 2003). Interestingly, the loss of E2f3 also enhanced the aggressiveness of thyroid tumors in these mice, demonstrating that E2Fs can have both tumor promoting and tumor restricting functions. Finally, the loss of E2f4 also inhibits tumor development in Rb-heterozygous mice (Lee et al., 2002). This has been attributed to the redistribution of E2Fs and pocket proteins, leading to inhibition of E2F1 and E2F3 by p130 and p107, respectively. Unfortunately, this does not tell us whether E2F4 has a direct function in these tumors. Examination of Rb-deficient cells and embryos has provided additional evidence that deregulation of E2F activity is a key consequence of Rb-loss. Germline deletion of Rb leads to inappropriate S-phase entry in the central nervous system (CNS) and increased E2F activity (Clarke et al., 1992; Jacks et al., 1992; Lee et al., 1992). The additional deletion of either E2fl or E2f3 reduces inappropriate S-phase entry (Tsai et al., 1998; Ziebold et al., 2001). Similarly, MEFs lacking Rb have a shortened G1 and elevated levels of specific E2F target genes including p107 and cyclin El (Hurford et al., 1997). Recently, Rb-deficient MEFs have been shown to possess a defect in mitotic progression due to deregulation of Mad2 (Hernando et al., 2004). MEF lacking both p107 and p130 also show defects in E2F target gene regulation that are distinct from those regulated by pRB (Hurford et al., 1997). Also, plO07-deficient MEFs display elevated Skp2 expression (Rodier et al., 2005). These experiments demonstrate that E2F is a key downstream component of the RB pathway. 28 Cyclins and cdks Sequential phosphorylation events during Gi and the transition into S-phase regulate pRB function. The cyclins and cyclin dependent kinases are responsible for phosphorylation of pRB, p107 and p130 are described below. D-type cyclins (D1, D2, and D3 in mammals) function in early G1 (Sherr, 1993). In addition to their role in cell cycle progression, D-type cyclins may also promote cellular growth (Datar et al., 2000; Meyer et al., 2000; Meyer et al., 2002). Kinase activity requires complex assembly between D-type cyclins and either cdk4 or cdk6 (Matsushime et al., 1992; Meyerson and Harlow, 1994). The critical target of these kinases is pRB, and few other targets have been identified. The expression of D-type cyclins in response to growth factor stimulation occurs through the Ras pathway (Gille and Downward, 1999). Overexpression of D-type cyclins causes a shortening in the length of G1 (Quelle et al., 1993). Recently, MEFs have been generated which lack all three D-type cyclins (Kozar et al., 2004). Proliferation of the D-type cyclin triple knockout (TKO) MEFs is only slightly impaired and the expression of other cell cycle regulators appears to be unaffected. Although the overall phosphorylation of pRB is reduced in the D-type cyclin TKO MEFs, two presumed D-type cyclin specific sites remain efficiently phosphorylated. Cdk4;cdk6 DKO MEFs have also been generated, and they have similar properties to those observed in the D-type cyclin TKO MEFs (Malumbres et al., 2004). E-type cyclins (El and E2 in mammals) function in late Gi and during S-phase (Sherr, 1993). Kinase activity requires complex assembly between E-type cyclins and cdk2. In addition to further phosphorylating pRB, E-type cyclins possess other key 29 targets with roles in cell cycle progression such as p27KIP1 (Sheaff et al., 1997). E-type cyclins also regulate centrosome duplication through the phosphorylation of nucleophosmin (Okuda et al., 2000). The expression of cyclin E is normally under the control of the E2F transcription factor. Overexpression of E-type cyclins accelerates progression from Gi into S-phase and can substitute for the activity of cyclin D (Geng et al., 1999; Ohtsubo and Roberts, 1993). Recently, MEFs have been generated that lack both E-type cyclins (Geng et al., 2003; Parisi et al., 2003). Although E-type cyclin DKO MEFs display a subtle proliferation impairment, expression of other components of the cell cycle machinery as well as overall phosphorylation levels of pRB remain unaffected. There are also no centrosomal abnormalities observable in E-type cyclin DKO MEFs. Cdk2 knockout MEFs have also been generated, and have similar properties to those observed in the E-type cyclin DKO MEFs (Berthet et al., 2003; Ortega et al., 2003). Cdk inhibitory proteins Two families of cyclin dependent kinase inhibitor proteins regulate cyclin dependent kinase activity. They cooperate with the pocket proteins to mediate repression of E2F and cell cycle arrest. The INK4 family is comprised of p16INK4A, p15INK4B, p18INK4C and pl9INK4D (Ortega et al., 2002). These proteins specifically associate with cdk4 and cdk6, and prevent the association of cdk4 and cdk6 with the D-type cyclins. Members of the INK4 family are capable of inducing G1 arrest when over-expressed, but this activity is dependent on functional pRB. The regulation of the INK4 family members is still being characterized, but it is clear that they possess distinct patterns of expression during development and respond differently to various growth inhibitory signals. For example, 30 p16INK4A expression becomes increasingly elevated as cells accumulate population doublings and undergo senescence. Premature senescence induced by activation of the Ras pathway also leads to expression of p16INK4A, mediated by the Ets transcription factor (Ohtani et al., 2001). The CIP/KIP family is comprised of p21CIP, p27KIP1 and p57KIP2 (Sherr and Roberts, 1999). These proteins inhibit cdk2 kinase activity, but do so without disassociating cdk2 from E-type and A-type cyclins. Instead, they form a tri-molecular complex. The CIP/KIP family is believed to perform an additional function, promoting the assembly of D-type cyclins with cdk4 or cdk6 (Cheng et al., 1999). The generation of p21CIP;p27KIP1 double knockout MEFs suggests that this may not be an essential function for the CIP/KIP family (Bagui et al., 2003; Sugimoto et al., 2002). Additionally, it was thought that D-type cyclins sequestered members of the CIP/KIP away from Etype and A-type cyclins. However, D-type cyclin TKO MEFs do not possess any impairment in cdk2 activity(Kozar et al., 2004). Like the INK4 family, there is a distinct pattern of expression of CIP/KIP family members in response to various growth inhibitory signals. For example, p21CIP is a major downstream transcriptional target of the p53 tumor suppressor protein, serving as a critical link between these two pathways (Bunz et al., 1998; el-Deiry et al., 1993; Niculescu et al., 1998). THE p53 PATHWAY Discovery of p53 and general properties p53 was originally identified by several studies as a cellular protein that bound to the large T antigen in SV40 polyomavirus infected cells (Chang et al., 1979; Kress et al., 31 1979; Lane and Crawford, 1979; Linzer and Levine, 1979; Linzer et al., 1979). Subsequent work demonstrated that p53 was also associated with El B of adenovirus and E6 of human papillomavirus (HPV) (Sarnow et al., 1982; Scheffner et al., 1990). It was also noted that p53 levels, though variable, were often more abundant in transformed cells, whereas non-transformed cells possess very small amounts of this protein (Mowat et al., 1985). Due to the fact that p53 was initially cloned from cells possessing a dominant negative missense mutation, p53 was first thought to function as an oncogene (Jenkins et al., 1985). When later studies uncovered this fact, the wild-type protein was quickly established as a potent tumor suppressor. Mutation of p53 was linked to a hereditary cancer, Li-Fraumeni syndrome, and a plethora of spontaneous p53 mutations have been identified in other cancers (Malkin et al., 1990; Olivier et al., 2004; Pfeifer, 2000). The p53 tumor suppressor protein is a strong activator of transcription. The amino-terminus of the p53 protein contains two domains, a transactivation domain and a proline-rich domain. The transactivation domain is highly acidic and of comparable strength to other strong activation domains (Fields and Jang, 1990; Unger et al., 1993). The proline-rich domain consists of five PXXP motifs. This domain is similar to motifs found in SH3-binding proteins. The role of the proline-rich domain has not been convincingly established (Edwards et al., 2003; Zhu et al., 1999; Zhu et al., 2000). The central region of p53 contains the DNA binding domain. This is the site of an overwhelming majority of p53 mutations (Olivier et al., 2004; Pfeifer, 2000). The Xray crystal structure of the DNA binding domain bound to DNA has been solved, confirming the importance of many of the mutations observed in cancers (Cho et al., 32 1994; Zhao et al., 2001). The consensus p53 binding site consists of two copies of the sequence 5'-Pu-Pu-Pur-C-(A/T)-(T/A)-G-Py-Py-Py-3' that are each separated by 0-13 nucleotides (el-Deiry et al., 1992). They are often located in the 5' untranslated region as well as the first two introns of target genes. The carboxy-terminus of p53 contains the oligomerization domain and a proposed regulatory region that is highly basic. The p53 protein forms tetramers and oligomerization is required for DNA binding and transcriptional regulation of target genes, although DNA is not required for tetramer formation (Friedman et al., 1993; Kraiss et al., 1988). The X-ray crystal structure of the oligomerization domain has been solved (Jeffrey et al., 1995). The carboxy-terminus of p53 also contains a nuclear export sequence (NES) and three nuclear localization signals (NLS). Tetramerization is reported to mask the NES, encouraging nuclear localization of the protein (Stommel et al., 1999). Although p53 is best characterized as a transcriptional regulator, some recent studies have proposed an additional cytoplasmic role for p53 (Chipuk et al., 2004; Marchenko et al., 2000; Mihara et al., 2003; Sansome et al., 2001; Zhao et al., 2005). The relevance of this activity remains to be proven. There are two additional p53 family members, p63 and p73, which bear overall domain similarity to p53 (Melino et al., 2003; Moll and Slade, 2004). However, p63 and p73 share more homology with each other than they do to p53. Additionally, p63 and p73 are highly alternatively spliced. It is not yet clear what functions the differenet isoforms possess. However, those lacking the amino-terminal activation domain may function as natural dominant negative proteins. p53 was not thought to share this property, but recently it has been demonstrated that p53 is also alternatively spliced 33 (Courtois et al., 2004). Although evidence of p63 and p73 mutation in cancer is rare, especially compared to that of p53, analysis of p63,p73 compound mutant mice suggest that these two genes do possess tumor suppressive function (Flores et al., 2005). The nature of this function remains largely unclear as these proteins likely both share a common subset of target genes with p53 as well as possess their own unique target genes. This hypothesis was recently supported by studies of p53;p63,p73 compound mutant cells (Flores et al., 2002). p 6 3 and p73 function may also be altered in the presence of mutant p53 (Di Como et al., 1999; Gaiddon et al., 2001; Marin et al., 2000; Olive et al., 2004; Strano et al., 2000). p53 function and target genes Expression of p53 results in cell cycle arrest or the induction of apoptosis. p53 controls the expression of target genes that function in both these processes. To date, it is not clear how the decision is made to promote cell cycle arrest over apoptosis or vice versa. Little information on this question has been gained through the analysis of p53 DNA binding sites, suggesting that the answer lies either in specific post-translational modifications, p53 protein-protein interactions, or the coordinated activation of parallel pathways. Regardless, characterization of p53 target genes has led to a better understanding of the part played by p53. Expression of p53 leads to cell cycle arrest in both G1 and G2 (Iliakis et al., 2003; Kuerbitz et al., 1992; Taylor and Stark, 2001). A number of p53 target genes have been implicated in the mediation of cell cycle arrest. The cyclin dependent kinase inhibitor p21CIP has been the most well-characterized (Bunz et al., 1998; el-Deiry et al., 1993; Niculescu et al., 1998). In addition to its ability to inihibit cyclin-dependent kinase 34 activity, p21CIP also interacts with PCNA. Because PCNA plays a key role in DNA replication, it is believed that this also represents an important contribution of p21CIP during cell cycle arrest. MEFs deficient forp2lCip fail to undergo p53-dependent cell cycle arrest (Brugarolas et al., 1995; Deng et al., 1995). These cells also proliferate more rapidly than wild-type cells, but unlike p53 knockout MEFs, p21Cip knockout MEFs still undergo senescence. GADD45 is another p53 target gene involved in mediating cell cycle arrest. (Papathanasiou et al., 1991) Expression of GADD45 prevents the transition from G2 into mitosis by inhibiting cdc2 kinase activity. Another target of p53 is 14-3-3 sigma, which is also involved in regulation of the G2/M transition following cellular stress (Hermeking et al., 1997). Induction of apoptosis by p53 involves target genes that function at the plasma membrane as well as in the mitochondria (Fridman and Lowe, 2003). DR5, PERP and Fas-ligand are p53 target genes involved in the extracellular signaling pathways that induce apoptosis (Attardi et al., 2000; Owen-Schaub et al., 1995; Wu et al., 1997). Bax, Puma, Noxa, and Bid are involved in apoptosis conducted through the mitochondria (McCurrach et al., 1997; Nakano and Vousden, 2001; Oda et al., 2000; Sax et al., 2002; Yin et al., 1997; Yu et al., 2003). The single deletion of Bax, Puma, or Bid results in partial resistance to p53-dependent apoptosis, although clearly multiple target genes are able to effect p53-dependent cell death. Apaf- 1 is a p53 target gene that functions through the regulation of caspase activation (Moroni et al., 2001; Soengas et al., 1999). Deficiency in Apaf-l or caspase 9 also impairs p53-dependent apoptosis. 35 Regulation of p53 by post-translational modification Since p53 activation can have serious consequences for cell cycle progression and cell viability, it is critical that p53 is properly regulated. Control of p53 activity occurs primarily through the post-translational modification of the p53 protein (Appella and Anderson, 2001; Bode and Dong, 2004). Levels of p53 are low in unstressed, nontransformed cells. However, p53 is rapidly stabilized following cellular stress including but not limited to ultraviolet (UV) irradiation, gamma-irradiation, nucleotide depletion, hypoxia, hyperoxia, heat shock and senescence. Post-translational modifications that have been identified on p53 include acetylation, glycosylation, methylation, neddylation, phosphorylation, ribosylation, sumoylation, and ubiquitination. These modifications are typically associated with changes in p53 protein stability and p53 DNA binding activity. It is not clear whether these modifications are also responsible for influencing p53 transcriptional activity and/or target gene selection. The role of phosphorylation and ubiquitination in p53 regulation has received the most attention and is consequently the most well-understood. Ubiquitination of p53 is responsible for keeping steady-state p53 protein levels low, thereby also keeping p53 activity low. Murine double minute 2 (Mdm2) is an E3 ubiquitin ligase that binds to the amino-terminus of p53 (Haupt et al., 1997; Honda et al., 1997; Kubbutat et al., 1998; Kubbutat et al., 1999; Momand et al., 1992; Oliner et al., 1993). The interaction of mdm2 with p53 inhibits the function of the p53 transactivation domain and decreases the stability of p53. Mdm2 is amplified in many cancers (Oliner et al., 1992). Mdm2 is a p53 target gene, and this permits p53 to regulate its own protein levels (Wu et al., 1993). Mdm2 can also auto-ubiquitinate (Honda and Yasuda, 1999). 36 Mdm2 additionally interacts with E2F and pRB (Hsieh et al., 1999; Loughran and La Thangue, 2000; Sdek et al., 2004; Wunderlich et al., 2004). The importance of the Mdm2-p53 regulatory loops is underscored by the early embryonic lethality of Mdm2deficient embryos. This lethality is completely rescued in Mdm2;p53 double knockout embryos, demonstrating the essential role of Mdm2 in the regulation of p53 protein levels and p53 activity (Jones et al., 1995; Montes de Oca Luna et al., 1995). Finally, the Mdm2 homolog MdmX also regulates p53, although it does not possess intrinsic E3 ubiquitin ligase activity (Marine and Jochemsen, 2005). HPV E6 targets p53 for ubiquitin-mediated degradation by interacting with the cellular E6 associated protein (E6AP) (Huibregtse et al., 1991; Huibregtse et al., 1993). E6AP is an E3 ubiquitin ligase (Scheffner et al., 1993). Interestingly, E6AP only promotes the ubiquitin-mediated degradation of p53 in HPV infected cells (Talis et al., 1998). It appears that E6AP is not normally involved in p53 regulation. Phosphorylation of p53 is responsible for switching on p53 activity, by increasing protein stability and/or DNA binding activity. DNA damage leads to the activation of the kinase ataxia telangiectasia mutated (ATM) and AT-related (ATR). Atm is mutated in the disease ataxia telangiectasia (A-T). Individuals with this disease develop a range of maladies, including cancer. ATM and ATR directly phosphorylate p53 on residue serine 15 in humans and the equivalent residue (serine 18) in mice (Banin et al., 1998; Canman et al., 1998; Saito et al., 2002; Siliciano et al., 1997; Tibbetts et al., 1999). Cells from AT patients have an impaired DNA damage response and do not stabilize p53 appropriately, consistent with the role of this kinase, and this phenotype is mirrored in Atm-deficient mice (Barlow et al., 1996). Other kinases have also been implicated in the 37 phosphorylation of this residue, including p38, Erk, and DNA-PK (She et al., 2000; Shieh et al., 1997). Knock-in mice have been generated using the endogenous p53 locus in which serine 18 has been substituted with an alanine (Chao et al., 2003; Sluss et al., 2004). This mutation resulted in decreased p53 target gene activation following DNA damage, although no change in p53 protein stabilization or DNA binding was reported. They also showed a reduced apoptotic response in thymocytes isolated from these mice, although there was no evidence of spontaneous tumor development. Additionally, this mutation appeared to have no effect on proliferation or the ability of these cells to undergo G1 arrest. Chkl and Chk2 are kinases that are activated down-stream of ATM and ATR and independently phosphorylate p53 on serine 20 in humans and the equivalent residue (serine 23) in mice (Bell et al., 1999; Chehab et al., 2000; Chehab et al., 1999; Shieh et al., 1999; Unger et al., 1999; Wu et al., 2001b). The importance of these kinases is supported by evidence showing that a small fraction of Li-Fraumeni patients harbor mutations in Chk2 rather than p53. Additionally, Chk2-deficient thymocytes are impaired in their ability to undergo apoptosis following DNA damage (Hirao et al., 2000). Chk2 knockout cells do not appropriately stabilize p53 or induce p53 target gene expression following DNA damage. MAPKAP2 has also been implicated in phosphorylation of this residue (She et al., 2002). Knock-in mice have been generated using the endogenous p53 locus in which serine 23 has been substituted with an alanine (MacPherson et al., 2004a; Wu et al., 2002). MEFs derived from these mice displayed normal p53 stabilization, activation of p53 target gene expression, and cell cycle arrest following DNA damage. However, decreased p53 stabilization and apoptosis resistance 38 was observed in thymocytes and the cerebellum. Additionally, these mice eventually developed lymphomas of B-cell origin. To date there at least 17 serine and threonine residues on p53 reportedly phosphorylated by 18 different kinases (Bode and Dong, 2004). It is difficult to know the importance of each of these sites, or even of each kinase, and for most, the biological relevance has yet to be established. One other mouse model involves a knock-in at the serine 389 residue in the endogenous p53 locus (Bruins et al., 2004). This residue has been shown to become phosphorylated specifically in response to UV-irradation but not gamma-irradiation (Kapoor and Lozano, 1998; Lu et al., 1998). Cells from these mice appear to be generally defective in responding to DNA damage involving nucleotide excision repair (NER) (Hoogervorst et al., 2005). A kinase has not been definitely identified as being responsible for phosphorylation on this site. In the future, remaining phosphorylation sites will need to be confirmed, as will other p53 protein modifications. Regulation of p53 by p19ARF The tumor suppressor protein p19ARF, which regulates p53 as part of the tumor surveillance response, is encoded by the INK4A locus. The INK4A locus was originally identified as the gene encoding the p16INK4A tumor suppressor protein, a part of the RB pathway. Subsequently, it was discovered that this locus encodes a second protein, the alternate reading frame protein (ARF) (Quelle et al., 1995). In humans it is known as pl4ARF; in mice it is known as pl9ARF. The ARF protein utilizes a distinct first exon from that used to encode p16INK4A. The resulting protein is read as a separate reading frame. So although pl6INK4A and p19ARF share genomic DNA sequence, they bear no amino acid similarity. 39 Expression of p19ARF was shown to arrest cells in both Gi and G2 phases of the cell cycle (Quelle et al., 1995). The function of p19ARF was demonstrated to primarily involve regulation of p53. This occurs through its interaction with mdm2 (Honda and Yasuda, 1999; Kamijo et al., 1998; Kurokawa et al., 1999; Pomerantz et al., 1998; Tao and Levine, 1999; Zhang et al., 1998). Most studies support the idea that p19ARF inhibits mdm2 by sequestering it in the nucleolus (Weber et al., 1999). However, recent studies have also established that p19ARF has additional roles beyond the regulation of mdm2 (Kuo et al., 2003; Weber et al., 2000). Many of these alternate functions are still consistent with its function in the nucleolus, as well as its role in mediating cell cycle arrest and apoptosis. p19ARF has been shown to influence rRNA processing (Sugimoto et al., 2003). pl9ARF also associates with nucleophosmin/B23 (Bertwistle et al., 2004; Korgaonkar et al., 2005). One recent study suggests that p19ARF can regulate apoptosis independently of p53 through a mechanism involving Bax and the mitochondria (Nakazawa et al., 2003; Suzuki et al., 2003). p19ARF has been shown to regulate E2Fs by targeting them for degradation(Martelli et al., 2001). p19ARF can also influence RhoGTPases (Guo et al., 2003; Guo and Zheng, 2004). Finally, p19ARF negatively regulates the transcription factor FoxM1B and this interaction may be critical in hepatocellular carcinoma development (Kalinichenko et al., 2004). Several proteins have been implicated in the regulation of p19ARF, although there is still much remaining to be clarified. p19ARF transcription can be induced by a number of proteins, including several oncogenes, such as E1A, c-myc, ras, E2F, AP-1, Pokemon, TBX2, TBX3 and Bmi-1 (Ameyar-Zazoua et al., 2005; Brummelkamp et al., 2002; de Stanchina et al., 1998; Dimri et al., 2000; Jacobs et al., 2000; Jacobs et al., 40 1999; Lingbeek et al., 2002; Molofsky et al., 2005; Palmero et al., 1998; Park et al., 2003; Zindy et al., 1998). Additionally, p19ARF expression has been shown to be stimulated by ATM (Li et al., 2004). More recently, CARF was identified as a p19ARF interacting protein that collaborates with p19ARF through an unknown mechanism (Hasan et al., 2002). p19ARF has also been shown to be itself regulated by ubiquitination (Kuo et al., 2004). Regulation of the p53 pathway by E2F Several studies have implicated E2F in the regulation of pl9ARF. E2F consensus binding sites can be found within the promoter of both pl9Arf and pl4Arf (Bates et al., 1998). Conservation of these sites suggests that they are functionally relevant. Despite this fact, mutation of these sites rendered no phenotype in reporter assays; the pl9Arf promoter was E2F-responsive even when these sites were eliminated. It was further demonstrated that E2F1 and E2F2 are not required for the induction of p19ARF expression (Palmero et al., 2002). Another study showed that E2F may normally be involved in repression of p19ARF expression (Rowland et al., 2002). Finally, two separate mouse models in which both E2fl and p53 play critical roles were used to illustrate that p19Arf does not form an obligate link between these genes (Tolbert et al., 2002; Tsai et al., 2002a). E2F has been connected to the regulation of p53 through multiple mechanisms. E2Fl protein levels are dramatically stabilized following different types of DNA damage including UV-irradation and gamma-irradiation (Blattner et al., 1999; Hofferer et al., 1999; Liu et al., 2003; Wang et al., 2004a). This is also associated with increased DNA binding activity and this property appears to be unique among the E2Fs. The induction of 41 E2F1 following DNA damage appears to depend upon the ATM kinase. Both ATM and Chk2 are able to phosphorylate E2F1 in response to DNA damage (Lin et al., 2001; Stevens et al., 2003). Additionally, E2F has been shown to regulate the expression of both ATM and Chk2 and E2F1 is able to indirectly cause the phosphorylation of p53 through the activity of these kinases (Berkovich and Ginsberg, 2003; Powers et al., 2004; Rogoff et al., 2002; Rogoff et al., 2004). Several E2F target genes have also been recently identified with roles in apoptosis. E2F can induce the transcription of genes such as Apaf-1, p73, caspase 7, pl9Arf, Puma, Noxa, and Bim (Hershko and Ginsberg, 2004; Irwin et al., 2000; Moroni et al., 2001; Pediconi et al., 2003; Stiewe and Putzer, 2000). E2F1 has also been reported to repress expression of the anti-apoptotic gene Bc12 (Eischen et al., 2001). Additionally, it has been demonstrated that E2F can regulate the expression of p53 co-factors ASPP1, ASPP2, JMY, and TP53INP1 (Hershko et al., 2005). It has been suggested that the connection between E2F and p53 represents a mechanism by which cells can monitor proliferation levels, and this may be relevant as a part of the tumor surveillance network. However, these interactions remain to be clarified in mouse models. Role of the p53 in transformation and tumorigenesis Mouse models have helped address the role of p53 in tumorigenesis and assess the involvement of other components of the p53 pathway in this process. In particular, the role of p19ARF has been of interest as a positive upstream regulator of p53 in the tumor surveillance network. p53 is mostly dispensable for development although a subtle female-specific lethality is seen due to failure to close the neural tube. The reason for this is not known. 42 Expression of p19ARF is not detectable in most mouse tissues during development and in young mice (Zindy et al., 1997). One exception is in the eye, where p19ARF has been shown to play an essential role in hyaloid vascular regression (McKeller et al., 2002; Silva et al., 2005). Consequently, pl9Arf knockout mice are blind. This function is not shared by p53. There is also evidence to suggest that pl9Arf has a role in the mammary gland of mice (Foster and Lozano, 2002; Yi et al., 2004). Finally, a recent study inserted GFP into the endogenous pl9Arf locus and was able to observe that spontaneous tumors arising in these mice were GFP-positive (Zindy et al., 2003). This study demonstrated that p19ARF expression is specifically induced during tumorigenesis. p53-deficient mice are prone to the development of spontaneous tumors, mainly thymic lymphomas and soft tissue sarcomas (Attardi and Jacks, 1999). pl9Arf knockout mice develop spontaneous tumors that include mostly lymphomas and soft tissue sarcomas, as well as some tumors of neuronal origin (Kamijo et al., 1999; Kamijo et al., 1997). The tumor spectrum of these mice is similar but not the same as that seen in p53 knockout mice, suggesting that these two genes possess both common and independent functions (Moore et al., 2003; Weber et al., 2000). Both p53 and pl9Arfknockout mice are also highly susceptible to carcinogen-induced tumors. Finally, p53 and p19Arf are often spontaneously inactivated in other mouse tumor models (Baudino et al., 2003). There is evidence that the loss of pl9Arf and p53 are not completely identical in tumorigenesis. Direct comparision of these genotypes in MEF transformation studies demonstrated that p53-deficiency is more tumorigenic than pl9Arf-deficiency (Sharpless et al., 2004). The difference between p53-loss and p19Arf-loss was further demonstrated by experiments showing that pl9Arf;mdm2;p53 triple knockout mice succumb to tumors 43 more rapidly than mdm2;p53 double knockout mice (Moore et al., 2003). This could also reflect tissue-specific differences in expression. Crosses with other mouse tumor models have also highlighted differences between p53 and pl9ARF. p53-deficiency but notpl9Arf-deficiency cooperates with Patched (Ptc) heterozygosity in the development of medulloblastoma (Wetmore et al., 2001). This has been attributed to the effect of p53 on genome stability. In Rb heterozygous mice, the p19Arf-deficiency, but not p53-deficiency, accelerates pituitary tumor development (Tsai et al., 2002b; Williams et al., 1994a). In contrast, p53-loss but not p19Arf-loss cooperates with Rb heterozygosity in the development of novel tumor types. Bax and Nfl mutant mice have also been crossed with both p53 and pl9Arf mutant mice (Cichowski et al., 1999; Eischen et al., 2002; King et al., 2002; Knudson et al., 2001; Reilly et al., 2000). These studies all clearly demonstrate that the loss of either p53 or pl9Arfis not always equivalent in tumorigenesis. In the following chapters, I will examine the crosstalk between E2F3 and the p53 pathway during cell cycle re-entry, asynchronous proliferation, development and tumorigenesis. To this end, I have generated both E2f3,;p9Arf and E2f3;p53 compound mutant cells and mice. In Chapter 2, I examine the regulation of the p53 pathway during cell cycle re-entry through E2F3-mediated repression of pl9Arf In Chapter 3, I examine the relationship between p19ARF and E2F3 in the context of cellular proliferation, development and tumorigenesis. 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These networks are known to intersect with one another but the mechanisms are poorly understood. Here we show that E2F directly participates in the transcriptional control of Arf in both normal and transformed cells. This occurs in a manner that is significantly different from the regulation of classic E2F-responsive targets. In wild-type mouse embryonic fibroblasts (MEFs), the Arf promoter is occupied by E2F3 and not other E2F family members. In quiescent cells, this role is largely fulfilled by E2F3b, an E2F3 isoform whose function was previously undetermined. E2f3-loss is sufficient to derepress Arf, triggering activation of p53 and expression of p21C i p '. Thus, E2F3 is a key repressor of the pl9Af - p53 pathway in normal cells. Consistent with this notion, Arf mutation suppresses the activation of p53 and p21Ci'p in E2f3-deficient MEFs. Arf-loss also rescues the known cell cycle re-entry defect of E2f3 -'- cells and this correlates with restoration of appropriate activation of classic E2F-responsive genes. Our data also demonstrates a direct role for E2F in the oncogenic activation of Arf Specifically, we observe recruitment of the endogenous activating E2Fs, E2F1 and E2F3a, to the Arf promoter. Thus, distinct E2F complexes directly contribute to the normal repression and oncogenic activation of Arf We propose that monitoring of E2F levels and/or activity is a key component of Arf s ability to respond to inappropriate, but not normal, cellular proliferation. 78 INTRODUCTION The development of mammalian tumors is dependent upon the disruption of two key biological activities, the control of cellular proliferation and the apoptotic response (Hanahan and Weinberg, 2000). Remarkably, the Ink4a/Arf locus encodes two distinct 4 a and p19A f (pl4A in humans), that influence one or tumor suppressor proteins, p16Ink both of these processes (Chin et al., 1998; Sherr, 2001). p16Ink4 a is a core component of the cell cycle control machinery (Sherr and Roberts, 1999). It controls the activity of the G- kinase, cyclinDocdk4/6, and consequently the phosphorylation status of the pocket protein family. This family includes the retinoblastoma protein (pRB) tumor suppressor and its relatives, p107 and p130. In the unphosphorylated state, the pocket proteins bind to the E2F family of transcription factors and prevent the expression of genes that are essential for entry into, and passage through, the cell cycle (Trimarchi and Lees, 2002). This inhibition occurs through two distinct mechanisms. pRB binds to the activating E2Fs, E2F1, 2 and 3a, and blocks their transcriptional activity. At the same time, the repressive E2Fs, E2F4 and 5, recruit p107 or p130 and their associated histone deactylases to E2F-responsive promoters. Under these conditions, the cell is blocked in Go,/G. Mitogenic signaling activates cell cycle re-entry by allowing cyclinD-cdk4/6 to overcome the repression by p16nk4a. The consequent phosphorylation of the pocket proteins causes them to dissociate from E2F enabling activation of E2F-responsive genes. In normal cells, the pl6Ink4 a-cyclinD-cdk4/6-pRB-E2F pathway responds to both positive and negative growth regulatory signals to determine whether or not a cell will divide (Sherr and Roberts, 1999). This pathway is disrupted in most, if not all, mammalian I 4 tumors through loss of p16nk a, up-regulation of cyclinD-cdk4/6 or loss of pRB (Sherr, 79 1996). The resulting deregulated proliferation is due, at least in part, to the inappropriate activation of E2F (McCaffrey et al., 1999; Pan et al., 1998; Tsai et al., 1998; Yamasaki et al., 1998; Ziebold et al., 2003; Ziebold et al., 2001). The second product of the Ink4a/Arf locus, p19Arf,is a key component of the p53 tumor surveillance network (Sherr, 2001). p19Af exists at low or undetectable levels in most normal cell and tissue types (Zindy et al., 2003). However, its expression is specifically activated by abnormal proliferative signals. These include the continued in vitro culturing of mouse embryonic fibroblasts (Kamijo et al., 1997) and the inappropriate expression of proliferative oncogenes including activated ras, c-myc, E2F, E1A and v-Abl (de Stanchina et al., 1998; Dimri et al., 2000; Palmero et al., 1998; Radfar et al., 1998; Serrano et al., 1997; Zindy et al., 1998). Once it is expressed, p1 9 A f inhibits the p53 ubiquitin ligase, mdm2, allowing activation of the p53 tumor suppressor (Honda and Yasuda, 1999; Llanos et al., 2001; Pomerantz et al., 1998; Stott et al., 1998; Weber et al., 1999; Zhang et al., 1998). Depending on the cellular context, p53 triggers either cell cycle arrest (via induction of the cdk inhibitor, p21C iPl) or apoptosis (through activation of various apoptosis inducers). In either case, this counteracts the effect of the abnormal proliferative signals. Essentially, p19A acts as a defense to oncogenic signals. The recent analysis of a mouse strain that expresses GFP in place of p19A, confirms that Arf is induced by the oncogenic signals present in incipient tumors (Zindy et al., 2003). This explains why inactivation of the p19Ar-p53 network is essential for the survival and proliferation of tumor cells in vivo (Sherr, 2001). The ability of Arf to specifically respond to inappropriate, but not normal, proliferative signals must require a careful balance of transcriptional signals. 80 Understanding how this is achieved remains a major challenge. Numerous studies have implicated E2F in this process (Phillips and Vousden, 2001). The Arfpromoter contains consensus E2F binding sites and the over-expression of E2F1 is sufficient to trigger its transcriptional activation (Bates et al., 1998; DeGregori et al., 1997). However, it is unclear whether this regulation is direct because the identified E2F sites are not required for E2F-dependent activation (Parisi et al., 2002) (Berkovich et al., 2003). There is also considerable debate as to which E2F family members might activate Arf(Trimarchi and Lees, 2002). Some groups conclude that this is an E2F1-specific activity while others propose that this is a shared property of the activating E2Fs. Certainly, E2F1 is not required for Arf induction in numerous settings (Baudino et al., 2003; Palmero et al., 2002) and p19A" itself is dispensable for E2F-dependent apoptosis (Russell et al., 2002; Tolbert et al., 2002; Tsai et al., 2002). These findings could reflect redundancy: perhaps multiple E2Fs can activate a large panel of apoptotic inducers that includes p19A . Alternatively, E2F may not contribute to Arf activation in vivo. Others have suggested that Arfis regulated by repressive E2Fopocket protein complexes (Rowland et al., 2002). However, unlike classic E2F-responsive genes, Arf is not appreciably induced during cell cycle entry. Thus, if Arfis a genuine E2F target, it must be regulated in a distinct manner from classic E2F-responsive genes. In this study, we use E2f3-deficient MEFs to probe the role of E2F in Arf regulation. This analysis shows that a single member of the E2F A under normal family, E2f3, is required to maintain the transcriptional repression of p19' proliferative conditions. 81 RESULTS E2F3-loss causes induction of p19Arf and activation of p53 in primary cells. Two E2F family members, E2F3a and E2F3b, are encoded by a single locus through the use of different promoters and 5' coding exons (Leone et al., 2000). These proteins share domains required for DNA binding, heterodimerization and pocket protein binding but have distinct N-termini comprising either 122 (E2F3a) or 6 (E2F3b) amino acids. We have previously generated an E2f3 mutant mouse strain that inactivates both of these proteins. For simplicity, we refer to these mice as E2f3-'- or E2F3-deficient. MEFs derived from E2f3 -- animals typically have a reduced rate of proliferation (Humbert et al., 2000). They also display a major defect in mitogen-induced cell cycle re-entry and a corresponding impairment in the activation of all known E2F-responsive genes examined (Humbert et al., 2000) (Figure 1A, B). Given these observations, we hypothesized that p19A r f expression might be altered in E2F3-deficient MEFs if it is a bona fide E2F-target gene. To test this notion, we compared the levels of p19A in early passage wild-type versus E2f3-'- MEFs during cell cycle re-entry (Figure 1). Consistent with previous studies (Sherr and DePinho, 2000), p19Af was barely detectable in the wild-type cells and its expression did not vary significantly during the cell cycle (Figure IB). Strikingly, while the expression of the classic E2F-responsive targets, cyclin A and p107, was lower in the E2f3 -'- MEFs than the wild-type controls, that of p19A~ was greatly increased (Figure B). Thus, E2F3-loss affects p19A r expression but in an entirely distinct manner from other E2F-responsive genes. 82 Figure 1. A E -- --- dU,UU C- 70,00 60,00 0 50,00 40,00 a) o 30,00 c 20,00 10,00 0o .C 0 CO e" 5 10 15 20 Time (hours) 3=, B E2f3+/+ E2f3- 12 16 20 24 0 0 -- 12 16 20 24 .m sVp107 G n -_w-go -,ro w 0 cyclin A '~,,"Ianm_ ,W f-lfl C 25 ,,,_, . ,, ~ p1 9Arf ,* *,* _1 ne-*1' - E2f3 + 12 16 20 24 0 E2f3' / 12 16 20 24 ..... ,*, *r " -..L.2 '-..- V*l p16Ink4A p53 activity -- "''" p21 cipi Figure 1. E2f3-deficient MEFs have increased levels of p19ARF, leading to activation of p53. (A) Wild-type MEFs (solid line) and E2f3 knockout MEFs (dotted line) were synchronized by serum starvation and cell cycle re-entry was monitored by [3 H]-thymidine incorporation. (B, C) Total protein extracts were prepared at the indicated times after stimulation with 10% serum and subjected to (B, C) western blotting for cyclin A, p107, p19ARF, p16INK4A or p21CIP or (C) electrophoretic mobility shift assay for active p53. The predominant function of p19A f is to activate p53 by inhibiting its negative regulator, the ubiquitin ligase mdm2. We therefore used electrophoretic mobility shift assays (EMSA) to determine whether the induction of p1 9 Af in the E2f3 -'- MEFs affected p53 activity (Figure C, also 2B). In wild-type MEFs, p53 DNA-binding activity remained low throughout the cell cycle. p53 activity was elevated in E2F3-deficient MEFs, especially during quiescence. The p53 protein also showed characteristic hallmarks of activation: there was an increase in the levels of p53 that was phosphorylated on Serine 15 and a subtle increase in the total p53 protein levels (data not shown). Thus, deregulation of pl9Af in E2f3-' - MEFs is accompanied by the activation of p53. A known downstream target of p53, the cdk inhibitor p21Cip , was also expressed at higher levels in the E2F3-deficient MEFs (Figure C), as was pl16nk4 a, the other protein expressed from the Ink4a/Arf locus (Figure 1B). It seemed likely that the elevated levels of p19A r, p53 and p21C ip l might contribute to the defective cell cycle entry in the E2F3- deficient MEFs. The up-regulation of p1 9Arfaccounts for the cell cycle re-entry defect of the E2f3-'MEFs. To address the biological consequences of p19A e up-regulation, we intercrossed E2f3 and Arf mutant mice to generate E2f3-/-;Arf'- double mutant (DKO) MEFs. We then examined the ability of these cells to re-enter the cell cycle relative to wild-type, E2f3-'-, and Arf' controls (Figure 2A). Consistent with previous reports (Kamijo et al., 1997), the Arf/' MEFs initiated DNA synthesis more rapidly than the wild-type counterparts. Significantly, the cell cycle kinetics of the E2f3-'-;Arf'-DKO MEFs were 84 Figure 2. A i0 120,00 a 100,00)0 i'9 DO ..E2f3 I DKO 0o 0 60,00'0 . 40,00 10 20,00 I . -Arf ' 80,0010 E wildtype - 0 0 Ch 5 10 20 15 25 Time (hours) B wildtype 0 12 16 E2f3 - 20 24 0 12 16 Arf -- 20 24 0 12 16 20 DKO 24 0 12 16 20 24 . -MrIP p53 activity p21 Cip1 M, M !*IV . ~-'* . ' : ... w cyclin A p107 C E] 120, 100, 80, 60, F- 40, E IH: 20, 0 5 10 15 20 Time (hours) 25 Figure 2. Elimination of p]9Arf rescues cell cycle re-entry and p53 activation defects of E2f3-deficient MEFs. (A) Wild-type MEFs (solid black line), E2f3 knockout MEFs (dotted black line), pl9Arf knockout MEFs (solid grey line), and E2f3;p19Arf double knockout MEFs (dotted grey line) were synchronized by serum starvation and cell cycle re-entry was monitored by [ 3 H]-thymidine incorporation. (B) Total protein extracts were prepared at the indicated times after serum stimulation and subjected to western blotting for cyclin A, p107 and p21CIP or electrophoretic mobility shift assay for active p53. (C) Wild-type MEFs (solid black line), E2f3 knockout MEFs (dotted black line), p53 knockout MEFs (solid grey line), and E2f3;p53 double knockout MEFs (dashed grey line) were analyzed exactly as described above (A). indistinguishable from those of the Arf'- MEFs. Consistent with this rescue, Arf-mutation also suppressed the defective mitogen-induced activation of classic E2F-responsive targets, such as cyclin A and p107, that exists in the E2f3 -' - cells (Figure 2B). Thus, p19 Af-lossSis sufficient to over-ride the cell cycle re-entry defect of the E2f3 -'- MEFs. EMSA and western blotting experiments showed that Arf mutation also suppressed the activation of p53 and the induction of p21 CiP in the E2f3- - MEFs (Figure 2B), confirming that these events are dependent upon the up-regulation of p1 9A f . Importantly, p53 mutation suppressed the cell cycle re-entry defect of the E2f3 -'- MEFs in an analogous manner to Arf mutation (Figure 2C). This correlated with suppression of the p21CiPl induction and restoration of appropriate E2F-responsive gene activation (data not shown). Taken together, our findings indicate that E2f3 is required to inhibit Arf expression and this plays an important role in regulating normal cell cycle re-entry by preventing inappropriate activation of p53. E2F3 directly contributes to the transcriptional regulation of Arf in normal cells. Although numerous studies implicate E2F in Arf control, it has not been shown that any E2F family member is a direct transcriptional regulator of this gene. To address this question, we first asked whether E2F3-loss affects Arfat the transcriptional level. Using quantitative RT-PCR we examined the mRNA levels of both Arf and a well- characterized E2F-responsive gene, p 10 7, in wild-type versus E2F3-deficient MEFs (Figure 3A). As in our previous studies (Humbert et al., 2000), the mitogen-induced activation of the p107 transcript was greatly impaired in the E2f3 -' - MEFs. In contrast, ArfmRNA levels were significantly higher in E2f3 -'- MEFs than the wild-type controls 86 Figure 3. p107 A 5 C Arf 2.5 o0 2 n 0 .n 4 CA U) 1 2 75 :r Er - E2f3+1+ . E2f34 0.5n IVlI 0 5 0 15 10 20 5 0 25 B LL LU o LL U C O LLI LU 20 15 25 .0 + + CM 10 Time (hours) Time (hours) W ... . a 1.5. 83 a) C .... ..... .......... ..I......... .. o _ . : 0 o a LU N N LU UJ3 co Nc LU LU ' Q 0 . u_ u_oco u_ LU LU L LN LU a . VVT E2f3- Arf p107 D C control - Ca 0 Co C') co C') N L AS SS _ f c3a _; _ I E2F3A E2F3A - E2F3B E2F3B-:r _ a - a D-_ .C Ard 'C-rer lllle I1IBLI +b I I p107 control Figure 3. E2F3 is a direct repressor of Arf. (A) Wild-type (solid lines) or E2f3 knockout (dotted lines) MEFs were synchronized by serum-starvation and RNA was extracted at the indicated times after stimulation. Quantitative real-time RT-PCR analysis of p107 or pl9Arf mRNA is shown. (B) ChIP analysis of asynchronous wild-type (WT) or E2f3 knockout MEFs. Sonicated, cross-linked chromatin was immunoprecipitated with the indicated antibodies, and the purified DNA was analyzed by PCR with primers specific for the p107 or Arf promoters, or a control sequence lacking E2F sites (1 kb upstream of the E2fl promoter). Input, 0.5% of chromatin in IP reactions was analyzed by PCR. (C) Schematic of the E2F3a and E2F3b proteins, and the antibodies used in ChIP analysis (Black box, DNA-binding domain; light grey box, dimerization domain; dark grey box, transactivation domain). (D) Cell lysates of asynchronous (AS) wild-type MEFs or wild-type MEFs incubated in 0.1% serum for 3 days (SS) were subjected to western blotting for the two E2F3 isoforms. ChIP assays for the indicated E2F and pocket protein family members were performed on the serum starved wild-type MEFs. (Figure 3A). This up-regulation was most striking in the Go time point (Figure 3A), A Ar protein (Figure 1B). where we observed the greatest increase in the levels of the p19 Thus, E2F3-Ioss is acting, at least in part, through changes in the levels of Arf mRNA. To determine whether E2F3 is directly involved in Arf regulation, we used chromatin immunopreciptiation (ChIP) to examine binding of E2F family members to the Arf and p107 promoters (Figure 3B). In asynchronously growing wild-type MEFs, we detected no significant enrichment of any E2F at a control sequence lacking E2F sites, one kilobase upstream of the E2F1 promoter. In contrast, several E2F family members could be detected at the pl07 promoter including E2F1, 2, 3 and 4 (Figure 3B, data not shown). This is entirely consistent with the previous characterization of archetypal mammalian E2F-responsive genes (Takahashi et al., 2000). Remarkably, the spectrum of E2F proteins at the Arf promoter differed completely from this norm: we observed only a single E2F, E2F3 (Figure 3B). This specificity was not restricted to murine cells, since E2F3 was also the sole E2F bound to the p14Af promoter in both primary (WI-38) and transformed (T98G, BJ-T) human cell lines (data not shown). In E2f3 -' - MEFs, there was no longer any enrichment of the Arf or p107 promoter sequences by the anti-E2F3 antibodies, confirming their specificity (Figure 3B). Strikingly, E2F3-deficiency caused a slight increase in the level of E2F1 associated with the p107 promoter but there was no evidence of E2F 1, or any other E2F family member, binding to the Arf promoter in these cells (Figure 3B). Taken together, these data show that E2F3 is directly involved in the regulation of Arf, and that loss of E2F3, without apparent recruitment of E2F1, is sufficient to allow Arf activation. Based on these findings, we conclude that E2F3 represses Arf expression in normal cells. 88 It is well established that the E2F proteins can contribute to the repression of E2Fresponsive genes through recruitment of the pocket proteins, pRB, p107 and p130, and their associated histone deactylases (Trimarchi and Lees, 2002). The E2F3 proteins have been reported to bind to pRB, but not p107 or p130, in vivo (He et al., 2000; Leone et al., 2000; Moberg et al., 1996). Given this finding, we used ChIP assays to determine whether one or more pocket proteins were recruited to the Arf promoter along with E2F3 (Figure 3B). Consistent with previous studies, p130, but not pRB, was readily detected at the p107 promoter. In contrast, none of the pocket proteins were detected at the Arf promoter (Figure 3B, and data not shown; see also Figure 3D). It is entirely possible that pRB is present but cannot be detected due to limitations in the assay, the antibodies or the structure of the pRB/E2F3 repressive complex. However, we consistently detect pRB at differentiation-associated promoters using the same ChIP conditions (Tina Yuan and J.A.L., unpublished observations). This raises the possibility that E2F3 mediates Arf repression in a pocket protein-independent manner. The E2F3 locus encodes two proteins, E2F3a and E2F3b, which differ only in their N-terminal sequences (Leone et al., 2000) (Figure 3C). E2F3a has been linked to the transcriptional activation of E2F-responsive genes, but this does not rule out a role in repression. The transcriptional properties of E2F3b have not been established. To discern which species of E2F3 is responsible for regulation of Arf, we made use of two antibodies raised against the E2F3 proteins. The sc-879x antibody recognizes an epitope on the unique amino-terminus of E2F3a, and therefore does not cross-react with E2F3b. In contrast, a carboxyl-terminal antibody (sc-878x) recognizes both E2F3a and E2F3b. For clarity, we will refer to these antibodies as E2F3a-specific or anti-E2F3a+b. 89 By detecting ectopically expressed E2F3a and E2F3b proteins, we have confirmed the specificity of these two reagents (data not shown). These experiments also showed that the E2F3a-specific antibody has a considerably lower activity in ChIP assays than antiE2F3a+b (data not shown). Despite its low avidity, the E2F3a-specific antibody yielded a detectable ChIP signal at the p107 promoter (Figure 3B). Under the same conditions, we did not see any evidence of E2F3a binding to Arf(Figure 3B); however, because of the poor avidity of the E2F3a-specific antibody, we cannot rule out that E2F3a contributes to the repression of Arf, yet falls beneath the detection limit of this reagent. To address this in an alternative way, we took advantage of the differential expression patterns of the two E2F3 species. E2F3a expression is cell cycle regulated, peaking during the G,/S transition, while E2F3b expression is constant throughout the cell cycle. Consequently, E2F3b is the only E2F3 isoform expressed during quiescence (Figure 3D). Therefore, we performed ChIP from MEFs that had been arrested in GO/G, by serum deprivation (Figure 3D). In this setting, the p107 promoter was specifically occupied by E2F4 and p1 30, the key components of the archetypal repressive E2F/pocket protein complex. At the same time, we still specifically detected E2F3 at the Arf promoter using the anti-E2F3a+b antibody.This analysis strongly implicates E2F3b in the repression of Arf in quiescent cells, yet does not exclude contribution of E2F3a, along with E2F3b, in asynchronous cells. 90 The activating E2Fs are directly involved in activation of Arf in response to oncogenic stress. It is well documented that Arfis a key regulator of the mammalian tumor surveillance response network. Through an as yet undetermined mechanism, the inappropriate expression of numerous oncogenes induces the expression of p19Af. The resulting p53 activation triggers either cell cycle arrest (via p21C iPl induction) or apoptosis (through activation of pro-apoptotic genes), thereby circumventing the oncogenes' ability to drive inappropriate proliferation. Having established a direct role for E2F3 in repression of Arf in unstressed cells, we sought to determine what role E2F might play during the activation of Arf by oncogenic challenge. E2F1 is a potent oncogene. Its over-expression activates both cellular proliferation and also the induction of p19Arf and high levels of apoptosis (Bates et al., 1998; DeGregori et al., 1997). This latter response greatly impedes investigation of the underlying molecular mechanisms. To overcome this problem, we have used MEFs in which exons 2 and 3 of the Ink4a/Arf locus are deleted (Ink4a/Arf' pl 6nk4a MEFs) and therefore and p1.9A f expression is disrupted (Serrano et al., 1996) (Figure 4A). This mutation does not affect the upstream regulatory region of Arf, which is approximately 13kb upstream of the deletion, allowing us to examine E2F binding at the Arfpromoter rf the absence of apoptosis or other secondary events that might result from pl9A induction. We infected these Ink4a/Arf'- MEFs with either control or E2F1-expressing retroviruses and used ChIP to assess E2F binding to either the Arfor p107 promoters (Figure 4B). When Ink4a/Arf' MEFs were infected with a control retrovirus, 91 in Figure 4. A ,_ 2 la p16 1I _ 3 1 2kb ,l I __ _ · __ I_ _ C _ p19Arf _ Ink4aA B | ° 0 vecTor - L UIII LL N III LY e=U E2F1 EA Ip107 __~~~~~~~ sit.es E2F Af _ n3 C3 LL N III ur II Od U- N III LY cO 'I- Y o. Il __ C: , Co I 0 ,- CM CM LL U- U- w W W LL 0r) . vector E2F1 I~~~~~~~~~~~~~,,--II~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ E1A Icontrol |° 'E (03 c UL r\l LL mI C c0 co LL C\M 'T em 0 C 0a vector E2F1 E1A Figure 4. The activating E2Fs bind to the Arf promoter during oncogenic challenge. (A) Schematic of the mouse Ink4a/Arf locus, indicating the exon structure, and the region deleted in the Ink4a/Arf knockout MEFs (bracket). Shaded regions in the exons indicate regions coding for the pl6Ink4a (light grey) and p19Arf (black) proteins. The small black boxes indicate two consensus E2F binding sites in the Arf promoter, and the two small arrows indicate the location of the primers used in ChIP analysis. (B) Ink4a/Arf knockout MEFs were infected with retrovirus overexpressing E2F1, E1A, or an empty virus (vector) and subjected to ChIP assays with the indicated antisera. the spectrum of E2F complexes detected at the Arf and p107 promoters was similar to that observed in wild type, uninfected cells. Over-expression of E2F1 increased the level of E2F1 associated with the p107 promoter, and caused a coordinate decrease in levels of bound E2F3 and p130 (Figure 4B). This is consistent with the E2FI's known ability to promote cell cycle progression and activate expression of classic E2F-responsive genes (Trimarchi and Lees, 2002). Strikingly, we also detected significant levels of E2F1 at the Arf promoter, showing that E2F1 can directly contribute to the transcriptional activation of Arf when it is inappropriately expressed (Figure 4B). We wished to determine whether the endogenous E2F1 participates in the induction of Arf by other oncogenes. To address this question, we examined the effect of over-expressing the adenoviral oncoprotein, EIA (Figure 4B). This promotes proliferation and tumorigenesis by sequestering the pocket proteins and relieving the transcriptional inhibition of their associated E2Fs (Ben-Israel and Kleinberger, 2002). In Ink4a/Arf'- MEFs expressing E1A, we observed a decrease in p130 binding to the p107 promoter, and an increase in E2F1 binding, as expected (Figure 4B). Notably, we also detected E2F binding to the Arf promoter, showing that the endogenous E2Fl protein contributes to the activation of Arf arising from E1A expression. In addition, we detected a weak signal with the E2F3a-specific antibody, indicating that E2F3a was cooperating with E2F1 in the transcriptional regulation of Arf. Given these findings, we conclude that the endogenous activating E2Fs play a direct role in the oncogene-induced activation of Arf and the tumor surveillance network. 93 DISCUSSION Taken together, our data show that the E2F proteins play a direct role in the transcriptional regulation of Arf. This firmly establishes Arf as a bona-fide E2Fresponsive gene. However, the nature of this regulation diverges considerably from that of archetypal E2F-responsive targets, for example genes encoding key components of the cell cycle control and DNA replication machinery (Figure 5). These classic E2F- responsive genes are expressed in a cell-cycle dependent manner that is orchestrated by the specific binding of the repressive E2F/pocket protein complexes (predominantly E2F4/p130) during Go/G, or the activating E2Fs (E2F1, 2 and 3a) during late G and G1/S phase. In contrast, our data show that Arf is regulated by a more restricted subset of E2F complexes whose activity is somehow determined by the stress-status, rather than the cell cycle staging, of the cell. In normal cells, Arf is constitutively repressed and our data show that this correlates with the promoter binding of E2F3, and not other E2F family members. Since the E2F3a-specific antibody works poorly in ChIP assay, our inability to detect a signal with this reagent does not exclude the possibility that E2F3a contributes to Arf regulation. In contrast, the presence of a robust anti-E2F3a+b ChIP signal in quiescent cells that express E2F3b and not E2F3a, clearly shows that E2F3b is involved. At least in MEFs, the absence of E2F3 is sufficient to trigger the expression of Arf, without obligatory recruitment of the activating E2Fs. Thus, E2F3b (possibly in parallel with E2F3a) is required for the constitutive repression of Arf in normal cells. Based on its high expression in GO/GI cells, E2F3b had been proposed to function as a transcriptional 94 Figure 5. Repression Activation II classic E2F4/5 E2F targets Co p 1 9 Arf I GI G 1/S C -Il ,- F* F-111' Figure 5. Arfis regulated by E2F in a distinct manner from classic E2Fresponsive genes. repressor (Leone et al., 2000). Our data provide the first direct evidence for this hypothesis. Remarkably, our analysis of the double mutant MEFs shows that Arf-loss completely suppresses the cell cycle entry defect of the E2f3 -'- MEFs. This correlates with the loss of activation of the p53 pathway and also restoration of the normal cell cycle dependent activation of classic E2F-responsive genes. This genetic rescue experiment is entirely consistent with the notion that E2F3 is acting to reppress Arf, and therefore p53, in a linear pathway. However, it is also possible that the loss of Arf (or p53) confers a proliferative advantage on the cells that outweighs or overrides the proliferative disadvantage that results from E2f3-loss. In this scenario, Arf and E2f3 could be acting in parallel pathways or, alternatively, E2f3 could exert its effects through both Arfl/p53-dependentand Arfl/p53-independentmechanisms. We currently favor the second alternative. Taken together, the presence of E2F3 at the Arfpromoter and the derepression of Arf in E2f3-'- MEFs strongly support the existence of an Arf-dependent mechanism. However, additional experiments indicate that the Arf-p53 pathway does not fully account for the phenotypic consequences of E2F3-loss. First, while loss of Arf or p53 completely rescues the cell cycle re-entry defect of the E2f3 -' - MEFs, it only partially suppresses their asynchronous proliferation defect (A.A. and J.A.L., unpublished observations). Second, loss of Arf or p53 has no detectable effect on the developmental phenotypes and the resulting embryonic/neonatal lethality of the E2f3 -' - mice (A.A. and J.A.L., unpublished observations). Thus, E2f3 has at least one essential function that is Arf/p53-independent. This second function remains to be established. We had previously concluded that the cell cycle re-entry defect of the E2f3-' - MEFs reflected a 96 direct role for E2f3 in the activation of classic E2F-responsive genes. However, this current study shows that the defect in gene activation in the E2f3 -' - MEFs is fully reversed by the loss of Arf or p53. Based on the same logic outlined above, these results can be explained in two ways. First, the defect in activation of classic E2F-responsive genes in the E2f3-'- cells could be an indirect consequence of activation of the Arf-p53 pathway. Alternatively, E2f3 may be required for the appropriate activation of classic E2Fresponsive genes but the consequent loss of this activation in E2F3-deficient cells is outweighed or overridden by the increased induction of these targets that results from the loss of Arf or p53. Given the extensive cross-talk between the pRB and p53 pathways, both models are highly plausible. More subtle experiments will be required to distinguish between these two possibilities. Our analysis of the E2f3 mutant cells reinforces a growing body of evidence that the p19 Af-p5 3 network is the key determinant of the proliferation status of cultured primary fibroblasts (Sherr, 2001). Several other transcriptional regulators, such as Bmil, TBX2, TBX3 and Twist, have been linked to the repression of Arf and the inhibition of p53 signaling (Brummelkamp et al., 2002; Jacobs et al., 2000; Jacobs et al., 1999; Lingbeek et al., 2002; Maestro et al., 1999). There is limited insight into the mechanism(s) of action of these repressors. In vitro promoter mapping studies show that TBX2 and TBX3 can bind to a variant T-site located within the Initiator sequence of the human Arf promoter (Lingbeek et al., 2002). However, promoter binding has not been demonstrated in vivo. Similarly, antibodies against Bmil have not worked in ChIP assays. This is thought to be an issue of antibody accessibility, since Bmi 1 is a component of the multi-protein polycomb complex (van Lohuizen, 1998). However, it is 97 unclear how the Bmi 1-polycomb complex is recruited to Arf, with respect to either the target DNA sequence/chromatin structure or the identity of the component(s) that mediate the DNA/chromatin binding. Our identification of E2F3 as an additional repressor of Arf raises additional questions. First, what is the precise nature of the repressive E2F3 complex? Is it a unique function of E2F3b or does E2F3a contribute? Does it involve a higher order, antibody inaccessible pRB complex or does it function in a pocket protein-independent manner? Second, what directs E2F3, but not other E2F complexes, to bind specifically to the Arf promoter in normal cells? Finally, what is the relationship between E2F3 and the other known Arfrepressors? Do they function independently of one another or work cooperatively to ensure the repression of Arf? Careful analysis of both the repressor complexes and the Arf promoter will be required to unravel this complexity. Our data show that E2F is also involved in the activation of Arf in response to oncogenic signals. Although there is extensive literature suggesting a link between E2F and Arf(Trimarchi and Lees, 2002), this is the first study to demonstrate that the action of these proteins is direct. During oncogenic activation, we see recruitment of the endogenous E2F1 and, to a lesser extent, the other activating E2Fs, E2F2 (P.I. and J.A.L., unpublished observations) and E2F3a. It is important to note that we do not completely lose the anti-E2F3a+b signal at the Arf promoter under conditions of oncogenic stress (Figure 4B). We believe that this partially reflects differences in the level of oncogenic activation within the population of infected cells; some have sufficient E2F activation to disrupt the E2F3b repression while others do not. Indeed, the continued presence of p130 at the p107 promoter in ElA-infected cells, strongly suggests that some cells express 98 insufficient E1A to fully dissociate the pocket protein/E2F complexes. A second possibility is that the sustained anti-E2F3a+b signal at the induced Arf promoter reflects recruitment of transcriptionally active E2F3a. We suspect that this is the case, at least in the ElA-expressing cells, because we see a weak signal with the E2F3a-specific antibody and an enhanced signal with the anti-E2F3a+b antibody. Finally, since there are at least two E2F consensus binding sites in the Arf promoter, we cannot rule out the possibility that E2F3b remains bound to the Arf promoter during the stress response, despite recruitment of E2F1 or other activating E2Fs. In this scenario, the activating E2Fs must somehow override or negate the repressive function of E2F3b to ensure Arfinduction. Importantly, this study provides considerable insight into the crosstalk between the two key tumor suppressor networks, pRB-E2F and p19Ar-p53. It is already well established that p53's growth suppressive properties are at least partially dependent upon the ability of its downstream target, p2 1 CiP, to inhibit phosphorylation of pRB and thereby promote its ability to repress E2F (Sherr, 2001). In this study, we now show that E2F also plays a direct role in regulation of the p19AIf-p5 3 pathway. Consistent with previous hypotheses, the activating E2Fs directly contribute to the induction of Arfthat occurs in response to oncogenic stress, frequently referred to as the tumor surveillance response. In addition, our data show that E2F3 plays a key role in maintaining the p19A rp53 network in the repressed state when there is no oncogenic stress signal. There has been considerable debate as to how a cell could know whether it initiates inappropriate, as opposed to appropriate, proliferation and regulate Arf accordingly (Lowe and Sherr, 2003). It is well known that the state of E2F complexes is a key determinant of whether normal cells will divide. Our current finding that various E2F complexes contribute to 99 both the repressed and activated states of Arf regulation strongly suggests that monitoring of E2F levels and/or activity is likely to lie at the heart of this tumor surveillance mechanism. 100 MATERIALS AND METHODS Generation of mouse strains and MEF preparation E2f3+/';Arf'- and E2f3+/-;p53+/- mice were generated by intercrossing E2f3 +'/ mice (Humbert et al., 2000) with either Arf ' mice (Kamijo et al., 1997) or p53 +' (Williams et al., 1994) respectively. Genotyping was performed as previously described. Double heterozygous mutant mice were intercrossed and MEFs were prepared from e13.5 embryos as previously described (Humbert et al., 2000). Ink4a/Arf'- mice (Serrano et al., 1996) were used to generate Ink4a/Arf'- MEFs. Serum starvation and release experiments Passage 4 MEFs were plated in triplicate onto 3.5-cm dishes at 2 x 105 cells/dish and cell cycle re-entry was performed as previously described (Humbert et al., 2000). After 48 hours, cells were washed twice with DME and then incubated in low serum (0.1I% FCS) for 72 hours. Cells were subsequently fed with media containing 10% FCS. For each timepoint, cells were labeled with 5[FCi [ 3 H]-thymidine for 1 hour. Cells were harvested and [ 3 H]-thymidine incorporation was measured as previously described (Moberg et al., 1996). RNA preparation and Quantitative Real-time PCR analysis Passage 4 MEFs were plated onto 15-cm dishes at 3 x 106 cells/dish and cell cycle reentry was performed as described above. For each time point, cells were harvested and total RNA was isolated using RNeasy (Qiagen) and an on-column DNAse step was performed according to manufacturer's instructions. cDNAs were generated with Superscript First Strand Synthesis System (Invitrogen). Quantitative realtime PCR reactions using SYBR Green dye (Applied Biosystems) were run in triplicate on an ABI Prism 7000 Real-time PCR machine (Applied Biosystems). Control 18S rRNA reactions 101 (Applied Biosystems) were also run to normalize ACt values. Fold change was calculated as 2A(AACt). Primer sequences for Arf were 5'CACCGGAATCCTGGACCAG-3' and 5'-GCAGTTCGAATCTGCACCGT-3' and for p107 were 5'-GATGCTCATCTGACCGGAGT-3' and 5'- ATAAGTCACGTAGGCGCACA-3'. Protein preparation, western blotting and gel retardation assays Passage 4 MEFs were plated onto 15-cm dishes at 3 x 106 cells/dish and cell cycle reentry was performed as described above. For each time point, cells were harvested and total protein was isolated as described previously (Moberg et al., 1996). Western blotting was performed using OO0tgwhole cell extract using anti-cyclin A (Santa Cruz sc-596), anti-p107 (Santa Cruz sc318), anti-pl9 A (Novus NB200-106), anti-p16nk4 a (Santa Cruz sc-1207), anti-p 2 1CiP (Santa Cruz sc-6246). In Figure 3D, extracts were prepared as above from asynchronous MEFs, or MEFs incubated in 0.1I% serum for 3 days. Western blotting was performed on 30tg extract using the anti-E2F3a+b antibody (sc-878, Santa Cruz). p53 gel retardation assays were performed in the presence of supershifting antibody using NuShift (Geneka) according to the manufacturer's instructions. Retroviral Infection Infections were performed exactly as described (Serrano et al., 1997), except that 15-cm plates were used at all steps, and the procedure was scaled up accordingly. Target Ink4a/Arf'- MEFs were selected for two days in 2 mg/mL puromycin, grown for a further two days, and then subjected to ChIP analysis as described below. pBabe-Puro, pBabePuro-E2F1 (Humbert et al., 2000), and LPC-12S-E1A Stanchina et al., 1998). 102 have been described (de Chromatin Immunoprecipitation (ChIP) ChIP was performed essentially as described (Takahashi et al., 2000). Early-passage (passage 3-5) MEFs were used for all experiments. Sonicated, cross-linked chromatin corresponding to approximately 3x106 cells was immunoprecipitated with the following antibodies: E2F1, sc-193; E2F3a, sc-879x; E2F3a+b, sc-878x; E2F4, sc-1082x; p130, sc317x (all from Santa Cruz); pRB, MS-594 and MS-595 (Neomarkers); control (antiLuciferase) 05-603 (Upstate Biotechnology). 3-4% of the precipitated DNA, or 0.5% input DNA, was amplified by thirty cycles of PCR using the primer sequences: p107 (5'TTAGAGTCCGAGGTCCATCTTCT-3' and 5'-GGGCTCGTCCTCGAACATATCC3'); Arf (5'-GC1'GGCTGTCACCGCGAT-3' and 5'-GCGTTGAGGCACCTCGAGA3'); E2fl-upstream (control) (5'-TGGAGGTCAAGTAGTGGCCCAAA-3' and 5'ACAATGTCTGGTTTGCTCCGCCC-3'). PCR products were resolved on 8% polyacrylamide gels and stained with ethidium bromide. 103 ACKNOWLEDGEMENTS We thank Chuck Sherr, Tyler Jacks and Ron DePinho for providing Arf, p53 and Ink4a/Arfmutant mice and also for stimulating discussions of this project. 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Lees Author's contributions: Figure 1, 2, 3, and 4 110 SUMMARY The E2F transcription factor is a key regulator of cell cycle progression in both normal and transformed cells (Attwooll et al., 2004; Blais and Dynlacht, 2004). However, E2F also regulates a number of genes with functions beyond that of basic cell cycle control (Muller et al., 2001; Ren et al., 2002). One such target is the tumor suppressor protein p19ARF, which is an important positive regulator of the p53 pathway during tumor surveillance (Lowe and Sherr, 2003). Induction of p19ARF inhibits cell cycle progression (Quelle et al., 1995). During cell cycle re-entry, loss of E2f3 causes de-repression ofpl9Arf, resulting in activation of p53, failure to properly induce classic E2F targets, and delayed cell cycle re-entry kinetics. Deletion of pl9Arf completely suppresses these defects (Aslanian et al., 2004). We sought to determine whether E2F3 regulates cellular proliferation in cycling cells similarly. Although asynchronously growing E2f3-deficient cells possess a proliferation defect, there was no alteration in p19ARF expression or in the expression of classic E2F targets examined in this study. Furthermore, deletion of pl9Arf failed to suppress the proliferation defect. The loss of E2f3 also impaired transformed cells as well as tumor development in a pl9Arfindependent manner. From these studies, we conclude that E2F3 regulates cellular proliferation in cycling cells distinctly from its control of cell cycle re-entry, and in a manner that is independent of its regulation of pl9Arf expression. 111 RESULTS AND DISCUSSION Mouse embryonic fibroblasts (MEFs) have been used to examine the role of numerous E2fs in cell cycle control. While the majority of the E2f knockouts (E2fl, E2f4, E2f5 and E2f6) have no obvious proliferation defects, E2f3-deficient MEFs are profoundly impaired (Gaubatz et al., 2000; Humbert et al., 2000a; Humbert et al., 2000b; Rempel et al., 2000; Storre et al., 2002). They display defects in mitogen-induced cell cycle re-entry and activation of classic E2F-responsive genes and they also have a reduced rate of asynchronous proliferation (Humbert et al., 2000b). We have recently shown that E2F3, and not other E2F proteins, contributes to the transcriptional repression of the Arftumor suppressor in normal MEFs (Aslanian et al., 2004). p1 9A rf is elevated in E2f3-deficient MEFs during cell cycle re-entry, resulting in hyper-activation of p53 and induction of p21CIPl(Aslanian et al., 2004). Genetic analysis suggests that the derepression of the Arf-p53 pathway accounts for the defect in mitogen-induced cell cycle re-entry and the E2F-responsive gene activation in the E2f3-deficient MEFs. Given this observation, we wished to determine how the other consequences of E2f3-deficiency relate to E2F3's role in Arf regulation. The asynchronous proliferation defect of E2f3-deficient cells does not involve p19Af. Our first goal was to examine E2f3's requirement in asynchronous proliferation (Figure 1). Consistent with our previous studies, E2f3 -/' MEFs accumulate at a slower rate than the wildtype controls but there is no evidence of increased apoptosis (Figure 1A; data not shown). Since the E2F transcription factors play a key role in regulating S-phase 112 Figure 1. A B 16 C 2 Go 8 8 II o 'Z54 c c 8? c'o 0. E 1.2 1P Ic 3 /wr E2f3 4 days D F W ""of p107 cyclinA _/ p19ARF - *. I o 2'Vl F rT E2f3-/- E2f3-/- -, -9 p53 activity s 9 r -- -- :-':- ^"ONWO M" cdc2 ' p-tubulin 3-s 4S - ~,-"-me- p21CIP ¢-tubulin pa.4sagenumber Figure 1. The effect of E2fJ3-loss on gene expression and cell cycle progression in actively proliferating MEFs. (A) Proliferation of asynchronous wild-type [solid line] and E2f3 knockout MEFs [dashed line] (B) 3H-thymidine incorporation of wild-type [black bar] and E2f3 knockout MEFs [white bar] (C) FACS cell cycle analysis of wildtype [black bar] and E2f3 knockout MEFs [white bar] (D,E) Whole cell protein extracts from wild-type and E2f3 knockout MEFs were prepared and subject to western blotting for actin, cyclin A, p107, cdc2, p19ARF and p21CIP or electrophoretic mobility shift assay for active p53 (F) 3T3 assay of wildtype [solid line] and E2f3 knockout MEFs [dashed line]. entry and cell cycle progression, we examined the specific cell cycle properties of the actively dividing cells. In pulse labeling experiments, the E2f3-'- MEFs incorporated less 3 H-thymidine than the wildtype control, indicating that DNA replication occurred a reduced level within the E2f3-'- population (Figure 1B). To determine whether this represents an inability to either enter or proceed through S-phase we assessed cell cycle distribution by FACS. Surprisingly, the E2f3 -' - MEFs displayed a similar profile to the wild-type controls (Figure 1C). There was a subtle increase in the S-phase population, and a corresponding decrease in the GI population, but this is not sufficient to account for the observed reduction in 3 H-thymidine incorporation. We therefore conclude that E2f3-loss slows progression through multiple stages of the cell cycle. Consistent with an overall slowing of cell cycle, E2f3-loss caused an increase in cell size that was independent of cell cycle phase (data not shown). The E2F family controls the expression of genes required for passage through G1, S and G2 /M. We therefore examined the level of classic E2F-responsive genes in the asynchronously proliferating wildtype versus E2f3-'- MEFs by western blotting (Figure 1D) and also quantitative PCR (data not shown). However, there was no detectable difference in the expression of classic E2F target genes between wildtype and E2f3deficient MEFs. This does not rule out a role for E2f3 in the regulation of these target genes in other settings but strongly suggests that E2f3 is not essential for the robust expression of E2F target genes in cycling cells. We also examined the regulation of the p19ARF-p5 3 pathway in the wildtype versus E2f3-' - MEFs. Although E2f3-inactivation causes a pronounced induction of pl9 ARF,p53 and p21 CIPunder conditions of mitogeninduced arrest and cell cycle re-entry (Aslanian et al., 2004), there was no detectable 114 difference in the levels of pl9ARFor the activity of p53 in cycling wildtype versus E2f3-' MEFs (Figure E). Primary cells possess a finite replicative lifespan, ending in a permanent arrest known as senescence, and this is determined by the levels of pl9ARF (Kamijo et al., 1997). Comparative analysis of wildtype and E2f3 -' - MEFs in 3T3 assays did not yield any evidence that E2f3-inactivation causes premature replicative senescence (Figure F). Taken together, these studies suggest that E2f3-inactivation does not have a significant impact on the expression or function of pl 9ARFin cycling cells. To directly test whether Arf regulation makes any contribution to the asynchronous proliferation defect of the E2f3-'- MEFs, we also compared the properties of cycling Arf'- versus Arf'-;E2f3 -' - MEFs (Figure 2). It is well established that Arf' MEFs undergo asynchronous proliferation at a faster rate than the wildtype controls (Kamijo et al., 1997). Consistent with this stimulatory effect, Arf mutation also increased the proliferation rate of the E2f3-/ - MEFs (Figure 2A). However, the difference in the proliferation rates of Arf';E2f3 -' - versus Arf/- MEFs was identical to that observed between E2J3/- and wildtype MEFs (labeled as AE2f3 in Figure 2A). Thus, Arfinactivation does not suppress the asynchronous proliferation defect caused by E2f3deficiency. Accordingly, Arfmutation had no detectable affect on the decreased 3Hthymidine incorporation (compare Figures B and 2B), unaltered cell cycle phasing (compare Figures 1C and 2C), or increased cell size (data not shown) observed in E2f3/- versus control populations. Consistent with their elevated proliferation rate, Arf-deficient cells express increased levels of classic E2F responsive genes relative to wild-type controls. This suggests that Arf-loss places an additional burden on E2F activation. 115 Figure 2. A C B o .E o IE i) a) D DKO . Mgll ----c p107 cyclinA - ""cdc2 - - ArP" .E 8 -_ rs, F E Arf/- 01 OC C e ( 11 z DK( actin Figure 2. The effect of pl9Arf-deletion on E2f3 knockout phenotype in cycling MEFs. (A) Proliferation of asynchronous pl9Arf knockout [solid line] and E2f3;pl9Arf double knockout MEFs [dashed line] (B) 3H-thymidine incorporation of pl9Arf knockout [black bar] and E2f3,pl9Arf double knockout MEFs [white bar] (C) FACS cell cycle analysis of p19Arf knockout [black bar] and E2f3;pl9Arf double knockout MEFs [white bar] (D) Whole cell protein extracts from pl9Arf knockout and E2f3;pl9Arf double knockout MEFs were prepared and subject to western blotting for actin, cyclin A, p107, and cdc2 (E) 3T3 assay of pl9Arf knockout [solid line] and E2f3;pl9Arf knockout MEFs [dashed line] (F) Low-density colony formation assay assessing the status of E2f3 on p19Arf knockout MEFs. Nevertheless, even in the absence of Arf, cycling E2f3 -'- MEFs did not show any detectable defect in the expression of E2F-responsive genes as judged by either direct examination of selected targets (Figure 2D) or micro-array analysis (our unpublished data). Deletion of Arfis known to bypass replicative senescence (Kamijo et al., 1997). Consistent with this notion, Arf mutation was sufficient to immortalize the E2f3 /- MEFs (Figure 2E). However, Arf'-;E2f3 -'- MEFs proliferated at a greatly reduced rate relative to Arf/- controls and this is difference was maintained during repeated passaging (Figure 2E). Thus, E2f3-loss does not affect the replicative lifespan of primary cells, but it results in a stable defect in asynchronous proliferation. This proliferation defect was further illustrated by the difference in the ability of Arf'- versus Arf'-;E2f3 -' - MEFs to form colonies in low-density colony formation assays (Figure 2F). Taken together, these data indicate that the asynchronous proliferation defect of the E2f3-/ - MEFs is independent of E2f3's role in the expression of Arf Given these observations, we conclude that E2f3 controls key cellular processes through at least two distinct mechanisms. We have previously shown that E2f3 is required for mitogen-induced cell cycle re-entry and genetic analysis suggests that this reflects E2F3's role in the transcriptional repression of Arf(Aslanian et al., 2004). The E2f3-' - MEFs join a growing group of mutant MEFs including Bmil '- - MEFs (Jacobs et al., 1999) whose phenotypes argue that the degree of activation of the Arf-p53 pathway is the primary determinant of the rate of cell cycle re-entry. Importantly, Arf mutation completely suppresses the mitogen-induced defects in both cell cycle re-entry and E2Fresponsive gene activation in the E2f3-deficient cells suggesting that both are an indirect 117 consequence of the derepression of p19Aa and activation of p53. Experiments in this current study show that E2f3 controls the rate of asynchronous proliferation and this is entirely Arf-independent. We anticipated that this asynchronous proliferation defect would reflect a requirement for E2F3A in the activation of classic E2F-responsive genes. However, cycling E2f3 -'- MEFs expressed E2F-target genes at a comparable level of E2f3 +' + controls in either the presence or absence of Arf. Since it is difficult to observe variations in E2F target gene expression in cycling cell populations, it is an open question whether gene activation and/or some other function accounts for E2f3's role in asynchronous proliferation. E2f3 controls the rate of tumor development in an Arf-independent manner. Cellular transformation results from the abrogation of normal checks and balances in cell cycle regulation. We therefore wished to determine how E2f3-loss affects the properties of transformed cells. It have previously been shown that Arf'- MEFs can be transformed by the expression of oncogenic ras. We therefore introduced activated Hrasvl2 in the Arf;E2f3 MEFs and then examined their properties (Figure 3). First, we cultured these cells as monolayers and compared their rate of accumulation (Figure 3A). This analysis showed that mutation of one, then both, E2f3 alleles caused a progressively reduction in the proliferation rate of H-rasV'2 ;Arf/-MEFs (Figure 3A). Next, we examined the properties of the H-rasVl2;Arf- MEFs in in vitro transformation assays. E2f3 mutation did not prevent the H-rasVl2;Arf/- MEFs from producing foci in monolayers or clones in soft agar (Figure 3B). However, E2f3 controlled the rate of development of these transformed foci/clones in a dose-dependent manner (Figure 3B). 118 Figure 3. A 6) -o 3+/- E 3-,.s_ : C 6) a) a,6 Cr Days B Focus formation WT E2f3+/ E2f3-/- 161 14 E E 12' ) 10 E 8 I E6 CO E 2' -Li 0 WT E2f3'/ - E2f3 Figure 3. The effect of E2f3-loss on transformed pl9Arf knockout MEFs. (A) Proliferation of transformed E2f3,pl9Arf compound mutant MEFs [wild-type E2f3 solid line; heterozygous E2f3 dashed line; E2f3 knockout dotted line] (B) Focus formation and soft agar growth by transformed E2f3;pl9Arf compound mutant MEFs (C) Tumor diameter of transformed E2f3;pl9Arf compound mutant MEFs two weeks following injection into nude mice. To further explore this observation, we assayed these H-rasV'2 ;Arf- MEFs for their ability to form tumors in nude mice after subcutaneous injection. Two weeks after injection, the H-rasl 2 ;Arf / - MEFs that were either E2f3 +/+, E2f3 +/' or E2f3 -' - had each produced visible tumors (Figure 3D). However, consistent with our in vitro assays, we observed a progressive reduction in the size of the tumor as the number of functional E2f3 alleles was reduced from two (tumor diameter = 12.4+2.9mm) to one (tumor diameter = 7.4+2. lmm) to none (tumor diameter = 3.5+2. mm; Figure 3D). Thus, E2f3 can affect the rate of tumor development in both an Arf-independent and cell autonomous manner. E2f3 acts downstream of Arf in vivo. Taken together, our cellular studies reveal a complex interplay between E2f3 and Arf. First, E2f3 contributes to the repression of Arf, and therefore p53, in quiescent MEFs and this regulation is required for the appropriate kinetics of cell cycle re-entry (Aslanian et al., 2004). In this manner, E2F3 joins a growing list of transcriptional repressors, including Bmi1, CBX7 and Pokemon, which act as upstream regulators of Arf in MEFs (Gil et al., 2004; Jacobs et al., 1999; Maeda et al., 2005). In the case of Bmil, the genetic interaction with Arf has also been demonstrated in vivo; Arf-derepression accounts for the neonatal lethality of Bmil-deficient mice that results from defects in hematopoiesis and CNS function (Molofsky et al., 2005; Park et al., 2003). This raised the question of whether Arf plays any role in the high incidence of embryonic/neonatal lethality observed in the E2f3 -/- mice. Second, our cellular studies show that E2f3 acts downstream of Arfto 120 control the proliferation rate of transformed MEFs. This raised the question of whether E2f3 influences the development of Arf-deficient tumors in vivo. To address these questions, we generated and analyzed E2f3;Arf compound mutant mice. First, we intercrossed E2f3+',Arf+' - mice and determined the genotype of the progeny at weaning (Figure 4A). As we have previously observed, the E2f3 -'- mice were under-represented at this timepoint. Somewhat surprisingly, the mutation of the Arf had no detectable effect on the viability of these animals. Thus, in contrast to Bmil, the requirement for E2f3 in normal development appears to be Arf-independent. Second, to assess E2f3's role in tumor development, we aged a cohort of Arf'- mice that were either wildtype, heterozygous or nullizygous for E2f3 (Figure 4B). It has previously bee reported that Arf'- mice develop a variety of tumors, primarily lymphomas and sarcomas (Kamijo et al., 1999; Kamijo et al., 1997). Irrespective of their E2f3 status, the mice in our colony displayed a similar tumor spectrum (data not shown). However, E2f3-loss impeded the development of tumors, and thereby extended lifespan, in a dose-dependent manner (Figure 4B). These data provide definitive proof that E2f3 acts in an Arfindependent manner to control the rate of tumor developmental in vivo. Extrapolating from our cellular studies, we conclude that this reflects E2f3's role in the controlling asynchronous proliferation. 121 Figure 4. A B WT Arft- A VT 14 40 15 E2f3'- 26 61 26 E2f3-/- 04 13 04 - 1 2' 0 50 100 150 200 250 Days 300 350 400 450 500 Figure 4. In vivo interaction between E2f3 and pl9Arf. (A) Progeny of E2f3,pl9Arf mice [wild-type double heterozygous crosses (B) Survival of adult p9Arf-deficient E2f3 solid black line; heterozygous E2f3 solid grey line; E2f3 knockout dashed black line]. MATERIALS AND METHODS Mice E2f3;pl9Arf compound mutant animals were generated by crossing E2f3+/- and p]9Arf/- mice. Genotyping was performed as previously described (Humbert et al., 2000b; Kamijo et al., 1997). E2f3+/-;p19Arf+/- or E2f3-/-;p19Arf-/- mice were intercrossed to generate animals to assess viability of various genotypes and surviving animals were then aged and monitored for tumor development. For tumorigenicity assays, 6 to 8 week old nude mice were subcutaneously injected with 10^6 cells near each limb and tumor growth was monitored regularly. Cell culture E2f3+/-;pl9Arf-/- mice were intercrossed and MEFs were prepared from e13.5 embryos as previously described (Humbert et al., 2000b). For growth curves, passage 4 MEFs were plated on 6cm dishes at 3*10A5 cells per dish. For 5 days following plating, separate dishes were counted and cell number was recorded. For assessment of senescence, 3T3 assays were performed as previously described (Kamijo et al., 1997). Low-density colony formation assays were performed by seeding 10^3 cells on 10cm dishes and staining cells after 3 weeks with Modified Wright Giemsa Stain (Sigma WG32) to visualize colonies. 123 Retroviral infection and transformation assays Retroviral infections were performed with pBabe-Puro and pBabe-Puro-HrasV 12 vectors that have been previously described (Humbert et al., 2000b). Retroviral production was performed by transfection of Phoenix cells and following infection, target cells were selected in 2 mg/mL puromycin for 3 days. Growth assays, focus formation assays, and soft agar assays were performed as previously described (Humbert et al., 2000b). Western blotting and electrophoretic mobility shift assay Passage 4 MEFs were plated on 15cm dishes at 2*10A6 cells per dish. Two days after plating cells were harvested and total protein was isolated as previously described (Moberg et al., 1996). Western blotting was performed with 100 tg of whole cell extract using antibodies against actin (Santa Cruz sc-1616), cyclin A (Santa Cruz sc-596), p107 (Santa Cruz sc-318), cdc2 (Santa Cruz sc-54), p19ARF (Novus NB200-106) and p21CIP (Santa Cruz, sc-6246). p53 gel-retardation assays were performed in the presence of supershifting antibody using NuShift according to the manufacturer's instructions. 3H-Thymidine Incorporation Passage 4 MEFs were plated in triplicate on 3.5cm dishes at 2* 10^5 cells per dish. One day after plating, cells were incubated with 5 EtCi of 3H-thymidine for 1 hour. Cells were then harvested and 3H-thymidine incorporation was measured as previously described (Moberg et al., 1996). 124 FACS Passage 4 MEFs were plated on 6cm dishes at 3*10^5 cells per dish. Three days after plating (at which time cell growth is linear), cells were incubated with 10M BrdU for 1 hour. Cells were then harvested and prepared for FACS analysis. 125 References. Aslanian, A., Iaquinta, P. J., Verona, R., and Lees, J. A. (2004). Repression of the Arf tumor suppressor by E2F3 is required for normal cell cycle kinetics. Genes Dev 18, 14131422. Attwooll, C., Denchi, E. L., and Helin, K. (2004). The E2F family: specific functions and overlapping interests. Embo J 23, 4709-4716. Blais, A., and Dynlacht, B. D. (2004). Hitting their targets: an emerging picture of E2F and cell cycle control. Curr Opin Genet Dev 14, 527-532. Gaubatz, S., Lindeman, G. J., Ishida, S., Jakoi, L., Nevins, J. R., Livingston, D. M., and Rempel, R. E. (2000). E2F4 and E2F5 play an essential role in pocket protein-mediated G1 control. Mol Cell 6, 729-735. Gil, J., Bernard, D., Martinez, D., and Beach, D. (2004). Polycomb CBX7 has a unifying role in cellular lifespan. Nat Cell Biol 6, 67-72. Humbert, P. O., Rogers, C., Ganiatsas, S., Landsberg, R. L., Trimarchi, J. M., Dandapani, S., Brugnara, C., Erdman, S., Schrenzel, M., Bronson, R. T., and Lees, J. A. (2000a). E2F4 is essential for normal erythrocyte maturation and neonatal viability. Mol Cell 6, 281-291. Humbert, P. O., Verona, R., Trimarchi, J. M., Rogers, C., Dandapani, S., and Lees, J. A. (2000b). E2f3 is critical for normal cellular proliferation. Genes Dev 14, 690-703. Jacobs, J. J., Kieboom, K., Marino, S., DePinho, R. A., and van Lohuizen, M. (1999). The oncogene and Polycomb-group gene bmi-1 regulates cell proliferation and senescence through the ink4a locus. Nature 397, 164-168. Kamijo, T., Bodner, S., van de Kamp, E., Randle, D. H., and Sherr, C. J. (1999). Tumor spectrum in ARF-deficient mice. Cancer Res 59, 2217-2222. Kamijo, T., Zindy, F., Roussel, M. F., Quelle, D. E., Downing, J. R., Ashmun, R. A., Grosveld, G., and Sherr, C. J. (1997). Tumor suppression at the mouse INK4a locus mediated by the alternative reading frame product p19ARF. Cell 91, 649-659. Lowe, S. W., and Sherr, C. J. (2003). Tumor suppression by Ink4a-Arf: progress and puzzles. Curr Opin Genet Dev 13, 77-83. Maeda, T., Hobbs, R. M., Merghoub, T., Guernah, I., Zelent, A., Cordon-Cardo, C., Teruya-Feldstein, J., and Pandolfi, P. P. (2005). Role of the proto-oncogene Pokemon in cellular transformation and ARF repression. Nature 433, 278-285. Moberg, K., Starz, M. A., and Lees, J. A. (1996). E2F-4 switches from p130 to p107 and pRB in response to cell cycle reentry. Mol Cell Biol 16, 1436-1449. 126 Molofsky, A. V., He, S., Bydon, M., Morrison, S. J., and Pardal, R. (2005). Bmi-1 promotes neural stem cell self-renewal and neural development but not mouse growth and survival by repressing the pl6Ink4a and pl9Arf senescence pathways. Genes Dev 19, 1432-1437. Muller, H., Bracken, A. P., Vernell, R., Moroni, M. C., Christians, F., Grassilli, E., Prosperini, E., Vigo, E., Oliner, J. D., and Helin, K. (2001). E2Fs regulate the expression of genes involved in differentiation, development, proliferation, and apoptosis. Genes Dev 15, 267-285. Park, I. K., Qian, D., Kiel, M., Becker, M. W., Pihalja, M., Weissman, I. L., Morrison, S. J., and Clarke, M. F. (2003). Bmi-1 is required for maintenance of adult self-renewing haematopoietic stem cells. Nature 423, 302-305. Quelle, D. E., Zindy, F., Ashmun, R. A., and Sherr, C. J. (1995). Alternative reading frames of the INK4a tumor suppressor gene encode two unrelated proteins capable of inducing cell cycle arrest. Cell 83, 993-1000. Rempel, R. E., Saenz-Robles, M. T., Storms, R., Morham, S., Ishida, S., Engel, A., Jakoi, L., Melhem, M. F., Pipas, J. M., Smith, C., and Nevins, J. R. (2000). Loss of E2F4 activity leads to abnormal development of multiple cellular lineages. Mol Cell 6, 293306. Ren, B., Cam, H., Takahashi, Y., Volkert, T., Terragni, J., Young, R. A., and Dynlacht, B. D. (2002). E2F integrates cell cycle progression with DNA repair, replication, and G(2)/M checkpoints. Genes Dev 16, 245-256. Storre, J., Elsasser, H. P., Fuchs, M., Ullmann, D., Livingston, D. M., and Gaubatz, S. (2002). Homeotic transformations of the axial skeleton that accompany a targeted deletion of E2f6. EMBO Rep 3, 695-700. 127 CHAPTER 4 Tumor development in the absence of p53 is not dependent on the regulation of proliferation by E2Jf3 Aaron Aslanian and Jacqueline A. Lees Author's contributions: Figure 1, 2 and 3 128 ABSTRACT The E2F transcription factor is a key regulator of cellular proliferation (Trimarchi and Lees, 2002). E2F controls the expression of genes involved in cell cycle progression, DNA replication and mitosis. However, E2F also has functions broader than basic cell cycle control, such as regulation of DNA damage, apoptosis and development. We have previously shown that E2F3 is a critical regulator of proliferation. The loss of E2F3 results in a significant proliferation defect in mouse embryonic fibroblasts (MEFs) (Humbert et al., 2000). E2F3 loss also impairs tumorigenesis in multiple mouse tumor models (Ziebold et al., 2003). In this study, we examined the interaction between E2f3 and the p53 tumor suppressor protein in tumorigenesis. Unlike other mouse tumor models, the loss of E2f3 did not impair tumor development in p53 knockout mice. Transformed p5.3-deficient MEFs also were highly tumorigenic regardless of E2f3 status. Nevertheless, E2f3-loss still resulted in a proliferation defect in p53-deficient MEFs. This data indicate that E2F3 may influence tumorigenesis through mechanisms other than cell cycle control. Additionally, E2f3 appears to function upstream (or in parallel) of p53 in tumor development while p53 functions upstream of E2f3 in cellular proliferation. 129 INTRODUCTION Several studies have linked the deregulation of cell cycle controls to tumor development.. Indeed, unrestrained proliferation is one of the hallmarks of cancer (Hanahan and Weinberg, 2000). Inappropriately proliferating cells are normally eliminated via programmed cell death, another process often targeted in cancer. The p53 tumor suppressor protein can affect both cell cycle progression and the induction of programmed cell death through transcriptional regulation of its target genes. Consequently, p53 is functionally inactivated in almost all tumors. Cells lacking functional p53 are compromised in their ability to appropriately respond to various types of cellular stress such as oncogenic challenge or DNA damage. Mouse models have demonstrated that p53-deficiency promotes the development of a wide array of tumor types (Attardi and Jacks, 1999). The retinoblastoma (Rb) pathway is another critical determinant of cell cycle progression frequently disrupted in tumors. Rb-deficiency results in inappropriate proliferation during embryo development and tumorigenesis in adult mice (Jacks et al., 1992; Lee et al., 1992). The retinoblastoma protein (pRb) and the related pocket proteins p 107 and p130 control proliferation via the E2F family of transcription factors (Trimarchi and Lees, 2002). E2F regulates the expression of target genes critical for cell cycle progression, DNA replication and mitosis. There are currently eight genes encoding E2F proteins, but pRb interacts specifically with E2F1-4. The generation of different Rb;E2f compound mutant animals has demonstrated that deregulation of E2F activity represents an important component of the inappropriate proliferation observed in development and 130 cancer (Lee et al., 2002; Tsai et al., 1998; Yamasaki et al., 1998; Ziebold et al., 2003; Ziebold et al., 2001). Considerable crosstalk exists between E2F and the p53 pathway. This suggests that an important connection between regulation of cellular proliferation and p53 activity may operate in cancer. E2F functions downstream of p53 through its most well characterized target genes, p21CIP. Expression of p21CIP leads to the inhibition of cyclin-cdk activity, accumulation of hypo-phosphorylated pRb, and the release of free, active E2F. However, E2F can function upstream of p53 as well. E2F1 has been shown to increase p53 activity through at least two mechanisms. First, E2F1 over-expression induces expression of p19ARF, which positively regulates p53 by sequestering the ubiquitin ligase mdm2. Second, E2F1 regulates the activity of Chk2 and ATM kinases that are responsible for phosphorylation of p53, which also stabilizes p53 by preventing the mdm2-p53 interaction. Several pro-apoptotic E2F target genes have also been identified recently. The fact that E2F functions both upstream and downstream of p53 was further illustrated through the use of a carboxy-terminal mutant of E2F1, E2F-DB (Rowland et al., 2002). This mutant lacks both the pocket protein binding domain and the transactivation domain of E2F1. Consequently, it cannot repress transcription through pRb nor can it stimulate transcription. E2F-DB retains DNA binding activity, and can displace endogenous E2Fs from the promoters of target genes. It was shown that expression of E2F-DB leads to activation of p53 via p19ARF. Normally, induction of p53 activity would lead to growth arrest. However, cells expressing E2F-DB continue to 131 grow in the presence of elevated p53 activity. This is due to de-repression of E2F target genes caused by E2F-DB. Mouse models have been used to probe the relationship between E2F and p53 in tumorigenesis, but have yielded conflicting results. In one study, tumor susceptibility of p53 knockout mice was drastically reduced when both copies of E2fl were also deleted (Wikonkal et al., 2003). A second study showed the exact opposite result, no change in mortality between p53 knockout mice and E2fl;p53 double knockout mice (Wloga et al., 2004). There was some alteration in tumor spectrum reported in this study. The reason for the discrepancies between these two studies is not fully apparent. Further obscuring the function of E2F1 in tumorigenesis is the fact that E2F1 has both oncogenic and tumor suppressive properties (Yamasaki et al., 1996). The specific role of other E2Fs in tumorigenesis is even less well understood. There is also little indication how E2Fs other than E2F1 might influence p53 function. We are particularly interested in examining the contribution of E2F3 because of its key role in the regulation of cellular proliferation. E2F3 DNA binding activity has been shown increase at the G1/S transition during multiple cell cycles (Leone et al., 1998). It specifically associates with the promoters of several E2F target genes in this phase of the cell cycle (Giangrande et al., 2004). Mouse embryonic fibroblasts (MEFs) lacking E2f3 are severely impaired in their proliferation (Humbert et al., 2000; Wu et al., 2001). Additionally, we have shown that E2F3 acts as an upstream regulator of the p53 pathway via p19ARF (Aslanian et al., 2004). We previously investigated the role of E2F3 in the tumor development of pl9Arfdeficient mice. Generalized lymphomas and soft tissue sarcomas are the predominant 132 tumors that arise in pl9Arf knockout mice. Deletion of E2f3 resulted in a dose-dependent extension in the lifespan of pl9Arf deficient mice. This data suggested that E2F3dependent proliferation is a critical downstream component of tumor development that occurs in the absence of p19ARF. Because p19ARF functions upstream of p53, we reasoned that E2F3 should also impair tumorigenesis in p53 deficient mice. However, E2f3 status had no effect on the survival of p53 null mice. This discrepancy could not be attributed to the different types of tumors that arise in these two mouse strains, as transformed p53 knockout MEFs also efficiently formed tumors in nude mice regardless of E2f3 status. Since we had previously shown that E2f3-deficiency significantly impairs cellular proliferation, we examined the consequences of E2f3 loss in p53 knockout MEFs. Similar to our previous observations using E2f3;pl9Arf compound mutant MEFs, proliferation of E2f3;p53 double knockout MEFs are also impaired. This indicates that the effect of E2F3 on proliferation is not sufficient to explain its function in tumorigenesis, and E2F3 must have other functions with the cell. RESULTS Generation and survival of E2f3;p53 compound mutant mice To ascertain the interaction of E2f3 and p53 in development and tumorigenesis, we intercrossed E2f3 and p53 mutant animals. E2f3 knockout mice are not viable in a pure strain background, so it was necessary to use a mixture of genetic backgrounds. Double heterozygous E2f3,p53 mice were first generated in both C57B16 and 129Sv strain backgrounds. These animals then were inter-bred to generate an F1 population 133 used in this study. These animals are an even mixture of two strains, which should minimize any variation caused by genetic modifiers. Animals were genotyped at three weeks of age to determine whether E2f3 and p53 genetically interact to affect development. p53 status had no effect on the viability of E2f3-deficient animals. Female specific lethality of p53 null animals has been reported due to failure of neural tube closure. However, we did not observe any skewing of the male to female ratio in p53 knockout mice, regardless of E2f3 status. These data suggest that E2f3 and p53 do not genetically interact in murine development. p53 knockout animals were aged to determine the effect of E2f3 status on tumor development (Figure 1). p53 knockout mice with both copies of E2f3 succumbed to tumors with a mean latency of 178 days. Animals with a single copy of E2f3 and those with no E2f3 succumbed to tumors with a mean latency of 165 days and 189 days respectively. Regardless of E2f3 status, p53 knockout mice develop thymic lymphomas and soft tissue sarcomas. Thus E2f3 status has no effect on tumorigenesis in p53 knockout mice. E2f3 loss does not impair the tumorigenicity of transformed p53-deficient MEFs It was surprising that E2f3 status had no effect on tumorigenesis in p53 knockout mice because the deletion of E2f3 resulted in a significant extension in the lifespan of previously examined mouse tumor models, including pl9Arf knockout mice. To exclude the possibility that the results obtained in this study were due to differences in the tumors types being examined, we investigated the consequences of E2f3 loss on transformed 134 Figure 1. 1 l ~,,I~l.I1 C-~--. I 1 III -- E2f3 wildtype (n=23) 0.9 '_ --- E2f3 heterozygous (n=43) La 0.8 0.7 -- E2f3 knockout (n= 13) 0.6 - B~LS4 cU ¢ ._Ct U 0.5 0.4 1 U 0.3 U 0.2 0.1 7 i is__P 0 0 50 100 150 200 250 300 350 days Figure 1. E2f3-loss has no effect on the survival of p53-deficient mice. p53-deficient mice that were either E2f3 wild-type (black line with black boxes), E2f3 heterozygous (black line with white boxes) or E2f3 knockout (grey line with grey boxes) were aged and monitored for tumors. p53-deficient MEFs. We have previously shown in this system that the loss of E2f3 results in a dose-dependent impairment of transformed pl9Arf-deficient MEFs. p53 knockout and E2f3;p53 double knockout MEFs were transformed using a constitutively active H-ras allele. The loss of E2f3 did not affect the ability of p 5 3deficient MEFs to be transformed as judged by focus formation and growth in soft agar (Figure 2B and 2C). These cells were subcutaneously injected into nude mice, which were then monitored for tumor formation (Figure 2D). Both genotypes rapidly gave rise to tumors with similar growth rates. After two weeks, the mean diameter of tumors arising from transformed p53 knockout MEFs measured 9.2 ± 2.2 mm, while the mean diameter of tumors arising from transformed E2f3,p53 double knockout MEFs measured 7.5 + 1.6 mm in size. The loss of E2f3 results in only a modest reduction in tumorigenicity in transformed p53-deficient MEFs. E2f3 loss impairs the proliferation of primary and transformed p53-deficient MEFs Previously we had demonstrated that the loss of E2f3 results in a proliferation defect in cycling cells. This defect cannot be suppressed by deleting p]9Arf, and consequently E2f3 loss impairs the tumorigenicity of transformed pl9Arf-deficient MEFs. We examined the proliferation of E2f3;p53 double knockout MEFs to determine whether the above data could be explained by the rescue of any proliferation defect in these cells. However, E2f3;p53 double knockout MEFs clearly proliferated at a slower rate than p53 knockout MEFs (Figure 3A). Similar results were obtained with transformed cells (Figure 2A). These results are consistent with our observation that 136 Figure 2. A) 6000000 B) 5000000 I) p53 knockout rasV12 4000000 3000000 ¢D 2000000 1000000 0 13 3 ~~0 2 T-1I% 4 5 1% -1 1 L ;pJ.).5 oule knockout rasV 12 days - -- p53 knockout rasV12 -- -- E2f3;p53 double knockout rasV12 C) p53 knockout D) A IL-.J - rasV 12 12.0 a) 10.0 - T 8.0 c' E E2f3,p53 double knockout rasV 12 T 6.0 4.0 0 2.0 0.0 . p53 knockout rasV12 E2f3;p53 double knockout rasV 12 Figure 2. The effect of E2J3-loss on transformed p53 knockout MEFs. (A) Proliferation of transformed E2f3;p53 compound mutant MEFs [wild-type E2f3 solid line; E2f3 knockout dashed line] (B) Growth in soft agar by transformed E2f3;p53 compound mutant MEFs (C) Focus formation by transformed E2f3;p53 compound mutant MEFs (D) Tumor diameter of transformed E2f3;p53 compound mutant MEFs two weeks following injection into nude mice. , Figure 3. 6000000 A) B) 5000000 oC. J S ,4000000 Q,* 3000000 10 E r., V - 2000000 I C. I J jrfl -- 1000000 0 0 2 1 4 3 A days = Moo-n -mIuII- E2f3;p53 double knockout - -I12 C) 10 cu 8 6 r=. c - 4 2 0 4 5 6 7 8 9 10 11 passage number - dRWp107 - p53 knockout p53 knockout - -- -E2f3;p53 double knockout actin cyclin A cdc2 Figure 3. continued D) 11. ) .) . T 1 .. © o 0.8 4.a r.- T 0.6 - )Co 0.4 Ct 0.2 - C) ;-.4~- 0- I p5 3 knockout E2f3 ;p53 double F) p53 knockout knockout E) Qn c) .o ct 45~ PU 70 60 50 - E2f3;p53 double knockout 40 30 20 10 - 0- G1 *p53 knockout S G2/M oE2f3;p53 double knockout Figure 3. The effect of p53-deletion on E2f3 knockout phenotype in cycling MEFs. (A) Proliferation of asynchronous p53 knockout [solid line] and E2f3;p53 double knockout MEFs [dashed line] (B) Whole cell protein extracts from p53 knockout and E2f3;p53 double knockout MEFs were prepared and subject to western blotting for actin, cyclin A (sc-596), p107 (sc-318), and cdc2 (sc-54) (C) 3T3 assay of p53 knockout [solid line] and E2f3;p53 knockout MEFs [dashed line] (D) 3H-thymidine incorporation of p53 knockout and E2f3;p53 double knockout MEFs (E) FACS cell cycle analysis of p53 knockout [black bar] and E2f3;p53 double knockout MEFs [white bar] (F) Low-density colony formation assay assessing the status of E2f3 on p53 knockout MEFs. there is no significant change in p53 activity in E2f3-deficient MEFs. The impaired proliferation of E2f3;p53 double knockout MEFs is stably maintained over multiple population doublings as judged by 3T3 assay (Figure 3C). Further characterization of E2f3;p53 double knockout MEFs showed comparable E2F target gene expression relative to p53 knockout MEFs (Figure 3B). The relative DNA replication rates was assessed by measuring 3H-thymidine incorporation. E2f3,p53 double knockout MEFs showed only 59 percent the level of 3H-thymidine incorporation as p53 knockout MEFs, consistent with their slower proliferation rate (Figure 3D). Cell cycle FACS analysis of p53 knockout and E2f3;p53 double knockout MEFs yielded similar cell cycle distribution profiles (Figure 3E). This is consistent with our previous observations that E2f3-loss results in a slowing of the entire cell cycle. p53-loss rescues low density growth of E2J3-deficient cells To elucidate the function of E2F3 relevant for modulation of tumorigenicity, we next examined the affect of E2f3-loss on low-density colony formation. p53-deficient cells are capable of growing at low density, and when seeded at the level of individual cells will give rise to colonies. We had previously observed that the proliferation defect caused by the loss of E2f3 increased in severity at lower cell densities. Therefore, we examined the role of E2f3 status on the low-density colony formation ability of p 5 3 deficient MEFs. p53-deficient MEFs efficiently formed colonies at low density, regardless of E2f3 status (Figure 3F). This is in contrast to pl9Arf-deficient which also form colonies, but lose this ability in absence of E2f3. 140 MEFs, DISCUSSION In this study, we demonstrate that the loss of E2f3 does not adversely affect tumorigenesis that occurs in a p53-deficient setting. We first showed this result using p53 knockout mice, which spontaneous develop thymic lymphomas and soft tissue sarcomas. We also demonstrated that p53 knockout MEFs transformed with a constitutively active allele of H-ras also form tumors regardless of E2f3 status. Despite the fact that E2J3 status had no effect on tumorigenesis arising in p53-deficient cells, E2f3-loss was still capable of impairing proliferation of both primary and transformed p53-deficient cells. This indicates that E2F3 affects tumorigenesis through additional mechanisms beyond the regulation of proliferation. It also suggests that E2F3 may affect tumorigenesis through a mechanism that is p53-dependent, although downstream of p53 itself. The fact that E2f3-loss can impair the proliferation of p53-deficient cells without significantly impacting their ability to form tumors provides some clue as to the mechanism through which the loss of p53 contributes to tumorigenesis. The loss of p53 relieves the inhibition of cell cycle progression and abrogates the induction of apoptosis. Both cellular proliferation pathways and apoptotic pathways are targeted by cancer. These experiments suggest that the loss of p53 has a more significant contribution to apoptotic pathways than proliferative pathways. However, an alternative explanation is that proliferative signals in the tumor are able to overcome the loss of E2f3 in ways that do not occur in cell culture. The suggestion that E2f3-loss does not affect tumorigenesis contradicts earlier work, indicating that the reason for this difference must either be genetic or cell type 141 specific. One explanation would be that the cells giving rise to tumors in p53 knockout mice do not express E2F3. However, this is unlikely since E2F3 mRNA and protein are present in thymic lymphomas (data not shown) and soft tissue sarcomas are observed in pl9Arf knockout mice, where the loss of E2f3 does have an impact. The experiments with transformed MEFs also suggest this explanation is not likely to be correct. E2F3 may be having cell non-autonomous affects on tumorigenesis, but the transformed MEF experiments make this unlikely as well. A more plausible explanation is that the loss of E2f3 intersects with a pathway downstream of p53. Thus, the loss of p53 would prevent E2f3 from affecting tumorigenesis. One mechanism by which E2F3 could impact tumorigenesis is through the regulation of genomic stability. Previous studies suggest that the loss of E2f3 leads to errors in centrosome duplication. Proper centrosome regulation is important to ensure the proficient segregation of DNA during mitosis. Centrosomal abnormalities are frequency associated with cancer, and represent a mechanism by which additional mutation can occur in cancer. Normally, errors in centrosome duplication would lead to DNA damage and signal to p53. These cells would likely be eliminated. However, this would not be expected to occur in p53 deficient cells, and in fact, p53-deficiency has been reported to promote centrosome abnormalities. The experiments in this study also show that p53 loss permits E2f3-deficient cells to form colonies when plated at low density. This is in contrast to p]9Arf deficient cells, which require E2f3 to form colonies at low density. This phenotype correlates with the effect of E2f3 on tumorigenesis and may possibly be related. Unfortunately, the 142 mechanistic basis for low-density growth is not known. It is likely that this involves some kind of cell-signaling events and this requires further investigation. Previous mouse tumor studies using Rb heterozygous mice did not find a connection between E2F3 and p53. In these mice, the loss of E2f3 suppresses pituitary tumors, but enhances the development of thyroid tumors. Because p53 loss is a common contributing factor to the development of thyroid tumors, p53 activity was examined. This study found no consistent difference in p53 activity due to the status of E2f3. This would argue that E2F3 does not directly target p53 and is in fact consistent with the observation that p53 activity is not altered in E2f3-deficient MEFs. If E2f3 loss affects the p53 pathway downstream of p53 itself, this would explain the observation that p53 activity was unaffected in the tumors of these mice. Inactivation of p53 occurs through a variety of mechanisms. Although initial studies regarding p53 tumor suppressor function in mouse models have utilized germline deletions, it is true that in human cancers, point mutations represent a frequent mechanism of p53 inactivation. To this end, point mutant p53 mice have been developed and show some different properties compared to germline deletion in their cellular stress response and tumor suppressive properties. However, experiments with E2F3 indicate that there is a significant difference between no p53 activity and low p53 activity as indicated by this study and similar work with p19ARF. Expression of a dominant negative p53 allele in the background of wild-type p53 appears to also be insufficient to provide the same response as a complete p53 null. The fact that E2f3-loss has a different effect in the background of pl9Arfdeficiency and p53-deficiency is not entirely surprising. There is mounting evidence to 143 suggest that p19ARF and p53 have many independent functions. It is likely that the loss of E2f3 impacts one of these functions during tumorigenesis, rather than a common pathway. Additionally, direct comparison of pl9ARF and p53 in different assays suggest that the loss of p53 produces a stronger phenotype than the loss of pl9Arf. because some p53 activity remains in pl9Arf-deficient pl9ARF-independent This may be cells. Or it may be because pathways can activate p53. Differences between p19ARF and p53 have also been uncovered in several tumor models. Mice lacking either pl9Arf or p53 develop a slightly different spectrum of tumors. Additionally, p19Arf;Mdm2;p53 triple knockout mice develop different tumors than Mdm2;p53 double knockout mice, demonstrating that the loss of these proteins are not entirely redundant. Crosses with other mouse models have also yielded differing results. Because E2F activity is commonly deregulated in most cancers, understanding how specific E2Fs modulate tumor phenotypes will represent an important future goal. This study uncovers two important observations regarding the role of E2F3 in tumorigenesis. First, although E2F3 is a critical regulator of cellular proliferation, it has other functions that may be more relevant in the context of cancer. Second, the role played by E2F3 in tumors is highly p53-dependent. This suggests that therapeutic inactivation of E2f3 in tumors will only be beneficial in those that retain p53 activity. 144 MATERIALS AND METHODS Mice E2f3;p53 compound mutant animals were generated by crossing E2f3+/- and p53-/- mice in either a pure C57B16 strain background or a pure 129Sv strain background. Genotyping was performed as previously described. Pure C57B16 and pure 129Sv E2f3+/-;p53+/- mice were intercrossed to generate F1 animals that were a 50:50 mix of these two strain backgrounds. The viability of various genotypes was assessed and surviving animals were then aged and monitored for tumor development. For tumorigenicity assays, 6 to 8 week old nude mice were subcutaneously injected with 10^6 cells near each limb and tumor growth was monitored regularly. Cell culture E2f3+/-,p53-/- mice were intercrossed and MEFs were prepared from e13.5 embryos as previously described. For growth curves, passage 4 MEFs were plated on 6cm dishes at 3* 10^5 cells per dish. For 5 days following plating, separate dishes were counted and cell number was recorded. For assessment of senescence, 3T3 assays were performed as previously described. Low-density colony formation assays were performed by seeding 10^3 cells on 10cm dishes and staining cells after 2 weeks to visualize colonies. Retroviral infection and transformation assays Retroviral infections were performed with pBabe-Puro and pBabe-Puro-HrasV 12 vectors that have been previously described. Retroviral production was performed by transfection of Phoenix cells as previously described and following infection, target cells 145 were selected in 2 mg/mL puromycin for 3 days. Growth assays, focus formation assays, and soft agar assays were performed as previously described. Western blotting and electrophoretic mobility shift assay Passage 4 MEFs were plated on 15cm dishes at 2* 10^6 cells per dish. Two days after plating cells were harvested and total protein was isolated as previously described. Western blotting was performed with 100 tg of whole cell extract using antibodies against actin, cyclin A, p107, cdc2, p19ARF, and p21CIP. 3H-Thymidine Incorporation Passage 4 MEFs were plated in triplicate on 3.5cm dishes at 2*10A5 cells per dish. One day after plating, cells were incubated with 5 tCi of 3H-thymidine for 1 hour. Cells were then harvested and 3H-thymidine incorporation was measured as previously described (Moberg et al., 1996). FACS Passage 4 MEFs were plated on 6cm dishes at 3*10A5 cells per dish. Three days after plating (at which time cell growth is linear), cells were incubated with 10tM BrdU for 1 hour. Cells were then harvested and prepared for FACS analysis as previously described. 146 References. Aslanian, A., laquinta, P. J., Verona, R., and Lees, J. A. (2004). Repression of the Arf tumor suppressor by E2F3 is required for normal cell cycle kinetics. Genes Dev 18, 14131422. Attardi, L. D., and Jacks, T. (1999). The role of p53 in tumour suppression: lessons from mouse models. Cell Mol Life Sci 55, 48-63. Giangrande, P. H., Zhu, W., Rempel, R. E., Laakso, N., and Nevins, J. R. (2004). Combinatorial gene control involving E2F and E Box family members. Embo J 23, 13361347. Hanahan, D., and Weinberg, R. A. (2000). The hallmarks of cancer. Cell 100, 57-70. Humbert, P. O., Verona, R., Trimarchi, J. M., Rogers, C., Dandapani, S., and Lees, J. A. (2000). E2f3 is critical for normal cellular proliferation. Genes Dev 14, 690-703. Jacks, T., Fazeli, A., Schmitt, E. M., Bronson, R. T., Goodell, M. A., and Weinberg, R. A. (1992). Effects of an Rb mutation in the mouse. Nature 359, 295-300. Lee, E. Y., Cam, H., Ziebold, U., Rayman, J. B., Lees, J. A., and Dynlacht, B. D. (2002). E2F4 loss suppresses tumorigenesis in Rb mutant mice. Cancer Cell 2, 463-472. Lee, E. Y., Chang, C. Y., Hu, N., Wang, Y. C., Lai, C. C., Herrup, K., Lee, W. H., and Bradley, A. (1992). Mice deficient for Rb are nonviable and show defects in neurogenesis and haematopoiesis. Nature 359, 288-294. Leone, G., DeGregori, J., Yan, Z., Jakoi, L., Ishida, S., Williams, R. S., and Nevins, J. R. (1998). E2F3 activity is regulated during the cell cycle and is required for the induction of S phase. Genes Dev 12, 2120-2130. Moberg, K., Starz, M. A., and Lees, J. A. (1996). E2F-4 switches from p130 to p107 and pRB in response to cell cycle reentry. Mol Cell Biol 16, 1436-1449. Rowland, B. D., Denissov, S. G., Douma, S., Stunnenberg, H. G., Bernards, R., and Peeper, D. S. (2002). E2F transcriptional repressor complexes are critical downstream targets of p19(ARF)/p53-induced proliferative arrest. Cancer Cell 2, 55-65. Trimarchi, J. M., and Lees, J. A. (2002). Sibling rivalry in the E2F family. Nat Rev Mol Cell Biol 3, 11-20. Tsai, K. Y., Hu, Y., Macleod, K. F., Crowley, D., Yamasaki, L., and Jacks, T. (1998). Mutation of E2f-1 suppresses apoptosis and inappropriate S phase entry and extends survival of Rb-deficient mouse embryos. Mol Cell 2, 293-304. 147 Wikonkal, N. M., Remenyik, E., Knezevic, D., Zhang, W., Liu, M., Zhao, H., Berton, T. R., Johnson, D. G., and Brash, D. E. (2003). Inactivating E2f reverts apoptosis resistance and cancer sensitivity in Trp53-deficient mice. Nat Cell Biol 5, 655-660. Wloga, E. H., Criniti, V., Yamasaki, L., and Bronson, R. T. (2004). Lymphomagenesis and female-specific lethality in p53-deficient mice occur independently of E2fl. Nat Cell Biol 6, 565-567; author reply 567-568. Wu, L., Timmers, C., Maiti, B., Saavedra, H. I., Sang, L., Chong, G. T., Nuckolls, F., Giangrande, P., Wright, F. A., Field, S. J., et al. (2001). The E2F1-3 transcription factors are essential for cellular proliferation. Nature 414, 457-462. Yamasaki, L., Bronson, R., Williams, B. O., Dyson, N. J., Harlow, E., and Jacks, T. (1998). Loss of E2F-1 reduces tumorigenesis and extends the lifespan of Rbl(+/-)mice. Nat Genet 18, 360-364. Yamasaki, L., Jacks, T., Bronson, R., Goillot, E., Harlow, E., and Dyson, N. J. (1996). Tumor induction and tissue atrophy in mice lacking E2F-1. Cell 85, 537-548. Ziebold, U., Lee, E. Y., Bronson, R. T., and Lees, J. A. (2003). E2F3 loss has opposing effects on different pRB-deficient tumors, resulting in suppression of pituitary tumors but metastasis of medullary thyroid carcinomas. Mol Cell Biol 23, 6542-6552. Ziebold, U., Reza, T., Caron, A., and Lees, J. A. (2001). E2F3 contributes both to the inappropriate proliferation and to the apoptosis arising in Rb mutant embryos. Genes Dev 15, 386-391. 148 CHAPTER 5 DISCUSSION 149 The Rb pathway and the p53 pathway are often disrupted in tumors. Both provide critical regulation of S-phase entry and progression. The Rb pathway regulates cellular proliferation in response to growth factor signaling whereas the p53 pathway is specifically activated in response to various forms of cellular stress. Despite being considered as separate pathways, there is considerable crosstalk between components of these two pathways. My studies have focused on the genetic interactions between one member of the E2F family of transcription factors, E2F3, and p19ARF/p53. I have explored these interactions in multiple settings and my studies have shown that their relationship is highly context dependent. In Chapter 2, I show that E2F3 is unique in its ability to bind to the pl9Arf promoter in normal cells. In E2f3 knockout MEFs, pl9ARF expression is de-repressed during cell cycle re-entry leading to activation of p53. Analysis of E2f3,;p9Arf as well as E2f3;p53 compound mutant MEFs demonstrate that p19ARF/p53 significantly contribute to the cell cycle re-entry defect. In Chapter 3, I examined the contribution of p19ARF to the proliferation defect in cycling E2f3 knockout MEFs. In Chapter 4, I examined the contribution the effect of E2f3 loss on p53 null transformed cell and tumors. The data in Chapter 3 and 4 clearly establish that E2F3 regulates proliferation through multiple mechanisms. In cycling cells, E2F3 regulates proliferation through a pl9ARF/p53-independent mechanism. Transformation and tumor studies demonstrate that the effect of E2f3-loss is dependent on the underlying genetic alterations in the cells. These studies stress the fact that E2F3 regulates cellular proliferation through multiple mechanisms. In the following discussion, I will begin by giving an overview of 150 other recent studies that have sought to determine the importance of cell cycle regulators during cell cycle re-entry and in asynchronous proliferation. Next, I will discuss the mechanisms by which E2F3 controls cellular proliferation, including regulation of p19ARF and classic E2F target genes. Finally, I will discuss the potential roles for E2F3A and E2F3B in these processes. S-PHASE: CELL CYCLE RE-ENTRY VERSUS THE PROLIFERATION OF CYCLING CELLS My experiments join a growing list of studies characterizing cells deficient for key cell cycle regulators. These studies have been critical in testing our assumptions about the role of these proteins and the essential nature of their functions. Recent studies using MEFs deficient for different cyclins and cyclin dependent kinases reinforce my conclusion that there are key differences between cell cycle re-entry and proliferation in cycling cells. As explained below, the function of these cell cycle regulators appears to be most critical during cell cycle re-entry. D-type cyclins were believed to be critical for growth factor stimulated proliferation. However, MEFs lacking all three D-type cyclins proliferate at only a slightly lower rate compared to wild-type MEFs and express normal levels of other cell cycle regulators (Kozar et al., 2004). Overall phosphorylation levels of pRb and the other pocket proteins were reduced, although two sites presumed to be D-type cyclin specific were capable of being phosphorylated. Quiescent D-type cyclin triple mutant MEFs also re-enter the cell cycle normally, although they display a slightly higher serum requirement. Cdk2 kinase activity was normal as well. Previous studies had suggested 151 that D-type cyclins were necessary to sequester members of the CIP/KIP family away from cdk2. Similar experiments utilizing MEFs deficient for cdk4 and cdk6 demonstrated that these MEFs are able to proliferate and re-enter the cell cycle from quiescence (Malumbres et al., 2004). It is likely that because of the critical nature of these proteins, there is selective pressure to balance their loss with compensatory mechanisms t:o restore cell cycle progression to a viable output. Perhaps future experiments using conditional deletion of these cell cycle regulators will uncover a more profound phenotype. E-type cyclins were also believed to perform several important functions required for cell cycle progression. Surprisingly, MEFs deficient for both E-type cyclins proliferate only slightly slower than wild-type MEFs (Geng et al., 2003; Parisi et al., 2003). Phosphorylation of pRb appears unaffected by deletion of the E-type cyclins, although individual sites were not examined. Expression of other components of the cell cycle machinery was also unchanged. No gross centrosomal abnormalities were observed either. There was a much more profound affect on the ability of E-type cyclin deficient MEFs to re-enter the cell cycle from quiescence. Phosphorylation of the retinoblastoma protein appears to be compensated for by A-type cyclins. Expression of several E2F targets also appears normal. However, members of the Pre-RC such as Mcm2, Orc2, and Cdc6 are not properly loaded in E-type cyclin deficient MEFs. These proteins are displaced from chromatin in quiescent cells, but not in actively cycling cells, which may explain the difference in phenotypes that was observed. Cdk2-deficient MEFs display similar phenotypes although they showed only a mild cell cycle re-entry phenotype (Berthet et al., 2003; Ortega et al., 2003). 152 These studies using MEFs deficient for E-type cyclins or cdk2 are consistent with my observations showing that the regulation of E2F target gene expression (and p19ARF) by E2F3 is most critical during cell cycle re-entry. The defect in cell cycle re-entry due to E2f3-loss is characterized by both impairment of E2F target gene expression and deregulation of p19ARF and p53. On the other hand, distinct mechanisms appear to be more critical for the regulation of cellular proliferation in cycling cells. The loss of E2f3 causes a proliferation defect in cycling cells without an observable effect on classic E2F target gene expression or p19ARF/p53. Additionally, the loss of pl9Arf orp53 fails to suppress this defect. Together, these studies demonstrate that E2F3 regulates proliferation through multiple mechanisms. The following sections discuss how the regulation of p19ARF and classic E2F target genes impact cellular proliferation. E2F3 REGULATION OF THE p53 PATHWAY THROUGH pl9Arf AND ITS ROLE IN PROLIFERATION Previous studies have identified a role for E2F in pl9Arf regulation. Initial evidence for this came from experiments showing that E2F1 over-expression was capable of inducing ARF expression. The Arfpromoter contains multiple E2F consensus binding sites and is E2F responsive (Bates et al., 1998). However, these studies did not explain how endogenous expression of p19ARF was normally regulated and whether E2F also played a role in this process. A more recent study suggested that p19ARF expression might be regulated by E2F mediated repression, but again did not address which endogenous E2Fs might function in this regard (Rowland et al., 2002). The fact that pl9ARF does not behave as a classic E2F target gene suggests that a novel mode of regulation might be involved in its regulation. 153 We demonstrate that E2F3 is the sole E2F family member that normally regulates endogenous p19ARF expression in primary cells. In the absence of E2f3, p19ARF expression is de-repressed in quiescent cells as well as during cell cycle re-entry. Expression of p19ARF in cycling cells is unaffected by the loss of E2f3, suggesting that p19ARF may be growth regulated even if it is not cell cycle regulated. The ability of E2F3 to regulate pl9Arf expression, and therefore p53 activity, may represent a major arm of E2F cell cycle control. This data also raises additional questions about the mechanism through which E2F3 regulates pl9Arf and how the function of E2F3 relates to other known regulators of pl9Arf. Regulation of pl9Arf by E2F Repression of pl9Arf by E2F3 appears to be necessary to decrease levels of p19ARF when cells are deprived of serum and enter quiescence. This raises the question of why repression of p19ARF is necessary in quiescent cells and why it should require regulation by E2F. One explanation is that repression of p19ARF during quiescence is necessary to prevent the onset of cellular senescence. Induction of pl9Arf is observed as cells undergo senescence. This permanent form of growth arrest bears some similarities to quiescence but also some important differences. One critical distinction is that cells can come out of quiescence to resume proliferation while senescence is an end state of growth arrest. Expression of pl9Arf may serve as one mechanism through which cells distinguish these cell cycle states. As E2F activity is altered in response to both quiescence and senescence, it a good candidate for implementing these different transcriptional programs. 154 Another explanation for the repression of pl9Arf during quiescence is that it is a result of pl9Arf regulation by growth signals. As a downstream component of the Rb pathway, E2F activity is certainly regulated by growth factor signaling. Hyper- proliferative signals are known to induce expression of p9Arf. Perhaps normal proliferative signals are responsible for the basal level of p19ARF expression found in normally cycling cells. Quiescent cells, deficient for mitogenic signals, would not display any p9,Arf expression. This would imply that the loss of E2f3 does not results in de-repression of p19ARF, but rather results in incomplete cell cycle arrest, and the residual proliferative signaling is sufficient to maintain basal p19ARF expression. Consistent with this hypothesis, I have shown that E2f3-deficient MEFs possess a cell cycle exit defect. A second question raised by these observations is how the cell distinguishes oncogenic activation responsible for induction of pl9ARF from E2F activation required for cell cycle progression, especially during cell cycle re-entry. One possibility is that oncogenic activation leads to post-translational modification of E2F. This could represent a modification of E2F3B that would render it functionally inert. Or, more likely, this would be a modification of the activating E2Fs, allowing them to bind to the p19ARF promoter. Post-translational modification of transcription factors has been shown to alter their activity and in some cases even provide functional specificity. The identification of post-translational modifications on the E2Fs, and how they change in different settings, will be instrumental in testing the hypothesis. A final question raised by these studies is the issue of promoter occupancy with regard to E2F regulation of pl9ARF during normal and oncogenic conditions. E2F3 is 155 observed to be present at the pl9Arf promoter throughout the cell cycle as well as during oncogenic challenge. This would indicate that activation of pl9Arf occurs even in the presence of E2F3. There are multiple E2F sites in the pl9Arf promoter, which offers one explanation for this observation. If activation and repression of pl9Arf utilize different E2F binding sites, activation of pl9Arf could occur through the second site presuming that it is dominant over repression. However, an equally likely explanation is that within the population, some cells are repressing p]9Arf while others have activated pl9Arf expression. Another possibility is that E2F3, although present at the promoter, is not functional due to a post-translational modification or a missing cofactor. Mutational analysis of these E2F binding sites have not proven informative in reporter gene assays, meaning that knock-in of mutant E2F consensus binding sites into the p19Arf promoter may be the only way to directly address this question. Other regulators of pl9Arf Thus far, the mechanism of E2F3 regulation of p]9Arf remains obscure. No pocket proteins have been found at the p19Arf promoter, but it has been difficult to place pRb at the promoter of many of its putative target genes. Several other genes have been identified as regulators of p19Arf, including AP-1, TBX2, TBX3, Pokemon, CBX7, and Bmil (Ameyar-Zazoua et al., 2005; Brummelkamp et al., 2002; de Stanchina et al., 1998; Dimri et al., 2000; Jacobs et al., 2000; Jacobs et al., 1999; Lingbeek et al., 2002; Molofsky et al., 2005; Palmero et al., 1998; Park et al., 2003; Zindy et al., 1998). However, these studies have done little to clarify the relationship of these different proteins or the biological significance of their regulation of pl9Arf. 156 The existence of multiple regulators of p19Arf is useful in explaining the complex regulation of this gene. Clearly, there are different requirements for pl9Arf regulation in cycling cells as opposed to during cell cycle re-entry. The p53 pathway is known to be important for establishing quiescence, but the role of p19ARF has not been examined (Itahana et al., 2002). E2F3 is essential for pl9Arf repression in quiescent MEFs, but not in cycling MEFs. One explanation for this distinction may involve E2F3 cofactors required for repression of pl9Arf. If these proteins are only expressed in quiescent cells, or only interact with E2F3 at this time, this could explain the observations made in E2f3- deficient MEFs. One prediction from this hypothesis would be that cells lacking these cofactors would display similar deregulation of pl9Arf during cell cycle re-entry, but normal expression in cycling cells. Another explanation for the complex regulation of pl9Arf requires that a second, E2F3-independent complex bind the p19Arf promoter in cycling cells. E2F3 might also have a role in the regulation of pl9Arf in cycling cells, but repression of pl9Arf expression by E2F3 in this setting would be redundant. This model would predict that only the inactivation of both complexes would result in deregulation of pl9Arf in this setting. Additionally, this second complex would have to be inactive in quiescent cells, so that E2F3 alone would be responsible for repression of pl9Arf in this context. Studies of the other p19Arf regulators support the model that they function independently of E2F3. MEFs deficient for Bmi-1, junD, or Pokemon display deregulation of p19ARF and/or p53 cycling cells (Jacobs et al., 1999; Maeda et al., 2005; Weitzman et al., 2000). Deletion of pl9Arfor p53 suppresses the proliferation defect. These regulators, unlike E2F3, are clearly required for proper regulation of the p53 157 pathway in cycling cells. MEFs deficient for Bmi-I, junD, or Pokemon have not been examined for a cell cycle re-entry phenotype. Atm-deficient MEFs display many phenotypes in common with E2f3-deficient MEFs including a cell cycle re-entry defect, proliferation impairment, and increased cell size (Kamijo et al., 1999; Xu et al., 1998). Expression of pl9ARF is also elevated, although this was observed in cycling cells. Deletion of either p]9Arf, p53, or p21Cip has been shown to suppress the cell cycle re-entry defect caused by Atm-loss. Asynchronous proliferation and cell size are also improved, but not fully rescued. Interestingly, p21CIP protein but not mRNA is elevated in Atm-deficient cells, suggesting that the stability of this protein is altered in these cells. Additional experiments will be necessary to place the function of E2F3 along with these other pl9Arfregulators. Some of these other regulators may directly control pl9Arf expression at the promoter, and may also interact with E2F3. This could be tested biochemically by identifying protein-protein interactions, or genetically through functional epistasis. Contribution of p21CIP to p19ARF/p53 deregulation and its role in proliferation Although p19ARF and p53 possess multiple independent functions, that fact that the loss of either is sufficient to alleviate the cell cycle re-entry defect in E2J3-deficient MEFs suggests that p19ARF and p53 are functioning in a common pathway to regulate cell cycle re-entry. The most well-characterized mechanism of cell cycle regulation by the p53 pathway is through one of its transcriptional targets, the cyclin dependent kinase inhibitor p21CIP (Bunz et al., 1998; el-Deiry et al., 1993; Niculescu et al., 1998). MEFs lacking p21Cip show augmented proliferation similar to cells lacking either pl9Arf or 158 p53 (Brugarolas et al., 1995; Deng et al., 1995). To ascertain whether p21CIP regulation is the mechanism responsible for this phenotype, compound mutant E2f3;p21Cip MEFs could be generated, and quiescent double knockout MEFs could be tested for their ability to re-enter the cell cycle. The levels of p21CIP itself are deregulated in E2f3-deficient cells during cell cycle re-entry, which further supports the likelihood that p21CIP is involved. Regulation of p21CIP is complex and involves both transcriptional and posttranscriptional mechanisms (Sherr and Roberts, 1999). These studies suggest that additional mechanisms besides p53 activation contribute to the up-regulation of p21CIP. E2f3,;p9Arf double knockout MEFs still show a subtle increase in p21CIP protein levels despite the fact that p53 activity is restored to normal. Additionally, p21CIP protein levels are slightly elevated in cycling E2f3-deficient MEFs, despite normal p19ARF expression and normal p53 activity. There are many possible mechanisms that could account for this alteration in p21CIP expression. The stability of p21CIP protein is regulated via the ubiquitin-mediated proteasome degradation pathway in a cell cycledependent manner (Bornstein et al., 2003). Additionally, E2F has been suggested to transcriptionally regulate p21CIP expression (Hiyama et al., 1998; Radhakrishnan et al., 2004). To better understand the role played by p21CIP, changes in its mRNA and protein should be more closely examined. Examination of p21CIP mRNA in E2f3;pl9Arf double knockout MEFs will reveal whether the residual change in p21CIP levels is transcriptional. Similar comparisons can be made between cycling wild-type and E2f3 knockout MEFs. If transcription of p21CIP is specifically deregulated, this may indicate 159 a direct role for E2F3. Expression of p21CIP may be coordinately regulated by E2F and p53, which can be examined by ChIP. Alternatively, if p21CIP transcript levels are normal, this would indicate a post-transcriptional mechanism of p21CIP regulation by E2F3. It is likely that multiple mechanisms influence p21CIP levels in E2J3-deficient MEFs. Although p21CIP is the most extensively examined p53 target gene involved in mediating cell cycle arrest, there are multiple p53 target genes that have been shown to be important for p53 to inhibit cell cycle progression (Iliakis et al., 2003; Taylor and Stark, 2001). If evidence of transcriptional regulation is found in E2f3 knockout MEFs, other p53 target genes should be monitored to determine whether they are inappropriately elevated as well., Apoptotic targets of p53 such as Bax and Perp should also be monitored to see whether E2F3 affects the expression of p53 target genes involved in apoptosis (Fridman and Lowe, 2003). As yet, there is no evidence for any significant change, positive or negative, in the apoptotic response of E2f3-deficient cells. However, this may merely represent that the appropriate conditions have not been examined. For example, E2f3-deficient cells may be more sensitive to specific types of cellular stress. E2F3 REGULATION OF E2F TARGET GENES AND THEIR ROLE IN PROLIFERATION The importance of E2F in cell cycle progression is highlighted by early studies with adenovirus, in which quiescent cells are stimulated to enter S-phase via deregulation of E2F activity. The identification of classic E2F target genes fit well with this function, as many of them play key roles in promoting cell cycle progression and DNA replication. 160 However, several years later we are still trying to understand the different mechanisms through which E2F can regulate proliferation and what roles are played by specific E2Fs. Several studies have specifically indicated that E2F3 plays a critical role in the regulation of these genes. E2F3 can be found at the promoter of many classic E2F target genes by ChIP (Giangrande et al., 2004). The fact that deregulation of classic target gene expression was observed in E2f3 knockout MEFs during cell cycle re-entry also confirmed the idea that E2F3 controls proliferation through its regulation of classic E2F target genes (Humbert et al., 2000). However, the regulation of pl9ARF/p53 by E2F3 requires the role of E2F3 in the direct regulation of classic E2F target gene expression to be re-examined. E2F3 control of proliferation through classic E2F target gene regulation Clearly, the expression of classic E2F target genes, many of which are critical for cell cycle progression and DNA progression, is essential for S-phase entry. However, it is no longer clear whether E2F3 is essential to accomplish the appropriate expression of E2F target genes in either cycling cells or during cell cycle re-entry. In cycling E2f3deficent MEFs, classic E2F target genes are normally expressed. During cell cycle re- entry, the observed impairment in the induction of classic E2F target gene expression could be solely attributed to deregulation of p19ARF/p53 because the loss of either suppresses the cell cycle re-entry defect and rescues classic E2F target gene expression. To address these issues, p19ARF/p53 could be knocked down to wild-type levels (but not completely eliminated) in E2f3-deficient cells using shRNA vectors. Cell cycle re-entry kinetics can be monitored in these cells, as well as the induction of E2F target genes. There are many possible outcomes from this experiment. If the cell cycle re-entry 161 defect were corrected, this would indicate that the p53 pathway is the primary mechanism through which E2F3 regulates cell cycle re-entry. It may also be possible to test this in either E2f3a or E2f3b specific knockout MEFs, if the regulation of the p53 pathway and the regulation of classic E2F target genes are separable. The above question is partially addressed by preliminary studies showing that the deletion of a single allele of p53 rescues the cell cycle re-entry defect in E2f3-deficient MEFs (data not shown). Lowering of p53 activity rather than its complete elimination may indeed be sufficient to restore normal cell cycle re-entry. E2F target gene expression will need to be examined in these cells. This experiment may demonstrate that the primary function of E2F3 during cell cycle re-entry is through the regulation of p L9ARF and p53. Classic E2F target gene regulation in cycling cells is a more complex issue. In fact, it is not clear whether one would expect to see a phenotype in this setting. Classic E2F target gene transcription does not fluctuate as dramatically in cycling cells as it does during cell cycle re-entry. Consequently, the requirement for transcriptional activation by E2F may not be as great. Large-scale analysis of the transcriptional programs of pl9Arf knockout and E2f3;pl9Arf double knockout MEFs by microarray did not reveal any significant changes in gene expression (data not shown). This may indicate that E2F3 controls proliferation through mechanisms not involving p19ARF or classic E2F target genes. E2F3 control of proliferation through other targets Since classic E2F target gene expression is not altered in cycling E2f3-deficient MEFs, it is necessary to expand the role of E2F in its regulation of cellular proliferation. 162 In fact, the role of E2F has already been expanding. Techniques such as microarrays and ChIP have allowed the discovery of novel pathways that are responsive to E2F (Ishida et al., 2001; Kalma et al., 2001; Kel et al., 2001; Ma et al., 2002; Markey et al., 2002; Muller et al., 2001; Polager et al., 2002; Ren et al., 2002; Stanelle et al., 2002; Vernell et al., 2003; Wells et al., 2002). These genes may account for the proliferation defect in cycling E2f3--deficient MEFs. However, due to the lack of evidence supporting a transcriptional defect as the cause of the proliferation impairment, it is also prudent to consider other mechanisms. Origin recognition represents one way that E2F has been shown to regulate cell cycle progression that is independent of transcription. In Drosophila melanogaster, Rbf, dE2F and dDP were found to interact with DmORC (Bosco et al., 2001). Additionally, two E2F binding sites are present next to a latent origin of replication in the Epstein-Barr virus (EBV) (Maser et al., 2001). A replication initiation site also exists in proximity to the c-myc locus and its E2F binding sites. These findings suggest that some of the E2F binding sites in the genome are used to direct sites of replication initiation. If this were true, E2f3 loss could adversely affect replication by decreasing the number of available origins. E2f3-loss may also affect cell cycle progression outside of S-phase. This is supported by the observation that cell cycle phasing appears to be relatively unchanged in E2f3-deficient cells, despite their proliferation impairment. To verify that this is true, the timing of mitotic events can be monitored using live imaging microscopy. DNA condensation and segregation can be followed in live cells stably infected with histone protein tagged with green fluorescent protein (GFP). This method has been used by 163 others to determine the relative length of mitosis in different circumstances. Rb knockout MEFs were found to have a delay in mitosis using this technique (Hernando et al., 2004). DISSECTING E2F3 FUNCTION The E2F3 locus encodes two gene products, E2F3A and E2F3B, meaning that phenotypes attributed to E2F3 in this dissertation could reflect the function of only E2F3A, only E2F3B, or both genes (Lees et al., 1993; Leone et al., 2000). Another possibility is that these gene products have additional functions, but act in opposition, meaning that these functions are not apparent when both are deleted. Thus far, distinguishing E2F3A function from E2F3B function has been difficult. The fact that both proteins share a majority of amino acid sequence means that finding specific antibodies to E2F3B is unlikely. Attempts aimed at the development of mouse siRNA vectors specific for either E2F3A or E2F3B have been unsuccessful, meaning these questions cannot currently be addressed. However, germline deletion specific for either E2f3a or E2f3b are underway and hopefully this will permit us to distinguish the shared and specific functions of the two E2F3 gene products. In the meantime, it is possible to speculate on this topic based upon initial characterizations of E2F3A and E2F3B. Transcriptional activation by E2F3A E2F3A has been extensively characterized as an activator of E2F target gene expression (Lees et al., 1993). The fact E2f3-loss impairs cell cycle re-entry, proliferation in cycling cells, and tumorigenesis is consistent with the function attributed to E2F3A (Humbert et al., 2000; Ziebold et al., 2003; Ziebold et al., 2001). 164 E2F3A may have an important role during cell cycle re-entry. In quiescent cells that have been stimulated to re-enter the cell cycle, E2F target genes must proceed from a state of repression to activation, which could involve E2F3A. However, the rescue of this phenotype in E2f3,pl9Arf and E2f3,p53 compound mutant MEFs at least means that E2F3A is not essential for complete induction of E2F target gene expression during cell cycle re-entry. E2f3a knockout MEFs could be examined to determine if the defect in cell cycle re-entry and in the induction of E2F target gene expression is seperable from the regulation of p19ARF/p53. It may also be possible to establish a role for E2F3A in the regulation of E2F target gene induction through the use of an E2F3A specific antibody in ChIP assays. Even if there is no phenotype in the E2f3a knockout MEFs, ChIP data may demonstrate that E2F3A participates with other activating E2Fs to regulate E2F target gene expression in this context. Since the mechanism behind the proliferation defect in cycling E2f3-deficient MEFs is still unknown, the involvement of E2F3A in this process is an open question. The function of E2F3A as an activator of E2F target gene expression has led to the assumption that it would be important in cycling cells. Similar arguments have been made in regard to the role of E2F3 in tumorigenesis. It is tempting to attribute the function of E2F3 in tumors to the control of proliferation through cell cycle regulation. However, this is yet to be established and the differences between p19Arf and p53 null tumors suggest that a more complex role is involved. Hopefully these issues can be addressed with the aid of primary as well as transformed E2f3a-deficient MEFs. 165 Transcriptional repression by E2F3B The function of E2F3B has not been definitively established, although E2F3B is generally thought of as a repressor of E2F target gene expression (Leone et al., 2000). Its expression pattern mirrors that of E2F4 and E2F5, the other repressive E2Fs. Most notably, E2F3B is expressed in quiescent cells, where it is found in complex with pRb, when E2F target gene expression is repressed. E2F3B also lacks the long amino terminus found in E2F1, E2F2, and E2F3A, although no function has been assigned to this region. Finally, its association with the p19Arf promoter and the phenotype of E2f3 knockout MEFs is most consistent with E2F3B functioning as a repressor. E2F3B may specifically repress the expression of additional genes besides p19Arf, representing an important new class of E2F target genes. Repression of pl9Arf by E2F3B has been clearly established during quiescence, and data for E2f3 knockout MEFs suggests this is when E2F3B is essential for proper p9Arf regulation. This could be confirmed using E2f3b knockout MEFs. They would also be useful to confirm that E2F3B continues to occupy the p]9Arf promoter during the cell cycle, although deregulated gene expression is not observed in cycling cells. This experiment is necessary because the ChIP assay requires an antibody that recognizes both E2F3A and E2F3B, and therefore it is not possible to rule out the possibility that E2F3A participates in p]9Arf regulation using this method in wild-type cells. Finally, the generation of E2f3b knockout MEFs will also allow us to determine whether deregulation of p19ARF/p53 is sufficient to cause a cell cycle re-entry defect. Since the nature of the proliferation defect in cycling E2f3-deficient MEFs has not been established, it is possible that repression by E2F3B may be important for cellular 166 proliferation. This question could be addressed using E2f3b-deficient cells. For this purpose, it will also be useful to establish the subset of E2F target genes regulated by E2F3B in cycling cells. This could be accomplished using ChIP microarrays on E2J3a knockout MEFs. Similar studies could identify E2F3A target genes using E2f3b knockout MEFs. E2F3B could also have a key role in tumorigenesis, and E2f3b-deficient mice will be useful to address this question. One of the disappointments of the E2f3 knockout mouse is that it does not develop spontaneous tumors as the E2fl knockout mouse does (Yamasaki et al., 1996). However, tumor onset in the E2fl knockout mouse is very late and the proliferation impairment associated with E2f3-loss may obscure any tumor development. If regulation of proliferation is specifically attributable to E2F3A, it may be possible to uncover a tumor suppressor phenotype in E2f3b knockout mice. It would also be informative to generate E2f3b;E2f4 compound mutant mice, which should reduce repression of E2F target gene expression mediated by pRb, and may also uncover a tumor phenotype. Transcriptional activation by E2F3B Despite being grouped with the repressive E2Fs, E2F3B has properties that suggest it could have dual roles as both an activator and repressor of E2F target gene expression. This would make E2F3B unique among the E2Fs, as all other E2Fs have been characterized as exclusively activators or repressors by most studies. The original experiments characterizing the function of E2F3A were initially performed using an amino terminal mutant lacking the residues encoded by the first exon (Lees et al., 1993). This E2F3A mutant resembles E2F3B and behaves as a transcriptional activator in 167 reporter assays. This clearly establishes that E2F3B should have the potential to function as an activator of E2F target gene expression under the correct circumstances. This also contrasts with the repressive E2Fs, which function poorly in reporter assays. The localization pattern of E2F3B makes one strong argument for its role as an activator of E2F target gene expression. E2F3B, like the activating E2Fs, possesses a nuclear localization signal (in fact it is identical to that of E2F3A). Localization studies place it predominantly in the nucleus (data not shown). In contrast, the repressive E2Fs are primarily cytoplasmic due to nuclear export signals (Gaubatz et al., 2001; Verona et al., 1997). They are only found in the nucleus when bound to pocket proteins, which hide the NES. Once E2F4 and E2F5 are released from pocket protein association, they are rapidly exported into the cytoplasm. E2F3B, on the other hand, remains in the nucleus at this point, putting it at least in the right cellular compartment to activate E2F target gene expression. The possibility that E2F3B functions as an activator of E2F target gene expression suggests an intriguing model. E2F1, and probably E2F2 and E2F3A, are destroyed by the proteasome at the end of S-phase meaning these proteins have to be made anew at the subsequent G 1/S transition. If activation of E2F target gene expression is required at this stage, and not just relief of E2F mediated repression, then there is a potential problem. This situation would also be faced during cell cycle re-entry, because the activating E2Fs are not expressed in quiescent cells. However, E2F3B would be expressed and would be in the nucleus. In this way, E2F3B could jump-start the G1/S transition and the expression of classic E2F target genes. 168 CONCLUDING REMARKS The studies in this dissertation were designed to understand the mechanism of E2F3 function in cell cycle re-entry, asynchronous proliferation and tumorigenesis, with a special focus on the roles played by p19ARF and p53 in these processes. As described in detail above, E2F3 clearly regulates cellular proliferation through multiple mechanisms. During cell cycle re-entry, pl9ARF-dependent most critical. However, in cycling cells, pl9ARF-independent mechanisms appear to be mechanisms appear to be the critical to the function of E2F3. A complicating factor in studying the crosstalk between E2F and p19ARF/p53 is that E2F appears to function both upstream and downstream of p19ARF/p53. As indicated in the above sections, E2F is capable of regulating both p19ARF expression and p53 activity to affect cellular proliferation. However, p19ARF and p53 also regulate the cell cycle and modulate E2F activity, in part through p21CIP. It is important to keep this in mind when interpreting these and future experiments. These studies also begin to address some of the broad questions regarding E2F function. E2F3 appears to be dispensable for the normal expression of many E2F target genes in several settings. Although compensation by other E2Fs may be responsible for this observation, cell and mouse system similar to those used in this dissertation may be useful to test the models of E2F target gene specificity versus E2F dosage in the regulation of E2F target genes. This question can be addressed through a combination of experiments characterizing E2F target gene transcript levels by Northern or quantitative real-time PCR as well as identification of E2F family members present at the promoters of these target genes by ChIP. By performing this analysis in various E2f mutant 169 settings, one can begin to assemble a picture of how E2F target gene regulation is accomplished. Additionally, similar studies can address the question of whether E2F target gene regulation occurs through activation or repression. For these studies, it may be useful to include cells deficient for eitherpl9Arforp53. These cells display increased expression of E2F target genes. Again, experiments can be performed characterizing E2F target gene transcript levels by Northern or quantitative real-time PCR as well as identification of E2F family members present at the promoters of these target genes. For those E2F target genes whose expression is altered by disruption of the p53 pathway, one can ask whether it is due to a reduction of repressive E2Fs or an increase of activating E2Fs at the promoter by Ch[P. It may also be useful to employ E2f;pl9Arf and/or E2f;p53 compound mutant MEFs in these studies. 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Lees Author's contributions: Figure 1, 2 and 3 176 Cell growth is necessary prior to cell division to maintain a consistent range in cell size. In yeast, cell growth is monitored to ensure that a minimize cell size is achieved prior to cell division(Kellogg, 2003; Rupes, 2002). However, it is not clear whether mammalian cells also regulate cell growth, or whether cell growth is merely a reflection of the rate at which cell division occurs(Coelho and Leevers, 2000; Jorgensen and Tyers, 2004). Several models have been proposed, but so far the available data does not support a single, unifying paradigm. Cell growth and cell division play a significant role in determining the final size of an adult organism. Both intracellular and extracellular signals govern size determination and interestingly these same signals can influence aging and cancer(Liang et al., 2003). Within an organism, cells attain a variety of shapes and sizes in accordance with their intended functions. However, developmental regulation of cell size may involve more complex interactions than merely cell growth regulation, so one should be cautious when evaluating conclusions made in different systems. Several pathways have been implicated in the regulation of cell growth. The mTOR pathway regulates cell growth by monitoring nutrient levels(Fingar et al., 2002; Tee and Blenis, 2005). Insulin-like growth factor (IGF) signaling regulates many aspects of both cell growth and cell division(Dupont et al., 2003). Both these pathways coordinate protein translation within the cell, in particular through the regulation of eIF4e. Cell cycle status can also affect cell size. Senescent cells are characteristically large despite being arrested in G1. The transcription factor c-myc has been implicated in the regulation of both cell division and cell growth. The initial characterization of c-myc deficient cells revealed a 177 significant delay in progression through the two gap phases of the cell cycle(Mateyak et al., 1997). Overall cycle progression is drastically delayed in c-myc deficient cells, while cell size is unaffected. More recent studies have shown that c-Myc regulates several proteins involved in ribosome biogenesis and protein translation, two key processes that impinge on cell growth(Schmidt, 1999; Schmidt, 2004). The E2F/Rb pathway has also be shown to module cell growth, although it is not yet clear whether this represents a function that can be separated from the regulation of cellular proliferation. Rb-deficient MEFs are slightly increased in cell size, and this phenotype is reversed by the additional deletion of p21Cip(Brugarolas et al., 1998). MEFs lacking all three pocket proteins show a much more dramatic increase in cell size(Sage et al., 2000). Mice expressing an Rb transgene are dwarfs, and this has been attributing to elevated IGF levels found in the plasma of these mice(Bignon et al., 1993; Nikitin et al., 2001). These data support a role for pRb in growth control. Finally, both E2f3 and E2f4 knockout mice are severely runted, although the cause of this phenotype is still unknown(Humbert et al., 2000a; Humbert et al., 2000b). We observed that E2f3-deficient MEFs appear larger in size than wild-type MEFs (Figure 1A). To verify that E2f3 knockout MEFs are larger than wild-type MEFs, we incubated them with 5-chloromethylfluorescein diacetate (CMFDA), a cell membrane permeable dye that is converted into a membrane-impermeable cell (Figure form once inside in the B). This allowed cell size and cell shape to be measured by immunofluorescent microscopy. Quantification of mean cell area demonstrated that E2f3 knockout MEFs are 18.8 percent larger than wild-type MEFs (Figure IC). No change in cell shape was observed. 178 Figure 1. A) E2f3 knockout wildtype B) C) 3000 --4000 - I 3500- r. --- _- 2500 4- _ ----- 20001500 1000 500 0- - wildtype _ E2f3 knockout -- - Figure 1. The loss of E2f3 results in an increase in cell size. (A) Phase contrast images of representative wildtype and E2f3 knockout MEFs. (B) Immunofluorsence images of MEFs labeled with 5-chloromethylfluorescein diacetate [CMFDA] (green), Hoescht (blue) and merged. (C) Cellomics quantification of three wildtype and three E2f3 knockout MEF lines, each in triplicate. Each data point represents the mean area of a minimum of 100 cells. To further characterize the effect of E2f3-loss on cell size, we analyzed wild-type and E2f3 knockout MEFs by FACS. Again, a 14.8 percent increase in mean cell size was observed in E2f3 knockout MEFs relative to wild-type MEFs (Figure 2A,B). Changes in cell cycle distribution can affect the mean cell size in a population, because G2/M cells are larger than G1 cells. Using relative DNA content, we compared cell size specifically in populations of either GI or G2/M cells. The increase in cell size was independent of cell cycle phase, showing a 14.3 percent increase in cell size among G1 cells and a 16.2 percent increase in cell size among G2/M cells (Figure 2C,D). This is consistent with our previous observation that the loss of E2f3 does not significantly alter the distribution of cells within the cell cycle. This method may also indicate that the difference in cell size we observed is not merely a reflection of differences in cell spreading or motility. The genetic requirements for E2f3 status to modulate cell size were examined by FACS, using compound mutant MEFs. The loss or either pl9Arf or p53 results in an increase in proliferation as well as a slight decrease in cell size (data not shown). E2f3;pl9Arf double knockout MEFs were 12.6 percent larger than pl 9Arf knockout MEFs (Figure 3A). Similarly, E2f3;p53 double knockout MEFs were 8.5 percent larger than p53 knockout MEFs (Figure 3B). So as with the regulation of cellular proliferation, E2f3 status modulates cell size independent of p19ARF/p53. p6INK4A is a key upstream regulator of the Rb pathway whose expression correlates with the increase in cell size of senescent cells. However, E2f3;Ink4a double knockout MEFs were 13.2 percent larger than Ink4A knockout MEFs, demonstrating that p16INK4A is also not required for this phenotype (Figure 3C). Additionally, the loss of E2f3 does not appear to affect cellular senescence. 180 Figure 2. A) B)' 11 1./. n I N 1 -I (A = 0.8 ' 0.6. 0.4) 0.2- 0- FSC-H I wildtype C) wildtype D > Qw~~~~~.s E FSC2H D) t Iq C E2f3 knockout E2f3 knockout Ii _t t 0n-..41.-X*. V8 B.S l - e . 1 4M . . W.1I.~. . - O ,iI So IM 1.2 N 1 0.8 eO 0.6 C. 0.4 ca * wildtype O E2f3 knockout C).2 0 G1 cells G2/M cells Figure 2. Increased cell size due to E2f3-loss is cell cycle independent. (A) FACS histogram of forward scatter (FSC) versus counts for wildtype (blue line) and E2f3 knockout MEFs (red line). (B) Bar graph comparing mean FSC of four wildtype and four E2f3 knockout MEFs. (C) FACS plot of FSC versus relative DNA content measured by propidium iodide (PI) staining for wildtype and E2f3 knockout MEFs. (D) Bar graph comparing mean FSC gated for 2N (G1 cells) and 4N DNA content (G2/M cells) for wildtype (black bars) and E2f3 knockout MEFs (white bars). Figure 3. A) 0ir) 1.2 - 1,, 1 - *C _ N 0.8 0.6 0.4 0.2 0 C w - I· 1. -L V. 1 - 0.8 - o 0.6A > .- 4 - w 0.2- c 0- tu w G1 cells Cl B) w 1.2 ! 1.2 . w C.) N 1 --- 0.8 rA c 0.6 00U: .> 0.4 =t 0.2 .6-a 1 0.8 0.6 0.4 Ct 0 --- I I A\ sv V)oO 0.2 0 O 3 G1 cells 14 C) w * , G2/M cells N *- Im I 1.2- 1.2 1 - 0.8 0.6 (D r-Cj 0.4 ct 0.2 G2/M cells N - 1 0.8 w ;-4 I . C) tO 0.6 0;. 0.4 om. w~ + - 'rl' 0= O 0.2 0 G1 cells G2/M 14 NL cells Figure 3. continued Figure 3. Increased cell size due to E2f3 loss is independent of pl9Arf/p53. (A) Bar graph comparing mean FSC of four pl 9Arf knockout and four E2f3,pl 9Arf double knockout MEFs, left. Bar graph comparing mean FSC gated for 2N (GI cells) and 4N DNA content (G2/M cells) for p19Arf knockout (black bars) and E2f3;pl9Arf double knockout MEFs (white bars), right. (B) Bar graph comparing mean FSC of four p53 knockout and four E2f3;p53 double knockout MEFs, left. Bar graph comparing mean FSC gated for 2N (G1 cells) and 4N DNA content (G2/M cells) for p53 knockout (black bars) and E2f3;p53 double knockout MEFs (white bars), right. (C) Bar graph comparing mean FSC of four Ink4a knockout and four E2f3;Ink4a double knockout MEFs, left. Bar graph comparing mean FSC gated for 2N (G 1 cells) and 4N DNA content (G2/M cells) for Ink4a knockout (black bars) and E2f3;Ink4a double knockout MEFs (white bars), right. The currently available data would indicate that the observed increase in cell size of E2f3-deficient MEFs is a direct result of a general slowing of cell cycle progression. However, there are still several reasons why this phenotype should not be dismissed. First is the role of c-myc as a regulator of cell growth. Given the similarities between cmyc function and that of E2F, there may be a role of E2F in growth regulation that is independent of its control of cell cycle progression. It will be helpful to examine whether components of the mTOR and IGF signaling pathways are directly regulated by E2F, and how they might be affected in E2f3-deficient MEFs. Second, the loss of E2f3 does not produce significant changes in gene expression, meaning that other processes such as translation may be responsible for the proliferation defect. Given the connection between translation and cell growth control, it is possible that impaired translation is responsible for causing a slowing of cell cycle in E2J3-deficient MEFs. Finally, the role of pRb in IGF signaling in mice demands that we consider a role for E2F as well. Defects in IGF signaling would be consistent with several of the cell and mouse phenotypes associated with E2f3 loss. 184 References. Bignon, Y. J., Chen, Y., Chang, C. Y., Riley, D. J., Windle, J. J., Mellon, P. L., and Lee, W. H. (1993). Expression of a retinoblastoma transgene results in dwarf mice. Genes Dev 7, 1654-1662. Brugarolas, J., Bronson, R. T., and Jacks, T. (1998). p2 1 is a critical CDK2 regulator essential for proliferation control in Rb-deficient cells. J Cell Biol 141, 503-514. Coelho, C. M., and Leevers, S. J. (2000). Do growth and cell division rates determine cell size in multicellular organisms? J Cell Sci 113 ( Pt 17), 2927-2934. Dupont, J., Pierre, A., Froment, P., and Moreau, C. (2003). The insulin-like growth factor axis in cell cycle progression. Horm Metab Res 35, 740-750. Fingar, D. C., Salama, S., Tsou, C., Harlow, E., and Blenis, J. (2002). Mammalian cell size is controlled by mTOR and its downstream targets S6K1 and 4EBP1/eIF4E. Genes Dev 16, 1472-1487. Humbert, P. O., Rogers, C., Ganiatsas, S., Landsberg, R. L., Trimarchi, J. M., Dandapani, S., Brugnara, C., Erdman, S., Schrenzel, M., Bronson, R. T., and Lees, J. A. (2000a). E2F4 is essential for normal erythrocyte maturation and neonatal viability. Mol Cell 6, 281-291. Humbert, P. O., Verona, R., Trimarchi, J. M., Rogers, C., Dandapani, S., and Lees, J. A. (2000b). E2f3 is critical for normal cellular proliferation. Genes Dev 14, 690-703. Jorgensen, P., and Tyers, M. (2004). How cells coordinate growth and division. Curr Biol 14, R1014-1027. Kellogg, D. R. (2003). Weel-dependent mechanisms required for coordination of cell growth and cell division. J Cell Sci 116, 4883-4890. Liang, H., Masoro, E. J., Nelson, J. F., Strong, R., McMahan, C. A., and Richardson, A. (2003). Genetic mouse models of extended lifespan. Exp Gerontol 38, 1353-1364. Mateyak, M. K., Obaya, A. J., Adachi, S., and Sedivy, J. M. (1997). Phenotypes of c- Myc-deficient rat fibroblasts isolated by targeted homologous recombination. Cell Growth Differ 8, 1039-1048. Nikitin, A., Shan, B., Flesken-Nikitin, A., Chang, K. H., and Lee, W. H. (2001). The retinoblastoma gene regulates somatic growth during mouse development. Cancer Res 61, 3110-3118. Rupes, I. (2002). Checking cell size in yeast. Trends Genet 18, 479-485. 185 Sage, J., Mulligan, G. J., Attardi, L. D., Miller, A., Chen, S., Williams, B., Theodorou, E., and Jacks, T. (2000). Targeted disruption of the three Rb-related genes leads to loss of G(1) control and immortalization. Genes Dev 14, 3037-3050. Schmidt, E. V. (1999). The role of c-myc in cellular growth control. Oncogene 18, 29882996. Schmidt, E. V. (2004). The role of c-myc in regulation of translation initiation. Oncogene 23, 3217-3221. Tee, A. R., and Blenis, J. (2005). mTOR, translational control and human disease. Semin Cell Dev Biol 16, 29-37. 186 Appendix B E23-loss impairs E2F target gene expression in a pure strain background Aaron Aslanian and Jacqueline A. Lees Author's contributions: Figure 1 187 We and others have previously characterized the effect of E2f3-deficiency in various settings. This has been done, when possible, in pure strain backgrounds (typically 129Sv) as well as in a mixed strain background comprised of C57B16 and 129Sv. E2f3-deficient mice in any pure strain background are not viable, whereas in a mixed strain background approximately a quarter to a third of the expected animals are observed (Aslanian et al., 2004; Cloud et al., 2002; Humbert et al., 2000). Given that multiple pure strain backgrounds yield lethality of E2f3 knockout mice, it seems likely that hybrid vigor rather than a genetic modifier is responsible for this phenotype. The loss of E2f3 results in a proliferation defect in mixed strain background MEFs (Humbert et al., 2000). These cells also display an increase in cell size. However, there is no change in E2F target gene expression in these cells relative to wild-type MEFs. This was surprising because E2F3 was thought to be a key regulator of E2F target gene expression, and fulfills this role during cell cycle re-entry (Aslanian et al., 2004; Giangrande et al., 2004; Humbert et al., 2000; Leone et al., 1998). We characterized E2f3 knockout MEFs in a pure 129Sv strain background to determine what effect strain background has in this setting. As in a mixed strain background, pure 129Sv E2f3 knockout MEFs possess a proliferation defect (Figure 1A). They also show a 16.5 percent increase in cell size (Figure B,C). Interestingly, pure 129Sv E2f3 knockout MEFs also exhibit decreased expression of E2F target genes (Figure D). In general, E2f3-loss appears to have a more severe effect in pure strain backgrounds compared to mixed strain backgrounds. Most importantly, we demonstrate that the loss of E2f3 does impact E2F target gene expression in MEFs of a pure strain background. These cells may be more sensitive to the loss of E2f3, although the reason 188 Figure 1. A) B) oN 1.2 2500000 * 2000000 1 a) 0.8 0.6 E 1500000 · -1000000 0.4 0.2 ---- 0 500000 U) C14 0) +-4 1 2 3 4 C) :z 4M -3 -0 C111 "-1 Cr4 o . r-- days o, -1 11: D) 1.2 N 1 0.8 .,in Q) 0.6 '141k ... WO 4-- - t 0.4 Ct· 0.2 -Wm" 0 G1 cells * wildtype G2/M cells 'WllllW"Oftrll actin p107 cyclin A cdc2 PCNA p19ARF p21CIP 0 E2f3 knockout Figure 1. The loss of E2f3 results in reduced E2F target gene expression in MEFs derived from a pure 129Sv strain background. (A) Pure 129Sv wildtype (black squares, solid line) and E2f3 knockout MEFs (white squares, dashed line) were initially plated at 3*10A5 per 6cm plate and cell number was counted for a period of four days. (B) Bar graph comparing mean forward scatter (FSC) of four pure 129Sv wildtype and four pure 129Sv E2f3 knockout MEFs. (C) Bar graph for pure 129Sv wildtype and E2f3 knockout MEFs comparing mean FSC gated for 2N (G1 cells) and 4N DNA content (G2/M cells) measured by propidium iodide (PI) staining. (D) Representative western blotting of 10OOtgwhole cell extract from pure 129Sv wildtype and E2f3 knockout MEFs for actin (sc-1616), p107 (sc-318), cyclin A (sc-596), cdc2 (sc-54), PCNA (sc.-56), p19ARF (ab80-100), and p21CIP (sc-6246) protein levels. for this is unclear. Hybrid vigor may be responsible for the absence of any change in E2F target gene expression in mixed strain background E2f3-deficient MEFs. This data is also consistent with observations that strain background can have a profound impact on cancer-relevant phenotypes. Experiments described earlier in this dissertation using E2f3;p53 compound mutant MEFs were performed in a pure strain background (129Sv). The analysis of these cells showed that E2f3-loss does not affect the levels of E2F target genes in p53 null cells (Chapter 4). When considered with the above data, this suggests that p53-loss is capable of suppressing the defect in E2F target gene expression observed in pure 129Sv strain background MEFs. This parallels the ability of p19ARF/p53 loss to suppress defects in E2F target gene expression during cell cycle re-entry (Aslanian et al., 2004). This also suggests that the mechanism by which p19ARF/p53 suppress defects in E2F target gene expression is still functional in cycling cells. This further indicates that the mechanism behind the proliferation defect in cycling E2J3-deficient cells is mutually exclusive from classic E2F target gene regulation and probably not operating during cell cycle re-entry. 190 References. Aslanian, A., Iaquinta, P. J., Verona, R., and Lees, J. A. (2004). Repression of the Arf tumor suppressor by E2F3 is required for normal cell cycle kinetics. Genes Dev 18, 14131422. Cloud, J. E., Rogers, C., Reza, T. L., Ziebold, U., Stone, J. R., Picard, M. H., Caron, A. M., Bronson, R. T., and Lees, J. A. (2002). Mutant mouse models reveal the relative roles of E2F1 and E2F3 in vivo. Mol Cell Biol 22, 2663-2672. Giangrande, P. H., Zhu, W., Rempel, R. E., Laakso, N., and Nevins, J. R. (2004). Combinatorial gene control involving E2F and E Box family members. Embo J 23, 13361347. Humbert, P. O., Verona, R., Trimarchi, J. M., Rogers, C., Dandapani, S., and Lees, J. A. (2000). E2f3 is critical for normal cellular proliferation. Genes Dev 14, 690-703. Leone, G., DeGregori, J., Yan, Z., Jakoi, L., Ishida, S., Williams, R. S., and Nevins, J. R. (1998). E2F3 activity is regulated during the cell cycle and is required for the induction of S phase. Genes Dev 12, 2120-2130. 191 Appendix C The role of E2f3 in tumorigenesis in p53 heterozygous mice Aaron Aslanian and Jacqueline A. Lees Author's contributions: Figure 1 and 2; Table 1, 2 and 3 192 Rapid, spontaneous tumor development is responsible for the mortality of p53 knockout mice prior to ten months of age (Donehower et al., 1992; Harvey et al., 1993; Jacks et al., 1994; Purdie et al., 1994). These mice primarily develop thymic lymphomas and soft tissue sarcomas, with some variation in the frequency of these and other tumors that is dependent on the strain background of the mice. p53 heterozygous mice are also highly prone to spontaneous tumor development. However, tumor onset occurs much later and a more diverse spectrum of tumors is observed. Several studies have characterized tumorigenesis in p53 heterozygous mice. Approximately half of these mice develop tumors by 18 months of age. A majority of tumors observed in p53 heterozygous mice are soft tissue sarcomas. Lymphomas are also very common and carcinomas are occasionally observed. Loss of heterozygosity (LOH) is typical seen in most tumors, although p53 is commonly inactivated through mutation as well. To this end, recent studies have analyzed survival and tumor spectrums in point mutant p53 mice (Lang et al., 2004; Olive et al., 2004). In these mice there is some change in tumor spectrum, but no overall change in survival relative to mice heterozygous for the null allele of p53. The difference in tumor spectrum between p53 knockout and p53 heterozygous mice can be attributed to several factors. First, cells that give rise to tumors in p53 knockout mice begin their life without any p53, and subsequent mutations take place in such an environment. In contrast, cells that give rise to tumors in p53 heterozygous mice probably accumulate several mutations prior to p53 inactivation. Second, the complete absence of p53 in certain tissues may be sufficient to initiate rapid tumorigenesis, leading to the development of tumors in these tissues before tumors in other tissues have time to 193 manifest themselves. In the p53 heterozygous mice, the likelihood of p53 inactivation is approximately equal across tissues, meaning that no one type of tumor would have an advantage. Third, tumors that arise in p53 knockout mice develop in an animal without p53, and whatever gene expression program it regulates. Tumors that arise in p53 heterozygous mice are primarily in an environment of cells with functional p53 activity. Surrounding stromal cells can profoundly influence tumor development. We have shown that E2f3 status has no bearing on the survival of p53 knockout mice, and does not appear to influence tumor spectrum. The above reasoning led us to believe that an affect of E2f3 status may be more likely to reveal itself in p53 heterozygous mice. To this end, E2f3;p53 double heterozygous mice in a pure C57B16 strain background were intercrossed with E2f3;p53 double heterozygous mice in a pure 129Sv strain background. p53 heterozygous progeny were maintained and monitored to assess the effect of E2f3 status on tumor development. Because of the reduced viability of E2f3-deficient mice, these animals required a longer period of time to generate sufficient numbers for this study. As a result, most p53 heterozygous mice that are also E2f3 knockout are still alive and have yet to reach the window of tumor development typically observed for p53 heterozygous mice. Consequently, only the effect of E2f3 heterozygosity will be discussed below. E2f3 heterozygosity produced a slight effect on the survival of p53 heterozygous mice (Figure 1). At eighteen months of age, survival of p53 heterozygous mice was at 42.3 percent, which is similar to what has previously been reported in other studies (Table 1). The loss of a single allele of E2f3 boosted survival to 57.9 percent. The effect of E2f3 status can also be observed through the age at which 50 percent mice are still 194 Figure 1. 1 l T 0.9 OL =4 0.8 .. .> 0.7 ;> 0.6 v: 0.5 CQ cl~ 0.4 1 --- ---oE2f3 heterozygous (n=38) 0.3 C). E2f3 wildtype (n=26) 0.2 0. 1 0 ! I 0 100 200 3 4 300 400 II 500 I iI 600 iI 700 days Figure 1. E2f3 heterozygosity modestly extends the survival of p53 heterozygous mice. p53 heterozygous mice that were either E2f3 wildtype (n=26), black line, or E2J3 heterozygous (n=38), grey line, were aged and monitored for tumors. 800 Table 1. Alive at 18 months Age (days) 50% survival Mean age (days) 42.3% 521 530 53.8% 30.8% 557 557 509 503 57.9% 582 563 81.3% 40.9% 646 619 512 - E2f3 wildtype (n=26) Male (n=13) Female (n=13) E2f3 heterozygous (n=38) Male (n=16) Female (n=22) 517 Table 1. Survival data for p53 heterozygous mice depends on both E2f3 status and gender. The percentage of mice surviving at 18 months, the age (days) at which half the cohort have died, and the mean lifespan (days) of mice are determined. alive, which shows a difference of two months. However, a more complicated picture emerges when gender is also factored in (Figure 2). In this study, male p53 heterozygous mice appear to survive longer than female p53 heterozygous mice. E2f3 status has little effect on the survival of female p53 heterozygous mice. In contrast, the survival of male E2f3,p53 double heterozygous mice is significantly enhanced relative to other mice in this study. The phenotype of the male E2f3,p53 double heterozygous mice appears to be specifically responsible for the difference in survival that is observed due to E2f3 status when gender is not taken into account. The tumor spectrum of p53 heterozygous mice in this study included soft tissue sarcomas, osteosarcomas, carcinomas, and haematological tumors (Table 2,3). E2f3 heterozygosity altered the frequency of specific tumor sub-types. Fewer soft tissue sarcomas were observed in E2f3;p53 double heterozygous mice, while there was an increased incidence of haematological tumors in E2f3;p53 double heterozygous mice. Closer examination of individual haematological tumor types revealed a significant increase in histiocytic sarcoma and a reduction in generalized lymphomas. E2f3 heterozygosity has been previously shown to affect tumor development (Ziebold et al., 2003). However, it is unclear by what mechanism this is accomplished. To date, all known cellular functions of E2F3 have been characterized comparing wild- type and E2f3 knockout cells. E2F3 may possess functions relevant to tumorigenesis for which it is haplo-insufficient. It is also a possibility that E2f3 dosage is critical in certain types of tumors, and that E2f3 heterozygosity results in a partial phenotype. Analysis of the p53 heterozygous mice that are E2f3 knockout will help determine this possibility. 197 Figure 2. 1 0.9 Od3 .> 0.8 0.7 0.6 0,.5 cD Ct 0.4 Q) 0.3 ,. 0.2 C(1 0.1 0 0 100 200 300 400 500 600 700 days - -*- E2f3 wildtype male (n = 13) -- E2f3 wildtype female (n = 13) - -*- - E2f3 heterozygous male (n = 16) - E2f3 heterozygous female (n= 22) Figure 2. E2f3 heterozygosity extends the lifespan of male p53 heterozygous mice. Survival of p53 heterozygous mice is shown by E2f3 status and gender. Male wildtype E2f3 (n=13), black dashed line; female wildtype E2f3 (n=13), black solid line; male E2f3 heterozygous (n=16), grey dashed line; female E2f3 heterozygous (n=22), grey solid line. 800 Table 2. E2f3 wildtype Gender Age Tumor F: M M F: M N F F Fl F F F' F M F M F F F vI F M M M M M 251 334 402 414 415 454 465 465 479 497 501 517 521 528 547 557 565 588 594 598 612 653 684 691 712 740 histiocytic sarcoma UNDIAGNOSED rhabdomyosarcoma thymic lymphoma NO HISTOLOGY UNDIAGNOSED unknown UNDIAGNOSED ductal pancreaticcarcinoma,pulmonary carcinoma unknown lymphoma (general) leiomyosarcoma thymic lymphoma lymphoma (general) osteosarcoma UNDIAGNOSED unknown histiocytic sarcoma, mammary carcinoma UNDIAGNOSED NOHISTOLOGY lymphoma (general), liposarcoma,leiomyosarcoma hemangiosarcoma pulmonary adenocarcinoma,hepatocellualrcarcinoma, leiomyosarcoma lymphoma (general) hemangiosarcoma lymphoma (general) E2f3 heterozygous Gender Age Tumor F F M F F F F F F F F M F F M F F F F M F F F M F M M M M M M F M M M F M M 221 243 340 426 427 452 458 473 474 477 482 487 509 509 546 547 570 572 582 588 596 601 601 605 611 619 627 642 646 670 680 687 697 706 725 746 756 806 thymic lymphoma NOHISTOLOGY histiocytic sarcoma osteosarcoma NOHISTOLOGY UNDIAGNOSED NOHISTOLOGY unknown unknown lymphoma (general) pulmonary carcinoma liposarcoma UNDIAGNOSED UNDIAGNOSED pulmonary carcinoma lymphoma (general) thymic lymphoma pulmonarycarcinoma UNDIAGNOSED NOHISTOLOGY osteosarcoma histiocytic sarcoma histiocytic sarcoma histiocytic sarcoma histiocytic sarcoma histiocytic sarcoma histiocytic sarcoma histiocytic sarcoma rhabdomyosarcoma hepatocellularcarcinoma, squamouscell carcinoma hemangiosarcoma UNDIAGNOSED UNDIAGNOSED histiocytic sarcoma hepatocellularcarcinoma,osteosarcoma UNDIAGNOSED STILLALIVE histiocytic sarcoma Table 2. E2f3 status, gender, age (days) at death and pathology of p53 heterozygous mice., Table 3. E2f3 E2J3 Trumortype: wildtype (n=26) heterozygous (n=38) SOFT TISSUE SARCOMA 7 (27%) 2 (8%) 3 (8%) --hemangiosarcoma --leiomyosarcoma --liposarcoma --rhabdomyosarcoma 1(3%) 3 (12%) 0 (0%) 1 (4%) 1(3%) 1 (4%) 1 (3%) OSTEOSARCOMA 1 (4%) CARCINOMA -hepatocelluar carcinoma -pulmonary carcinoma -mammary carcinaoma -ductal pancreatic carcinoma -squamous cell carcinoma 5 (19%) HAEMATOLOGICAL -histiocytic sarcoma -lymphoma (general) -thymic lymphoma 7 (27%) 2 (8%) 5 (19%) 2 (7%) 14 (37%) UNKNOWN 8 8 NO HISTOLOGY 2 4 STILL ALIVE 0 1 3 (8%) 6(16%) 1 (4%) 2 (5%) 2 (8%) 1 (4%) 3 (8%) 0 (0%) 0 (0%) 0 (0%) 1 1 (4%) (3%) 10 (26%) 2 2 (5%) (5%) Table 3. E2f3 status alters the tumor spectrum of p53 heterozygous mice. The gender bias observed among p53 heterozygous mice has not been previously described (Attardi and Jacks, 1999). In fact, few tumor models have reported a gender bias, despite the fact that gender differences are found in many human cancers(Jemal et al., 2004). It is unclear what contribution strain background has in this study, which could explain why these differences have not been noticed by others. Additionally, the contribution of E2f3 status to this gender bias is interesting. In other mouse tumor models, E2f3 has not been reported to affect tumorigenesis in a gender specific manner. However, many of the phenotypes associated with E2f3-loss suggest that hormone and growth factor signaling may be a contributing factor. 201 References. Attardi, L. D., and Jacks, T. (1999). The role of p53 in tumour suppression: lessons from mouse models. Cell Mol Life Sci 55, 48-63. Donehower, L. A., Harvey, M., Slagle, B. L., McArthur, M. J., Montgomery, C. A., Jr., Butel, J. S., and Bradley, A. (1992). Mice deficient for p53 are developmentally normal but susceptible to spontaneous tumours. Nature 356, 215-221. Harvey, M., McArthur, M. J., Montgomery, C. A., Jr., Butel, J. S., Bradley, A., and Donehower, L. A. (1993). Spontaneous and carcinogen-induced tumorigenesis in p53- deficient mice. Nat Genet 5, 225-229. Jacks, T., Remington, L., Williams, B. O., Schmitt, E. M., Halachmi, S., Bronson, R. T., and Weinberg, R. A. (1994). Tumor spectrum analysis in p53-mutant mice. Curr Biol 4, 1-7. Jemal, A., Tiwari, R. C., Murray, T., Ghafoor, A., Samuels, A., Ward, E., Feuer, E. J., and Thun, M. J. (2004). Cancer statistics, 2004. CA Cancer J Clin 54, 8-29. Lang, G. A., Iwakuma, T., Suh, Y. A., Liu, G., Rao, V. A., Parant, J. M., Valentin-Vega, Y. A., Terzian, T., Caldwell, L. C., Strong, L. C., et al. (2004). Gain of function of a p53 hot spot mutation in a mouse model of Li-Fraumeni syndrome. Cell 119, 861-872. Olive, K. P., Tuveson, D. A., Ruhe, Z. C., Yin, B., Willis, N. A., Bronson, R. T., Crowley, D., and Jacks, T. (2004). Mutant p53 gain of function in two mouse models of Li-Fraumeni syndrome. Cell 119, 847-860. Purdie, C. A., Harrison, D. J., Peter, A., Dobbie, L., White, S., Howie, S. E., Salter, D. M., Bird, C. C., Wyllie, A. H., Hooper, M. L., and et al. (1994). Tumour incidence, spectrum and ploidy in mice with a large deletion in the p53 gene. Oncogene 9, 603-609. Ziebold, U., Lee, E. Y., Bronson, R. T., and Lees, J. A. (2003). E2F3 loss has opposing effects on different pRB-deficient tumors, resulting in suppression of pituitary tumors but metastasis of medullary thyroid carcinomas. Mol Cell Biol 23, 6542-6552. 202 Appendix D E2J3-loss impairs cell cycle exit Aaron Aslanian and Jacqueline A. Lees Author's contributions: Figure 1 and 2; Table 1 and 2 203 The Rb pathway has a key role in the regulation of cellular proliferation. It has an equally important role in cell cycle exit (Dannenberg et al., 2000; Sage et al., 2000). Withdrawal from the cell cycle requires the ability to recognize various exit cues and respond by increasing the expression of anti-proliferative genes and decreasing the expression of pro-proliferative genes. Cell cycle exit can either be a temporary state or a permanent state. At the restriction point in late G1, cells monitor a variety of external cues such as growth factor levels, extracellular matrix attachment and cell-cell contract. If conditions are unfavorable, cells withdraw from the cell cycle and enter a GO/Gi state known as quiescence. MEFs lacking all three pocket proteins do not have this response and instead continue to proliferate. Primary cells undergo a finite number of cell divisions before they permanently withdraw from the cell cycle and enter a state termed senescence. MEFs lacking all three pocket proteins are immortal, they do not undergo senescence. Differentiation also involves permanent cell cycle exit, as well as the initiation of a cell type specific pattern of gene expression. Pocket proteins play a role in cell cycle exit during differentiation and in some cases they are also involved in regulating the subsequent cell type specific gene expression. Pocket proteins regulate cell cycle exit through E2F. This requires the inhibition of the activating E2Fs as well as active repression. The latter activity is the role of the repressive E2Fs, E2F4 and E2F5. These E2Fs have been shown to associate with the promoters of genes along with pocket proteins and chromatin modifying enzymes (Macaluso et al., 2003; Rayman et al., 2002). MEFs lacking E2f4 and E2f5 fail to respond to several cell cycle exit cues, including expression of p16INK4A (Gaubatz et 204 al., 2000). They are also required as cofactors of the Smads for the repression of c-myc in response to TGF-3 expression (Chen et al., 2002). Finally, expression of a carboxyterminal E2F mutant lacking the pocket protein binding domain and the transactivation domain led to significant derepression of many E2F target genes, although this study did not identify the E2Fs normally responsible for regulation of these genes (Rowland et al., 2002). Recently, the E2f3 locus was discovered to specify a second protein, E2F3B, which associates with pRb in quiescent cells (Leone et al., 2000). E2F3B expression does not vary during the cell cycle, mirroring that of the repressive E2Fs. We have demonstrated that E2F3B is involved in the repression of at least one E2F target gene, p19ARF (Aslanian et al., 2004). Given the levels of E2F3B present in quiescent cells, and its association with pRb, we reasoned that E2F3B might play a role in cell cycle exit and the repression of E2F target genes. To ascertain whether E2F3 was involved in cell cycle exit, we monitored cell cycle arrest initiated by contact inhibition. Although the onset of confluence was delayed in E2f3 knockout MEFs because of their proliferation impairment, they eventually appeared to exit the cell cycle (Figure 1A). However, they often achieved a higher cell density than wild-type cells at confluence (Figure 1A,B). This was particularly surprising given the increased cell size of E2f3 knockout MEFs (Appendix A), implying that cell number should be decreased at confluence. Examination of confluent E2f3 knockout MEFs revealed multiple layers of cells (data not shown). However, E2f3 knockout MEFs did not show any other characteristics associated with transformation. Preliminary examination of gene expression revealed that confluent wild-type MEFs decrease 205 Figure 1. A) 60000000 - 50000000 T dd t 40000000 h : 30000000 -- 20000000 ) 10000000 0 0 2 4 6 8 10 days * B) wildtype - - E2f3 knockout wildtype E2f3 knockout Figure 1. E2f3 knockout MEFs reach a higher saturation density than wild-type MEFs. (A) Proliferation of wildtype and E2f3 knockout MEFs was monitored for 10 days. (B) Wildtype and E2f3 knockout MEFs were stained with Modified Wright Giemsa Stain (Sigma WG32) after 10 days to visualize cell density. expression of E2F3A but not E2F3B (data not shown). This suggests that it is the absence of E2F3B in these cells that affects their ability to exit the cell cycle. It will be interesting to examine whether E2f3b knockout MEFs show a stronger contact inhibition defect. We subsequently determined whether E2F3 was required for cell cycle arrest following serum deprivation. E2f3 knockout MEFs continue to incorporate BrdU even after three days in low serum containing media (data not shown). We reasoned that cells that were unable to enter quiescence might be more responsive to media with less than 10% serum. Wild-type and E2Jf3 knockout MEFs that were grown in low serum for three days were then stimulated with 0.1%, 1% or 10% serum containing media and cell cycle re-entry was monitored (Figure 2A). Wild-type MEFs re-enter the cell cycle in 10% media but do not at the lower serum concentrations. In contrast, E2f3 knockout MEFs re- enter the cell cycle to a similar degree when stimulated with either 1% or 10% serum containing media. This suggests that quiescent E2f3-deficient MEFs are more permissive to cell cycle re-entry. These observations regarding low serum growth are intriguing given our previous observations that the loss of E2f3 impairs cell cycle re-entry. It indicates that E2F3 has two roles; E2F3 is required for inhibiting proliferation in quiescent cells and then required again for promoting proliferation during cell cycle re-entry. Preliminary examination of E2F target genes did not reveal a consistent pattern to explain this data (Figure 2B). Determination of the role of E2F3 in quiescent cells can be accomplished by the identification of E2F3 target genes using ChIP. Comparison of these genes with those identified by the same method to be regulated by E2F4 could yield a set of E2F3- 207 Figure 2. A) 200000 0 cO o o . CL, 150000 100000 50000 0 0 4 8 12 16 20 24 hours I wildtype - -- -E2f3 knockout 200000 0 o 1% serum 150000 i0; 100000 , 50000 E .lU II I I I M *- 0 I- 0 - 4 I- - I. I - 8 ~&V I 12 16 1: I I I 20 24 hours * - 4- -E2f3 knockout wildtype 200000 01 0.1% serum · "C0 . 150000 -q 0d f 100000 1= O1 ·QC50000 E: 0 I 0 4 8 12 16 20 24 hours -- wildtype - 4- -E2f3knockout Figure 2. continued B) 10% serum 1% serum wildtype c E2f3 knockout O q N c ,---,--- Cq1 c O ', wildtype E2f3 knockout O C q --.,--. C',c ll] . I - {3-tubulin W*' ; -_ * A- of p phospho-Akt T UI0u _- phospho-Erk _--WI . "Ilw"Niow - - p107 cyclin A w~_ -. e4S 4m - -_ A&MI.. MW adWiO* cdc2 i p21CIP Figure 2. Quiescent E2f3 knockout MEFs are permissive to cell cycle re-entry. (A) Wildtype (solid black lines) and E2f3 knockout MEFs (dotted black lines) were grown in low serum for three days. They were then stimulated to re-enter the cell cycle with media containing either 10 percent, 1 percent or 0.1 percent serum. Cell cycle re-entry was monitored by 3H-thymidine incorporation. (B) Whole cell extracts were prepared from the above experiment and western blotted for P-tubulin (Sigma T4026), phospho-Akt (Cell Signaling 9271), phospho-Erk (Cell Signaling 9101), p107 (sc-318), cyclin A (sc596), cdc2 (sc-54), and p21CIP (sc-6246). specific genes. E2f3a and E2f3b specific knockout MEFs will also be useful in this endeavor. Given the prominent role of E2F4 in E2F target gene repression, we reasoned that E2f3 and E2J4 might cooperate to repress certain E2F target genes. It will be interesting to examine whether E2F3B participates in cell cycle exit in response to p16INK4A and TGF-(3 expression. To begin to address whether E2F3B and E2F4 have overlapping roles, we crossed E2f3 and E2f4 knockout mice to generate compound mutant animals. Both E2f3 and E2f4 knockout mice are viable in a mixed genetic background (Humbert et al., 2000a; Humbert et al., 2000b). However, E2fl;E2f3 compound mutant animals do not survive beyond e9.5, and the conclusion drawn from this result was that the combined loss of activating E2Fs was responsible for this phenotype (Cloud et al., 2002). E2f3;E2f4 compound mutant animals also display reduced viability, although the exact window of lethality was not determined (Table 1,2). This phenotype can be attributed to loss of repression, but this cross will need to be repeated using E2f3b specific knockout mice. It will also be helpful to determine the individual patterns of expression of E2F3A and E2F3B during development. It has been suggested that pRb regulates a distinct subset of E2F target genes from p107 and p130. Given the specificity of pocket protein E2F interaction, a similar division of target genes may exist among E2Fs. Clearly, E2F3 plays a key role in both cell cycle progression and cell cycle exit. 210 Table 1. E2f4 +/+ +/- -/ +/+ E2f3 +/-I- Table 1. Progeny (n=92) from E2f3;E2f4 double heterozygous matings at e13.5. Table 2. E2f4 +/+ +/E2f3 -/ +/+ +/-I- -- v v Table 2. Progeny (n=53) from E2f3;E2f4 double heterozygous matings at el 1.5. References. Aslanian, A., Iaquinta, P. J., Verona, R., and Lees, J. A. (2004). Repression of the Arf tumor suppressor by E2F3 is required for normal cell cycle kinetics. Genes Dev 18, 14131422. Chen, C. R., Kang, Y., Siegel, P. M., and Massague, J. (2002). E2F4/5 and p107 as Smad cofactors linking the TGFbeta receptor to c-myc repression. Cell 110, 19-32. Cloud, J. E., Rogers, C., Reza, T. L., Ziebold, U., Stone, J. R., Picard, M. H., Caron, A. M., Bronson, R. T., and Lees, J. A. (2002). Mutant mouse models reveal the relative roles of E2F1 and E2F3 in vivo. Mol Cell Biol 22, 2663-2672. Dannenberg, J. H., van Rossum, A., Schuijff, L., and te Riele, H. (2000). Ablation of the retinoblastoma gene family deregulates G(1) control causing immortalization and increased cell turnover under growth-restricting conditions. Genes Dev 14, 3051-3064. Gaubatz, S., Lindeman, G. J., Ishida, S., Jakoi, L., Nevins, J. R., Livingston, D. M., and Rempel, R. E. (2000). E2F4 and E2F5 play an essential role in pocket protein-mediated G1 control. Mol Cell 6, 729-735. Humbert, P. O., Rogers, C., Ganiatsas, S., Landsberg, R. L., Trimarchi, J. M., Dandapani, S., Brugnara, C., Erdman, S., Schrenzel, M., Bronson, R. T., and Lees, J. A. (2000a). E2F4 is essential for normal erythrocyte maturation and neonatal viability. Mol Cell 6, 281-291. Humbert, P. O., Verona, R., Trimarchi, J. M., Rogers, C., Dandapani, S., and Lees, J. A. (2000b). E2f3 is critical for normal cellular proliferation. Genes Dev 14, 690-703. Leone, G., Nuckolls, F., Ishida, S., Adams, M., Sears, R., Jakoi, L., Miron, A., and Nevins, J. R. (2000). Identification of a novel E2F3 product suggests a mechanism for determining specificity of repression by Rb proteins. Mol Cell Biol 20, 3626-3632. Macaluso, M., Cinti, C., Russo, G., Russo, A., and Giordano, A. (2003). pRb2/p130E2F4/5-HDAC 1-SUV39H 1-p300 and pRb2/p 130-E2F4/5-HDAC 1-SUV39H 1-DNMT 1 multimolecular complexes mediate the transcription of estrogen receptor-alpha in breast cancer. Oncogene 22, 3511-3517. Rayman, J. B., Takahashi, Y., Indjeian, V. B., Dannenberg, J. H., Catchpole, S., Watson, R. J., te Riele, H., and Dynlacht, B. D. (2002). E2F mediates cell cycle-dependent transcriptional repression in vivo by recruitment of an HDAC1/mSin3B corepressor complex. Genes Dev 16, 933-947. Rowland, B. D., Denissov, S. G., Douma, S., Stunnenberg, H. G., Bernards, R., and Peeper, D. S. (2002). E2F transcriptional repressor complexes are critical downstream targets of pl9(ARF)/p53-induced proliferative arrest. Cancer Cell 2, 55-65. 213 Sage, J., Mulligan, G. J., Attardi, L. D., Miller, A., Chen, S., Williams, B., Theodorou, E., and Jacks, T. (2000). Targeted disruption of the three Rb-related genes leads to loss of G(1) control and immortalization. Genes Dev 14, 3037-3050. 214 Appendix E The retinoblastoma protein: Will the real tumor suppressor function please stand up? Aaron Aslanian and Jacqueline A. Lees 215 PREFACE The retinoblastoma protein (pRb) has been shown to provide key cellular activities regulating the proliferation of cycling cells, the ability of cells to effectively exit the cell cycle, and the execution of tissue-specific differentiation programs. Despite this knowledge, we have yet to pinpoint the role(s) of pRb that make it a critical tumor suppressor protein. This, in part, reflects our evolving understanding of how cancers arise. The recent generation of conditional, tissue-specific deletions of the retinoblastoma (Rb) gene are finally allowing us to probe the function of pRb in different cell types and should be a critical step in uncovering the cellular genesis of cancers. INTRODUCTION Retinoblastoma is a hereditary childhood cancer in which affected individuals possess one germline mutation of the retinoblastoma gene. The highly probable mutation of the remaining copy of the gene usually leads to the development of bilateral cancer. Sporadic cases are also observed in the form of unilateral retinoblastoma, resulting from two somatic mutations in Rb. The fact that inactivation of Rb is both necessary and sufficient for retinoblastoma formation has made it a useful model for understanding tumor suppressor gene function. Although current medical techniques make the detection and removal of retinoblastoma a non-lifethreatening cancer, individuals with germline mutation are also predisposed to several other types of tumors, especially osteosarcomas (Fletcher et al., 2004). Additionally, inactivation of the retinoblastoma gene is known to occur is many 216 cancers, including small cell lung carcinoma, cervical carcinoma, prostate carcinoma, breast carcinoma, and bladder carcinoma. Therefore, pRb clearly has functions that broadly affect a number of different cell types. In the almost 20 years since it was first cloned, pRb has been shown to interact with over 100 different proteins and has been linked to over a score of different cellular processes (Morris and Dyson, 2001). Despite this wealth of information on pRb function, the explicit tumor suppressive role of pRb remains unclear. Complicating matters are two related proteins, p107 and p130 (Classon and Dyson, 2001; Claudio et al., 2002; Paggi and Giordano, 2001). While p107 and 130 are themselves infrequently targeted in cancers, mutation of upstream regulators of pRb as well as transforming viral oncoproteins nevertheless functionally inactivate all three proteins. Additionally, the preferred mode of pRb inactivation varies among different types of cancer, suggesting that the critical function of pRb may be highly dependent on cellular context. Because p107 and p130 can sometimes share pRb function, it will be important to understand the unique properties of pRb that specifically make it a tumor suppressor protein and under what circumstances p107 and p130 can play a "back-up" tumor suppressor role. THE POCKET PROTEIN FAMILY pRb, p107 and p130 comprise the pocket protein family, so named for a conserved region through which many of their known interactions and functions occur. The small pocket consists of an A domain and a B domain separated by a spacer region. It binds to an LxCxE motif found in many known pocket protein interactors. Viral oncoproteins that disrupt pocket protein function also bind the small pocket through an 217 I,xCxE motif (see Text Box 1). Whether LxCxE-containing proteins associate with all three pocket proteins to a similar degree has not been addressed in most cases. Additionally, the spacer region of p10O7and p130 contains a motif that bares similarity to cyclin dependent kinase (cdk) inhibitors (Castano et al., 1998; Woo et al., 1997; Zhu et al., 1995). Through this motif, p107 and p130 can associate with and inhibit cyclin-cdk complexes. Indeed, p1O7 has been shown to play a role in down-regulating cdk activity, although the biological circumstances under which this function may be relevant remain unclear (Chibazakura et al., 2004). p107 and p130 are more closely related to each other than either is to pRb, suggesting that structural differences outside the small pocket may influence the tumor suppressive function among the pocket proteins. The expression pattern of the three pocket proteins is also differentially regulated. The expression of pRb does not vary significantly during the cell cycle or upon cell cycle exit. On the other hand, p10O7,which is an E2F target gene, is not expressed in quiescent cells and becomes induced as cells proceed through S-phase. In contrast, p130 is highly expressed in quiescent and differentiated cells. Upon cell cycle re-entry, p130 levels decrease as a result of ubiquitin-mediated degradation by the proteasome (Bhattacharya et al., 2003; Tedesco et al., 2002). Regulation of pRb appears to occur primarily via phosphorylation (see Text Box 2). In GO and Gi cells, pRb is present in a hypo- phosphorylated state. Sequential phosphorylation events by cyclin-cdk complexes during cell cycle progression lead to the accumulation of hyper-phosphorylated pRb. This change in phosphorylation status affects the ability of pRb to associate with many of its protein interactors. Mutation of cdk phosphorylation sites on pRb results in a constitutively active pRb (Knudsen and Wang, 1997). Both p107 and p130 are also 218 substrates for cyclin-cdk phosphorylation, although the relative importance of phosphorylation in relation to other modes of regulation for these two proteins is unclear. Pocket proteins can both positively and negatively regulate the activities of proteins with which they associate, in order to control gene expression that affects cell cycle progression, cell cycle exit and differentiation. To this end, pocket proteins also interact with different chromatin and histone modifying enzymes to actively regulate gene expression, while in other cases sequestration is sufficient to passively regulate gene expression. For example, chromatin immunopercipitation (ChIP) experiments suggest that p107 and p130, but not pRb, directly bind the promoters of cell cycle genes. Instead, pRb can be found only at the promoters of target genes involved in differentiation. Additionally, differences in the stability of different pocket protein complexes indicate a distinct role for pRb compared to p107 and p130 in the regulation of gene expression (Sullivan et al., 2004; Young and Longmore, 2004). These studies suggest that pRb may bind to target gene promoters to stably impact gene expression, while p107 and p130 transiently regulate target gene promoters. Discussed below are several key pRb interacting proteins and their role in the regulation of gene expression. CELL CYCLE PROGRESSION The most well studied role of pRb in the regulation of cell cycle progression occurs through its interaction with the E2F family of transcription factors (Trimarchi and Lees, 2002). The E2F transcription factor is a heterodimer, consisting of an E2F subunit and a DP subunit. Functional specificity is provided by the E2F subunit. Eight E2Fs have been identified to date, although only five interact with the pocket proteins. 219 Endogenous E2Fs and pocket proteins exhibit specificity among their preferred proteinprotein interactions. pRb interacts with E2F1, E2F2, and E2F3; p107 interacts primarily with E2F4; and p130 interacts with both E2F4 and E2F5. pRb interacts with E2F transcription factors in its hypo-phosphorylated state and in its hyper-phosphorylated state pRb releases free E2F. The E2F transcription factors are a family of non-LxCxE containing proteins that interact with the large pocket of pRb, consisting of the small pocket and an additional C domain. E2F1, E2F2, and E2F3A are strong transcriptional activators regulated specifically by pRb. It has been shown that pRb can induce passive repression via sequestration and inhibition of E2F transactivation capacity (Helin et al., 1993). E2F4 and E2F5 are poor transcriptional activators, and they are found primarily in the cytoplasm when not bound by pocket proteins. For these reasons, E2F4 and E2F5 are believed to mainly function in pocket protein mediated repression (Bruce et al., 2000; Chen et al., 2002; Gaubatz et al., 2000; Rayman et al., 2002). E2F3B is also thought to function as a transcriptional repressor, although this has not been extensively characterized (Aslanian et al., 2004; Leone et al., 2000). Classic E2F target genes regulate processes such as cell cycle progression and DNA replication. Pocket proteins cooperate with E2Fs to repress their expression during GO and G1, and the release of free E2F permits the induction of E2F target gene expression. While early experiments focused on the role of E2F target genes in the G1/S transition, novel techniques involving microarray and chomatin immunopercipitation (ChIP) have greatly expanded the list of putative E2F target genes, as well as expand their functional roles. Mad2 is an example of one such gene involved in mitotic 220 progression, whose expression is deregulated in Rb-deficient cells (Hernando et al., 2004). Another study identified Skp2 deregulation in plO07-deficientcells, although this may not be direct (Rodier et al., 2005). It has been suggested that pRb and its pocket protein family members p107 and p130 normally regulate distinct subsets of E2F target genes, which may contribute to their differential status in cancer (Classon et al., 2000). Mouse models have been helpful to illustrate the importance of E2F as a critical player in pRb-mediated cell cycle regulation. Rb-deficient embryos display inappropriate proliferation in several tissues and this defect appears to be cell autonomous (de Bruin et al., 2003; Jacks et al., 1992; Lee et al., 1992; Wu et al., 2003). Simultaneous deletion of Rb and either E2fl or E2f3 suppresses this phenotype, suggesting that the release of activating E2Fs is a key consequence of Rb-loss (Tsai et al., 1998; Ziebold et al., 2001). This is also true in tumorigenesis. Unlike their human counterparts, mice heterozygous for RB succumb to pituitary and thyroid tumors (Jacks et al., 1992). The additional deletion of either E2fl or E2f3 delays the onset of tumorigenesis, resulting in a significant extension of lifespan (Yamasaki et al., 1998; Ziebold et al., 2003). Surprisingly, the loss of E2f4 also results in an extension of lifespan of Rb heterozygous mice (Lee et al., 2002). Careful analysis of both cells and tumors deficient for E2f4 and Rb demonstrated that the composition of the remaining E2F and pocket protein complexes underwent reshuffling. In this setting, p107 and p130 bind to E2F3 and E2F1 respectively, correcting the release of free activating E2Fs. This demonstrates thatplO7 and p130 are capable of performing a "back-up" tumor suppressor role in the absence of pRb. It is interesting to note that the loss of E2f4 does not rescue 221 inappropriate proliferation in Rb-null embryos, suggesting that reshuffling may not occur in this setting. Despite the attention given to E2F, other RB proteins interactions also affect cell cycle progression. The Id family is one such example. Id2 has been shown to bind to pRb, as well as p107 and p130 (Lasorella et al., 1996). In quiescent cells, d2 is in a complex with p130 that persists during G1. During S-phase, Id2 associates with both pRb and p107. The loss of Id2, which is highly expressed in neuronal and haematopoietic cells, extends the lifespan of Rb-deficient embryos (Iavarone et al., 2004). Additionally, the loss of Id2 leads to increased survival of Rb heterozygous mice (Lasorella et al., 2005). This demonstrates that the deregulation of multiple pRb interacting proteins can contribute to altered gene expression and tumorigenesis. pRb not only regulates RNA polymerase II-dependent transcription, but also affects the activity of RNA polymerase I and III (White, 2004; White, 2005). Both pRb and p130, but not p107, interact with UBF to repress rDNA transcription (Hannan et al., 2000a; Hannan et al., 2000b; Voit et al., 1997). Cells deficient for both these pocket proteins have abnormally elevated rDNA levels and conversely over-expression of either pRb or p130 represses rDNA transcription. UBF binds to the small pocket of pRb and p130, and given the significant contribution of rDNA transcription to the total transcription, may represent an important growth control mechanism. Similarly, pRb is capable of interacting with TFIIIB, part of the general transcriptional machinery of polymerase III-dependent promoters (Chu et al., 1997; Hirsch et al., 2000). This interaction maps to the large pocket. pRb also has been shown to repress the U6 promoter and tRNA levels are elevated in many tumors (Hirsch et al., 2004). Because 222 tRNA can be potentially rate limiting for protein synthesis, this may represent an important target in tumorigenesis. In addition to regulating the activity of various transcription factors, pRb also plays more direct role at origins during DNA replication. This work comes in part from studies involving Drosophila melanogaster, where some origins have been defined. Rbf, the Drosophila pRb homolog, can be found in complex with DmORC (Bosco et al., 2001). Interestingly, this complex also includes dE2F1 and dDP, suggesting that E2F- binding activity may be required for this localization. It is unclear whether other transcription factors interacting with pRb bring it to additional origins of replication. DNA replication factors interact with pRb, which may suggest a reason for pRb localization to DNA during replication (Schmitz et al., 2004). Additionally, pRb regulates histone gene synthesis required for chromatin assembly (Gupta et al., 2003; Herrera et al., 1996; Lemercier et al., 2000). Finally, pRb has also been localized to sites of DNA damage, and may bring interacting proteins to DNA in this context as well (Avni et al., 2003). CELL CYCLE EXIT In addition to playing a key role in events during the cell cycle, the pocket proteins also have an important function in the decision to withdrawal from the cell cycle. Cells integrate a number of cues, both extracellular and intracellular, when making the decision to exit the cell cycle. In mammalian cells, the restriction point in late G1 is defined as the point after which cells are committed to replicate their DNA and divide. Once past the restriction point, cell cycle progression is no longer dependent on external 223 cues such as serum, matrix attachment, and cell-cell contact. The pocket proteins appear to lie at the crux of many of these decisions. Importantly, most transformed cells are no longer responsive to these cues. Quiescence is a temporary GO/G1 state that cells enter if conditions do allow them to proceed through the restriction point. Once growth conditions again become favorable, cells re-enter the cell cycle. Acute ablation of Rb but not germline deletion renders cells incompetent to exit the cell cycle in response to serum deprivation (Sage et al., 2003). This may be explained by upregulation of p107 observed in the germline deletion of Rb, and the ability of p107 to compensate for pRb in this setting. Consistent with this theory, germline deletion of both Rb and p107 results in bypass of the serumdependent restriction point while maintaining the anchorage-dependent checkpoint (Gad et al., 2004). Cells deficient for all three pocket proteins fail to arrest in response to serum deprivation, contact inhibition or the loss of adhesion (Dannenberg et al., 2000; Sage et al., 2000). Mammalian cells undergo a more permanent arrest termed senescence following a defined number of population doublings due to their finite replicative potential. Many factors including telomere shortening and DNA damage caused by reactive oxygen species can influence the timing of senescence. However, all of these signals appear to ultimately funnel through the pocket proteins. Inactivation of all three pocket proteins, either through genetic knockout or viral oncogenes, renders cells immortal (Dannenberg et al., 2000; Sage et al., 2000). Reintroduction of Rb into Rb-deficient cell lines induces a senescence-like state. Additionally, the acute loss of Rb in senescent cells is sufficient allow them to re-enter the cell cycle (Sage et al., 2003). From a broader perspective, 224 senescence may be part of a tumor surveillance mechanism and so it is no surprise that pRb plays a central role in it. Differentiation not only involves permanent withdrawal from the cell cycle, but also the execution of a tissue-specific pattern of gene expression. Many recent studies have implicated the pocket proteins in an active role in promoting differentiation-specific gene expression. However, the dual roles of controlling cell cycle exit and differentiation have clouded the specific roles of the pocket proteins in these processes. DIFFERENTIATION Mouse models have implicated pRb and the other pocket proteins in the process of differentiation. One of the long-standing interests in the cancer field has been to understand the role of pRb in the retina, and how its absence leads to retinoblastoma. The fact that Rb heterozygous mice do not mirror their human counterparts was disappointing (Jacks et al., 1992). Rb-null chimeric mice also succumb to pituitary and thyroid tumors, but show no evidence of retinoblastoma (Williams et al., 1994). Recently, tissue specific deletion of Rb has allowed further exploration of its role in retinal differentiation and development. Conditional knockout of Rb in the retina of p0l7-deficient mice resulted in enhanced proliferation of retinal precursor cells (Chen et al., 2004; MacPherson et al., 2004). The increase in inappropriate proliferation is accompanied by elevated apoptosis, but most cells eventually exited the cell cycle. Similar results were obtained through the conditional knockout of Rb in p130-deficient mice, demonstrating that either of the two remaining pocket protein family members can potentially compensate for the loss of pRb. 225 The next step in these studies will be in understanding how pRb and the other pocket proteins specify retinal development, and in particular how this proceeds among the many different cellular subtypes found within the retina. Germline deletion of Rb causes embryonic defects in both the central nervous system (CNS) and the peripheral nervous system (PNS), which stimulated interest in the role of pRb in neuronal cells types (Jacks et al., 1992; Lee et al., 1992). Subsequent generation of chimeric mice as well as conditional deletion of Rb helped to demonstrate that inappropriate S-phase entry and elevated E2F activity observed in the CNS are cell autonomous defects (Lipinski et al., 2001). One striking phenotype due to conditional deletion of Rb in the CNS is increased brain size due to increased neurogenesis (Ferguson et al., 2002; MacPherson et al., 2003). Consistent with the above observations, Rb-null neuronal stem cells display a delay in cell cycle exit when stimulated to differentiate (Callaghan et al., 1999). Additionally, p107 was found complexed with E2F3, suggesting that p107 can partially compensate for Rb-loss in this setting. Conditional deletion of Rb has also been used to probe the role of pRb in development and tumorigenesis of specific neuronal subtypes. Granule cells lacking Rb display defects in cell cycle exit and differentiation (Marino et al., 2003). In contrast, astrocytes and Purkinje cells lacking both Rb and p107 appear to undergo normal terminal differentiation. Inactivation of all three pocket proteins via viral oncoprotein expression causes apoptosis in certain neuronal cell types. Mice in which Rb is conditionally deleted using a GFAP-Cre develop medulloblastoma in a p53-null background (Marino et al., 2000). GFAP-T121 expressing mice develop astrocytoma (Xiao et al., 2002). Astrocytoma is not observed when only Rb is inactivated, 226 demonstrating that multiple pocket proteins function in this cell type. This is supported by data on genetic mutations observed in astrocytoma. Osteosarcomas are a common secondary tumor type that develops in Rb heterozygous individuals (Fletcher et al., 2004). Although no mouse models exist examining the role of Rb in osteosarcoma, pocket proteins have been connected to bone development. Osteoblast differentiation requires the function of pRb (Thomas et al., 2001; Thomas et al., 2004). Rb-deficient MEFs are unable to express late stage osteogenic differentiation markers, while MEFs deficient for both p107 and p130 differentiate into osteoblasts normally. CBFA1/RUNX2 and pRb directly interact and pRb can stimulate the transcriptional activity of CBFA1/RUNX2. This demonstrates that pRb has a positive role in osteoblast differentiation. Although p107 and p130 have not been shown to play a role in osteoblast differentiation, they are critical in chondrocytes (Cobrinik et al., 1996; Laplantine et al., 2002). Embryos deficient for p107 and p]30 display defects in chondrocyte development. One of the earliest differentiation processes to be directly linked with pRb is muscle. pRb has been shown to directly interact with the muscle-specific differentiation factor MyoD(Novitch et al., 1996). MyoD is a member of the E-box transcription factor family that is capable of inducing differentiation into muscle. pRb can enhance the activity of myoD. Rb-deficient cells stably overexpressing myoD fail to upregulate late stage markers of muscle differentiation and also fail to permanently exit the cell cycle (Novitch et al., 1999). Recently, a role for pocket proteins in cardiac development has also been uncovered (Jung et al., 2005; MacLellan et al., 2005; Papadimou et al., 2005). 227 Mouse models also support a cell autonomous role for pRb in muscle. Conditional deletion of Rb results in embryonic survival until birth, but death shortly thereafter due to an inability of diaphragm muscles to inflate the lungs. Closer examination of skeletal muscle reveals multiple defects in musculature. Differentiation of Rb-deficient myoblasts results in similar problems (Camarda et al., 2004; Huh et al., 2004). However, deletion of Rb in differentiated myotubes appears to have no visible consequences, suggesting the pRb is not essential for maintenance of differentiation. Finally, deletion of N-ras in Rb-deficient embryos appears to rescue defects associated with muscle differentiation/development, although this is likely to be indirect (Takahashi et al., 2003). Besides the lens, neuronal tissue, bone and muscle, Rb has been shown to have function in a wide range of other tissues also including adipocytes, lung, and the haematopoetic compartment. In these different settings, pRb interacts with transcription factors that specify different tissue-specific patterns of gene expression. It is not clear whether they all involve a positive role for pRb in promoting differentiation or whether the role of pRb is limited to cell cycle exit in some cases. As we gain greater understanding;of Rb function in different tissues, this will improve our understanding of the role of pRb as a tumor suppressor. CONCLUSIONS In our efforts to rein in cancer, it will be important to understand not only the molecular changes that correlate with cancer, but also from where tumor cells arise. Many of the signaling pathways co-opted by tumor cells are normally used during early 228 development to rapidly increase cell number and move cells to their appropriate residence within the body. Several models have been offered to explain this connection. Dedifferentiation is a popular model that proposes cancers arise from a once committed cell that re-enters the cell cycle, perhaps losing some or all of its tissue specific gene expression profile, and resumes growth. A model for tumorigenesis that has more recently gained favor suggests that cancer may arise from populations that either are or are similar to stem cells rather than more fully committed cells. Great effort has been made to identify genes that specify stem cell character in different tissues. There have also been some studies that have specifically examined the Rb pathway in these cells. Embryonic stem (ES) cells cycle rapidly due to constitutive cdk activity and hyper-phosphorylation of pRb (Miura et al., 2004; Savatier et al., 1994; Stead et al., 2002; White et al., 2005). This would indicate that pRb is inactive in these cells, and only upon commitment to specific lineages is pRb function relevant. Some recent studies confirm that pocket proteins have important functions in stem cell populations (Callaghan et al., 1999; Jori et al., 2004; Papadimou et al., 2005). What role pRb is playing in these lineages remains to be determined. The expansion of tissue specific mouse models should accelerate our ability to answer these questions. 229 TEXTBOX 1: Adenovirus, SV40 polyomavirus, and human papillomavirus (HPV) are small DNA tumor viruses. Because of their small genome size, these viruses have opted to utilize host cell machinery to carry out viral DNA replication. To this accomplish end, the viruses must force the host cell to enter S-phase from a quiescent or otherwise postmitotic state. These features have made DNA tumor viruses a useful tool for early studies investigating cellular DNA replication, cell cycle control, and cellular transformation. HPV has been associated with cervical cancer, but adenovirus and polyomavirus have not been linked to any human cancers. However, all three viruses are capable of causing the transformation of a wide variety of cell types. The adenoviral oncoprotein E1A, HPV E7, and SV40 large T antigen each bind the pocket proteins via an LxCxE motif, presumably disrupting many normal pocket protein interactions. This interaction is essential for transformation by these viruses. Studies with viral oncoproteins were responsible for providing key insights into pRb, leading to: (1) its identification as a member of a family of proteins, (2) its role a regulator of the cell cycle, and (3) the identification of a major target, the E2F transcription factor. Interestingly, two additional families of tumor viruses, poxviruses and EpsteinBarr viruses (herpesvirus family) are known for which there is no direct evidence to suggest that these viruses interfere with pRb function. Rather their genomes include homologs of known E2F target genes such as ribonucleotide reductase, suggesting that deregulation of proliferation is a key target for tumor viruses in terms of both viral replication and the induction of tumorigenesis. 230 TEXTBOX 2: Proper cell cycle progression depends on many carefully coordinated events to orchestrate DNA replication and subsequent cell division. Cyclin-cyclin dependent kinase (cdk) complexes set-up a number of key events in the cell cycle, and this is conserved from yeast to human. In mammalian cells, pRb and its pocket protein family members p107 and p130 are all substrates for cyclin-cdks. Pocket protein phosphorylation leads to dissociation of E2F-pocket protein complexes and increased E2F activity. Cyclin D/cdk4,6 activity peaks during late Gi, cyclin E/cdk2 activity during G1/S and then cyclin A/cdk2 activity peaks during late S-phase. Cyclin D is induced by numerous growth factors, whereas cyclin E and cyclin A are both E2F target genes. Some work has been done to examine specificity among different cyclin-cdk complexes for various sites on the pocket proteins. Many experiments have made use a mutant pRb protein in which nine phosphorylation sites have been mutated to alanines to render the protein constitutively active. Additional regulation of kinase activity occurs through the action of small inhibitory proteins. 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