Originally published In Press as doi:10.1074/jbc.M212517200 on May 13, 2003
J. Biol. Chem., Vol. 278, Issue 35, 32507-32516, August 29, 2003
p21/CDKN1A Mediates Negative Regulation of Transcription by p53*
Kristina Löhr,
Constanze Möritz,
Ana Contente and
Matthias Dobbelstein
From the
Institut für Virologie, Philipps-Universität Marburg, Robert
Koch Str. 17, 35037 Marburg, Germany
Received for publication, December 9, 2002
, and in revised form, April 25, 2003.
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ABSTRACT
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The tumor suppressor p53 regulates transcription positively and negatively,
depending on the target gene. Whereas p53 induces transcription through direct
interaction with promoter DNA, the mechanism of p53-mediated transcriptional
repression is less well understood. Early reports described the alleviation of
p53-mediated repression by inhibitors of apoptosis, suggesting that negative
regulation of transcription might occur only in conjunction with programmed
cell death. More recently, it has been proposed that certain genes, such as
survivin, are repressed by direct association of p53 with their
promoters, followed by recruitment of a repressor complex. We show here that
p53-mediated negative regulation of transcription could occur independently of
apoptosis. In contrast, the amino-terminal transactivation domain of p53 was
required for negative regulation of transcription. Similarly, the p53
homologue p73 diminished the expression of survivin and
stathmin, depending on its transactivation domain. Mutation of the
putative p53 binding site within the survivin promoter did not impair
its repression. These observations raised the hypothesis that activation of an
effector gene might be required for repression by p53. Strikingly, when the
p53-inducible p21/CDKN1A gene was deleted, p53 no longer repressed
any one among 11 genes that it down-regulates otherwise. Most of these genes
were also repressed by ectopic p21 in the absence of p53. Overexpressed c-Myc
reduced the transcription of p21/CDKN1A and impaired p53-mediated
repression but did not abolish repression by ectopic p21. Taken together,
these results strongly suggest that increased expression of
p21/CDKN1A is necessary and sufficient for the negative regulation of
gene expression by p53.
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INTRODUCTION
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p53 is a key regulator of cell growth and apoptosis. Its central role in
tumor suppression becomes evident by the fact that the p53 gene is
mutated in about 50% of human malignancies. p53 acts as a transcription
factor, modulating the expression of growth and death regulators. As a result,
cell proliferation is suppressed, and/or programmed cell death is induced
(1). It is generally accepted
that p53 activates a number of promoters through direct interaction with the
promoter DNA and the subsequent recruitment of the basal transcription
machinery, e.g. the TFIID complex and the p300/CPB histone acetyl
transferases. A tetramer of p53 molecules is assembled through the
carboxyl-terminal oligomerization domains. This allows the central domains to
interact directly with a consensus DNA element. As a consequence, the
amino-terminal transactivation domains interact with basal transcription
factors, resulting in increased gene expression
(2,
3).
However, it has long been noticed that some genes are negatively regulated
(referred to as "repressed" hereafter) by p53, and the list of
those genes has been extended for almost a decade (see
Table I). When analyzing p53
mutants, and p53 in combination with inhibitors of apoptosis, a striking
correlation of p53-mediated transcriptional repression and p53-induced
apoptosis was observed, and this raised the hypothesis that negative
regulation of gene expression by p53 might be crucial for the induction of
apoptosis
(47).
In contrast to p53-mediated gene activation, the mechanism(s) of
transcriptional down-regulation of genes by p53 remain controversial.
Basically, three different scenarios can be envisioned.
Negative regulation of gene expression by p53 might merely represent an
epiphenomenon of apoptosis, i.e. p53 down-regulates certain genes not
directly but only through the onset of cell death. This model is supported by
the observed correlation between the ability of p53 mutants to repress
transcription in reporter assays and their potential to induce apoptosis. Such
a correlation exists in the case of p53 mutants lacking the proline-rich
domain within residues 6291
(8,
9) or point mutants at residues
175 (10) and 246
(8). Further, early reports
describe the down-regulation of reporter gene expression by p53, which was
found to be reverted by inhibitors of apoptosis
(4,
5). However, it should be
noticed that in transient reporter assays, a large variety of promoters can be
found repressed by p53 (5) and
that this may not necessarily reflect the regulation of the corresponding
cellular genes in all cases.
Alternatively, p53 may lead to the negative regulation of gene expression
by virtue of a repressor function and by direct interaction with promoter DNA.
Such a scenario has been proposed for the repression of stathmin and
survivin by p53 (11,
12). p53 was found to interact
with the mSin3a protein that is part of transcriptional repressor complex
(11). Further, at least in the
case of survivin, a p53 binding sequence was reported to exist within
the promoter (12). However,
the question remains how p53 would simultaneously activate some genes and
repress other genes after binding to the respective promoters. Further, if p53
activates and represses by different mechanisms, these functions could be
expected to be separable by mutational analysis. However, no p53 mutant has
been described that represses but no longer transactivates. Instead, a
mutation at residues 22/23 abolishes both transactivation and repression
(7,
13), although the interaction
of p53 with mSin3a was mapped to amino acids 6175 within p53
(14). Unless a clear mode of
distinction between activated and repressed promoters could be defined, the
plausibility of a direct repression model remains to be questioned.
A third model that will be proposed in this work ascribes p53-mediated
repression to the induction of a repressor. Thus, p53 would first increase the
levels of another transcriptional regulator, which in turn would negatively
affect the expression of downstream genes. The first p53-induced gene to be
identified was p21/Cip1/waf1/CDKN1A
(15). As an inhibitor of
cyclin-dependent kinases, p21 is known to prevent the phosphorylation of
retinoblastoma (Rb)1
family proteins and hence lead to the accumulation of hypophosphorylated pRb
(16). This protein species, in
turn, binds to E2F family transcription factors and converts them from
transcriptional activators to transcriptional repressors. Thus, it appears
conceivable that p53 may negatively regulate the expression of genes through
the induction of p21/CDKN1A and the consecutive
hypophosphorylation of pRb and its relatives. Indeed, certain cell cycle
regulators responsible for G2 arrest, such as CHK1
(17) and cdc2
(18,
19), were found to be
down-regulated at the mRNA and proteins levels by p53 and the p21/pRb/E2F
pathway. However, the general dependence of p53-mediated negative gene
regulation on the expression of p21/CDKN1A remains to be
assessed.
In this study we sought to discover the distinction between these three
models. First, we provide evidence that, at least in the cases of
survivin and stathmin, negative gene regulation by p53 is
not a consequence of apoptosis. Second, p53 and the p53 homologue p73 were
capable of down-regulating the expression of these genes, but each required a
transactivation domain to do so. Analysis of the survivin promoter
suggested that sequence elements other than the putative p53 binding motif are
needed for repression by p53. Most strikingly, however, we show that the
negative regulation of all p53-repressed genes analyzed entirely depends on
the presence of p21/CDKN1A and that overexpressed p21
represses a similar set of genes. These results strongly argue that
p53-mediated repression occurs mainly through the induction of the
p21/CDKN1A gene.
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EXPERIMENTAL PROCEDURES
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Cell Culture and TransfectionsH1299 cells
(p53/) were maintained
in Dulbecco's modified Eagle's medium (Invitrogen) with 10% fetal bovine
serum. HCT116 cells with and without mutations disrupting p53 and
p21/CDKN1A
(20) were kindly provided by
K. Roemer with generous permission by B. Vogelstein and were cultivated in
McCoy's medium (Invitrogen) with 10% fetal calf serum. Transfections were done
using FuGene6 (Roche Applied Science). Doxorubicin (Sigma) was added to the
cell culture media where indicated at a concentration of 350 nM for
48 h. zVAD (Calbiochem) was used at 100 µM.
Plasmids and Adenovirus VectorsA reporter construct
containing the survivin promoter
(21) was kindly provided by D.
C. Altieri. Mutants of this promoter were created in this plasmid background
by the QuikChange methodology (Stratagene) for site-directed mutagenesis,
using the following primers and their respective reverse complements: mutant
1, GAG GGC GTG CGC TCC CGG GAT GCC CCG CGG CGC GCC; mutant 2, CTA AGA GGG CGT
ACG CTC CCG ACA TG; mutant 3, CTC CCG TGC CCA TGG CGC GCC ATT AAC. Mutant 4
was obtained by sequential mutagenesis using the oligonucleotides
corresponding to mutant 2 and mutant 3. All plasmids were confirmed by
sequencing. The expression plasmid pRcCMVp53
(13) was used in reporter
assays.
Adenovirus vectors expressing p53 and
-galactosidase have been
described (22), as well as
adenovirus vectors to express p73
N proteins
(23) and a similar vector to
express c-Myc (24). An
adenovirus expression vector for p21
(25) was originally obtained
from G. Nabel and provided by R. Iggo.
An adenovirus vector to express p73TA
was generated using the AdEasy
system (26). The p73TA
coding region (without hemagglutinin tag), together with the
5'-untranslated region of human lamin mRNA, was excised with
HindIII and XbaI from the corresponding pcDNA3-based plasmid
(27) and introduced into the
same sites of the shuttle vector pAdTrack-CMV. This plasmid was allowed to
recombine with the vector pAdEasy1, followed by treatment with PacI
and transfection into an E1-complementing cell line. An adenovirus vector to
overexpress adenovirus E1B-19 kDa was generated similarly. In this case, the
E1B-19-kDa coding region was excised with HindIII and EcoRI
from the corresponding pcDNA3-based plasmid
(4), filled in with
Pfu DNA polymerase (Stratagene), and introduced into the
EcoRV sites of the shuttle vector pAdTrack-CMV, followed by
recombination with pAdEasy and transfection. An adenovirus vector to express
p53mt22/23, with the mutation L22Q/W23S, was created by cloning the
corresponding coding region from pRcCMVp53mt22/23
(13) into pAdtrack-CMV using
HindIII and XbaI, followed by recombination and
transfection. Viruses were amplified, the titer was determined, and infections
were carried out as described
(22,
28).
ImmunoblotProteins were separated on SDS-polyacrylamide
gels and transferred to nitrocellulose, followed by incubation with antibodies
in phosphate-buffered saline containing 5% milk powder and 0.05% Tween 20.
Peroxidase-coupled secondary antibodies (whole immunoglobulin G; Jackson
Immunoresearch Laboratories) were then detected by chemiluminescence (Pierce).
Antibody Pab1801 to p53, antibody Ab-1 to p21/cip1/waf1, and antibody Ab-2
against poly(ADP-ribose) polymerase (PARP) were from Calbiochem. Another
monoclonal mouse antibody against actin (clone C-2) was from Santa Cruz
Biotechnology, Inc.
Semiquantitative RT-PCRH1299 cells were transduced with
adenovirus vectors, and HCT116 cells were treated with doxorubicin. After 48
h, total RNA was prepared (Trizol reagent; Invitrogen), followed by reverse
transcription with Superscript II polymerase (Invitrogen) and PCR
amplification with Expand HiFi DNA polymerase (Roche Applied Science). The PCR
temperatures consisted of a 3-min denaturation step at 96 °C, followed by
the indicated numbers of cycles at 96 °C for 30 s, 57 °C for 30 s, and
70 °C for 50 s. These temperature cycles were used for all amplifications,
except that in the case of ubiquitin, the 57 °C step was omitted.
The primers and numbers of PCR cycles used were as follows. For each gene, the
reverse transcription was started with the first (RT) oligonucleotide, whereas
the PCR was carried out using the second (forward) and third (reverse)
oligonucleotide.
For BRCA1: 30 cycles, RT: oligo(dT), forward: CCA AAG CGA GCA AGA
GAA TCC CAG; reverse: TCA GGT AGG TGT CCA GCT CCT GGC. For CDC2: 25
cycles, RT: oligo(dT), forward: CCT TGC CAG AGC TTT TGG AAT ACC; reverse: GAC
ATG GGA TGC TAG GCT TCC TGG. For CDC25C: 25 cycles, RT: oligo(dT),
forward: GTA TCT GGG AGG ACA CAT CCA GGG; reverse: CAA GTT GGT AGC CTG TTG GTT
TG. For CHEK1: 30 cycles, RT: oligo(dT), forward: CCT TTG TGG AAG ACT
GGG ACT TGG; reverse: CAT CTT GTT CAA CAA ACG CTC ACG. For Cyclin A2:
25 cycles, RT: oligo(dT), forward: AGC AGC CTG CAA ACT GCA AAG TTG; reverse:
TGG TGG GTT GAG GAG AGA AAC ACC. For Cyclin B1: 30 cycles, RT:
oligo(dT), forward: CCT CTA CCT TTG CAC TTC CTT CGG; reverse: GAG TGC TGA TCT
TAG CAT GCT TCG. For LBR: 25 cycles, RT: oligo(dT), forward: TGG CTT
TTG GAG ACT TGG TGT GGG; reverse: ATC ACC CAA GTA ATT GGG GTG GCG. For
p21/CDKN1A: 30 cycles, RT: GGA AAA GGA GAA CAC GGG ATG AGG
AGG, forward: CCT GGC ACC TCA CCT GCT CTG CTG; reverse: GCA GAA GAT GTA GAG
CGG GCC TTT. For PIG3: 30 cycles in
Fig. 3, 25 cycles in all other
cases, RT: CGG TGA GCA GGC CTC TGG GAT GGC; forward: GTG CAC TTT GAC AAG CCG
GGA GGA; reverse: CAG CCT GGG TCA GGG TCA ATC CCT. For POLD1: 30
cycles, RT: oligo(dT), forward: GCC GCA CAG TGC TCA GCC ACC AGG; reverse: CGC
ATG TAG AAG ATG GGG CAG TCC. For Stathmin: 25 cycles, RT: CCT TCT GAA
GCA CTT CTT TCT C; forward: GTG GTC AGG CGG CTC GGA CTG; reverse: CTC TCG TTT
CTC AGC CAG CTG C. For Survivin: 25 cycles, RT: CAG AGG CCT CAA TCC
ATG GCA GCC; forward: GGC AGC CCT TTC TCA AGG ACC ACC; reverse: GAT GGC ACG
GCG CAC TTT CTT CGC. For Top 2
: 25 cycles, RT: oligo(dT),
forward: TGT CGT GTC AGA CCT TGA AGC TG; reverse: CCT TGG ATT TCT TGC TTG TGA
CTG. For ubiquitin (UbC): 25 cycles, RT: ACT GGG CTC CAC CTC AAG GGT GAT;
forward: GTC GCA GCC GGG ATT TGG GTC GCG; reverse: GTC TTG CCA GTG AGT GTC TTC
ACG.

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FIG. 3. Requirement of a transactivation domain for repression by p53. H1299
cells were transduced to express p53, with wild type (wt) sequence or
with mutations at residues 22 and 23 (p53mt22/23; mutation
L22Q/W23S), followed by RNA preparation and RT-PCR analysis as described in
the legend to Fig.
1B.
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FIG. 1. Influence of adenovirus E1B-19 kDa on p53-mediated negative gene
regulation. A, inhibition of p53-mediated apoptosis by
overexpression of adenovirus E1B-19 kDa. H1299 cells
(p53/) were transduced
with adenovirus vectors to express p53 alone or together with E1B-19 kDa. A
vector expressing -galactosidase was used as a negative control, as
indicated. The multiplicity of infection was 20 for each virus. Twenty-four h
post-infection, the cells were harvested, and poly(ADP-ribose) polymerase was
detected by immunoblot. A faster running cleavage fragment is detected in
apoptotic cells. B, influence of E1B-19 kDa on p53-mediated negative
regulation of survivin and stathmin expression. The cells
were treated identically, followed by RNA preparation and semiquantitative
RT-PCR, detecting the indicated gene products. C, influence of E1B-19
kDa on p53-mediated negative regulation of the survivin promoter.
H1299 cells were transfected with a luciferase reporter gene construct
containing the survivin promoter (1 µg) and expression vectors for
p53 (100 ng) and E1B-19 kDa (200 ng) as indicated, keeping the total amount of
plasmid DNA at 1.5 µg by adding the empty vector plasmid pcDNA3 in each
case. Twenty-four h after transfection, luciferase activity was determined.
The results were normalized with reference to the value obtained without
co-expression of either protein. The average luciferase activities determined
in at least three experiments are shown, together with the standard
deviation.
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Electrophoretic Mobility Shift Assay (EMSA)The interaction
of p53 with promoter elements was analyzed as described
(8,
23,
29). We generated p53 and its
mutants by in vitro transcription and translation using T7 RNA
polymerase and rabbit reticulocyte lysate (Promega). These preparations (2.5
µl) were incubated with 1 µl of sheared salmon sperm DNA (0.1
µg/µl), 1 µl of poly(dA-dT) (1 µg/µl), 7 µl of EMSA buffer
(25 mM Tris-Cl, pH 7.5, 130 mM NaCl, 3 mM
KCl, 5% bovine serum albumin, 12% glycerol, 1 mM dithiothreitol),
and, when indicated, 1 µl of monoclonal antibody 421 against p53 (100
µg/ml; Calbiochem) for 10 min at 23 °C. Subsequently, we added 1 ng of
the radiolabeled DNA probe and continued the incubation for 1 h at 23 °C.
The reaction mixes were then separated at 4 °C on a native 5%
polyacrylamide gel with 0.5 Tris-buffered EDTA as running buffer, followed by
autoradiography using a Bioimager (Fuji). We generated the probes by annealing
the oligonucleotides indicated below to each other and performing fill-in
reactions (exo-Klenow enzyme; MBI Fermentas) including
[
-32P]dCTP. The oligonucleotides had the following
sequences: survivin forward, GAC CGC CTA AGA GGG CGT GCG CTC CCG AC
and survivin reverse, GGG CAT GTC GGG AGC GCA CGC CCT CTT AGG C;
mutant survivin forward, GAC CGC CTA AGA GGG CGT GCG CTC CCG GG and
mutant survivin reverse, GGG CAT CCC GGG AGC GCA CGC CCT CTT AGG C;
p21 forward, GAT CGC GGC CGC GAA CAT GTC CCA ACA and p21 reverse, GGG CAA CAT
GTT GGG ACA TGT TCG CGG CCG C; mutant p21 forward, GAT CGC GGC CGC
GAA AAT TTC CCA AAA and mutant p21 reverse, GGG CAA AAT TTT GGG AAA
TTT TCG CGG CCG C.
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RESULTS
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p53-mediated Repression Is Not Inhibited by a Viral Antagonist of
Pro-apoptotic Mitochondrial FactorsWe tested whether p53-mediated
transcriptional repression might be a result of p53-induced apoptosis. p53 was
expressed in the p53/
cell line H1299 using an adenovirus expression vector. To block apoptosis, the
adenovirus E1B-19-kDa protein was co-expressed with p53. E1B-19 kDa interferes
with the proapoptotic functions of the mitochondrial bax and bak proteins
(30) and inhibits p53-mediated
cell death (31). Apoptosis was
assessed by immunoblot detection of PARP. Cleavage of PARP, a characteristic
of apoptotic cells (32), was
detected when p53 was expressed alone but not when p53 and E1B-19 kDa were
co-expressed (Fig.
1A). In a parallel experiment, identically treated cells
were harvested to prepare RNA, and the levels of survivin and
stathmin mRNA were determined by RT-PCR. Both genes were clearly
down-regulated by p53, regardless of the presence or absence of E1B-19 kDa
(Fig. 1B). The
expression of a control gene, ubiquitin C, remained unchanged, and
the transactivation of a p53-responsive gene, PIG3, was not affected
by E1B-19 kDa. Finally, the repression of the survivin promoter by
p53 in luciferase reporter assays was not detectably influenced by E1B-19 kDa
(Fig. 1C). We
concluded that p53-mediated negative regulation of transcription occurs
independently of apoptosis. p53-mediated Negative Regulation Is Not
Inhibited by a Synthetic Inhibitor of CaspasesA similar set of
experiments was used to determine whether caspase inhibition would affect
p53-mediated transcriptional repression. The peptide caspase inhibitor zVAD
(33) effectively prevented
p53-induced apoptosis, as determined by PARP detection
(Fig. 2A), but did not
affect the capability of p53 to repress the survivin and
stathmin genes, as revealed by RT-PCR
(Fig. 2B). Thus,
p53-induced apoptosis can be prevented by caspase inhibition without
compromising its ability to down-regulate gene expression.

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FIG. 2. Influence of caspase activity on p53-mediated negative gene
regulation. A, inhibition of p53-mediated apoptosis by a peptide
inhibitor of caspases. H1299 cells were transduced to express p53 or
-galactosidase using adenovirus vectors (multiplicity of infection =
20). Immediately after transduction, the peptide zVAD (100 µM)
or the dimethylsulfoxazole (DMSO) solvent (1:1000, v/v) were added to
the cells. After 24 h, PARP cleavage was assessed as described in the legend
to Fig. 1A. Note that
in the presence of p53 and DMSO alone, neither full-length nor cleaved PARP
was detected, presumably because of further degradation of the fragment. This
was repeatedly observed when apoptosis had proceeded to a large extent,
especially in the presence of DMSO. B, influence of caspase activity
on p53-mediated reduction of survivin and stathmin
expression. RNA was prepared and analyzed as described in the legend to
Fig. 1B.
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p53 Requires a Functional Transactivation Domain to Mediate Negative
Regulation of Gene ExpressionTo test whether the amino-terminal
transactivation domain of p53 is necessary for the negative regulation of gene
expression, we transduced H1299 cells to express p53, with or without a
mutation near the amino terminus (L22Q/W23S) that abolishes the function of
the transactivation domain
(13). Unlike wild type p53,
the mutant was not only defective with regard to the induction of
PIG3 but also lost the capability of repressing the expression of
survivin and stathmin, as determined by semiquantitative
RT-PCR (Fig. 3). Thus, as in
other assay systems (7,
13), the negative regulation
of gene expression by p53 requires a functional transactivation domain.
p73 Negatively Regulates Transcription Similarly to p53, Depending on a
Transactivation DomainNext, we asked whether the p53 homologue p73
can down-regulate the transcription of p53-repressible genes. We expressed the
p73TA
isoform (Fig.
4A) in H1299 cells and determined the levels of
survivin and stathmin mRNA. p73 and p53 were equally capable
of down-regulating survivin, and both reduced the expression of
stathmin, albeit to a lesser extent in the case of p73
(Fig. 4B). Naturally
occurring p73 isoforms that lack the transactivation domain
(p73
N
and p73
N
) were analyzed in parallel. These
isoforms did not repress. We conclude that p73 has a similar capability of
down-regulating gene expression as p53 but that a transactivation domain is
required to carry out this function in both cases.

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FIG. 4. Negative regulation of gene expression by p73 proteins. A,
p73 isoforms in comparison to p53. Homologous regions are depicted according
to Ref. 59. B, mRNA
levels in response to p53 and p73. H1299 cells were transduced to express p53
or the indicated p73 isoforms, followed by RNA preparation and RT-PCR analysis
(see legend to Fig.
1B).
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A p53-binding Consensus Element within the survivin Promoter Interacts
Inefficiently with p53, and Binding Is Further Impaired by
MutationThe repression of the survivin promoter by p53
was suggested previously (12)
to be mediated by a direct interaction of p53 with a p53-binding consensus
element. As a first step to understand the function of this element, we
compared its capability of binding p53 with an established p53-responsive
element derived from the p21/CDKN1A promoter, using EMSA. In
each case, a mutated sequence element was used as a negative control. A
comparison of these sequences with the previously defined p53-binding
consensus (34,
35) is shown in
Fig. 5A. When p53
alone was assayed for binding the different DNA elements, only the wild type
p21/CDKN1A sequence yielded a band with decreased
electrophoretic mobility, indicating a DNA-protein interaction
(Fig. 5B, compare
lanes 1 and 2). The interaction was strongly increased by
the monoclonal antibody 421 against the carboxyl-terminal portion of p53,
resulting in a supershifted and much more intense signal
(Fig. 5B, compare
lanes 9 and 10), as described previously
(36). Under these
circumstances, the wild type sequence derived from the survivin
promoter was also found to interact with p53, albeit with far lower efficiency
than the p21/CDKN1A element
(Fig. 5B, compare
lanes 13 and 14). Even in the presence of antibody 421, the
mutant sequence elements were not found to interact with p53
(Fig. 5B, lanes
11, 12, 15, and 16). Thus, the p53-binding consensus element of
the survivin promoter can interact with p53 in a specific,
mutation-sensitive manner, but with comparatively low efficiency, at least
when assayed by EMSA.

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FIG. 5. A putative p53 binding element within the survivin
promoter. A, p53 binding elements. A previously proposed p53
binding element (12) within
the survivin promoter is depicted, along with a mutant that was used
in the experiment shown in B. A p53-responsive element from the
p21/CDKN1A promoter and its mutant were analyzed in
parallel. The previously defined p53-binding consensus element
(34,
35) is shown for comparison.
Nucleotides not corresponding to the consensus are shown in
lowercase, and mutated nucleotides are underlined. B, EMSA.
Oligonucleotides corresponding to the sequence elements depicted in A
were employed to generate a radioactively labeled, double stranded DNA probe.
This probe was incubated with reticulocyte lysates that had been programmed
for translation in vitro with a plasmid encoding p53 (+), or with an
"empty" vector plasmid (). Subsequently, the mixtures were
separated on a native polyacrylamide gel, followed by autoradiography. The
monoclonal antibody 421 binding near the carboxyl terminus of p53 activates
the cryptic p53 DNA binding activity
(36). Therefore, this antibody
was added to the reactions as indicated. The positions of complexes containing
p53 with or without the antibody, as well as a background band that occurred
independently of p53 (*), are indicated by arrows. Note that the free
DNA was allowed to run out at the bottom of the gel, to increase the
resolution of the different complexes.
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A p53-binding Consensus Element within the survivin Promoter Is
Dispensable for p53-mediated RepressionThe fact that a
transactivation domain is needed to down-regulate survivin expression
by p53 prompted us to analyze the survivin promoter with regard to
its negative regulation. It was suggested previously
(12) that p53 may directly
interact with the promoter DNA through a consensus p53 binding element, and
such an interaction was observed in vitro
(Fig. 5). However, it should be
noted that this promoter element is not conserved when comparing the human and
the murine sequence (for alignment of the promoter sequences, see Ref.
21). The previously described
p53 binding motif within the human survivin promoter
(12) was mutated as in
Fig. 5, at the site that is
most conserved among p53 binding sequences, namely, the C residue within a
RRRCW (R = purine, W = A or T) half site of the p53-responsive consensus
element (34,
35). Moreover, mutations
within two putative cell cycle-dependent element consensus motifs were
introduced into the luciferase reporter construct, alone or in combination
(Fig. 6A). These
constructs were then tested for reporter expression in the presence or absence
of a p53 expression plasmid (Fig. 6,
B and C). It was found that mutations in the
cell cycle-dependent element-like motifs resulted in reduced reporter
expression but alleviated or abolished further down-regulation by p53. In
contrast, when the putative p53 binding site was mutated, the promoter
strength and susceptibility to repression by p53 essentially remained as in
the wild type promoter. We conclude that the putative p53 binding site is not
required to confer p53-mediated repression to the survivin promoter.
Thus, the proposed direct binding by p53
(12) does not provide an
appropriate explanation for the observed repression.

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FIG. 6. Cooperation of several elements within the survivin
promoter to allow p53-mediated repression. A, mutations of the
survivin promoter. A portion of the survivin promoter
sequence is shown, with putative transcription factor binding sites indicated.
The mutations introduced are shown below the wild type sequence.
B, activity of survivin promoter mutants. A
survivin promoter construct with or without the indicated mutations
(1 µg each) was transfected into H1299 cells, together with an empty pcDNA3
vector (500 ng), followed by luciferase assays, as described in the legend to
Fig. 1C. The
luciferase activity obtained with the wild type promoter was defined 100%, and
the other values were normalized accordingly. C, requirement of
promoter elements for p53-mediated repression. Each mutant of the
survivin promoter construct was transfected, together with increasing
amounts of a p53 expression plasmid, i.e. 0, 100, 300, and 500 ng of
pRcCMVp53, keeping the total amount of plasmid DNA at 1.5 µg with the empty
vector pcDNA3. The luciferase activity that was determined in the absence of
p53 was defined 100% in each case, and the other values were normalized
accordingly.
|
|
p53-mediated Negative Regulation Is Dependent on the Expression of
p21/CDKN1AThe requirement of a transactivation domain to
repress survivin and stathmin prompted us to test whether a
p53-induced gene product might mediate repression. A candidate for such a
mediator gene was p21/CDKN1A, because the product of this
p53-responsive gene can be expected to repress genes by hypophosphorylation of
Rb family members and the conversion of E2F transactivators into repressors
(16). Therefore, we induced
p53 accumulation and activity by treating HCT116 cells with doxorubicin, as
verified by immunoblot detection of p53 and p21
(Fig. 7A, lanes
1 and 2). In addition, cells of the same line were used that
carry targeted disruptions of the p21/CDKN1A and
p53 genes (20)
(Fig. 7A, lanes
36). All three cell lines were treated and analyzed in parallel.
Eleven genes that were previously reported to be repressed by p53
(Table I) were found
down-regulated in doxorubicin-treated wild type HCT116 cells
(Fig. 7B). The known
p53-inducible gene PIG3
(29,
37) was activated. Both
repression and activation were defective in
p53/ cells, as
expected. Surprisingly, however, in cells lacking
p21/CDKN1A, p53 was no longer capable of down-regulating the
expression of any gene that was repressed in wild type cells, while still
being able to induce PIG3. Hence, expression of
p21/CDKN1A is mandatory to allow p53-mediated negative
regulation of all of these genes.

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|
FIG. 7. Requirement for p21 to negatively regulate gene expression by p53.
A, levels of p53 and p21 protein in doxorubicin-treated cells. HCT116
cells, wild type, or with targeted disruptions of the
p21/CDKN1A or p53 genes were each treated with 350
nM doxorubicin. After 48 h, the protein levels of p53 and p21 were
determined by immunoblot analysis. Staining of actin served as a loading
control. Above each lane, the presence (+) or absence () of
doxorubicin is indicated, as well as the genotype of the cells under study,
with disruptions () or wild type copies (+) of the p53 and
p21/CDKN1A genes. Note that p21 was not detected in cells
lacking p53, despite the presence of the p21/CDKN1A
gene in these cells (lanes 5 and 6). This was expected,
because p53 appears as the principal inducer of p21/CDKN1A,
and p21 levels are therefore below detectability in the absence of p53.
B, impact of p53 and p21 on RNA levels. HCT116 cells were treated as in
A. After 48 h, RNA was prepared, and the expression levels of the
indicated genes were analyzed by RT-PCR as described in the legend to
Fig. 1B.
|
|
p21/CDKN1A Is Sufficient for RepressionThe results
described above indicate that p21 is required for repression of transcription
by p53. This raised the question whether the enhanced expression of p21 might
be sufficient for this effect, even in the absence of p53. To test this, p21
was overexpressed in H1299 cells using an adenovirus vector. For comparison,
p53 and
-galactosidase were expressed in parallel experiments. The
amounts of p21 were comparable when endogenous expression was induced by p53
or when exogenous p21 was expressed by the virus, as determined by immunoblot
(Fig. 8A).
Subsequently, the mRNA levels of p53-repressible genes were analyzed
(Fig. 8B). In most
cases, p21 alone was sufficient to repress these mRNA levels to an extent
comparable with the effect of p53. In some cases (e.g. stathmin; see
Fig. 8B), however,
repression was less pronounced in the presence of exogenous p21, when compared
with p53. In another case, the mRNA levels of LBR were not reduced by
p53 or by p21, whereas they were repressed in HCT116 cells (see
Fig. 7B), arguing that
the susceptibility of this gene to repression depends on the cell type. Thus,
in some cases, p53 appears to employ cellular factors other than p21 to
efficiently repress gene expression. Nonetheless, p21 is not only uniformly
required for repression but also sufficient for the negative regulation of the
majority of genes under study here. We conclude that p21 is a principal
mediator of repression by p53.

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FIG. 8. p21 as a negative regulator of gene expression. A, levels
of p21 protein in transduced cells. H1299 cells were transduced with
adenovirus vectors to express -galactosidase, p53, or p21 as indicated.
After 48 h, the protein levels of p21 were determined by immunoblot analysis.
Staining of actin served as a loading control. B, impact of p53 and
p21 on RNA levels. H1299 cells were transduced as in A. After 48 h,
RNA was prepared, and the expression levels of the indicated genes were
analyzed by RT-PCR as described in the legend to
Fig. 1B.
|
|
c-Myc Impairs the Repression of survivin and stathmin by
p53The c-Myc protein was found recently
(38,
39) to suppress the induction
of p21/CDKN1A by p53. Because p21/CDKN1A
is required for negative gene regulation by p53, we reasoned that c-Myc might
interfere with p53-mediated repression. To test this, c-Myc and p53 were
expressed by adenovirus vectors in different combinations, followed by
assessment of the mRNA levels of p21/CDKN1A, survivin, and
stathmin. As shown in Fig.
9A, c-Myc not only reduced the amount of
p21/CDKN1A mRNA, in agreement with previous reports, but
also alleviated the repression of survivin and stathmin.
Hence, c-Myc antagonizes p53-mediated transcriptional repression. Based on
these findings, we hypothesized that the block of p21/CDKN1A
expression by c-Myc may be the reason why c-Myc inhibits p53-mediated
repression. To test this, we assessed the effect of c-Myc on repression by
overexpressed p21. As shown in Fig.
9B, c-Myc did not abolish repression of survivin
and stathmin by p21. We conclude that the negative regulation of
p21/CDKN1A by c-Myc is a pre-requisite for the ability of
c-Myc to abolish the repression of survivin and
stathmin.

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|
FIG. 9. Influence of c-Myc on the mRNA levels of
p21/CDKN1A, survivin, and
stathmin. A, c-Myc as an antagonist of p53-mediated
repression. H1299 cells were transduced with adenovirus vectors to express
c-Myc and/or p53 in the indicated combinations (multiplicity of infection =
20). The mRNA levels of the indicated genes were determined by RT-PCR as
described in the legend to Fig.
1B. B, failure of c-Myc to block p21-mediated
repression. H1299 cell were transduced to express p21 and/or c-Myc, followed
by RT-PCR analysis as in A.
|
|
 |
DISCUSSION
|
|---|
Our results demonstrate that the induction of p21/CDKN1A
is essential for p53-mediated negative regulation of transcription, whereas
the onset of apoptosis is not. This strongly argues that p53 reduces the
expression of certain genes indirectly by enhancing the expression of
p21/CDKN1A. c-Myc negatively regulates the expression of
p21/CDKN1A and also prevents p53-mediated repression.
It is tempting to speculate that p21 carries out its function in
p53-mediated repression by inactivating cyclin-dependent kinases. This may
lead to the hypophosphorylation of retinoblastoma family proteins and to the
repression of E2F-responsive promoters. Retinoblastoma proteins can convert
E2F proteins from transcriptional activators to transcriptional repressors
(40). Strikingly, a large
proportion of the known p53-repressed genes have also been reported to be
regulated by E2F proteins, and in some cases, association of E2Fs with their
promoters has been detected by chromatin immunoprecipitation or EMSA
(Table I). The concept that p53
converts E2Fs into transcriptional repressors through p21 is also supported by
the finding that the p53 antagonist Mdm2 induces transactivation by E2F1
(41). Finally, a recent study
shows that the repression of stathmin in response to genotoxic stress
can be inhibited by a dominant negative E2F mutant, as well as by the E7
protein from human papillomavirus type 16, which binds and inactivates Rb
family proteins (42). Besides
E2Fs, however, Rb family proteins may also affect the activity of other
transcription factors, among them the ID2 protein
(43). Possibly, Rb family
proteins might also regulate cell cycle-dependent element/cell cycle genes
homology element binding factors
(44) or the transcription
factor NF-Y that was shown to bind some p53-repressed promoters
(45,
46), and each of these factors
could fail to activate transcription or even act as a transcriptional
repressor in the presence of hypophosphorylated Rb family proteins. The
dependence of a particular promoter on several of these factors might further
increase its repression by p53 and p21. This may explain why not all
E2F-responsive promoters are equally susceptible to suppression by p53.
Indeed, the first promoter (TA-promoter) of the p73 gene is strongly
induced by E2F
(4749).
Nonetheless, active p53 does not detectably influence the expression of p73TA
(23). We propose that some
promoters may be inducible by E2F while being only marginally susceptible to
repression by the E2F/pRb complex, perhaps depending on the position of the
E2F binding DNA element(s) and/or the activity of different transcription
factors on these promoters.
Our analysis of the survivin promoter
(Fig. 6) strongly suggests that
no consensus p53 binding element is required to mediate repression. On the
other hand, it was reported that removing the three spacer nucleotides between
the two consensus sites of the putative p53 binding element turned
transcriptional repression of this promoter into activation by p53. Therefore,
it was suggested that the spacer nucleotides might render a p53 binding
element susceptible to transcriptional repression by p53
(12). In contrast, it was
proposed by others that p53 binding is not required to repress
survivin transcription
(50). Based on the results
shown here (Fig. 6), we suggest
that removing the spacer nucleotides in the previous report
(12) newly created a
p53-inducible element that overrides any repressing effect of p53 on the
survivin promoter, whereas within the wild type sequence, the
putative p53 binding site functions poorly and does not significantly alter
transcription in any direction.
Because p53 induces apoptosis readily in cells lacking
p21/CDKN1A
(20,
51), without repressing the
genes analyzed (this study), we propose that repression is not a requirement
for p53-induced apoptosis, at least in the systems studied here. This is in
contrast to the previously suggested proapoptotic role of p53-mediated
repression
(47).
survivin was shown to inhibit apoptosis when overexpressed
(50,
52), and its synthesis is
down-regulated by p53 (Ref. 12
and this study). Nonetheless, our data suggest that down-regulation of
survivin is not required for the induction of apoptosis. Apparently,
p53 triggers apoptosis primarily through the induction of pro-apoptotic genes
rather than the repression of anti-apoptotic genes. p21 induces cell cycle
arrest in the phases G1 and G2. p53-mediated
G2 arrest does not occur in the absence of p21
(20). Consistently, the
survivin gene was not only reported to inhibit apoptosis but also to
promote mitosis (53). We
conclude that indirect negative regulation of genes, including
survivin, by p53, may be required for the G2 arrest,
rather than for the induction of apoptosis. Further, the fact that
overexpression of cyclin B1 or a dominant active form of cdc2 can override
p53-mediated G2 arrest
(54) argues that repression of
cdc2 and cyclin B1 by p53 through p21 may be necessary for
p53-triggered arrest in G2.
If p53 can down-regulate genes indirectly through the induction of an
effector gene, similar mechanisms might apply to the regulation of certain
p53-activated genes. A subset of p53-inducible genes may not be induced
directly through binding of p53 to their promoters but rather indirectly
through the enhanced expression of a transcriptional regulator. An example may
be represented by the induction of the insulin-like growth factor-binding
protein 3 gene by p53, because the product of this gene interferes with
insulin-like growth factor signaling and the subsequent transcriptional
regulation (55).
After its discovery, a plethora of activities exerted by p53 was described
in vitro and in vivo, leading to an extremely complex
picture and some confusion about which of these activities are essential for
tumor suppression (56). Recent
knock-in studies revealed that a germline mutation corresponding to the
amino-terminal domain of p53 in mice yields a phenotype that apparently cannot
be distinguished from
p53/ animals
(57,
58). This would imply that
functions of the amino-terminal domain are essential for all biologically
relevant p53 activities. However, it was less clear what biochemical function
of this domain, transactivation or repression, or both, mediates these
activities. The evidence presented here strongly suggests that repression by
p53 occurs indirectly through the transcriptional activation of
p21/CDKN1A. Thus, it remains possible that the complex
biological effects of p53 might all be a result of transactivation.
 |
FOOTNOTES
|
|---|
* This work was supported by the Deutsche Forschungsgemeinschaft, the Wilhelm
Sander-Stiftung, the Mildred Scheel Stiftung/Deutsche Krebshilfe, and the P.
E. Kempkes Stiftung. C. M. was supported by the Fazit Stiftung and A. C. by
the Fundação para a Ciência e a Tecnologia during this
work. 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. Tel.: 49-6421-286-4318; Fax:
49-6421-286-8962; E-mail:
dobbelst{at}mailer.uni-marburg.de.
1 The abbreviations used are: Rb, retinoblastoma; pRb, retinoblastoma
protein; PARP, poly(ADP-ribose) polymerase; RT, reverse transcription; EMSA,
electrophoretic mobility shift assay. 
 |
ACKNOWLEDGMENTS
|
|---|
We thank H.-D. Klenk for continuous support, B. Vogelstein and K. Roemer
for providing HCT116 cells and mutants, D. C. Altieri for the reporter
construct containing the survivin promoter, B. Vogelstein and H.
Hermeking for an adenovirus vector to express c-Myc, G. Nabel and R. Iggo for
an adenovirus vector to express p21, K. Engeland for critically reading the
manuscript and helpful suggestions, and J. Roth and the members of our
laboratory for stimulating discussions.
 |
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