Originally published In Press as doi:10.1074/jbc.M201648200 on June 21, 2002
J. Biol. Chem., Vol. 277, Issue 35, 31734-31739, August 30, 2002
The Promyelocytic Leukemia Protein Represses A20-mediated
Transcription*
Wen-Shu
Wu,
Zhi-Xiang
Xu, and
Kun-Sang
Chang
From the Department of Molecular Pathology, The University of Texas
M. D. Anderson Cancer Center, Houston, Texas 77030
Received for publication, February 18, 2002, and in revised form, June 20, 2002
 |
ABSTRACT |
The promyelocytic leukemia (PML) protein is a
tumor suppressor that is disrupted by the chromosomal translocation
t(15;17), a consistent cytogenetic feature of acute promyelocytic
leukemia. A role of PML in multiple pathways of apoptosis was
conclusively demonstrated using PML
/
animal and
cell culture models. In a previous study, we found that PML sensitizes
tumor necrosis factor-induced apoptosis in tumor necrosis factor
(TNF)-resistant U2OS cells. This finding helped to explain the
mechanism of PML-induced apoptosis. The zinc finger protein A20 is a
target gene of NF
B inducible by TNF
, and it is a potent inhibitor
of TNF-induced apoptosis. In the this study, we demonstrated that PML
is a transcriptional repressor of the A20 promoter and that PML
represses A20 expression induced by TNF
. We showed that PML inhibits
A20 transactivation through the NF
B site by interfering with its
binding to the promoter. We also showed that stable overexpression of
A20 inhibits apoptosis and caspase activation induced by PML/TNF
.
The results of this study suggest that A20 is a downstream target of
PML-induced apoptosis and supports a role of A20 in modulating
cell death induced by PML/TNF
in TNF-resistant cells.
 |
INTRODUCTION |
The disruption of the promyelocytic leukemia
(PML)1 gene by the t(15;17)
chromosomal translocation is believed to play an important role in the
pathogenesis of acute promyelocytic leukemia (APL) (1). PML is a
multifunctional Ring finger protein normally localized within the
nucleus as a macromolecular structure in a nuclear speckled pattern
designated PML nuclear body (NB) or PML oncogenic domain (2). In APL
cells, the normal PML NBs are disrupted as a result of forming
heterodimer with the fusion protein PML-retinoic acid receptor
to form a nuclear microspeckled pattern. Interestingly,
all-trans-retinoic acid treatment of APL patients induced
dramatic differentiation of the leukemia blasts associated with rapid
degradation of PML-retinoic acid receptor
and reorganization of the
normal PML NB that presumably restore normal PML function (2). PML has
been shown to be a cellular growth and tumor suppressor (3-5) by
acting as a regulator of apoptosis (6, 7) and cell-cycle progression
(4, 5). The expression of PML suppresses transformation by cooperative oncogenes of mouse embryo fibroblasts and inhibits the
neu-induced growth and tumorigenicity of NIH3T3 cells
and many cancer cell lines (1, 2, 8). Wang et al. (6)
recently showed that PML plays a critical role in multiple pathways of
apoptosis. Studies using a PML knock-out animal model demonstrated that
PML is essential for apoptosis induced by TNF
, ceramide,
-irradiation, interferons, and Fas (6). However, the mechanism by
which PML induces apoptosis remains obscure. The PML protein is
normally modified by SUMO-1, a small ubiquitin-like protein, at
three different sites (9). SUMO-1 modification plays an essential role
in the formation of PML NB and in its function in transcriptional
regulation and apoptosis (10).
PML also functions as a transcriptional regulator (for review see Refs.
11 and 12). The transcription coactivator CREB-binding protein, a
histone acetyltransferase, interacts with PML and colocalizes in the
PML NB, suggesting a role of PML in mediating transcription (13, 14).
The highly acetylated chromatin presumably associated with actively
transcribing genes was also found to be associated with PML NB (14).
Moreover, PML has been shown to upregulate the transcription of genes
related to the major histocompatibility complex (15), GATA-2 (16), AP-1
(17), and p53-mediated transcriptions (18-20). On the other
hand, when PML was fused downstream of the GAL4 DNA binding domain, it
repressed GAL4-mediated transcription through a mechanism that is
sensitive to trichostatin A, a specific inhibitor of the transcription
corepressor histone deacetylases (21, 22). PML has been shown to
interact with histone deacetylases (22, 23) and repress transcription
by deacetylation of the target promoter (22). Another mechanism of
transcription repression by PML was also reported recently. It was
found that PML interacts directly with transcription factor Sp1 and
interferes with its ability to bind DNA, leading to repression of the
Sp1-dependent transcription of epidermal growth factor
receptor promoter (24).
A20 is a target gene of NF
B and was originally identified as a zinc
finger protein induced by treatment with TNF
(25). A20 was
characterized as a potent inhibitor of TNF-induced apoptosis (26).
The overexpression of A20 significantly downregulated NF
B activation
and inhibited the expression of NF
B target genes, indicating that
A20 is a potent inhibitor of NF
B (27, 28). Together, these findings
suggest that A20 plays a role as a negative feedback regulator of
NF
B activation. The recent finding that A20-deficient mice failed to
regulate TNF-induced NF
B activation and apoptosis supports this
notion (29). This finding implies that A20 plays a critical role in
mediating apoptosis and inflammation by terminating the TNF-induced
NF
B responses.
To further understand the mechanism of how PML induces apoptosis, our
present study shows that PML significantly inhibits the expression of
A20, a potent repressor of TNF-induced apoptosis. PML represses the A20
promoter induced by TNF
and phorbol 12-myristate 13-acetate (PMA)
through the NF
B site. Our study further shows that A20 inhibits
apoptosis induced by PML/TNF
and explains the mechanism by which PML
induces apoptosis by sensitizing the TNF death receptor pathway.
 |
EXPERIMENTAL PROCEDURES |
Plasmids Construction--
The inducible expression plasmid
pMEP4/PML was constructed by subcloning the full-length PML cDNA
(PML3) into the NotI/XhoI sites of the pMEP4
vector (Invitrogen). pMEP4/HA-A20 was constructed by cloning the
polymerase chain reaction-amplified full-length A20 cDNA into the
EcoRI site of the pCruz/HA vector to generate pCruz/HA-A20.
The HA-A20 fragment was then excised by
XhoI/BglII and subcloned into the pMEP4 vector.
The A20 promoter-luciferase reporter construct A20PR-Luc was generated
by cloning the PCR-amplified fragment of the A20 promoter using
the upstream primer 5'-CCCAGCCCGACCCAGAGAGTCACGTGAC-3' and the
downstream primer 5'-CCCAGACTGCGCAGTCTGCTTTGCCCCG-3' and inserting them into the pGL3 vector (Promega, Madison, WI). Correct DNA
sequence of all plasmids was confirmed by direct DNA sequencing.
Cell Culture and Reagents--
The U2OS cells were cultured in
Dulbecco's modified Eagle's medium supplemented with 10% fetal calf
serum. Anti-HA monoclonal antibody was purchased from Upstate
Biotechnology, Inc. (Lake Placid, NY). Anti-caspase-7 antibody (number
66871A) was purchased from PharMingen. Anti-A20 antibody (number 40901)
was obtained from Active & Motif, Inc. (Carlsbad, CA).
Transfection and Luciferase Reporter Assay--
Cells were
cultured to semiconfluence and transfected with the expression plasmids
using FuGENE 6 transfection reagent (Roche Diagnostics). Luciferase
activity was determined using the luciferase reporter assay according
to the manufacturer's protocol (Promega).
Generation of Stable Cell Lines--
U2OS cells were transfected
with each of the following plasmids: pMEP4 (negative control),
pMEP4/HA-A20, and pMEP4/PML with FuGENE 6 reagent. Cells were then
selected with hygromycin (200 µg/ml) for 10 days. Pools of
hygromycin-resistant stable clones were selected. Inducible expression
of the respective proteins in these stable cell lines was determined by
induction with CdSO4 (5 µM) for 20 h
followed by immunofluorescent staining and Western blot analysis. Cell
death was examined by trypan blue exclusion assay.
RNA Preparation and cDNA Synthesis--
Total RNA was
prepared from cells using RNeasy mini-kit (Qiagen). cDNA was
synthesized from 4 µg of total RNA using the Superscript preamplification system obtained from Invitrogen.
Preparation of Nuclear Proteins--
Cultured cells were washed
twice with cold phosphate-buffered saline and resuspended in ice-cold
digitonin extraction buffer (10 mM PIPES, pH 6.8, 0.015%
(w/v) digitonin, 300 mM NaCl, 3 mM MgCl2, 5 mM EDTA, and 1 mM
phenylmethylsulfonyl fluoride). Cells were permeabilized for 10 min,
assessed by trypan blue exclusion assay, and centrifuged for 5 min at
480 × g at 4 °C. The supernatant contains the
cytoplasmic protein. The digitonin-insoluble pellet was resuspended in
ice-cold Triton X-100 extraction buffer (10 mM PIPES, pH
7.4, 0.5% (v/v) Triton X-100, 300 mM sucrose, 100 mM NaCl, 3 mM MgCl2, 5 mM EDTA, and 1 mM phenylmethylsulfonyl fluoride) and incubated on ice for 30 min. The nuclei were pelleted by
centrifugation for 10 min at 5000 × g and resuspended
in nuclear extraction buffer (50 mM PIPES, pH 7.5, 400 mM NaCl, 1 mM EDTA, 1 mM EGTA, 1%
(v/v) Triton X-100, 0.5% (v/v) Nonidet P-40, and 10% (v/v) glycerol).
The nuclear mixture was incubated for 30 min on ice and then
centrifuged for 5 min (6780 × g) at 4 °C. The
supernatant contains the nuclear proteins.
Electrophoretic Mobility Shift Assay--
The in
vitro-translated PML or p65 proteins were synthesized by the
TnT-coupled wheat germ translation system (Promega). Nuclear extracts
were prepared from U2OS stable cell lines or cells treated with TNF
(20 ng/ml) for 1 h. The A20 promoter NF
B probe was prepared by
annealing the oligonucleotides
5'-GACTTTGGAAAGTCCCGTGGAAATCCCCGGG-3' and
5'-GGCCCGGGGATTTCCACGGGACTTTCCAAAGT-3', and the 3'-recessive ends
were labeled with Klenow fragment fill-in reaction. Binding reactions
contained 5 µg of nuclear extracts, 1 µg of poly(dI-dC), and
1 ng of NF
B probe (1 × 105 cpm) in 20 µl of KCl
binding buffer (10% glycerol, 1 mM EDTA, 5 mM
KCl, 5 mM dithiothreitol, and 20 mM Tris-HCl,
pH 8.0). The reaction was incubated for 20 min at room temperature and
then resolved in a 5% polyacrylamide gel in Tris-glycine buffer (50 mM Tris, 0.4 M glycine, and 2 mM
EDTA, pH 8.5). For competition or supershift assays, 50 ng of unlabeled
probe or 1 µg of anti-p65 monoclonal antibody, respectively, was
added to the binding reactions.
 |
RESULTS |
PML Inhibits Upregulation of A20 Induced by TNF
--
Our
preliminary study showed that PML significantly sensitized TNF-induced
apoptosis in the TNF-resistant cell line U2O. To understand the effects
of PML on the TNF-induced apoptotic pathway, we investigated the effect
of PML on the expression of A20 in the osteosarcoma cell line U2OS. We
found that TNF
induces a significant increase in A1 and A20
expression in these cells but not c-FLIP (Fig.
1a). To examine the effects of
PML on the expression of A20, stable clones of inducible PML in U2OS
cells (U2OS/PML) and the control U2OS cells (pMEP4/U2OS) were
established. These cells were treated with 5 µM cadmium
sulfate to induce PML expression followed by the treatment of TNF
.
The results of this study showed that expression of PML significantly
repressed the expression of A20 induced by TNF
(Fig. 1b).
No such effect on A20 expression was found in the control cell line
pMEP4/U2OS or in the PML/U2OS cells if Cd2+ was not
included in the culture medium to induce PML expression. This study
suggests that PML is a specific inhibitor of A20 expression.

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Fig. 1.
Repression of A20 expression by PML in U2OS
cells. a, A1 and A20 are inducible by TNF in U2OS
cells. U2OS cells were starved for 2 h in Dulbecco's modified
Eagle's medium with 05% serum and then treated (or untreated) with 20 ng/ml TNF for 2 h. Total RNA in these cells was isolated, and
PCR was performed for 22 cycles with specific primer pairs.
b, PML inhibits upregulation of A20 induced by TNF .
Stable cell lines pMEP4/U2OS (control) and PML/U2OS were treated (or
untreated) with 5 µM Cd2+ for 20 h to
induce PML expression and then cultured in Dulbecco's modified
Eagle's medium with 0.5% serum in the presence or absence of 20 ng/ml
TNF for another 6 h. Total protein was isolated and subjected
to Western blotting using specific antibodies against A20, PML, and
-tubulin.
|
|
PML Represses the Promoter Activity of A20 Induced by
TNF
--
To continue to investigate the effects of PML on A20
expression, the A20 promoter-luciferase construct (pA20PR-Luc) was
created and used in a series of cotransfection experiments to
investigate whether PML affects the transactivation of the A20
promoter. We first investigated the effects of PML expression on
TNF
-induced activation of the A20 promoter. In the cotransfection
experiments, U2OS cells were transiently transfected with
pcDNA3/PML or pcDNA3 and pA20PR-Luc. After 24 h, cells
were treated with TNF
for 2 and 4 h. The results of this study
presented in Fig. 2a
demonstrate that the presence of PML significantly represses A20
promoter activity. A similar experiment was performed using the stable PML/U2OS cells and the control pMEP4/U2OS cells transfected with pA20PR-Luc followed by treatment with PMA. This experiment further showed that PML significantly represses transactivation of the A20
promoter in PML/U2OS cells treated with Cd2+ (Fig.
2b). No inhibitory effects of the A20 promoter were found in
pMEP4/U2OS control and PML/U2OS cells not treated with
Cd2+. These results demonstrated that PML represses the
promoter activity of A20 induced by treatment with TNF
and PMA.

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Fig. 2.
PML inhibits A20 promoter activity induced by
TNF and PMA. a, U2OS cells
were cotransfected with A20PR-Luc reporter (0.2 µg) and
pCDNA3/PML (0.8 µg) or pCDNA3 (0.58 µg) in 12-well plates.
After 24 h, cells were treated with 20 ng/ml TNF for the
indicated times. Total proteins were isolated, and luciferase activity
was determined using the luciferase assay kit (Promega). b,
PML/U2OS and pMEP4/U2OS stable cells induced or uninduced with 5 µM Cd2+ were transfected with A20PR-Luc
reporter plasmid. After 24 h, cells were treated with 10 ng/ml PMA
for the indicated times. Luciferase activity was determined as
described above. The expression plasmid pCMV/ -galactosidase was
included in each transfection assay to normalize transfection
efficiencies.
|
|
PML Inhibits Transcriptional Activation of the A20
Promoter--
A20 is a downstream target gene of NF
B inducible
by TNF treatment. Therefore, we speculate that PML represses
transcription of A20 through the inhibition of the NF
B function. To
test this hypothesis, a series of cotransfection experiments was
performed with pA20PR-Luc in the presence of RelA/p65 expression
plasmid and increasing concentrations of pcDNA/PML. The results
presented in Fig. 3 demonstrate that the
presence of RelA/p65 dramatically activated the promoter activity of
A20. Cotransfection with pcDNA3/PML at increasing concentrations
significantly repressed A20 promoter activity in a
dose-dependent manner. This result indicates that PML
represses the RelA/p65-dependent transactivation of the A20 promoter.

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Fig. 3.
PML inhibits A20 promoter activity through
NF B sites. U2OS cells were cotransfected
with A20PR-Luc reporter (0.2 µg), pCDNA3/p65 (0.05 µg), and the
indicated amount of pCDNA3/PML in 12-well plates. An equal molar of
final DNA concentration in each cotransfection assay was adjusted by
the addition of pcDNA3 plasmid. After 24 h, total protein was
isolated, and luciferase activity was determined. The expression
plasmid pCMV/ -galactosidase was included in each transfection to
normalize transfection efficiencies.
|
|
PML Interferes with NF
B Binding to the A20 Promoter--
The
study described above suggests that PML represses
RelA-dependent transactivation by interfering with NF
B
binding to the A20 promoter. To further understand how PML represses
transactivation of the A20 promoter through NF
B, electrophoretic
mobility shift assay was performed using nuclear protein isolated from
stable inducible cell lines pMEP4/U2OS and PML/U2OS treated or
untreated with TNF
. In this assay, electrophoretic mobility shift
assay was performed using the DNA sequence derived from the NF
B site of the A20 promoter. The results presented in Fig.
4 demonstrate that the expression of PML
inhibited the binding of p65/RelA to the consensus sequences
(lanes 5 and 6). Together, these studies suggest
that PML inhibits NF
B binding to the promoter of A20 and
consequently represses its transactivation.

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Fig. 4.
PML interferes with
NF B binding to A20 promoter. Nuclear
extracts were isolated from the inducible stable cell lines pMEP4/U2OS
and PML/U2OS pretreated with 5 µM Cd2+ for
20 h and activated with TNF (20 ng/ml) for 20 min.
electrophoretic mobility shift assay was performed using NF B probe
derived from the A20 promoter. SS, supershift.
|
|
Overexpression of A20 Inhibits Apoptosis Induced by
PML/TNF
--
It is clear that A20 is a target gene of NF
B
inducible by TNF
(25). There is also an abundance of evidence to
suggest that A20 acts as a potent inhibitor of NF
B (27-29). This
raises the possibility that A20 plays an important role as a negative feedback regulator of NF
B functions. To investigate the possible functional interaction between PML and A20, we investigated whether the
expression of A20 has any significant effects on PML/TNF
-induced apoptosis in U2OS cells. To address this question, a pool of inducible stable cell lines of A20 in U2OS cells driven by the metallothionine promoter was established. The expression of A20 can be induced by a low
concentration of Cd2+ (Fig.
5a). A control cell line
(pMEP4/U2OS) transfected with the empty vector alone was also
established. The results presented in Fig. 5b show that a
significant degree of cell death was induced after a 24-h infection
with recombinant PML adenovirus (Ad-PML) and 8-h treatment with TNF
.
However, PML/TNF
-induced cell death was significantly reduced in
cells overexpressing A20, indicating that A20 inhibited apoptosis
induced by PML/TNF
. The results shown in Fig. 5c
demonstrate that control pMEP4/U2OS cells treated with PML/TNF
significantly activated procaspase-7; however, in cells overexpressing
A20, procaspase-7 activation was significantly reduced. Thus, this
study demonstrated that A20 inhibits cell death induced by PML/TNF
in TNF-resistant cells.

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Fig. 5.
Overexpression of A20 inhibits
TNF /PML induced apoptosis. a,
inducible expression of A20 by Cd2+ in A20/U2OS stable cell
line. A20/U2OS cells were treated with the indicated concentration of
Cd2+ for 18 h, and total protein was isolated and
subjected to Western blot analysis with anti-A20 and anti-tubulin
antibodies. b and c, overexpression of A20
inhibits apoptosis induced by PML/TNF . The inducible stable cell
lines pMEP4/U2OS and A20/U2OS were treated (or untreated) with 5 µM Cd2+ and infected with Ad-C or
Ad-PML (30). After 16 h, cells were treated (or untreated) with
TNF (20 ng/ml) and then allowed to continue culturing for another
8 h. Cell death was determined by trypan blue exclusion assay
(b) and by caspase-7 (c) activation assay.
|
|
 |
DISCUSSION |
PML was originally cloned and characterized for its
involvement in the nonrandom chromosomal translocation
t(15;17), which occurs in ~99% of APL cases. The
importance of PML in maintaining normal cellular function was
unambiguously demonstrated by its essential role in multiple pathways
of apoptosis (4, 5) and cell cycle progression (3, 6, 7). PML and PML
NBs are induced by interferons and inflammatory stimuli (31-33),
indicating that they have a role in response to inflammation and viral
infection. PML is a cell growth and tumor suppressor; however, the
mechanisms by which PML exerts its tumor suppressor function remains
unclear. In MCF-7 cells, the overexpression of PML induced
G1 cell-cycle arrest associated with an upregulation of
p21, p53, cyclin D, and hypophosphorylation of the Rb (6).
Unphosphorylated Rb binds the E2F transcription factor and limits its
ability to activate the transcription of genes essential for the
G1 to S transition (34).
PML does not bind DNA directly; however, it plays a role in
transcriptional regulation through its association with the
transcription coactivator CREB-binding protein and interacts with the
transcription corepressor histone deacetylases (13, 14, 22). PML
activates transcription by binding and sequestering the negative
regulator, Daxx (35-37), interacting with p53 (18-20) and recruiting
p53 to the PML NB to enhance transactivation of p53 target genes. PML also represses transcription by interacting with transcription factor
Sp1 and interfering with its binding to the epidermal growth factor
receptor promoter (24). The results presented in Fig. 4 suggest a
similar mechanism of transcriptional repression by PML. In this case,
PML represses transcription of the A20 gene by interfering with NF
B
binding to the promoter. It is not clear why and how PML is involved in
these two opposite functions in transcriptional regulation. Recent
studies suggest that PML NB may serve as the storage site of important
cellular regulatory proteins. Increased expression of PML may sequester
these protein factors to the PML NBs and consequently limit their
normal functional roles as a transcription activators or repressors.
Although a role of PML in multiple pathways of apoptosis has been
clearly established, the molecular mechanisms remain unclear. PML is
required for Daxx-induced apoptosis in mouse splenocytes. In the
absence of PML, cellular localization of Daxx was altered, and its
proapoptotic function was impaired (36). In these cells, the ability of
Daxx to sensitize Fas-induced apoptosis was abrogated (36). Daxx was
also shown to specifically enhance Fas-induced apoptosis (38) in human
cells by association with PML NB through a mechanism that involved the
activation of caspase 8 and caspase 3; however, it is not known what
role PML plays in TNF-induced apoptosis.
The results presented in this report support the novel mechanism of
PML-induced apoptosis in inhibiting the expression of A20, a potent
inhibitor of TNF-induced apoptosis. This study showed that PML
represses the promoter activity of A20 induced by treatment with TNF
and PMA. PML inhibits transactivation of the A20 promoter by
interfering with NF
B binding to its consensus cis-acting
element. This finding was further supported by the study showing that
stable overexpression of A20 significantly inhibited apoptosis induced by the combined effects of PML and TNF
(Fig. 5). This study
indicates that PML sensitizes TNF
-induced cell death by repressing
the expression of A20 and inhibits its anti-apoptotic function.
A20 is a novel zinc finger protein first described as an early
responsive gene inducible by TNF treatment (25). It was originally characterized as an inhibitor of TNF-induced apoptosis (26). A20 is
also a potent inhibitor of NF
B activation induced by not only TNF
but also by interleukin-1, lipopolysaccharide, PMA, and hydrogen
peroxide (39). This inhibitory effect may be mediated through its
interaction with tumor necrosis factor receptor-associated factors (40) or other A20 binding proteins (41). Interestingly, the expression of A20 is controlled by NF
B, suggesting that it is
involved in a negative feedback mechanism in regulating NF
B. NF
B
is an important transcription factor that regulates the expression of
many mediators of inflammation (42) and anti-apoptotic proteins involved in the survival pathway (43, 44). The finding that PML
represses the transcription of the A20 promoter by interfering with
NF
B binding is interesting. It will be important to further investigate the mechanism by which PML inhibits the binding of NF
B
to its target DNA sequence and to examine whether the two proteins are
functionally associated in vivo.
 |
ACKNOWLEDGEMENT |
We thank Vickie Williams for critical reading
of the paper.
 |
FOOTNOTES |
*
This study was supported by National Institutes of Health
Grant CA55577 (to K. S. C.). DNA sequencing was performed by the DNA
Analysis Core Facility, which is supported by Core Grant CA-16672 from
the NCI, National Institutes of Health.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.
To whom correspondence should be addressed: Dept. of Molecular
Pathology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Box 89, Houston, Texas 77030. Tel.: 713-792-2581; Fax:
713-794-4672; E-mail: kchang@mail.mdanderson.org.
Published, JBC Papers in Press, June 21, 2002, DOI 10.1074/jbc.M201648200
 |
ABBREVIATIONS |
The abbreviations used are:
PML, promyelocytic leukemia;
APL, acute promyelocytic leukemia;
NB, nuclear
body;
TNF
, tumor necrosis factor
;
PMA, phorbol 12-myristate
13-acetate;
Luc, luciferase;
HA, hemagglutinin;
PIPES, 1,4-piperazinediethanesulfonic acid;
CREB, cAMP-response
element-binding protein.
 |
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