Originally published In Press as doi:10.1074/jbc.M300997200 on April 24, 2003
J. Biol. Chem., Vol. 278, Issue 26, 23630-23638, June 27, 2003
Evidence That Phosphatidylinositol 3-Kinase- and Mitogen-activated Protein Kinase Kinase-4/c-Jun NH2-terminal Kinase-dependent Pathways Cooperate to Maintain Lung Cancer Cell Survival*
Ho-Young Lee
,
Harish Srinivas
,
Dianren Xia
,
Yiling Lu
,
Robert Superty
,
Ruth LaPushin
,
Candelaria Gomez-Manzano
,
Anna Maria Gal
,
Garrett L. Walsh ¶,
Thomas Force ||,
Kohjiro Ueki **,
Gordon B. Mills
and
Jonathan M. Kurie

From the
Departments of
Thoracic/Head and Neck
Medical Oncology,
Molecular Therapeutics, and
¶Thoracic and Cardiovascular Surgery, The
University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, the
||Molecular Cardiology Research Institute, New
England Medical Center, Boston, Massachusetts 02111, and the
**Research Division, Joslin Diabetes Center and
Departments of Medicine and Cell Biology, Harvard Medical School, Boston,
Massachusetts 02215
Received for publication, January 29, 2003
, and in revised form, April 17, 2003.
 |
ABSTRACT
|
|---|
Cancer cells in which the PTEN lipid phosphatase gene is deleted
have constitutively activated phosphatidylinositol 3-kinase (PI3K)-dependent
signaling and require activation of this pathway for survival. In non-small
cell lung cancer (NSCLC) cells, PI3K-dependent signaling is typically
activated through mechanisms other than PTEN gene loss. The role of
PI3K in the survival of cancer cells that express wild-type PTEN has
not been defined. Here we provide evidence that H1299 NSCLC cells, which
express wild-type PTEN, underwent proliferative arrest following
treatment with an inhibitor of all isoforms of class I PI3K catalytic activity
(LY294002) or overexpression of the PTEN lipid phosphatase. In
contrast, overexpression of a dominant-negative mutant of the p85
regulatory subunit of PI3K (
p85) induced apoptosis. Whereas PTEN and
85 both inhibited activation of AKT/protein kinase B, only
p85
inhibited c-Jun NH2-terminal kinase (JNK) activity. Cotransfection
of the constitutively active mutant Rac-1 (Val12), an
upstream activator of JNK, abrogated
p85-induced lung cancer cell
death, whereas constitutively active mutant mitogen-activated protein kinase
kinase (MKK)-1 (R4F) did not. Furthermore, LY294002 induced apoptosis
of MKK4-null but not wild-type mouse embryo fibroblasts. Therefore,
we propose that, in the setting of wild-type PTEN, PI3K- and
MKK4/JNK-dependent pathways cooperate to maintain cell survival.
 |
INTRODUCTION
|
|---|
Class I phosphatidylinositol 3-kinase
(PI3K)1 consists of a
family of heterodimeric complexes composed of a p110 catalytic subunit and a
regulatory subunit that exists predominantly in a p85 form
(13).
The known gene family members for p85 (
,
, and
)
and p110 (
,
,
, and
) are expressed in a
tissue-specific fashion. p85
and -
can also exist in smaller
forms (p50 and p55). PI3K phosphorylates the D3 position of PI on PI(4)P and
PI(4,5)P to produce PI(3,4)P2 and PI(3,4,5)P3. The
3' sites of PI(3,4)P2 and PI(3,4,5)P3 are
dephosphorylated by the PTEN tumor suppressor, whereas the 5' site of
PI(3,4,5)P3 is dephosphorylated by SHIP to produce
PI(3,4)P2 (1). These
mechanisms tightly regulate the levels of 3-phosphorylated PI in the cell.
PI(3,4,5)P3 and PI(3,4)P2 recruit the pleckstrin
homology domains of specific intracellular proteins to the plasma membrane, an
essential event in the activation of PI3K-dependent kinases such as
phosphoinositide-dependent kinase-1 and AKT, also known as protein kinase B.
In addition, AKT phosphorylation at Thr308 by
phosphoinositide-dependent kinase-1 and Ser473 by integrin-linked
kinase (and possibly other kinases) constitutes an essential event in AKT
activation (4,
5).
The PI3K pathway clearly has a key role in cellular survival and
transformation. AKT phosphorylates several pro- and anti-apoptotic proteins,
including the Bcl-2 family member BAD, caspase-9, cyclic AMP response
element-binding protein, the inhibitor of NF-
B kinase IKK
, and
forkhead transcription factor-1
(6). Tumor cells feature
genetic and epigenetic alterations of p85
,
p110
/
, AKT2, AKT3, and PTEN that
activate PI3K-dependent signaling
(713).
In vitro studies have confirmed the oncogenic effects of PI3K and its
downstream mediators as well as the tumor-suppressive properties of PTEN
(1419).
PI3K mediates its oncogenic effects, in part, through the GTP-binding
protein Rac-1, which plays a key role in the reorganization of the actin
cytoskeleton induced by growth factors or oncogenic Ras
(20). p85
interacts
directly with Rac-1 (21). Ras
activates Rac-1 indirectly as a consequence of PI3K-mediated phosphorylation
of membrane PIs (22).
PI(3,4,5)P3 binds to the guanosine nucleotide-exchange factor SOS,
stimulating SOS to load Rac-1 with GTP, an essential event in Rac-1
activation. Rac-1, in turn, activates downstream signaling through PAK-1 and
its mediators, which include mitogen-activated protein kinase kinase-4 (MKK4)
and its substrates c-Jun NH2-terminal kinase (JNK) and p38/HOG1
(23).
Certain cancer cell types with PTEN gene loss have constitutively
active PI3K and undergo apoptosis in response to pharmacologic or genetic
inhibition of PI3K (24). Most
non-small cell lung cancer (NSCLC) cell lines demonstrate hallmarks of PI3K
pathway activation, such as phosphorylation of AKT and its downstream
mediators, but have a wild-type PTEN gene
(2530).
Despite having wild-type PTEN, NSCLC cells undergo apoptosis in
response to PI3K pathway inhibition
(25). The apoptosis reported
by Brognard et al.
(25) may depend in part on the
absence of serum, which rescues cells from apoptosis induced by PI3K
inhibition (18,
19,
31,
32). Thus, serum-induced
activation of other peptide growth factor-induced signaling pathways can
overcome the pro-apoptotic effect of PI3K inhibition. In this study, we
investigated the signaling pathways that interact with PI3K to control NSCLC
cell survival. Using pharmacologic and genetic approaches, we found that
inhibition of PI3K-dependent signaling alone induced proliferative arrest,
whereas inhibition of both PI3K and MKK4/JNK-dependent pathways induced
apoptosis. These findings indicate that, in the setting of wild-type
PTEN, PI3K- and MKK4/JNK-dependent pathways cooperate to maintain
cell survival.
 |
EXPERIMENTAL PROCEDURES
|
|---|
ReagentsH358, H661, Calu-6, H460, H226B, H226Br, H441, and
H1299 NSCLC cells were maintained in RPMI 1640 supplemented with 10% fetal
calf serum (complete medium). COS-7 cells and MKK4-null and wild-type
mouse embryo fibroblast (MEF) cells
(33) were maintained in
Dulbecco's modified Eagle's medium supplemented with 10% fetal calf serum. We
purchased epidermal growth factor (EGF) (Invitrogen), insulin-like growth
factor-1 (IGF-1) (R&D Systems, Minneapolis, MN), the class I PI3K
inhibitor LY294002 (Calbiochem, La Jolla, CA), tumor necrosis factor-
(Sigma), recombinant GST-c-Jun (Santa Cruz Biotechnology, Santa Cruz, CA),
myelin basic protein (MBP) (New England Biolabs, Beverly, MA), GST-GSK3
(Santa Cruz), and protein A-G-agarose beads (Santa Cruz). We also purchased
rabbit polyclonal antibodies against human phospho-AKT (pAKT1;
Ser473) and AKT1 (New England Biolabs), phospho-JNK
(Thr183/Tyr185; Cell Signaling Technologies),
p85
, cyclin-dependent kinase (CDK) 2, and p27 (Santa Cruz), and murine
monoclonal antibodies against human PTEN (Santa Cruz), phosphoextracellular
signal-regulated kinase (ERK) (Thr202/Tyr204; Cell
Signaling), caspase-3 and -9 (BD Pharmingen), poly(ADP-ribose) polymerase
(VIC5) (Roche Diagnostics), and goat polyclonal antibodies against human
ERK1/2, JNK-1, and
-actin (Santa Cruz). The adenoviral vector expressing
wild-type p85
(Adex1CAp85
-HA) has been described elsewhere
(34). A recombinant adenovirus
expressing human PTEN under the control of a cytomegalovirus (CMV) promoter
was a gift from Dr. W. K. A. Yung (M. D. Anderson Cancer Center). Plasmid
expression vectors containing Rac-1 (Val12) and
MKK1 (R4F) were gifts from Dr. Melanie Cobb (The University of Texas
Southwestern Medical Center, Dallas, TX).
Generation of Ad5-
p85
p85 is
a bovine p85
mutant lacking 35 amino acids (residues Met479
to Lys513) in the inter-SH2 region that are necessary for binding
to the p110 catalytic subunit
(35). The
p85
cDNA was inserted into the 5' end of the bovine growth hormone
polyadenylation signal at the HindIII site of the pAd-shuttle vector,
which was a gift from Dr. Jack Roth (M. D. Anderson Cancer Center). The
p85-containing shuttle vector was digested with
BstI/ClaI and inserted into the pAd-speed vector
(36). 293 cells were
transfected with the resulting plasmid and then maintained until the onset of
the cytopathic effect. Viral titers were determined by plaque assays and
spectrophotometric analysis. The presence of
p85 in viral
particles was confirmed by dideoxy-DNA sequencing and Western blot
analysis.
Cell Growth AssaysNSCLC cell lines were seeded at 12
x 103 cells/well in 96-well plates. After 24 h, cells were
incubated in serum-free conditions with 5 x 102, 1 x
103, 5 x 103, or 1 x 104 p/cell
of Ad5-
p85, Ad5-PTEN, or Ad5-CMV (control virus). After 2 h, cells were
changed to complete medium. In the case of LY294002 treatment, cells were
treated with 0.2, 2, 20, 40, 60, or 80 µM LY294002 in complete
medium, which was changed every 48 h. After 5 days, cell growth was measured
by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay.
Western Blot AnalysisWhole cell lysates were prepared by
incubating cell pellets in lysis buffer (50 mM HEPES (pH 7.5), 150
mM NaCl, 1.5 mM MgCl2, 1 mM EDTA,
0.2 mM EGTA, 1% Nonidet P-40, 10% glycerol, 1mM
dithiothreitol, 1 mM phenylmethylsulfonyl fluoride, 20
mM sodium fluoride, 5 mM sodium orthovanadate, 10
µg/ml aprotinin, 10 µg/ml leupeptin, 2 µg/ml pepstatin, and 1
mM benzamidine) for 20 min on ice. After clarification by
centrifugation at 13,000 x g for 20 min, the supernatants were
collected, and the protein concentration was determined with a BCA protein
assay kit (Pierce). Cell lysates (30 µg) were subjected to SDS-PAGE and
transferred onto a polyvinylidene fluoride nitrocellulose membrane (Bio-Rad).
Membranes were immunoblotted overnight at 4 °C with primary antibodies in
Tris-buffered saline containing 5% nonfat dry milk. Antibody binding was
detected with an electrochemiluminescence kit (Amersham Biosciences) according
to the manufacturer's directions.
Cell Cycle and Apoptosis AssaysFor these experiments, 1
x 106 H1299 cells were transferred onto 100-mm plates.
Twenty-four hours later, the cells were incubated with 1 x
103,5 x 103,or1 x 104 particles
of Ad5-
p85 or Ad5-PTEN per cell. For combination treatments, H1299
cells were transiently transfected with 5 µg of plasmids containing
Rac-1 (Val12), MKK1 (R4F), or empty vector using
FuGENE (Roche Diagnostics). After 6 h, the cells were incubated for 2 h in
serum-free conditions with Ad5-
p85 or Ad5-CMV at 1 x
103 or 5 x 103 particles/cell. Cells were allowed
to grow in complete medium for 48 h before being subjected to apoptosis
assays.
Apoptosis and cell cycle progression were measured by TUNEL with the
APO-BRDU staining kit (Phoenix Flow Systems, San Diego, CA). Floating cells
and attached cells were dispersed with trypsin-EDTA, pelleted, washed, and
fixed in 1% paraformaldehyde for 15 min on ice and then fixed in 70% ethanol.
The fixed cells were washed and incubated with DNA labeling solution
containing terminal deoxynucleotidyltransferase reaction buffer,
deoxynucleotidyltransferase enzyme, and bromodeoxyuridine triphosphate
(BrdUrd-dUTP). The cells were rinsed before being resuspended with
fluorescein-PRB-1 antibody solution and analyzed by flow cytometry in the
presence of propidium iodide/RNase solution. Analyses of 3,000 to 10,000
events were done with a FACScan flow cytometer (BD Pharmingen) equipped with a
488-nm argon ion laser and two software packages: CellQuest 3.1 (BD
Pharmingen) and ModFit LT 2.0 (Verity Software House, Topsham, ME). Live
gating of the forward and orthogonal scatter channels was used to exclude
debris and to selectively acquire cell events. A dual display of DNA area
(linear red fluorescence) and BrdUrd-dUTP incorporation (FITC-PRB-1) was used
to determine the percentage of propidium iodine-stained cells that were
apoptotic.
Apoptosis was also determined by the detection of nucleosomal DNA
fragmentation by using the TACS apoptotic DNA laddering kit (Trevigen, Inc.,
Gaithersburg, MD) according to the manufacturer's protocol. Briefly, DNA was
isolated from cells after adenovirus transfection or LY294002 treatment by
incubating them in lysis buffer. DNA samples were subjected to electrophoresis
on a 1.5% agarose gel and visualized by ethidium bromide staining.
Immune Complex Kinase AssayH1299 cells were incubated for 2
h with Ad5-CMV, Ad5-
p85, or Ad5-PTEN at 1 x 103, 5
x 103, or 1 x 104 p/cell in serum-free
conditions, changed to complete medium, and incubated for 48 h. Cells were
then washed twice in 1x phosphate-buffered saline, serum-starved for 24
h, treated with 50 ng/ml EGF for 15 min, and lysed in lysis buffer. Extracts
were subjected to immunoprecipitation (100 µg) with antibodies to JNK1,
AKT1/2, or ERK1/2 by rotation at 4 °C overnight. Protein A-G-agarose beads
(20 µl) were added, and the solution was incubated at 4 °C for 1 h. The
beads were washed three times with lysis buffer and once with kinase buffer
(20 mM Hepes (pH 7.5), 20 mM
-glycerol phosphate,
10 mM MgCl2, 1 mM dithiothreitol, and 50
mM sodium orthovanadate). Kinase assays were performed by
incubating the beads with 30 µl of kinase buffer, to which 20
µM cold ATP, 5 µCi of [
-32P]ATP (2,000
cpm/pmol), and 2 µg of GST-c-Jun, GST-GSK3
, or MBP as substrates were
added. The kinase reaction was performed at 30 °C for 20 min. The samples
were then suspended in 1x Laemmli buffer and boiled for 5 min, and the
samples were analyzed by 12% SDS-PAGE. The gel was dried and
autoradiographed.
Immune complex assays were also performed with COS-7 cells, which were
transiently transfected for 6 h with 5 µg of plasmids containing
Rac-1 (Val12), MKK1 (R4F), or empty vector using
FuGENE. The cells were then transfected with Ad5-
p85 or Ad5-CMV (1
x 103 or 5 x 103 particles/cell) and
incubated in complete medium for 24 h. The cells were then changed to
serum-free medium for 24 h, treated with IGF-1 (50 ng/ml) for 15 min, and
lysed. JNK and ERK were immunoprecipitated from 100 µg of total cell
lysates and subjected to kinase assays using GST-c-Jun and MBP, respectively,
as substrates.
Rac-1 Activity AssaysPull-down assays with GST-tagged p21
binding domain (PBD) of PAK-1 were performed as follows. COS-7 cells were
co-transfected with 2 µg of HA-tagged p85
, HA-tagged
p110
, and
p85 (2, 4, or 6 µg) using
LipofectAMINE (Invitrogen). Total amount of DNA transfected per plate was
equalized with empty vector. After 6 h, transfectants were washed and changed
to normal growth medium. After 24 h, transfectants were serum-starved for 16
h, treated with 50 ng/ml EGF or IGF-1 for 15 min, and lysed. PAK-1 PBD-agarose
(5 µg in a 50% slurry) was added to the lysates and the mixture was
incubated for 1 h at 4 °C. The bead pellet was collected by centrifugation
(5 s at 14,000 x g) and the supernatant was drained off. The
beads were then washed and suspended in 20 µl of 1x Laemmli sample
buffer. Proteins were separated by 12% SDS-PAGE, transferred to nitrocellulose
membrane, and blotted against Rac-1 and CDC42 polyclonal antibodies.
 |
RESULTS
|
|---|
PI3K-dependent Pathway Contributes to NSCLC Cell Proliferation and
SurvivalWe investigated the effects of PI3K inhibition on the
proliferation and viability of H1299 NSCLC cells, which have a wild-type
PTEN gene (27). H1299
cells were transfected with recombinant adenoviruses that express
PTEN (Ad5-PTEN) or
p85 (Ad5-
p85), a p85
dominant-negative mutant lacking the inter-SH2 residues required for binding
to the p110 catalytic domain
(35). Transfection of H1299
cells with Ad5-PTEN or Ad5-
p85 increased the expression of the
adenoviral gene products and suppressed pAKT levels
(Fig. 1), providing evidence
that these adenoviral vectors effectively blocked PI3K-dependent signaling.
When H1299 cells were incubated with Ad5-PTEN or Ad5-
p85, cell number
decreased in a dose-dependent fashion (Fig.
2, A and B). H1299 cell number also decreased in
a dose-dependent manner after treatment with LY294002, a competitive inhibitor
of ATP binding to all isoforms of class I PI3K
(Fig. 2C). Other NSCLC
cell lines with wild-type PTEN (H358, Calu-6, H460, H661, H226B,
H441, H1299, and H226Br) underwent a similar decrease in cell number following
treatment with LY294002 or transfection with Ad5-
p85 or Ad5-PTEN (data
not shown).

View larger version (21K):
[in this window]
[in a new window]
|
FIG. 2. Effect of PI3K inhibition on H1299 cell numbers. H1299 cells were
(A) incubated with the indicated titers of Ad5-PTEN or Ad5-CMV,
(B) incubated with the indicated titers of Ad5- p85 or Ad5-CMV,
or (C) treated with medium alone (0) or the indicated doses of
LY294002. The cells were incubated for 5 days, at which time they were
subjected to 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
assays. Results are expressed relative to the density of cells treated with
medium alone. Each value is the mean (± S.D.) of five identical
wells.
|
|
We next investigated whether PI3K inhibition induced proliferative arrest
or apoptosis of NSCLC cells by performing flow cytometric analysis of H1299
cells transfected with Ad5-PTEN or Ad5-
p85 and then stained with
propidium iodide (Fig.
3A). Ad5-PTEN transfection induced proliferative arrest
in the G0/G1 phase of the cell cycle, with minimal
evidence of programmed cell death, as shown by the lack of a hypodiploid peak.
Although Ad5-
p85 transfection also caused an accumulation of cells in
G1, its most striking effect was apoptosis, as indicated by the
appearance of a hypodiploid peak. We examined this finding further by using
terminal deoxynucleotidetransferase nick-end labeling (TUNEL), a more
sensitive assay for apoptosis, and found low levels of DNA fragmentation in
cells transfected with Ad5-PTEN (Fig.
3B). In contrast, transfection with Ad5-
p85
produced much more DNA fragmentation, which is compatible with the induction
of high levels of apoptosis (Fig.
3B).
We investigated the effect of Ad5-PTEN and Ad5-
p85 on signaling
events known to contribute to apoptosis, proliferative arrest, or both
(Fig. 4). Ad5-
p85
transfection reduced the levels of procaspase-9, procaspase-3, and
poly(ADP-ribose) polymerase, demonstrating evidence of caspase activation and
proteolysis of a caspase-3 substrate. In contrast, Ad5-PTEN transfection
decreased CDK2 levels and increased p27 CDK inhibitor levels without evidence
of caspase activation or poly-(ADP-ribose) polymerase cleavage. Together,
these findings support a role for PI3K in the proliferation of NSCLC cells and
demonstrate a pro-apoptotic effect of
p85.
p85 Inhibits the Activity of MAP Kinases
p85
induced apoptosis of NSCLC cells whereas PTEN did not. Therefore, we
hypothesized that inhibition of the PI3K/AKT pathway was required but not
sufficient to induce apoptosis. We sought to identify additional survival
signals typically activated by peptide growth factors that are inhibited by
p85. Receptor tyrosine kinases maintain NSCLC cell survival, in part,
by activating MAP kinases
(37). We investigated the role
of MAP kinases in
p85-induced cell death. H1299 NSCLC cells were
incubated with Ad5-PTEN or Ad5-
p85, treated with EGF, and subjected to
in vitro kinase assays of JNK and ERK activity
(Fig. 5). ERK activity
increased in cells incubated with Ad5-CMV. Ad5-PTEN and Ad5-
p85 had
similar, dose-dependent effects on ERK activity. Relative to the effect of
Ad5CMV, ERK activity increased with low dose (103 particles/cell)
and decreased with high dose (5 x 103 or 104
particles/cell) Ad5-PTEN or Ad5-
p85. JNK activity decreased minimally
after Ad5-PTEN and, to a much greater extent, after Ad5-
p85 incubation.
Thus,
p85 was unique in its ability to inhibit JNK activity.
We investigated the mechanism by which
p85 inhibited JNK. p85
associates with Rac-1, an upstream activator of JNK, and activates Rac-1
through association with a multiprotein complex that binds to p85 SH2 domains
(38). We investigated whether
wild-type p85
and
p85 differ in their ability to activate Rac-1.
We quantitated Rac-1 activity in cell extracts using a pull-down assay with a
GST-tagged PBD of PAK-1, which associates selectively with GTP-bound
(activated) Rac-1 or CDC42. PBD-associated proteins are subjected to Western
analysis to quantitate Rac-1 and CDC42. We performed this experiment in COS-7
cells, in which peptide growth factors activate Rac-1 through a PI3K-dependent
mechanism (21,
22). Using this assay we
showed that Rac-1 is activated by treatment with EGF or IGF-1
(Fig. 6A). COS cells
were co-transfected with wild-type p85 and increasing amounts of
p85 and treated with EGF to activate Rac-1. Relative to the
effect of wild-type p85,
p85 inhibited peptide growth
factor-induced activation of Rac-1 but not CDC42
(Fig. 6B). Thus, in
contrast to the stimulatory effect of p85
,
p85
inhibited Rac-1.
p85
serves both to stabilize p85 protein and to inactivate PI3K
lipid kinase activity (39).
Therefore, we tested the hypothesis that Ad5-
p85 inhibits intracellular
signaling activity by increasing intracellular p85 protein levels. We
incubated H1299 NSCLC cells with various doses of Ad5-
p85 or an
adenoviral vector expressing full-length p85
(Adex1CAp85
-HA) and examined their relative effects on EGF-induced
phosphorylation and activation of AKT, JNK, and ERK by Western blotting and
in vitro kinase assays (Fig.
7). We measured the intensity of pAKT, GST-GSK3, total AKT, and
p85 bands by densitometric scanning and corrected for differences in total p85
and AKT protein levels at each virus dose. pAKT levels in cells transfected
with 103, 5 x 103, and 104
particles/cell of Ad5-
p85 were 20.6, 74.6, and 56.7%, respectively, of
pAKT levels in cells transfected with the same doses of Adex1CAp85
-HA
(Fig. 7, top). In
vitro kinase assays using GST-GSK3 as substrate demonstrated that
Ad5-
p85 inhibited AKT kinase activity to a greater extent than
Adex1CAp85
-HA (Fig. 7,
top). In contrast to Ad5-
p85, Adex1CAp85
-HA increased
the phosphorylation and activity of JNK and minimally increased ERK activity
(Fig. 7, middle and
bottom). Treatment with LY294002 did not block the effects of
Adex1CAp85
-HA on JNK and ERK (data not shown), providing evidence that
PI3K activity was not required. These findings indicate that increasing the
levels of wild-type p85
was not sufficient to recapitulate the effects
of
p85 on AKT, JNK, and ERK.

View larger version (94K):
[in this window]
[in a new window]
|
FIG. 7. Effect of wild-type p85 and p85 on AKT, JNK, and ERK.
H1299 cells were incubated with no virus (lanes designated and
EGF), empty vector (Ad5) at 104 particles/cell,
Adex1CAp85 -HA (Ad-WTp85), which expresses wild-type
p85 , or Ad5- p85 at 103, 5 x
103, or 104 particles/cell. After transfection, the
cells were grown in complete medium at 37 °C for 48 h. The cells were then
subjected to serum-free conditions for 12 h (), treated for 15 min with
EGF (50 ng/ml), and lysed. Lysates were subjected to either Western blot
analysis (20 µg/sample) using antibodies to the indicated proteins or
immunoprecipitation (100 µg/sample) to isolate AKT, JNK, and ERK for in
vitro kinase assays using GST-GSK3, GST-c-Jun, and MBP, respectively, as
substrates.
|
|
MAP Kinase Signaling Contributes to NSCLC Cell SurvivalWe
investigated the importance of JNK and ERK inhibition in
p85-induced
cell death by examining whether co-transfection of upstream activators of
these kinases would block
p85-induced cell death. In COS-7 cells, a
constitutively active mutant Rac-1 (Val12) blocked
p85-induced inhibition of JNK and ERK, whereas a constitutively active
mutant MAPK/ERK kinase (MKK1) (R4F) blocked
p85-induced
inhibition of ERK but not JNK (Fig.
8A). In H1299 NSCLC cells, Ad5-
p85-induced cell
death was abrogated by Rac-1 (Val12) but not by
MKK1 (R4F) (Fig. 8, B and
C). Together, these findings indicate that
p85-induced cell death requires inhibition of JNK but not ERK.

View larger version (38K):
[in this window]
[in a new window]
|
FIG. 8. Effects of constitutively active mutants of MKK1 (R4F) and
Rac-1 (Val12) on Ad5- p85-induced MAP kinase
inhibition and apoptosis. A, COS-7 cells were transiently
transfected for 6 h with 5-µg plasmids containing Rac-1
(Val12), MKK1 (R4F), or empty vector using FuGENE. The
cells were then transfected with Ad5- p85 or Ad5-CMV (1 x
103 or 5 x 103 particles/cell) and incubated for
24 h in complete medium. The cells were then changed to serum-free medium for
24 h, treated with IGF-1 (50 ng/ml) for 15 min, and lysed. JNK and ERK were
immunoprecipitated from 100-µg aliquots of total cell lysates and subjected
to kinase assays (KA) using GST-c-Jun and MBP, respectively, as
substrates. As a control, JNK1 and ERK1/2 levels were examined by Western blot
analysis (W). B, H1299 cells were transfected with 5 µg
of plasmids containing Rac-1 (Val12), MKK1 (R4F),
or empty vector (). The next day, the cells were incubated with Ad5-CMV
at 5 x 103 particles/cell () or Ad5- p85 at 1
x 103 or 5 x 103 particles/cell. Two days
later, floating and adherent cells were isolated, fixed in 1% paraformaldehyde
and 70% ethanol, stained with propidium iodide and APOBrdUrd, and subjected to
flow cytometric analysis. The percentage of dead cells was determined by
quantification of the pre-G1 cell population and is indicated in
the upper right corner of each flow diagram. C, H1299 cells
were transfected with Rac-1 (Val12) and then incubated
with increasing amounts of Ad5- p85, as described in panel b.
Genomic DNA was isolated from floating and adherent cells and subjected to
1.5% gel electrophoresis for DNA fragmentation analysis.
|
|
On the basis of these findings, we hypothesized that Rac-1 and its
downstream mediators (PAK-1/MKK4/JNK) cooperate with PI3K-dependent signaling
to maintain cell survival. To test this hypothesis, we examined whether PI3K
inhibition would be sufficient to induce apoptosis of MKK4-null MEF
cells. These cells did not activate JNK in response to EGF
(Fig. 9A). We treated
MKK4-null and wild-type MEF cells with LY294002 and examined them for
evidence of apoptosis. LY294002 treatment induced apoptosis in
MKK4-null MEF cells, but wild-type MEF cells demonstrated minimal
evidence of cell death (Fig. 9, B
and C). Together, these findings support the hypothesis
that PI3K- and MKK4-dependent pathways cooperate to maintain cell
survival.

View larger version (39K):
[in this window]
[in a new window]
|
FIG. 9. Relative to wild-type (+/+) MEF cells, MKK4-null
(/) cells exhibit defects in JNK activation in response to
specific stress activators and enhanced apoptosis in response to LY294002.
A, MEF cells were serum-starved overnight and then subjected to no
treatment () or treatment with UV light (60 J/m2 for 30
min), tumor necrosis factor- (TNF) (30 ng/ml for 30 min), or
EGF (50 ng/ml for 30 min). JNK was immunopurified and subjected to kinase
assays using GST-c-Jun as substrate. B and C, MEF cells were
treated for 3 days with the indicated doses of LY294002 or medium alone
() and subjected to (B) DNA fragmentation assay and
(C) TUNEL analysis as described under "Experimental
Procedures." The relative MKK4 expression levels in MKK4-null
and wild-type MEF cells were examined by Western blot analysis. The
percentages of apoptotic cells as determined by TUNEL analysis are indicated
in the upper left corner of each flow diagram.
|
|
 |
DISCUSSION
|
|---|
Cancer cells with PTEN gene loss require activation of the
PI3K-dependent pathway for survival. However, PI3K-dependent signaling is
activated in cancer cells through mechanisms other than PTEN gene
loss, as demonstrated in NSCLC cells, which typically have evidence of PI3K
pathway activation and express wild-type PTEN
(2530).
Here we investigated the role of PI3K in the survival of a NSCLC cell line
that expresses wild-type PTEN. We found that LY294002 treatment and
PTEN overexpression arrested cells in the G0/G1
phase of the cell cycle with minimal evidence of apoptosis. Unexpectedly, we
found that
p85 induced marked apoptosis.
Several lines of evidence presented here support the hypothesis that
p85 induced apoptosis through the combined inhibition of MAP kinase-
and PI3K-dependent pathways. First, in addition to inhibiting AKT,
p85
inhibited JNK activity. Second, constitutively active Rac-1
(Val12) blocked
p85-induced apoptosis of H1299 cells. Third,
LY294002 treatment induced apoptosis in MKK4-null MEF cells but not
wild-type MEF cells. The cooperative effect between PI3K and MAP kinase
pathways was specific to JNK-dependent signaling, as introduction of
constitutively active mutant MKK1 did not block apoptosis of H1299
cells induced by
p85. This finding is consistent with previous reports
that MAP kinase family members play distinct biological roles in tumor cells
(40,
41). Together, these findings
indicate that, in the setting of wild-type PTEN, PI3K- and
MKK4/JNK-dependent pathways cooperate to maintain cell survival.
Mechanisms by which
p85 inhibited JNK activity have not been fully
defined. Introduction of wild-type p85
did not recapitulate the effects
of
p85 on JNK and AKT, suggesting that
p85 functions through
mechanisms other than increasing intracellular levels of p85
, which
inactivates PI3K lipid kinase activity through changes in the stoichiometry of
p85:p110 (39). Alternatively,
p85 may inhibit recruitment of p85-associated proteins required for
activation of MAP kinase pathways by receptor tyrosine kinases. Supporting
this possibility, we found that
p85 inhibited Rac-1 activation by
peptide growth factors. The inhibitory effect of
p85 on peptide growth
factor-induced Rac-1 activation in lung cancer cells is not consistent with
previous reports that overexpression of
p85 stimulates Rac-1 activity
in T lymphocytes (42).
Although we have yet to identify the mechanism by which
p85 inhibits
Rac-1, cell type-specific factors may be important. Recent findings indicate
that p85 activates Rac-1 by associating with a multiprotein complex (including
Eps8, Abi1, and SOS-1) that binds to p85 SH2 domains
(38). We hypothesize that, in
certain cell types, the p85 inter-SH2 domain is also required for Rac-1
activation. Recent findings have shown that this region of p85 contains
several motifs that, in addition to binding to the p110 catalytic subunit,
interact with other factors regulated by GTPase- and tyrosine kinase-dependent
pathways (43), supporting the
possibility that another multiprotein complex associates with this region.
Additional studies will be needed to identify these proteins and to examine
their role in Rac-1 activation.
Although adenoviral vectors expressing PTEN and
p85 shared the ability to inhibit AKT activity, they differed
in other downstream signaling events. Ad5-PTEN increased p27 levels and
decreased CDK2 levels, which has been described previously in cells
transfected with adenoviral vectors expressing PTEN
(18,
44) and is consistent with the
G0/G1 proliferative arrest we observed. In contrast to
Ad5-PTEN, Ad5-
p85 did not increase p27 or decrease CDK2 levels. This
finding was somewhat surprising, given the ability of
p85 to inhibit
PI3K-dependent signaling. Analysis of the dose-dependent effects of Ad5-PTEN
and Ad5-
p85 demonstrated that Ad5-PTEN was a more potent inhibitor of
pAKT levels than was Ad5-
p85, which could account for their differences
in downstream signaling. The adenoviral dose-dependent changes in ERK activity
we observed in NSCLC cells transfected with Ad5-PTEN differs from observations
in glioblastoma and prostate cancer cells transfected with Ad-PTEN and in
PTEN-null embryonic stem cells, in which ERK activity did not change
(19,
4547).
This difference could be the result of cell type-specific factors or
nonspecific effects of exogenous PTEN in H1299 cells.
Previous studies have shown that MKK4 expression and activity are altered
in human tumor cells and that MKK4 can act as both a promoter and a suppressor
of human tumorigenesis. The MKK4 gene is deleted or mutated in a
subgroup of pancreatic, biliary, and breast carcinomas, and reintroduction of
MKK4 inhibits the metastatic ability of certain tumor cells,
demonstrating that MKK4 has tumor suppressor activity
(4850).
Potentially mediating this effect, Ras pathway activation increases the
expression of p53 and p16INK4a, which induces premature cellular
senescence; conversely, inactivation of p53 or p16 prevents Ras-induced growth
arrest (51). In contrast to
these studies, MKK4 is known to be a downstream mediator of Rac-1, and Rac-1
activation contributes to Ras-induced cellular transformation
(20), indicating that MKK4
plays a role in cellular transformation. Supporting the latter hypothesis, we
found that Rac-1 activation rescued lung cancer cells from
p85-induced
apoptosis, and MKK4 cooperated with PI3K to maintain MEF cell survival. This
finding supports in vitro studies of lung cancer cells demonstrating
that MKK4-dependent pathways play a dominant role in mutant Ras-induced colony
formation (52,
53). Thus, MKK4 and its
downstream mediators play apparently contradictory roles in the regulation of
cellular growth and transformation that may depend on the presence of cell
type-specific factors or the activity of tumor suppressor pathways that
inhibit the mitogenic and transforming effects of MKK4.
Findings presented here have implications for the design of effective
therapeutic approaches for lung cancer. Signal transduction inhibitors are
being assessed in clinical trials as therapeutic agents for several types of
cancer. The enthusiasm for these agents has been fueled by the efficacy of ABL
kinase inhibitors in the treatment of chronic myelogenous leukemia, which
arises from a reciprocal chromosomal translocation involving the Bcr
and Abl genes (54).
However, unlike chronic myelogenous leukemia, in which constitutively active
Abl is sufficient to induce the disease
(55), lung tumorigenesis is a
multistep process leading to aberrant activity of a variety of oncogenic and
tumor suppressive pathways. These pathways act in combination to induce
malignant transformation of NHBE cells and to maintain the survival of lung
cancer cells (56). Thus, in
patients with lung cancer, inhibition of multiple pathways may be necessary to
induce tumor regression. The findings presented here support the hypothesis
that PI3K- and MKK4/JNK-dependent pathways cooperate in lung cancer cells to
maintain their survival, and combination therapy targeting these pathways
should be considered in future clinical trials.
 |
FOOTNOTES
|
|---|
* This work was supported by National Institutes of Health Grants P50
CA70907, CA80686, CA82716, CA83639, DAMD17-01-1-0689, and CA64602. The costs
of publication of this article were defrayed in part by the payment of page
charges. This article must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section 1734
solely to indicate this fact. 

To whom correspondence should be addressed: Unit 432, The University of Texas
M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030-4009.
Tel.: 713-792-6363; Fax: 713-796-8655; E-mail:
jkurie{at}mdanderson.org.
1 The abbreviations used are: PI3K, phosphatidylinositol 3-kinase;
PI(3,4)P2, phosphatidylinositol 3,4-bisphosphate;
PI(3,4,5)P3, phosphatidylinositol 3,4,5-bisphosphate; PI(4,5)P,
phosphatidylinositol 4,5-phosphate; PI(4)P, phosphatidylinositol 4-phosphate;
MKK, mitogenactivated protein kinase kinase; JNK, c-Jun
NH2-terminal kinase; NSCLC, non-small cell lung cancer; MEF, mouse
embryo fibroblast; EGF, epidermal growth factor; IGF-1, insulin-like growth
factor-1; MAP, mitogen-activated protein kinase; SH2, Src homology domain 2;
HA, hemagglutinin; PBD, p21 binding domain; CMV, cytomegalovirus; GST,
glutathione S-transferase; MBP, myelin basic protein; GSK3, glycogen
synthase kinase 3; CDK2, cyclin-dependent kinase 2; ERK1/2, extracellular
signal-regulated kinase 1/2; BrdUrd, bromodeoxyuridine; PTEN, phosphatase and
tensin homolog deleted from chromosome 10. 
 |
REFERENCES
|
|---|
- Toker, A., and Cantley, L. C. (1997)
Nature 387,
673676[CrossRef][Medline]
[Order article via Infotrieve]
- Vanhaesbrock, B., Leevers, S. J., Panayotou, G., and Waterfield, M.
D. (1997) Trends Biochem. Sci.
22,
267272[CrossRef][Medline]
[Order article via Infotrieve]
- Wymann, M. P., and Pirola, L. (1998)
Biochim. Biophys. Acta
1436,
127150[Medline]
[Order article via Infotrieve]
- Alessi, D. R., James, S. R., Downes, C. P., Holmes, A. B., Gaffney,
P. R. J., Reese, C. B., and Cohen, P. (1997) Curr.
Biol. 7,
261269[CrossRef][Medline]
[Order article via Infotrieve]
- Persad, S., Attwell, S., Gray, V., Delcommenne, M., Troussard, A.,
Sanghera, J., and Dedhar, S. (2000) Proc. Natl. Acad.
Sci. U. S. A. 97,
32073212[Abstract/Free Full Text]
- Di Cristofano, A., and Pandolfi, P. P. (2000)
Cell 100,
387390[CrossRef][Medline]
[Order article via Infotrieve]
- Bellacosa, A., de Feo, D., Godwin, A. K., Bell, D. W., Cheng, J.
Q., Altomare, D. A., Wan, M., Dubeau, L., Scambia, G., and Godwin, A. K.
(1995) Int. J. Cancer
64,
280285[Medline]
[Order article via Infotrieve]
- Cheng, J. Q., Ruggeri, B., Klein, W. M., Sonoda, G., Altomore, D.
A., Watson, D. K., and Testa, J. R. (1996) Proc. Natl.
Acad. Sci. U. S. A., 93,
36363641[Abstract/Free Full Text]
- Janssen, J. W. G., Schleithoff, L., Bartram, C. R., and Schultz, A.
S. (1998) Oncogene,
16,
17671772[CrossRef][Medline]
[Order article via Infotrieve]
- Li, J., Yen, C., Liaw, D., Podsypanina, K., Bose, S., Wang, S. I.,
Puc, J., Miliaresis, C., Rodgers, L., McCombie, R., Bigner, S. H., Giovanella,
B. C., Ittmann, M., Tycko, B., Hibshoosh, H., Wigler, M. H., and Parsons, R.
(1997) Science
275,
19431947[Abstract/Free Full Text]
- Shayesteh, L. M., Lu, Y., Kuo, W. L., Baldocchi, R., Godfrey, T.,
Collins, C., Pinkel, D., Powell, B., Mills, G. B., and Gray, J. W.
(1999) Nat. Genet.
21,
99102[CrossRef][Medline]
[Order article via Infotrieve]
- Steck, P. A., Pershouse, M. A., Jasser, S. A., Yung, W. K. A., Lin,
H., Ligon, A. H., Langford, L. A., Baumgard, M. L., Hattier, T., Davis, T.,
Frye, C., Hu, R., Swedlund, B., David, H. F., Tavtigian T., and Tavtigian, S.
V. (1997) Nat. Genet.
15,
356362[CrossRef][Medline]
[Order article via Infotrieve]
- Teng, D. H., Hu, R., Lin, H., Davis, T., Iliev, D., Frye, C.,
Swedlund, B., Hansen, K. L., Vinson, V. L., Gumpper, K. L., Ellis, L.,
El-Naggar, A., Frazier, M., Jasser, S., Langford, L. A., Lee, J., Mills, G.
B., Pershouse, M. A., Pollack, R. E., Tornos, C., Troncoso, P., Yung, W. K.,
Fujii, G., Berson, A., and Steck, P. A. (1997) Cancer
Res. 57,
52215225[Abstract/Free Full Text]
- Bellacosa, A., Testa, J. R., Staal, S. P., and Tsichlis, P. N.
(1991) Science
254,
274277[Abstract/Free Full Text]
- Chang, H. W., Aoki, M., Fruman, D., Auger, K. R., Bellacosa, A.,
Tsichlis, P. N., Cantley, L. C., Roberts, T. M., and Vogt, P. K.
(1997) Science
276,
18481850[Abstract/Free Full Text]
- Furnari, F. B., Lin, H., Huang, H.-J., and Cavenee, W. K.
(1997) Proc. Natl. Acad. Sci. U. S. A.
94,
1247912484[Abstract/Free Full Text]
- Klippel, A., Escobedo, M. A., Wachowicz, M. S., Apell, G., Brown,
T. W., Giedlin, M. A., Kavanaugh, W. M., and Williams, L. T.
(1998) Mol. Cell. Biol.
98,
56995711
- Li, D. M., and Sun, H. (1998) Proc. Natl.
Acad. Sci. U. S. A. 95,
1540615406[Abstract/Free Full Text]
- Lu, Y., Lin Y. Z., LaPushin, R., Cuevas, B., Fang, X., Yu, S. X.,
Davies, M. A., Khan, H., Furui, T., Mao, M., Zinner, R., Hung, M. C., Steck,
P., Siminovitch, K., and Mills, G. B. (1999)
Oncogene 18,
70347045[CrossRef][Medline]
[Order article via Infotrieve]
- Qiu, R. G., Chen, J., Kirn, D., McCormick, F., and Symons, F.
(1995) Nature
374,
457459[CrossRef][Medline]
[Order article via Infotrieve]
- Tolias, K. F., Cantley, L. C., and Carpenter, C. L.
(1995) J. Biol. Chem.
270,
1765617659[Abstract/Free Full Text]
- Nimnual, A. S., Yatsula, B. A., and Bar-Sagi, D.
(1998) Science
279,
560563[Abstract/Free Full Text]
- Davis, R. J. (2000) Cell
103,
239252[CrossRef][Medline]
[Order article via Infotrieve]
- Neshat, M. S., Mellinghoff, I. K., Tran, C., Stiles, B., Thomas,
G., Petersen, R., Frost, P., Gibbons, J. J., Wu, H., and Sawyers, C. L.
(2001) Proc. Natl. Acad. Sci. U. S. A.
98,
1031410319[Abstract/Free Full Text]
- Brognard, J., Clark, A. S., Ni, Y., and Dennis, P. A.
(2001) Cancer Res.
61,
39863997[Abstract/Free Full Text]
- Massion, P., Kuo, W. L., Stokoe, D., Olshen, A. B., Treseler, P.
A., Chin, K., Chen, C., Polikoff, D., Jain, A. N., Pinkel, D., Albertson, D.
G., Jablons, D. M., and Gray, J. W. (2002) Cancer
Res. 62,
36363640[Abstract/Free Full Text]
- Forgacs, E., Biesterveld, E. J., Sekido, Y., Fong, K., Muneer, S.,
Wistuba, I. I., Milchgrub, S., Brezinschek, R., Virmani, A., Gazdar, A. F.,
and Minna, J. D. (1998) Oncogene
17,
15571565[CrossRef][Medline]
[Order article via Infotrieve]
- Moore, S. M., Rintoul, R. C., Walker, T. R., Chilvers, E. R.,
Haslett, C., and Sethi, T. (1998) Cancer
Res. 58,
52395247[Abstract/Free Full Text]
- Yokomizo, A., Tindall, D. J., Drabkin, H., Gemmill, H., Franklin,
W. A., Yang, P., Sugio, K., Smith, D. I., and Liu, D. (1998)
Oncogene 17,
475-479[CrossRef][Medline]
[Order article via Infotrieve]
- Soria, J. C., Lee, H. Y., Lee, J. I., Wang, L., Issa, J. P., Kemp,
B. L., Liu, D. D., Kurie, J. M., and Khuri, F. R. (2002)
Clin. Cancer Res. 8,
11781184[Abstract/Free Full Text]
- Lin, J., Adam, R. M., Santiestevan, E., and Freeman, M. R.
(1999) Cancer Res.
59,
28912897[Abstract/Free Full Text]
- Furnari, F. B., Huang, H. J., and Cavenee, W. K.
(1998) Cancer Res.
58,
50025008[Abstract/Free Full Text]
- Nishina, H., Fischer, K. D., Radvani, L., Shahinian, A., Hakem, R.,
Rubie, E. A., Bernstrin, A., Mak, T. W., Woodgett, J. R., and Penninger, J. M.
(1997) Nature
385,
350353[CrossRef][Medline]
[Order article via Infotrieve]
- Ueki, K., Algenstaedt, P., Mauvais-Jarvis, F., and Kahn, C. R.
(2000) Mol. Cell. Biol.
20,
80358046[Abstract/Free Full Text]
- Hara, K., Yonezawa, K., Sakaue, H., Ando, A., Kotani, K., Kitamura,
T., Kitamura, Y., Ueda, H., Stephens, L., Jackson, T. R., Waterfield, M. D.,
and Kasuga, M. (1994) Proc. Natl. Acad. Sci. U. S.
A. 91,
74157419[Abstract/Free Full Text]
- Ji, L., Nishizaki, M., Gao, B., Burbee, D., Toyooka, S.,
Kamibayashi, C., Xu, K., Yen, N., Atkinson, E. N., Fang, B., Lerman, M. I.,
Roth, J. A., and Minna, J. D. (2002) Cancer
Res. 62,
27152720[Abstract/Free Full Text]
- Schlessinger, J. (2000) Cell
103,
211225[CrossRef][Medline]
[Order article via Infotrieve]
- Innocenti, M., Fritolli, E., Ponzanelli, I., Falck, J. R.,
Brachman, S. M., Di Fiore, P. P., and Scita, G. (2003)
J. Cell Biol. 160,
1723[Abstract/Free Full Text]
- Cuevas, B. D., Lu, Y., Mao, M., Zhang, J., LaPushin, R.,
Siminovitch, K., and Mills, G. B. (2001) J. Biol.
Chem. 276,
2745527461[Abstract/Free Full Text]
- Gupta, S., Plattner, R., Der, C. J., and Stanbridge, E. J.
(2000) Mol. Cell. Biol.
20,
92949306[Abstract/Free Full Text]
- Shields, J. M., Mehta, H., Pruitt, K., and Der, C. J.
(2002) Mol. Cell. Biol.
22,
23042317[Abstract/Free Full Text]
- Kang, H., Schneider, H., and Rudd, C. E. (2002)
J. Biol. Chem. 277,
912921[Abstract/Free Full Text]
- Tung, T. O., Rodeck, U., Chan, A. M., Kimmelman, A. C.,
Rittenhouse, S. E., Panayotou, G., and Tsichlis, P. N. (2002)
Cancer Cell 1,
181191[CrossRef][Medline]
[Order article via Infotrieve]
- Gottschalk, A. R., Basila, D., Wong, M., Dean, N. M., Brandts, C.
H., Stokoe, D., and Haas-Kogan, D. A. (2001) Cancer
Res. 61,
21052111[Abstract/Free Full Text]
- Davies, M. A., Koul, D., Dhesi, H., Berman, R., McDonnell, T. J.,
McConkey, D., Yung, W. K. A., and Steck, P. (1999)
Cancer Res. 59,
25512556[Abstract/Free Full Text]
- Sun, H., Lesche, R., Li, D. M., Liliental, J., Zhang, H., Gao, J.,
Gavrilova, N., Mueller, B., Liu, X., and Wu, H. (1999)
Proc. Natl. Acad. Sci. U. S. A.
96,
61996204[Abstract/Free Full Text]
- Wu, X., Senechal, K., Neshat, M. S., Whang, Y. E., and Sawyers, C.
L. (1998) Proc. Natl. Acad. Sci. U. S. A.
95,
1558715591[Abstract/Free Full Text]
- Teng, D. H. F., Perry, W. L., 3rd, Hogan, J. K., Baumgard, M.,
Bell, R., Berry, S., Davis, T., Frank, D., Frye, C., Hattier, T., Hu, R.,
Jammulapati, S., Janecki, T., Leavitt, A., Mitchell, J. T., Pero, R., Sexton,
D., Schroeder, M., Su, P. H., Swedlund, B., Kyriakis, J. M., Avruch, J.,
Bartel, J., Wong, A. K., and Tavtigian, S. V. (1997)
Cancer Res. 57,
41774182[Abstract/Free Full Text]
- Yoshida, B. A., Dubauskas, Z., Chekmareva, M. A., Christiano, T.
R., Stadler, W. M., and Rinker-Schaeffer, C. W. (1999)
Cancer Res. 59,
54835487[Abstract/Free Full Text]
- Su, G., Hilgers, W., Shekher, M. C., Tang, D. J., Yeo, C. J.,
Hruban, R. H., and Kern, S. E. (1998) Cancer
Res. 58,
23392342[Abstract/Free Full Text]
- Serrano, M., Lin, A. W., McCurrach, M. E., Beach, D., and Lowe, S.
W. (1997) Cell
88,
593602[CrossRef][Medline]
[Order article via Infotrieve]
- Bost, F., McKay, R., Bost, M., Potapova, O., Dean, N. M., and
Mercola, D. (1999) Mol. Cell. Biol.
99,
19381949
- Xiao, L., and Lang, W. (2000) Cancer
Res. 60,
400408[Abstract/Free Full Text]
- Druker, B., Talpaz, J., Resta, M., Peng, D. J., Buchdunger, B.,
Ford, E., Lydon, J. M., Kantarjian, N. B., Capdeville, H., Ohno-Jones, R., and
Sawyers, C. L. (2001) N. Engl. J. Med.
344,
10311037[Abstract/Free Full Text]
- Honda, H., Oda, H., Suzuki, T., Takahashi, T., Witte, O., Ozawa,
K., Ishikawa, T., Yazaki, Y., and Harai, H. (1998)
Blood 91,
20672075[Abstract/Free Full Text]
- Fong, K. M., Sekido, Y., and Minna, J. D. (1999)
J. Thorac. Cardiovasc. Surg.
118,
11361152[Abstract/Free Full Text]
