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J. Biol. Chem., Vol. 277, Issue 19, 16464-16469, May 10, 2002
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From the Divisions of Nephrology and Hematology-Oncology,
Department of Medicine and Center for Study of the Tumor
Microenvironment, Beth Israel Deaconess Medical Center, Harvard Medical
School, Boston, Massachusetts and the § Department of
Developmental and Molecular Biology and Medicine, Albert Einstein
College of Medicine, Bronx, New York 10462
Received for publication, December 21, 2001, and in revised form, January 14, 2002
Endostatin, a type XVIII collagen fragment, is a
potent antiangiogenic molecule that inhibits endothelial cell
migration, promotes apoptosis, and induces cell cycle arrest in
vitro. We have investigated the mechanism by which endostatin
causes G1 arrest in endothelial cells. Endostatin decreased
the hyperphosphorylated retinoblastoma gene product and down-regulated
cyclin D1 mRNA and protein. Importantly, endostatin was unable to
arrest cyclin D1 overexpressing endothelial cells, suggesting that
cyclin D1 is a critical target for endostatin action. Next, we
analyzed cyclin D1 promoter activity in endothelial
cells and found that endostatin down-regulated the cyclin
D1 promoter. Using a series of deletion and mutant promoter
constructs, we identified the LEF1 site in the cyclin D1
promoter as essential for the inhibitory effect of endostatin. Finally,
we showed that endostatin can repress cyclin D1 promoter
activity in cells over-expressing Endostatin (ES),1 the
carboxyl-terminal 184 amino acids in the NC1 domain of collagen XVIII,
is a recently discovered antiangiogenic molecule (1). Recombinantly
produced ES or gene transfer of ES into tumor cells has been shown to
markedly inhibit tumor growth and angiogenesis in mice. In ongoing
Phase I clinical trials, ES administration appears to be without
toxicity and has produced disease stabilization in an occasional
patient. In vitro, ES possesses several activities,
including inhibition of endothelial cell migration, induction of
endothelial cell apoptosis, and G1 cell cycle arrest (2-4). Molecular signaling mechanisms responsible for these events are
under intense investigation. At the cell surface, integrins (5) and
glypicans (6) have been implicated in the antimigratory effects of ES.
Using suitable chimeric receptors, ES has been shown to trigger events
that antagonize intracellular signals induced by the proangiogenic
agents VEGF and bFGF, but the precise molecular targets remain to
be discovered (6-8). To date, c-myc is the only gene
whose expression is inhibited by ES (9). Of note, the introduction of
this gene into endothelial cells abrogated the antimigratory effect of
ES (9).
To date, signaling events that mediate the cell cycle effects of
endostatin are unknown. Cell cycle progression occurs through distinct
phases of the cell cycle, regulated by both intracellular and
extracellular mechanisms. Growth factors are primarily involved in the
exiting of a cell from a quiescent G0 state, and these factors are necessary until cells reach a so-called restriction point
"R." Phosphorylation of retinoblastoma protein is a marker for the R point, and this step is regulated by G1
cyclin-dependent kinases (CDKs). In turn, CDK activity is
regulated by complexing with cyclins. Cyclin D1 plays a key role in the
transition of cells from G1 to S, and abrogation of its
expression leads to G1 cell cycle arrest.
Based on our initial observation that ES causes endothelial cell cycle
arrest in G1, we investigated the molecular events. We show
here that cyclin D1 is a relevant target gene and that the
LEF1 site in its promoter is critical for mediating the repressive effect of endostatin. Moreover, we use this target to analyze events
affected by ES upstream of cyclin D1, such as the important intracellular mediator Reagents and Materials--
The mouse and human endostatin
proteins (mES and hES, respectively) and mouse endostatin mutant
(mES3.1) were produced and purified from yeast as described previously
(4, 6). VEGF and bFGF were obtained from R&D Systems, Inc (Minneapolis,
MN). The Dual-Luciferase Reporter Assay System was purchased from
Promega (Madison, WI). The Calphos transfection kit was obtained
from CLONTECH (Palo Alto, CA) and LipofectAMINE
2000 was purchased from Invitrogen.
Plasmid Constructs--
ES cDNA with K-cadherin
signal peptide sequence in the amino terminus was amplified by PCR and
cloned into pCS2+ (10). This construct was referred to as pCS2-ES.
Plasmids containing the luciferase reporter under control of the wild
type cyclin D1 promoter as well as numerous deletions and
point mutants have been described previously (11, 12). The
pCS2-TVP construct (a gift from A. Vonica) (13) has been described
previously. The full-length human cyclin D1 sequence was amplified by
PCR and cloned using MluI and NotI sites into the
retroviral vector pCMMP-RGS7-IRES GFP (a gift from R. Mulligan and T. Benzing), confirmed by sequencing, and referred to as the cyclin D1
retrovirus construct. The TVP sequence was excised from a pCS2-TVP
plasmid by partial digestion and cloned into the EcoRI- and
NotI-digested retroviral vector pLXSHD2 (a gift
from Miller and A. Kazlauskas) (6), confirmed by sequencing, and
referred to as the TVP retroviral construct.
Cell Culture and DNA Transfection--
Human umbilical vein
endothelial cells (HUVECs) were obtained from Clonetics (San Diego,
CA). Bovine pulmonary arterial endothelial cells (C-PAEs) were
obtained from American Type Culture Collection (Manassas, VA). HUVECs
and C-PAEs were used between passages 2 and 3. HUVECs were maintained
in EGM2-MV medium (Clonetics) containing endothelial basal medium
(EBM-2) supplemented with 5% fetal bovine serum, gentamicin,
amphothericin B, hydrocortisone, ascorbic acid, and the following
growth factors: VEGF, bFGF, hEGF, and IGF-1. C-PAEs were maintained in
Dulbecco's modified Eagle's medium (DMEM) supplemented with 10%
fetal bovine serum and penicillin/streptomycin. All cell lines were
grown at 37 °C in a 100% humidified incubator with 5%
CO2. Cells were grown to 80-90% confluency, harvested with trypsin, and resuspended to the cell density required for each
assay. For transient transfections, 50-60% confluent cells in 6-well
plates were transfected using LipofectAMINE 2000 (Invitrogen).
Retrovirus Production--
Retrovirus production was performed
as described before (14). Briefly, 20 µg of retroviral vector
cDNA was transfected into the 293 GPG packaging cell line using the
Calphos transfection kit. 48 h after transfection, the packing
cell line supernatant was collected and used to infect target cells
(HUVECs) in complete medium (EGM-2MV).
Cell Cycle Analysis--
C-PAE and HUVEC cells were
growth-arrested by contact inhibition for 48 h. The 0 h value
refers to the percentage of cells in S phase at this time point. The
cells (0.1 × 106 cells/well) were harvested and
plated into a 6-well plate in 1% FCS/DMEM (for C-PAEs) or 1%
FCS/EGM2-MV (for HUVECs) with recombinant VEFG or bFGF with or without
ES. The cells were harvested at various time points and then fixed in
ice-cold ethanol. Fixed cells were dehydrated at 4 °C for 30 min in
phosphate-buffered saline containing 2% FCS and 0.1% Tween 20 and
then centrifuged and resuspended in 0.5 ml of the same buffer. RNase
digestion (5 µg/ml) was carried out at 37 °C for 1 h,
followed by staining with propidium iodide (5 µg/ml). The cells were
analyzed using a FACScan BD PharMingen flow cytometer.
Luciferase Assay--
After transient transfection of the
cDNAs, cells were incubated for 20 h, and luciferase activity
in the cell lysates was determined using a luminometer and normalized
using Renilla luciferase activity under the control of the
thymidine kinase promoter.
Immunoblotting--
Collected cell lysates were separated by
polyacrylamide gel electrophoresis (precast gels, Bio-Rad) followed by
electroblotting onto a polyvinylidene difluoride membrane. After
blocking with 2% bovine serum albumin in Tris-buffered saline/Tween-20
(TBS-T) for 1 h, the polyvinylidene difluoride membrane was
incubated overnight with each primary antibody. After washing with
TBS-T, the membrane was incubated with the secondary anti-mouse Ig at a
1:5000 dilution for 30 min. Protein bands were detected using the
SuperSignal® West Pico Chemiluminescent Substrate (Pierce).
Cell Cycle Arrest of Endothelial Cells by ES--
We have
previously reported that ES causes G1 arrest of endothelial
cells (2-4). We began our mechanistic studies by defining the time
course of this effect and its dependence on ES dose. At various times
after treatment with VEGF with or without ES, we monitored the
percentage of cells in S phase in both C-PAEs and HUVECs. VEGF induced
both cell types into S phase, whereas addition of ES markedly reduced S
phase entry (Fig. 1, A and
B). Similar data were obtained with bFGF (data not shown).
Moreover, mutant ES3.1, which has been shown not to bind to the cell
surface, did not cause cell cycle arrest (data not shown). At the
18-21 h time points, which demonstrated this effect most clearly, we assessed ES dose dependence (Fig. 2,
A and B). The half-maximal effect was noted at
about 5 µg/ml ES.
ES Inhibits Cyclin D1 Protein Expression--
We next examined the
phosphorylation state of pRb protein in endothelial cells since it
reflects the ability of a cell to exit G1. ES inhibited the
hyper-phosphorylation of pRb induced by VEGF (Fig.
3A) and bFGF (data not shown),
thus providing molecular confirmation of a G1 arrest
induced by ES. To clarify the mechanism of this effect, we examined the
protein expression level of several cyclins and of
cyclin-dependent kinases. Consistent with our
retinoblastoma data, the cyclin D1 protein level in HUVECs was
increased by treatment with VEGF or bFGF, and this up-regulation was
inhibited by ES. Cyclin D1 was decreased as early as 8 h in HUVECs
(Fig. 4A) and in C-PAEs at
later time points (Fig. 4B). After cyclin D1 down-regulation (>14 h), cyclin A levels began to decrease; no changes were noted in
the expression of cdk-2 or cdk-4 (data not shown).
ES Causes G1 Arrest of Endothelial Cells through Cyclin
D1--
To critically address the significance of the cyclin D1
changes observed upon ES addition, we generated cyclin D1
over-expressing HUVECs (cyclin D1-HUVECs) by retroviral infection and
tested the effects of ES on these cells using cycle analysis. ES
inhibited progression into S phase induced by VEGF in control HUVECs
(infected with a LacZ-carrying retrovirus) but did not cause
G1 arrest in cyclin D1-HUVECs (Fig.
5). These data point to cyclin D1 as a critical ES target in mediating its effects on the cell cycle.
ES Affects Expression of Cyclin D1 mRNA and Inhibits Cyclin D1
Promoter Activity--
Northern blot analysis revealed that ES
decreased cyclin D1 mRNA up-regulated by VEGF (not shown) or bFGF
(Fig. 6). The decrease of cyclin D1
mRNA by ES was seen as early as 4 h with significant inhibition seen by 8 h. These data suggest that the changes noted in cyclin D1 protein expression are reflected by antecedent changes in
cyclin D1 mRNA and could be accounted for either by effects on
cyclin D1 mRNA transcription and/or on mRNA stability. To
address this issue, we transfected a cyclin D1 promoter
reporter construct into endothelial cells and assessed the effect of ES
on this promoter. VEGF and bFGF up-regulated promoter activity, whereas
ES down-regulated this activity in a dose-dependent fashion
(Fig. 7, A-D) that roughly paralleled the dose dependence noted earlier on G1 arrest
(Fig. 2, A and B). Mutant ES (ES3.1) containing a
two-amino acid substitution (6) had no effect on cyclin D1
promoter activity. Our data suggest that ES affects cyclin D1
transcription.
ES Decreases Cyclin D1 Promoter Activity via the LEF1 Site--
To
determine site(s) in the cyclin D1 promoter responsive to
ES, we used a series of deletion mutants of the cyclin D1
promoter. As shown in Fig. 8A,
the responses to VEGF and ES were lost after the deletion of
nucleotides between ES Can Inhibit
To further define the site of action of ES, we utilized an expression
vector (TVP) coding for a constitutive activator (insensitive to
We have used the fact that ES causes G1 arrest of
endothelial cells to dissect part of its molecular mechanism of action. Our novel observations are that ES inhibits cyclin D1 RNA and protein
expression in endothelial cells, that this suppression is via
transcriptional inhibition through the LEF1 site in the cyclin
D1 promoter, and that endostatin acts at the level of The importance of cyclin D1 in transitioning cells from
G1 into S has been amply demonstrated (reviewed in Ref.
16). Though cyclin D1 null animals are viable, abrogation of cyclin D1
expression in vitro (e.g. by antisense methods)
causes cell cycle arrest or marked inhibition of cell proliferation
(17-23). Of note, a dominant negative form of TCF causes cell arrest
in G1 and can be rescued by cyclin D1 over-expression (24).
Thus, our observation that cyclin D1 is an endostatin target is
consistent with the known importance of this protein in cell cycle
progression. Moreover, in cells over-expressing cyclin D1, endostatin
was no longer efficacious in causing cell cycle arrest, indicating that
there is no target downstream of cyclin D1 critical for ES action.
Identification of cyclin D1 (and the LEF1 site in its promoter) as an
ES target has provided an inroad into intracellular signaling events
triggered by ES, namely the role of There are several relationships among c-myc, a previously
established ES target gene, cyclin D1, and cell cycle
control. c-Myc promotes cyclin E-Cdk2 activity and
E2F-dependent transcription (reviewed in Ref. 25) so that
its expression is important for G1/S control. Moreover,
c-Myc has been reported to induce cyclin D1 (26) (as well as cyclin D2
and E (25)) at the transcriptional level but can increase cyclin
D1-kinase activity also (27, 28). Moreover, c-Myc (29) and
cyclin D1 (11) are targets for Future studies will be directed at further detailing the mechanisms by
which ES affects cyclin D1 expression induced by VEGF and bFGF. Several
possibilities exist. First, we believe that the transcriptional effect
on the cyclin D1 promoter via the LEF1/TCF site may only be
part of the story since mRNA and protein expression of cyclin D1
are somewhat more dramatically suppressed than the effects seen at the
transcriptional level. Second, even at the transcriptional level,
cyclin D1 gene activation occurs in a cell type- and
mitogen-specific manner (reviewed in Ref. 28). VEGF and bFGF are not
known to activate cyclin D1 expression via stabilization and
translocation of We thank members of the Sukhatme laboratory
for helpful discussions. V. P. S. has a financial interest in Ilex, a
company developing angiogenesis inhibitors for cancer. We also thank B. Gumbiner, H. Clevers, X. He, A. Vonica, M. Ewen, and A. Kazlauskas for plasmids.
*
This work was supported by grants from the National
Institutes of Health (to V. P. S.) and by partial funding from the
family of Victor J. Aresty.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
¶
Present address: Eastern Nazarene College, 23 East Elm Ave.,
Quincy, MA 02170.
Published, JBC Papers in Press, January 28, 2002, DOI 10.1074/jbc.M112274200
2
J.-i. Hanai, J. Gloy, V. P. Sukhatme, and
S. Sokol, unpublished data.
The abbreviations used are:
ES, endostatin;
C-PAE, bovine pulmonary arterial endothelial cell;
HUVEC, human umbilical vein endothelial cell;
EGF, endothelial growth factor;
VEGF, vascular EGF;
FGF, fibroblast growth factor;
TCF, T cell factor;
IGF, insulin-like growth factor;
b, bovine;
m, mouse;
h, human;
LEF1, lymphoid enhancer factor 1;
TVP, amino terminal-deleted TCF3 fused to
VP16.
Endostatin Causes G1 Arrest of Endothelial
Cells through Inhibition of Cyclin D1*
,
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ABSTRACT
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
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-catenin but not in cells
over-expressing a transcriptional activator that functions
through the LEF1 site and is insensitive to
-catenin. Collectively,
our data pointed to a role for cyclin D1, and in particular,
transcription through the LEF1 site as critical for endostatin action
in vitro and suggest that
-catenin is a target for endostatin.
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INTRODUCTION
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
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-catenin. A unifying hypothesis that emerges is that ES targets
-catenin and subsequently transcription of genes
such as c-myc and cyclin D1 containing LEF1/TCF
binding sites in their promoters.
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EXPERIMENTAL PROCEDURES
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
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RESULTS
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ABSTRACT
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EXPERIMENTAL PROCEDURES
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DISCUSSION
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Fig. 1.
Time course of the effect
of ES on the endothelial cell cycle. C-PAEs (A) and
HUVECs (B) were growth-arrested by contact inhibition for
48 h in complete medium. 0.1 × 106 cells were
seeded in each well of 6-well plates in 1% FCS/DMEM or 1% FCS/EGM2-MV
supplemented with VEGF (10 ng/ml) and/or ES (10 µg/ml) as indicated.
Cells were harvested, and cell cycle analysis was performed at various
points.

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Fig. 2.
Dose dependence and cell type specificity of
the effect of ES on cell cycle. Growth-arrested C-PAEs
(A) and HUVECs (B) were seeded in 1% FCS/DMEM or
1% FCS/EGM2-MV, respectively, supplemented with VEGF (10 ng/ml) and
mES or hES as indicated. ES 3.1 represents the mutant
endostatin.

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Fig. 3.
ES inhibits hyper-phosphorylation of pRb
induced by bFGF. Growth-arrested C-PAE cells were seeded in 1%
FBS/DMEM medium supplemented with VEGF (3 ng/ml) with or without mouse
ES (10 µg/ml). At the indicated time points, cells were harvested,
and Western blotting was performed. ppRB refers to be the
hyper-phosphorylated form of pRb.

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Fig. 4.
ES down-regulates cyclin D1 protein
expression. A, HUVECs incubated with the
indicated combination of ES (10 µg/ml) and VEGF (10 ng/ml). At the
indicated time points, cells were harvested, and Western blotting was
performed. E and V represent endostatin and VEGF,
respectively. VE refers to addition of both agents. ± represents with/without bFGF. B, similar data in C-PAE
cells. Cyclin D1 protein expression was clearly down-regulated by
endostatin. The actin blots serve as loading controls.

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Fig. 5.
Cyclin D1 is a critical target of ES-mediated
cell cycle arrest. HUVECs infected with a LacZ-carrying retrovirus
(control HUVECs) and cyclin D1 over-expressing HUVECs (cyclin
D1- HUVECs) were seeded in 1% FCS/EGM2-MV after being
growth-arrested by contact inhibition. After a 20 h
incubation, cell cycle analysis was performed. ES could not cell
cycle-arrest cyclin D1-HUVECs.

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Fig. 6.
ES down-regulates cyclin D1 mRNA
expression. C-PAE cells were growth-arrested by contact inhibition
for 48 h in complete medium. 0.5 × 106 cells
were seeded in 10 cm2 plates in 1% FBS/DMEM supplemented
with 3 ng/ml FGF with or without mouse endostatin 10 µg/ml.
Total RNA was harvested at 0, 4, and 8 h, and Northern blot
analysis was performed with a human cyclin D1 cDNA probe. The
bottom panel shows the same blot probed with actin cDNA
as a loading control.

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Fig. 7.
ES down-regulates cyclin D1
promoter activity. Transcriptional activation of a
luciferase reporter downstream of various cyclin D1 promoter
elements was measured. HUVECs (A and B) and
C-PAEs (C and D) were transfected with a
1745
cyclin D1 promoter construct (0.4 µg/well) in the presence
or absence of ES (µg/ml) or VEGF (ng/ml) and incubated in 1%
FBS/EGM2-MV (for HUVECs) or 1% FBS/DMEM (for C-PAEs). After a 20-21 h
incubation, cells were harvested, and luciferase activity was
measured.
141 and
66 (numbers are from the ATG start
codon). The cyclin D1 promoter has both SP1 and LEF1 sites
between
141 and
66. Since the SP1 site is thought to be the primary
VEGF-responsive element (15), we utilized point mutants in the LEF1
site in the context of the
1745 and the
163 constructs. The results
of these experiments (Fig. 8B) point to the LEF1 site as the
target for down-regulation of the cyclin D1 promoter by
ES.

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Fig. 8.
The LEF1 site is critical for the effect of
ES on cyclin D1 promoter activity. A,
transcriptional activity of the cyclin D1 promoter in
C-PAE cells measured by using deletion mutants as indicated. The
bold line in the schema represents the approximate location
of LEF1 and SP1 sites. In constructs with these sites deleted, there
was no activation by VEGF (20 ng/ml), and inhibition by ES could not be
assessed. B, transcriptional activity of a point mutant
affecting the LEF1 site in the context of the
1745 or
163
cyclin D1 promoter constructs. VEGF (20 ng/ml) was able to
induce promoter activity, but there was no inhibition by ES (20 µg/ml) on the LEF1 site mutated promoter constructs.
-Catenin-induced Cyclin D1 Promoter
Activity--
Since the LEF1 site was important for the inhibitory
effect of ES on the cyclin D1 promoter, we focused on
intracellular signaling events upstream of transcription through the
LEF1 site.
-catenin is known to interact with LEF/TCF transcription
factors to activate transcription through this site. We, therefore,
assessed the effects of ES on the
163 cyclin D1 promoter
construct when
-catenin was over-expressed. Fig.
9A shows that
-catenin
enhanced luciferase activity from the
163 promoter construct and that
ES inhibited this increase. Nearly identical results were obtained with
the
1745 construct (Fig. 9B). These data suggest that ES
either acts on
-catenin or targets an event "downstream" of
-catenin.

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Fig. 9.
ES inhibits
-catenin-induced cyclin D1
promoter activity but is ineffective in the presence of TVP.
The indicated cDNAs were transfected into C-PAEs.
163 CyD
LUC and
1745 CyD LUC refer to the
163 and
1745
cyclin D1 luciferase constructs, respectively. Cells were harvested
21 h after transfection, and luciferase activity was measured. TVP
represents a fusion of VP16 and TCF3 that lacks a
-catenin binding
site.
-catenin) acting through the LEF1 site. TVP expresses a fusion protein consisting of the transcriptional activator VP16 and
(Xenopus) TCF-3 in which the
-catenin binding region has
been deleted. As shown in Fig. 9, ES could not inhibit TVP-stimulated
promoter activity from either the
163 or
1745 cyclin D1
promoter constructs, suggesting that ES does not block LEF/TCF binding
to DNA.
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DISCUSSION
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES
-catenin or downstream of it. Finally, we have shown that over-expression of
cyclin D1 protein overrides the effects of ES on the cell cycle.
-catenin. Another line of
investigation has also converged with the data presented here. Very
recently, we have shown that ES can block axis duplication in
Xenopus embryos induced by Wnt
agonists.2 In particular, we
have demonstrated that transcriptional targets of Wnt signaling
(endogenous ones such as Siamois as well as synthetic constructs, e.g. TOP-FLASH containing multimerized LEF1
sites upstream of a reporter) can be inhibited by ES. Moreover, by
utilizing numerous constructs in the canonical Wnt pathway upstream of
-catenin, we have shown that ES targets
-catenin through a
Wnt-independent pathway. What this pathway is and how it connects to
cell surface receptors for ES (e.g. the glypicans) remains
to be elucidated.
-catenin through the LEF1 sites they
share in their respective promoters. Thus, our observation that ES can
target
-catenin and LEF sites suggests the unifying hypothesis that
ES might target other promoters containing such sites, accounting for
the observation that c-Myc is down-regulated by ES. It should be noted,
however, that not all genes containing core LEF/TCF binding sites are
targets for
-catenin. In a recent report, it was shown that of four
candidate target genes identified by a GenBankTM computer
search of genes involved in regulating cell growth, only
cyclin D1 but not cyclin A, cdc2, or
cdc25 was a target for
-catenin when experimentally
tested in reporter assays (24). Moreover, neither cyclin D2,
D3, E, and G nor cdk-2,
-4, -5, -6, and -7 have
target LEF sites (24). To define physiologically relevant targets for
ES, we are currently performing microarray analysis of RNA extracted
from ES treated versus untreated cells with the expectation
that a subset of the genes differentially expressed may be
-catenin
targets and may contain LEF sites in their promoters.
-catenin. Multiple elements in cyclin D1 promoter including the ATF/CREB and SP1 sites have been delineated in
endothelial cells (15) as responsive to serum stimulation. It is
therefore possible that there are cooperative interactions between
factors that influence transcription through these elements and the
LEF1 site. These hypotheses will be the subject of future studies.
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ACKNOWLEDGEMENTS
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FOOTNOTES
Present address: CuraGen Corporation, 322 East Main St., Branford,
CT 06405.
To whom correspondence should be addressed: 330 Brookline Ave., RW 563, Beth Israel Deaconess Medical Center, Boston,
MA 02215. Tel.: 617-667-2105; Fax: 617-667-7843; E-mail:
vsukhatm@caregroup.harvard.edu.
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ABBREVIATIONS
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DISCUSSION
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