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J. Biol. Chem., Vol. 282, Issue 52, 37492-37500, December 28, 2007
Human Papillomavirus E7 Requires the Protease Calpain to Degrade the Retinoblastoma Protein*
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| ABSTRACT |
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| INTRODUCTION |
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50% reduction in mortality (2). Integration of part of the HPV genome is believed to be central to the transformation process (3) and often results in the increased expression of the two viral oncoproteins, E6 and E7. A principle activity of E6 and E7 is promotion of the accelerated degradation of p53 and the retinoblastoma protein (Rb), respectively (4, 5). Hypophosphorylated Rb binds the E2F transcription factor, resulting in repression of E2F-dependent gene transcription and G1 cell cycle arrest (6). The promotion of Rb degradation mediated by E7 is believed to involve a two-step process (7). First, E7 binds hypophosphorylated Rb (8), which leads to the displacement of E2F and entry into the cell cycle. How E2F is displaced by E7 remains unclear as E7 and E2F binding sites on Rb have recently been shown to be quite distinct (9). The second step involves E7 targeting Rb for accelerated degradation via the proteasome (10–12). A new insight into the mechanism of E7-mediated degradation of Rb was recently provided by our observation that the serine protease inhibitor SerpinB2 was able to inhibit E7-mediated degradation of Rb in HeLa cells (13, 14). There are no reports that SerpinB2 inhibits the proteasome, and it has recently emerged that SerpinB2 inhibits calpain-mediated degradation of Rb.3
Calpains represent a group of calcium-activated cysteine proteases, two of which, µ-calpain and m-calpain, are ubiquitously expressed and found both in the cytoplasm and the nucleus (15). Herein we provide evidence that the first step in the E7-mediated degradation of Rb involves calpain cleavage. E7 was shown to bind and activate µ-calpain and promoted cleavage of full-length Rb1–928 to yield Rb1–810. Rb1–810 was unable to promote cell cycle arrest, suggesting that this cleavage event was sufficient to displace E2F from Rb. The second step involved the promotion by E7 of the proteasomal degradation of Rb1–810. Calpain inhibitors are being developed for a number of diseases including cancer (16, 17) and were able to inhibit E7-mediated degradation of Rb. They also reduced the viability of HPV-transformed cells through up-regulation of p53 and synergized with cisplatin, a drug frequently used to treat cervical cancer. Calpain inhibitors may, thus, find application in the treatment of HPV associated malignancies.
| EXPERIMENTAL PROCEDURES |
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DNA Plasmids and Cell Transfection—The mammalian expression plasmid encoding CAPN4 was purchased from ATCC. pIRES-Neo2-eE7 has been described previously (19). GST-eE7 was generated by subcloning the eE7 gene from pIRES-Neo2-eE7 into pGEX-2TK (Invitrogen). Plasmids encoding Rb1–928, Rb394–928, GST-Rb768–928, and SerpinB2 have been described previously (14). Plasmids encoding RbK810A and Rb1–810 were generated from pCDNA3.1 Rb1–928 by site-directed mutagenesis (14). Dominant negative p53 (pRc/CMV-R273H) has been described previously (20). Vector controls used pcDNA3.1 (Invitrogen). Cells were transfected using GeneJammer transfection reagent (Stratagene, La Jolla, CA).
Western Blots—Western blot analyses and preparation of nuclear and cellular extracts was undertaken as described (13) using antibodies specific for Rb (G3–245) (BD PharMingen) and C-15 (Santa Cruz Biotechnology, Santa Cruz, CA), FLAG (Sigma-Aldrich), actin (C-11), p53 (D0–1), CAPN4 regulatory subunit (N-19), calpain-1 (N-9), HPV-18 E7 (N-19) (Santa Cruz), glyceraldehyde-3-phosphate dehydrogenase (Chemicon, Temecula, CA), and horseradish peroxidase-conjugated secondary antibody (Chemicon). N19 was incubated with the nitrocellulose for 3 days at 4 °C before washing and secondary antibody. Reprobing of membranes was undertaken after treatment with Restore Western blot stripping buffer (Pierce). Protein loading was quantified using BCA Protein assay (Pierce).
Calpain Cleavage of Rb in Vitro—Recombinant calpain (Sigma-Aldrich) (0.1 IU/ml, >98% pure by SDS-PAGE) was incubated with recombinant Rb (QED Biosciences) (0.5 µg/ml, >90% pure) or GST-Rb768–928 with or without recombinant GST-eE7 in the presence of calpain cleavage buffer (25 mM Tris, pH 7.0, 100 mM NaCl) for 30 min at 37 °C. GST fusion proteins were expressed in XL-10 Blue (Stratagene), extracted using lysis buffer containing protease inhibitor mixture (Roche Applied Science), and purified using glutathione-agarose beads (Sigma-Aldrich).
Drug Treatments in Vitro—Cells (105) were treated with (i) lactacystin 10 µM (EMD Biosciences) overnight, (ii) calpain inhibitor PD 150606 or its inactive homologue PD 145305 (EMD Biosciences), (iii) calpain inhibitor VI (EMD Biosciences), or (iv) cisplatin (Sigma-Aldrich). Cells were then analyzed by Western blotting or assayed for cell viability (see below).
Senescence-activated β-Galactosidase Assay—SAOS-2 cells (105) were transfected using GeneJammer (Stratagene) with the indicated Rb plasmids (0.6 µg) alone or in combination with pIRES-Neo2-eE7 (0.6 µg) and/or SerpinB2 (0.6 µg). Cells were grown, and senescence-activated (SA)-β-galactosidase was detected as described previously (21).
HPV-18 Upstream Regulatory Region (URR) Luciferase Assays—SAOS-2 cells (105) were transfected using GeneJammer (Stratagene) with the HPV-URR reporter plasmid (0.6 µg) (14), a pCMV β-galactosidase construct (0.6 µg) as a transfection control (14), the indicated Rb expression plasmid (0.6 µg), plus pIRES-neo2-eE7 or a control plasmid (0.6 µg). At 72-h post-transfection cell lysates were analyzed for luciferase and β-galactosidase activity as described previously (14).
Immunoprecipitation—CAPN4–/– fibroblasts or HEK293 cells were transfected with pIRES-neo2-eE7 or HIS-eE7-FLAG, respectively. After 48–72 h cells were lysed in lysis buffer containing protease inhibitor mixture (Roche Applied Science) (13), and FLAG-eE7 was immunoprecipitated from CAPN4–/– fibroblasts using the FLAGTM immunoprecipitation kit according to the manufacturer's instructions (Sigma-Aldrich) and from HeLa cells using anti-FLAG antibody M2 (Sigma-Aldrich). Bound proteins were washed, eluted, and detected by Western blotting. HEK293 cells expressing HIS-eE7-FLAG were transfected and lysed as above. Pulldown of HIS-eE7-FLAG was performed using nickel-nitrilotriacetic acid-agarose beads (EMD Biosciences), and bound proteins were washed, eluted, and analyzed by Western blotting. Immunoprecipitation of calpain and E7 were undertaken using nuclear extracts of
107 fully confluent HeLa cells cultured overnight with 10 µM lactacystin and the Seize immunoprecipitation kit (Pierce) with goat anti-calpain-1 (N-19), -HPV-18 E7 (N-19), and -actin (C-11).
GST Binding Assays—GST-eE7 fusion protein was incubated with recombinant calpain (Sigma-Aldrich) (0.1 IU/ml) in the presence of LICHT buffer (25 mM Hepes, pH 7.5, 2.5 mM MgCl2, 20% (v/v) glycerol, 0.1% (v/v) NP40, 150 mM KCl, 150 pg/ml bovine serum albumin (Sigma), 0.1 M dithiothreitol (Sigma), and protease inhibitor cocktail (Roche Applied Science)) for 2 h at 4 °C. GST-eE7 was then captured with glutathione-agarose beads, washed, eluted, and analyzed by Western blotting as described previously (13).
Calpain Activity Assays—In vitro calpain activity was determined using the fluorogenic calpain activity assay kit and a fluorogenic µ-calpain substrate H-K(FAM)-EVY
GMMK(DABCYL)-OH (EMD Biosciences). Recombinant calpain (Sigma-Aldrich) (0.1 IU/ml) was incubated with recombinant GST-eE7 in the presence of calpain cleavage buffer with the indicated concentration of calcium with or without EGTA (10 mM) or PD 150606 (150 µM) and the fluorogenic calpain substrate, which was used according to the manufacturer's instructions. Fluorescence was measured using a FLUROstar Optima fluorometer (BMC Lab tech, Offen-burg, Germany). In vivo calpain activity in nuclear lysates was measured using Calpain-GloTM protease assay (Promega) according to manufacturer's instructions. Nuclear lysate were prepared as described from cells washed in phosphate-buffered saline (13).
Quantitative Real Time Reverse Transcription-PCR—HeLa and Caski cells (106) were incubated with the indicated concentrations of either PD 150606 or PD 14305 for 5 days. cDNA was prepared, and real time reverse transcription-PCR was performed as described (13). PCR analysis used the following nucleotide primers (Sigma-Aldrich); for HPV-18 E7, 5'-GCTGAACCACAACGTCACAC-3' and 5'-GGTCGTCTGCTGGAGCTTTCT-3'; for HPV-16 E7, 5'-CCGGACAGAGCCCATTACAAT-3' and 5'-ACGTGTGTGCTTTGTACGCAC-3'; for glyceraldehyde-3-phosphate dehydrogenase, 5'-GGTCGGTGTGAACGGATTT-3' and 5'-GTCGTTGATGGCAACAATCT-3'. Quantitation was based on a standard curve established using dilutions of untreated cell glyceraldehyde-3-phosphate dehydrogenase cDNA.
Cell Viability Assays—Cell survival was quantified by crystal violet staining assays as described (22). Cell were plated into 96-well plates at 2 x 104 cells per well in triplicate or quadruplicate and allowed to adhere overnight. After transfection of dominant negative p53 and/or the addition of calpain inhibitors, the plates were incubated at 37 °C overnight before staining with crystal violet.
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| RESULTS |
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Calpain Cleavage of Rb in Vitro—To determine in a cell free system whether E7 enhances calpain-mediated cleavage of Rb, purified full-length recombinant Rb1–928 was incubated with recombinant human µ-calpain in the presence and absence of GST-eE7. The addition of calpain to Rb resulted in the generation of a faster migrating Rb species with a lower molecular mass of
95 kDa (Fig. 1B, lane 2, Cleaved Rb), which could be distinguished from the 110-kDa full-length Rb (Rb1–928). The addition of GST-eE7 to this mixture resulted in almost complete loss of Rb1–928 (Fig. 1B, lane 3), suggesting that eE7 enhanced calpain activity. The
95-kDa Rb species was also further degraded, an activity also seen when increasing levels of calpain are added to such reactions in the absence of eE7,3 an observation again consistent with eE7 increasing calpain activity. However, only the
95-kDa species was detected in vivo, suggesting that the other calpain cleavage products are only generated under in vitro conditions.3
Rb is C-terminally Cleaved in HPV Cell Lines before Proteasomal Degradation—To determine whether a cleaved Rb species might be present in HPV-transformed cells, the Rb species in control cells was compared with the species found in HPV-transformed cells. Fully confluent, largely non-replicating cells were used to maximize the levels of hypophosphorylated Rb, which is the species targeted by E7 (8). As expected, a 110-kDa Rb species could be clearly detected in control Jurkat cells (non-HPV-transformed) and S1a cells, a SerpinB2-expressing HeLa cell line in which E6/E7 transcription is silenced (14). This Rb species was detected by both the G3245 antibody (that binds toward the N terminus of Rb) and the C-15 antibody (that binds the C terminus of Rb) (Fig. 1C, lanes 1 and 2). When HeLa (HPV-18-transformed) and Caski (HPV-16-transformed) cell extracts were probed with the G3245 antibody, bands were also detected but with a lower molecular mass of
95 kDa (Fig. 1C, top panel, lanes 3 and 5). Incubation of HeLa and Caski cell lines with the proteasomal inhibitor lactacystin resulted in a substantial increase in the levels of this
95-kDa Rb species but not the 110-kDa Rb species (Fig. 1C, top panel, lanes 4 and 6). Importantly, in neither cell line could the
95-kDa Rb species be detected with the C-15 antibody (Fig. 1C, bottom panel, lanes 4 and 6). Thus, in HPV-transformed cell lines an Rb species of
95 kDa can be detected that is missing its C terminus. Furthermore, lactacystin inhibited degradation of this
95-kDa Rb species but did not restore expression of the 110-kDa Rb species (migration of the 110- and
95-kDa Rb species was not affected if the samples were first treated with phosphatases; supplemental Fig. S1A). Taken together with Figs. 1, A and B, these data suggest that E7 promotes the calpain-mediated cleavage of Rb and that the calpain-cleaved Rb species is then further degraded by the proteasome.
Treatment of cervical cancer cells with the proteasomal inhibitor MG-132 has previously also been shown to increase Rb protein levels, although a reduced molecular weight of this Rb species was not observed (11, 12). This may be due to the fact that MG-132 also inhibits calpain (24), so generation of the
95-kDa Rb species might also be inhibited. This contention is supported by the observation that treatment of HeLa cells with both lactacystin and calpain inhibitors, which should mimic MG-132 treatment, resulted in restoration of full-length Rb (supplemental Fig. S1B).
Mapping of the C-terminal Cleavage Site in Rb—To identify the postulated calpain-cleavage site within the C terminus of Rb, a C-terminal fragment of Rb (Rb768–928) was expressed as a GST fusion protein (Fig. 1D, lane 2, GST-Rb768–928). With the addition of calpain and GST-eE7, this 55-kDa GST-Rb768–928 was cleaved to yield protein species running at
30 kDa (Fig. 1D, lane 3, Cleaved GST-Rb768–928). The top band was excised from the gel and analyzed by mass spectrometry. Molecular weight analyses suggested that the calpain cleavage site was located around Rb809 to Rb816 (supplemental Fig. S2, A and B). This region contains an almost perfect match for the preferred P3, P2, P1, P1', P2', and P3' amino acid residues for calpain cleavage described by Tompa et al. (25) (supplemental Fig. S2C). This match suggests that the cleavage site lies between P1 at Rb810 (lysine) and P1' at Rb811 (serine) (supplemental Fig. S2D). This site was also identified as a calpain cleavage site in Rb in the absence of E7.3
E7-mediated Degradation of Rb Requires Rb Amino Acid 810—To confirm the importance of the P1 residue (Rb810) for E7/calpain-mediated degradation of Rb1–928, the lysine in this position was replaced with alanine to generate RbK810A (Fig. 2A). Plasmids encoding Rb1–928 and RbK810A were transfected into HeLa cells, and Rb protein levels were analyzed by Western blot. As expected given the presence of endogenous E7, the Rb1–928 protein expression level was low in HeLa cells (Fig. 2B, lane 2). In contrast, RbK810A was expressed at high levels (Fig. 2B, top panel, lane 3), indicating that it was resistant to E7-mediated degradation. Importantly, RbK810A was also detected by the C-15 anti-Rb antibody (Fig. 2B, middle panel, lane 3), indicating that no C-terminal cleavage had occurred. These data indicate that mutation of the P1 residue at Rb810 renders E7 unable to promote Rb degradation.
Proteasomal Degradation of Rb Cleaved at Amino Acid 810 Is Enhanced by E7—Numerous studies have suggested that E7 reduces Rb stability by enhancing its proteasomal degradation (10–12). We, thus, sought to test the hypothesis that E7 first promotes calpain-mediated cleavage of Rb at P1 Rb810 and then E7 enhances the proteasomal degradation of the calpain cleavage product, Rb1–810. Rb1–928 (Rb), RbK810A, and Rb1–810 were expressed in Rb-defective SAOS-2 cells, and in the absence of eE7 they were expressed at comparable levels (Fig. 2C, anti-Rb G3245, lanes 2–4). As expected, Rb and RbK810A, but not Rb1–810, were recognized by the C-15 anti-Rb antibody (Fig. 2C, anti-Rb C15, lanes 2–4). When eE7 was co-expressed with the three different Rb species, Rb and Rb1–810, but not RbK810A, were undetectable (Fig. 2C, anti-Rb, lanes 6–8). This suggested that E7 promotes the degradation of the calpain cleavage product, Rb1–810, and again illustrated the importance of the Rb810 residue for E7-mediated degradation.
To determine the role of the proteasome in the degradation process, lactacystin was added to the eE7 and Rb-expressing SAOS-2 cells. In cells expressing Rb1–928, protein levels were restored, but the restored Rb species migrated at
95 kDa (in the same position as Rb1–810) and was not recognized by the C-15 antibody (Fig. 2C, lane 10). This is similar to the result seen in Fig. 1C (lanes 4 and 6), and both data suggest that eE7/E7 promotes the proteasomal degradation of Rb1–810. As might be expected, the levels of RbK810A protein were largely unaffected by lactacystin treatment (Fig. 2C, lane 11). To test directly the role of the proteasome in the E7-mediated degradation of Rb1–810, lactacystin was added to cells expressing Rb1–810 and eE7. This resulted in restoration of Rb1–810 protein levels (Fig. 2C, top panel, compare lanes 8 and 12), indicating that E7-mediated degradation of Rb1–810 is dependent on the proteasome. Taken together, these data suggest that E7-mediated degradation is a two-step process. First, E7 promotes calpain-mediated cleavage of Rb, and then E7 enhances the proteasomal degradation of the calpain cleavage product, Rb1–810.
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The expression of SerpinB2 inhibited the ability of eE7 to inhibit SA β-galactosidase induction in these SAOS-2 cells (Fig. 2D, Rb1–928 + SerpinB2). Similar to the K810A mutant, SerpinB2 has been shown to inhibit Rb degradation by E7 (14). Because SerpinB2 also inhibits turnover of Rb and increases Rb levels in the absence of E7 (13), the percentage SA-β-galactosidase expression for Rb1–928 + SerpinB2 exceeds that seen for Rb1–928.
The N-terminal region of Rb (Rb8–62) contains a high scoring PEST sequence (+14.93 using PESTfind), and such sequences are often found in proteins targeted by calpain (27). However, the removal of the N-terminal region of Rb did not diminish Rb degradation by E7 (Fig. 2D, Rb394–928) in agreement with Gonzalez et al. (21). This suggests that the Rb potential PEST sequence is not required for E7-enhanced calpain-mediated cleavage of Rb.
Rb1–810 Is Able to Repress Transcription from the HPV URR—We have previously shown that Rb protein expression is able to repress transcription of the polycistronic E6/E7 mRNA from the integrated HPV URR (14). In agreement with this report, expression of Rb1–928 was shown to repress transcription from a HPV-18 URR reporter in Rb-defective SAOS-2 cells (Fig. 2E, compare black bars in Vector and Rb1–928). As expected, eE7 co-expression relieved this Rb-mediated repression (Fig. 2E, Rb1–928, white bar). RbK810A was as active as Rb1–928 in repressing the HPV URR, and eE7 co-expression did not relieve this repression (Fig. 2E, RbK810A, white bar), again illustrating the importance of the 810 residue for E7-mediated degradation of Rb.
Because Rb1–810 was no longer active for promoting growth arrest (Fig. 2D, Rb1–810), it is unclear why E7 has evolved to promote further degradation of Rb1–810 via the proteasome. To determine whether Rb1–810 can repress the HPV URR, Rb1–810 was expressed in the SAOS-2 cells together with the HPV URR reporter plasmid. Rb1–810 was as active as Rb1–928 in repressing the HPV URR (Fig. 2E, black bar, Rb1–810), and eE7 co-expression did relieve this repression (Fig. 2E, Rb1–810, white bar). Thus, Rb1–810 appears to retain the ability to repress E6/E7 transcription.
E7 Reduces the Calcium Requirement of µ-Calpain in Vitro—To determine whether E7 is able to activate calpain at physiological calcium concentrations (50–300 nM) in vitro, GST-eE7 was incubated with recombinant µ-calpain in the presence of 0–1 µM calcium. Calpain activity was measured using a fluorogenic calpain peptide substrate. Without eE7, µ-calpain was essentially inactive (Fig. 3A, -eE7). However, in the presence of eE7 significant calpain activity was seen at calcium concentration as low as 50 nM (Fig. 3A, +eE7). This activity was inhibited by EGTA and calpain inhibitor PD 150606. At 10 µM calcium the µ-calpain activity was measured as 1020 ± 53 and 1200 ± 113 relative fluorescence units for –eE7 and +eE7, respectively (data are not shown in the figure), suggesting that at least in vitro E7 does not increase the maximal activity of µ-calpain.
E7 Enhances Nuclear Calpain Activity in Vivo—To determine whether E7 expression would increase nuclear calpain activity in cells, a HPV-16 E7 (pIRES-Neo2-eE7) or control plasmid was transfected into C33A cells, and nuclear lysates were assayed for calpain activity. C33A cells transfected with eE7 showed a 6.7-fold increase in nuclear calpain activity when compared with C33A cells transfected with a control plasmid (Fig. 3B, compare C33A + eE7 with C33A + Vector). The addition of 10 mM EGTA to the assay inhibited all calpain activity, indicating that the assay measures calcium-dependent calpain activity (Fig. 3B, +EGTA). These results illustrate that eE7 expression significantly enhances nuclear calpain activity.
E7 Binds µ-Calpain in Vitro—To determine whether E7 can bind calpain, recombinant calpain was incubated in vitro with either GST or GST-eE7 immobilized onto glutathione agarose beads. Bead-bound proteins were analyzed by Western blotting using an anti-µ-calpain antibody. µ-Calpain bound to GST-eE7 (Fig. 3C, lane 2), but not GST (Fig. 3C, lane 1), indicating that in vitro E7 is able to bind µ-calpain. eE7 also bound the 37-kDa autocatalytic fragment of µ-calpain (Fig. 3C, lane 2, lower band), which represents the N-terminal region of µ-calpain.
E7 Binds µ-Calpain in Vivo—To determine whether E7 associates with the µ-calpain catalytic subunit in vivo, CAPN4–/– fibroblasts were transfected with FLAG-eE7, and anti-FLAG antibody was then used to immunoprecipitate proteins from nuclear lysates. Western blotting analysis illustrated that anti-FLAG antibody immunoprecipitated eE7 (Fig. 3D, lane 3, anti-FLAG) and co-immunoprecipitated the large catalytic subunit of µ-calpain (Fig. 3D, lane 3, anti-calpain) and Rb (Fig. 3D, lane 3, anti-Rb). The addition of FLAG peptide prevented the immunoprecipitation of eE7, Rb, and calpain (Fig. 3D, IP:Control, lane 2). In a second system HEK293 cells were transfected with His-eE7-FLAG, and nickel-nitrilotriacetic acid-agarose beads were used to pull down His-eE7-FLAG. µ-Calpain and Rb were pulled down with eE7 in His-eE7-FLAG-transfected cells (Fig. 3E, lane 3), whereas these proteins were inefficiently pulled down from untransfected control HEK293 cells (Fig. 3E, lane 2). Thus, in these two transfected cell systems E7 was shown to bind calpain.
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A Calpain Inhibitor Restored Rb Protein Levels, Repressed E6/E7 Transcription, and Restored p53 Protein Levels in HPV-transformed Cells—To determine whether calpain inhibitors might be used to inhibit E7-mediated degradation of Rb, fully confluent HeLa and Caski cells were treated with the calpain inhibitor PD 150606 and the inactive analogue PD 145305, and the Rb protein levels were analyzed by Western blotting. PD 145305 had little effect on Rb levels (Fig. 4A, lanes 2 and 8, top panel), whereas treatment with increasing levels of PD 150606 resulted in the restoration of Rb protein levels (Fig. 4A, lanes 6 and 11, top panel). Importantly, the restored Rb was also detected by the C-15 anti-Rb antibody (Fig. 4A, middle panel, lanes 6 and 11), indicating that the calpain inhibitor restored expression of full-length Rb in both HPV-18- and HPV-16-transformed cells. E7 only promotes degradation of hypophosphorylated Rb (8); thus, loss of Rb in HPV-transformed cells is only clearly evident when the cells are fully confluent and primarily in G1. The calpain inhibitor is able to restore Rb expression under these conditions, whereas it has little effect on Rb expression when cells are subconfluent (supplemental Fig. S1C).
We have previously shown that Rb expression can repress transcription of E6/E7 mRNA, resulting in recovery of p53 protein levels (14). Treatment with the calpain inhibitor PD 150606 (but not PD 145305) similarly caused an increase in p53 protein levels (Fig. 4A, bottom panel, lanes 6 and 11). This was unlikely to be due to the inhibition of E6 activity as the accelerated degradation of p53 mediated by E6 does not involve calpain (28). Furthermore, treatment with PD 150606 (but not PD 145305) resulted in significant reductions in E6/E7 mRNA levels in both HeLa and Caski cells (Fig. 4B). These data suggest that the calpain inhibitor inhibited E7-mediated degradation of Rb, and the elevated Rb levels then repressed HPV E6/E7 oncogene transcription resulting in recovery of p53.
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125-fold higher than PD 150606 (31). After 24 h of incubation, both HeLa and Caski cells displayed a dose-dependent decrease in viability, whereas the drug had little effect on the HPV-negative C33A and A549 cells at these concentrations (Fig. 5A). To determine whether the reduced survival of calpain inhibitor treated HeLa and Caski cells (seen in Fig. 5A) was due to the recovery of p53 (see Fig. 4A), HeLa and Caski cells were transiently transfected with a dominant negative p53 mutant (20). Expression of the dominant negative p53 effectively inhibited the ability of the calpain inhibitor to reduce viability of HeLa and Caski cells (Fig. 5B), indicating that this drug induces p53-dependent apoptosis in HPV-positive cells.
Calpain Inhibitor VI Synergized with Cisplatin—Cisplatin is extensively used in the treatment of cervical cancer (32), is able to up-regulate p53 expression in HPV-transformed cells (33), and promotes p53-mediated apoptosis (34). Calpain inhibitors are being developed to treat a range of diseases (16) including cancer (17), and we have shown that calpain inhibitor VI is able to inhibit the growth of HeLa or Caski cell xenographs in Foxn1nu mice (supplemental Fig. S3). Because inhibition of calpain was associated with p53-dependent cell death (Fig. 5B), we sought to determine whether calpain inhibitor VI might synergize with cisplatin to kill HPV-transformed tumor cells. For both HeLa and Caski cells synergistic cytotoxic effects were observed (Fig. 6). For instance, 50 µg/ml cisplatin killed 48% of HeLa cells, whereas with the addition of 12.5 µM calpain inhibitor VI, 100% of HeLa cells were killed. Synergistic effects were not seen in A549 cells (Fig. 6). These data suggest that calpain inhibitors might be used in conjunction with cisplatin for the treatment of HPV-transformed lesions.
| DISCUSSION |
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Rb Degradation by E7 Involves Calpain Cleavage followed by Proteasomal Degradation—Previous reports have suggested that the proteasome system represents the pathway utilized by E7 to enhance the degradation of Rb (10–12). Nevertheless, mutational analyses prompted Helt and Galloway (7) to suggest a two-step process for Rb inactivation whereby E7 first displaces E2F from Rb and then targets Rb for proteasomal degradation. The evidence presented herein suggests that calpain cleavage is responsible for E2F displacement since the cleavage product, Rb1–810, was unable to induce growth suppression (Fig. 2). This is consistent with the observations that (i) the C-terminal region of Rb, Rb829–874 (which is missing in Rb1–810), is necessary for the high affinity interaction between E2F and Rb and (ii) that this high affinity interaction is required for Rb-mediated growth suppression (26).
The second step in the E7-mediated degradation of Rb appears to involve the proteasomal degradation of the calpain-cleavage product, Rb1–810. This species is likely to retain binding to E7 since Rb379–792 has been shown to be sufficient for E7 binding and proteasomal degradation (21). The proteasome, thus, appears to be involved in degrading Rb1–810 rather than Rb1–928, and E7-promoted calpain cleavage of Rb1–928 appears an essential prerequisite before E7 is able to promote further proteasomal degradation of Rb1–810.
Why Might This Two-step Process for Rb Degradation Have Evolved?—E7 only binds hypophosphorylated Rb (8), which is usually associated with E2F. This binding appears to result in calpain-mediated cleavage and the release of E2F, which is required for S phase reentry and viral replication (38). Because Rb1–810 is unable to mediate growth arrest, why has E7 evolved to degrade further this Rb species via the proteasomal pathway? Rb1–810 is likely to retain binding to a number of other Rb binding proteins, which do not require an intact C terminus of Rb. At least one reason why E7 may have evolved to degrade Rb1–810 may be that Rb1–810 retains the ability to repress E6/E7 transcription (Fig. 2E). In HPV 18-transformed cells Rb1–928 was reported to mediate transcriptional repression of the URR, potentially via binding to C/EBPβ (14), an interaction that does not require the C-terminal region of Rb (39). Thus, E7 may need to degrade Rb1–810 to prevent Rb1–810-mediated suppression of E6/E7 transcription. Why an HPV URR would contain an Rb-regulated repressive element remains to be established.
Calpain Inhibitors for the Treatment of HPV-transformed Lesions—Calpain inhibitors were able to reduce the viability of HPV-transformed cells in vitro and slowed the growth of Caski and HeLa xenographs in vivo, suggesting they might find application in the treatment of HPV-transformed tumors. The inhibitors were shown to prevent Rb cleavage by E7/calpain in vitro (Fig. 3A) and enhanced recovery of Rb protein expression in HPV-transformed cells in vivo (Fig. 4A). Consistent with previous reports (14), elevated Rb levels can repress E6/E7 gene transcription, resulting in the loss of E6/E7 mRNA (Fig. 4B). The subsequent recovery of p53 in the calpain inhibitor-treated HPV-transformed cells (Fig. 4A) then appeared to lead to p53-dependent apoptosis (Fig. 5B). Inhibiting E6/E7 gene transcription in HPV-transformed cells using small interfering RNA has similarly been shown to reduce cell growth and/or induce apoptosis in HPV-transformed cells (40, 41).
Cisplatin combined with radiotherapy has become the standard treatment for locally advanced cervical cancer and can achieve survival rates of >70% (32). For women with disseminated, persistent, recurrent, or metastatic disease, few treatment options exist (42). Cisplatin was shown to synergize with calpain inhibitor VI to reduce the viability of HPV-transformed cells in vitro (Fig. 6). Because cisplatin can up-regulate p53 expression in HPV-transformed cells (33) and promote p53-dependent apoptosis (34), this synergy is likely due to both drugs increasing expression of p53. p53 has also been implicated in the synergistic killing of HPV-transformed cells after E6/E7 small interfering RNA and cisplatin treatment (43). Thus, combining cisplatin with a calpain inhibitor may find utility in the treatment of advanced HPV-associated malignancies.
| FOOTNOTES |
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The on-line version of this article (available at http://www.jbc.org) contains supplemental Figs. S1–S3. ![]()
1 To whom correspondence should be addressed: Queensland Institute of Medical Research, Post Office Royal Brisbane Hospital, Queensland 4029, Australia. Tel.: 61-7-33620415; Fax: 61-7-33620107; E-mail: Andreas.Suhrbier{at}qimr.edu.au.
2 The abbreviations used are: HPV, human Papillomavirus; Rb, retinoblastoma; GST, glutathione S-transferase; SA, senescence-activated; URR, upstream regulatory region. ![]()
3 L. Tonnetti, S. Netzel-Arnett, G. A. Darnell, T. Hayes, M. S. Buzza, A. Suhrbier, and T. M. Antalis, submitted for publication. ![]()
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