Functional Blockade of the Voltage-gated Potassium Channel Kv1.3 Mediates Reversion of T Effector to Central Memory Lymphocytes through SMAD3/p21cip1 Signaling*

Background: The role of Kv1.3 in regulating T cell differentiation and memory is incompletely understood. Results: A dominant negative mutation of Kv1.3 mediates reversion of TEM into TCM through SMAD3-dependent cell cycle changes. Conclusion: Signaling through Kv1.3 is a mechanism by which TEM may revert to TCM. Significance: These findings suggest a novel role for Kv1.3 in T cell differentiation and memory responses. The maintenance of T cell memory is critical for the development of rapid recall responses to pathogens, but may also have the undesired side effect of clonal expansion of T effector memory (TEM) cells in chronic autoimmune diseases. The mechanisms by which lineage differentiation of T cells is controlled have been investigated, but are not completely understood. Our previous work demonstrated a role of the voltage-gated potassium channel Kv1.3 in effector T cell function in autoimmune disease. In the present study, we have identified a mechanism by which Kv1.3 regulates the conversion of T central memory cells (TCM) into TEM. Using a lentiviral-dominant negative approach, we show that loss of function of Kv1.3 mediates reversion of TEM into TCM, via a delay in cell cycle progression at the G2/M stage. The inhibition of Kv1.3 signaling caused an up-regulation of SMAD3 phosphorylation and induction of nuclear p21cip1 with resulting suppression of Cdk1 and cyclin B1. These data highlight a novel role for Kv1.3 in T cell differentiation and memory responses, and provide further support for the therapeutic potential of Kv1.3 specific channel blockers in TEM-mediated autoimmune diseases.


The maintenance of T cell memory is critical for the development of rapid recall responses to pathogens, but may also have the undesired side effect of clonal expansion of T effector memory (T EM ) cells in chronic autoimmune diseases. The mechanisms by which lineage differentiation of T cells is controlled have been investigated, but are not completely understood. Our previous work demonstrated a role of the voltage-gated potassium channel Kv1.3 in effector T cell function in autoimmune disease. In the present study, we have identified a mechanism by which Kv1.3 regulates the conversion of T central memory cells (T CM ) into T EM . Using a lentiviral-dominant negative approach, we show that loss of function of Kv1.3 mediates reversion of T EM into T CM , via a delay in cell cycle progression at the G2/M stage.
The inhibition of Kv1.3 signaling caused an up-regulation of SMAD3 phosphorylation and induction of nuclear p21 cip1 with resulting suppression of Cdk1 and cyclin B1. These data highlight a novel role for Kv1.3 in T cell differentiation and memory responses, and provide further support for the therapeutic potential of Kv1.3 specific channel blockers in T EM -mediated autoimmune diseases. The adaptive immune system is characterized by the ability of lymphocytes to respond to a vast array of antigenic stimuli and then maintain recall responses to these cognate antigens for many years. The molecular mechanisms by which T cells differentiate into and maintain their status as memory cells have not been well defined, although a number of signaling pathways have been identified (1)(2)(3)(4)(5)(6)(7). After antigenic stimulation, naïve T lymphocytes clonally expand in the lymph node and differentiate into subsets of activated effector cells. These activated T cells then egress from the lymph node and home to tissue sites of inflammation where they mediate their effector functions through secretion of proinflammatory cytokines or proteases. Memory T cells are divided into two broad subsets, based on their expression of the lymph node homing chemokine receptor, CCR7, which is used to define T central memory (T CM ) 3 cells. T effector memory (T EM ) cells lose CCR7 expression and thus are more able to home to tissue sites of inflammation. As T cells divide during the process of differentiation, there has been interest in understanding the coordinated process of cell cycle and T cell differentiation. The role of ion channels in regulating cell cycle was first recognized in the 1960s when it was shown that membrane voltage potentials change during the stages of cell cycle and may mediate progression through G1/S and G2/M (8). During G1/S the cell membrane becomes hyperpolarized relative to the resting potential and potassium channels from the voltage-gated and calcium-sensitive families respond to flux K ϩ out of the cells. In G2/M the cell membrane becomes depolarized and K ϩ flux is decreased, with a corresponding increase in Cl channel conductance (9). In addition to the long recognized role of ion channels in cellular proliferation, the reverse is also true, as mitogens have been shown to up-regulate potassium channels including Kv1.3 (10,11).
The cellular signaling pathways that regulate differentiation between T CM and T EM lymphocytes remain incompletely described. While there are strong similarities between murine and human memory cells, the voltage-gated potassium channel, Kv1.3, has been reported to have unique functions in human lymphocytes that differ in murine systems due to compensatory activation of a chloride channel in mice in which Kv1.3 was knocked out (12). We and others have previously * This work was supported, in whole or in part, by National Institutes of Health demonstrated that T EM preferentially up-regulate expression of the outward rectifying Kv1.3 channel, and that pharmacological blockade of this channel inhibits a variety of effector functions of human T cells in vitro, and in vivo rat autoimmune models including delayed type hypersensitivity and relapsing EAE (13)(14)(15). We also previously reported that long-term functional blockade of Kv1.3 in human T cells using a dominant negative (Kv1.xDN) transduction strategy not only selectively inhibited T EM proliferation and cytokine production, but further caused inhibition of T CM differentiation into T EM (13,16). In the present study, we sought to elucidate the mechanisms by which this channel regulates cell cycle and its role in T cell differentiation.
Our current data show that a Kv1.3-dependent signaling pathway is a critical regulator of T EM cell differentiation. A loss of function mutation of Kv1.3 inhibited differentiation of T CM into T EM and led to conversion of T EM to T CM . This loss of function mutation further resulted in a concomitant delay in cell cycle at the G2/M phase. Inhibition of Kv1.3 led to enhanced translocation of phosphorylated SMAD3 to the nucleus where it binds the p21 promoter and suppresses the cell cycle-related genes cyclin-dependent kinase (Cdk)1 and cyclin B1, indicating an inhibition in cell cycle progression. These data provide a mechanism by which the pharmacological blockers may mediate their therapeutic effect and further, suggest that the signaling pathways that suppress strong T cell activation may favor T cell survival and memory.

EXPERIMENTAL PROCEDURES
Isolation of CD4ϩ T Cells from Peripheral Blood-Human peripheral blood mononuclear cells (PBMC) were purified from whole blood using Ficoll gradients as described previously (17). CD4 subsets were obtained by negative selection using magnetic microbeads (MiltenyiBiotec, Auburn, CA). Briefly, PBMC were incubated with CD4ϩ T cell biotin-antibody mixture at 4°C for 10 min, followed by 15 min of incubation with anti-biotin microbeads, and negatively separated using a MACS apparatus. The purity of human T cells was consistently Ͼ95% as routinely checked by FACS analysis.
Flow Cytometric Analysis and Cell Sorting-Single cell suspensions were prepared and stained as previously described (17). The monoclonal Abs utilized for the cell surface staining were FITC-anti-CD4 (PharMingen), PerCP-anti-CD4 (PharMingen), PE-anti-CCR7 (R and D systems), and APC-anti-CD45RA (PharMingen). Briefly, cells were washed twice in PBS/0.5% BSA and incubated with a mixture of Abs for 30 min on ice. Cells were washed twice again in PBS/0.5% BSA. Stained cells were analyzed on a FACS Calibur flow cytometer using CellQuest software (BD Immunocytometry Systems, San Jose, CA). The CD4ϩ cells were separated into T EM , T CM , and naive subsets by cell sorting using the combination of anti-CD4-Cy-Chrome, anti-CCR7-PE and anti-CD45RA-FITC mAbs. Single cell suspensions were stained, and the T EM , T CM , and naive cells within the gate of CD4ϩ cell population were sorted based on their differential expression of CCR7 and CD45RA using a MoFlo MLS high-speed cell sorter (Beckman Coulter, Miami, FL). The purity of each sorted population was consistently Ͼ95%.
Lentiviral Transduction of Activated CD4ϩ T Cells-Activated CD4ϩ T cells were transduced with the lentiviral vector particles as previously described (13). The DNKv1.x sequence codes for a Kv1.x molecule with a function-blocking mutation (GYG to AYA) in the pore-forming region. CD4ϩ T cells were activated with anti-CD3/CD28 for 24 h prior to lentiviral transduction. Transduction efficiency was determined by examining GFP expression by flow cytometry. Non-infected T-cells, cultured under the same conditions, were used as negative control for GFP.
RT-PCR-RNA was isolated using RNeasy mini kit from Qiagen for total RNA purification. cDNA was made using Super-Script III First-Strand Synthesis System for microarray analysis.
Gene Microarray Analysis-The RNA samples were analyzed with Affymetrix-GeneChiphuman 133 2.0 Arrays. Quality of the microarray experiment was assessed with AffyPLM and Affy, two bioconductor packages for statistical analysis of microarray data. To estimate the gene expression signals, data analysis was conducted on the chips' CEL file probe signal values at the Affymetrix probe pair (perfect match (PM) probe and mismatch (MM) probe) level, using the statistical algorithm RMA (Robust Multi-array expression measure) with Affy. This probe level data processing includes a normalization procedure utilizing quantile normalization method to reduce the obscuring variation between microarrays, which might be introduced during the processes of sample preparation, manufacture, fluorescence labeling, hybridization, and/or scanning.
Exploratory Data Analysis (EDA)-EDA was performed with the normalized data. Multi-Dimensional Scaling (MDS) was performed with R function isoMDS to assess the closeness among samples. Between-condition and between-replicate variation was examined with pairwise MvA plots, in which the base 2 log ratios (M) between two samples are plotted against their averaged base 2 log signals (A). With the signal intensities estimated above, an empirical Bayes method with the Gamma-Gamma modeling, as implemented in the bioconductorpackage EBarrays, was used to estimate the posterior probabilities of the differential expression of genes between the GFP-control and GFP-KV1.3DN (18). The criterion of the posterior probability Ͼ0.5, that is to say the posterior odds favoring change, was used to produce the differentially expressed gene lists.
Cell Cycle Assay-A 5Ј-bromo-2Ј-deoxyuridine (BrdU) flow kit (BD Pharmingen, San Diego, CA) was used to determine the cell cycle kinetics. The assay was performed according to the manufacturer's protocol. Briefly, cells (1 ϫ 10 6 per well) were cultured with 10 M BrdU, and incubations continued for an additional 4 h. Cells were fixed in a solution containing paraformaldehyde and the detergent saponin, and incubated for 1 h with DNase at 37°C (30 g per sample). APC-conjugated anti-BrdU antibody (1:50 dilution in Wash buffer; BD Pharmingen, San Diego, CA) was added and incubation continued for 20 min at room temperature. Cells were washed in Wash buffer and total DNA was stained with 7-amino-actinomycin D (7-AAD; 20 l per sample). BrdU content (APC) and total DNA content (7-AAD) were analyzed on a FACS Calibur flow cytometer using CellQuest software (BD Immunocytometry Systems, San Jose, CA).
Immunofluorescence Staining-Cells were washed and placed into cytospin funnels and spun onto glassslides using x and GFP control alone at an MOI of ϳ5. CCR7 expression was measured in GFP and DN-Kv1.x-transduced T EM CD4 T cells labeled with PKH26 at the indicated timepoints. The data are representative of two experiments. E, purified CD4ϩ T cells were stimulated with soluble anti-CD3 (1 g/ml), anti-CD28 Abs (1 g/ml), irradiated PBMC, and recombinant human IL-2 (20 units/ml). The culture was maintained by biweekly restimulation with the above stimuli for 6 weeks. Under this in vitro repeated antigen stimulation, Ͼ90% of cells were terminally differentiated T EM cells (day 0). In vitro generated chronic T EM cells were then subjected to transduction with DN-Kv1.x and GFP control alone at an MOI of ϳ5. After 12 and 19 days of transduction, cells were stained with anti-CD4 and anti-CCR7. F, percentages of CCR7 ϩ GFP ϩ cells are presented as mean of triplicate Ϯ S.D. of one representative of two experiments. The value was significantly different from that of GFP control. (**, p Ͻ 0.01; ***, p Ͻ 0.005). a cytospin centrifuge (Shandon, Pittsburgh, PA) and subsequently fixed with 3.7% paraformaldehyde, washed, and blocked. Thereafter, cells were incubated with rabbit antihuman SMAD3 or phospho-SMAD3 (Ser-423/425) (Alamone Labs, Jerusalem, Israel) antibodies for 30 min at room temperature. Cells were thereafter labeled with donkey antirabbit IgG secondary antibodies conjugated to Alexa Fluor (AF)-594 (Molecular Probes, Eugene, OR). Cellular nuclei were stained with 4, 6-diamidino-2-phenylindole (DAPI) (Molecular Probes) at 1 g/ml for 10 min. After being mounted in ImmunoFluore medium (ICN Biomedicals, Aurora, OH), images were acquired by OpenLab software on a Zeiss Axiovert S100 microscope under ϫ100 objective (Carl Zeiss, Thornwood, NY).
Western Blotting-Nuclear and cytoplasmic extracts were prepared from DNKv or GFP control cells using the CelLyticNuCLEAR extraction kit from Sigma according to the manufacturer's instructions. Phosphatase inhibitors were also added to the lysate. Protein was quantified using the BCA assay (Pierce) and 30 g of lysate was used for SDS-PAGE. Western blots were performed using antibodies specific for p21, p27 (Millipore, Temecula, CA), cyclin B1, Cdk1, pSMAD3, SMAD3 (Cell Signaling Technology, Danvers, MA), and actin (Sigma). Blots were initially probed for p21 or pSMAD3 and stripped and reprobed for additional proteins. Average densitometric ratio was calculated for three replicate experiments using Adobe Photoshop software and graphed as percent of maximum average densitometric ratio.
Chromatin Immunoprecipitation Assay (ChIP)-ChIP assay was conducted as previously described (19). Briefly, DNKv or GFP control transduced T cells were restimulated with anti-CD3 and anti-CD28 for 6 h and protein/DNA complexes were cross-linked with 1% formaldehyde. Following cross-linking, cells were lysed and chromatin was sonicated and incubated overnight with an anti-SMAD3 antibody (Cell Signaling Technology, Danvers, MA) or a normal rabbit IgG isotype control antibody (Upstate Biotechnology, Waltham, MA). Chromatin was immunoprecipitaed using protein G-Sepharose. DNA was eluted and purified and quantitative PCR was performed to determine whether SMAD3 was binding to the p21 promoter. One percent of sheared DNA was reserved for the input control. PCR was performed with primers flanking SMAD binding elements (SBE) in the p21 promoter. A 180 bp region of the p21 promoter was amplified spanning SBE at nucleotide position Ϫ1752 to Ϫ1733: forward, 5Ј AATGTCGTGGTGGTGGT-GAG-3Ј and reverse, 5Ј-ACCTACCAAACCTACATATC-3Ј.
Statistical Analysis-Statistical evaluation of significance between the experimental groups was determined by Student's t test using GraphPad Software (GraphPad Prism, San Diego, CA). Results were determined to be statistically significant when p Ͻ 0.05.

Kv1.3 Loss of Function Mutation Intrinsically Interferes with
T EM Differentiation-To investigate novel targets of Kv1.3 blockade in T lymphocytes, we first assessed changes in gene expression profiles from human T cells in which Kv1.3 function was inhibited with a KvDN using an AffymetrixGeneChiphuman 133 2.0 array. Gene family cluster analyses revealed notable changes in ion channels, cell cycle genes, and in T cell regulation and cellular differentiation pathways including TGF␤ signaling pathway members (supplemental Table S1). Because Kv1.3 is predominantly expressed in T EM , we sought to determine the mechanism by which accumulation of T CM occurred in our prior report. We therefore explored the possibility that Kv1.3 might alter the plasticity of already established T EM . We first sorted primary human CD4ϩ T cells into T CM , T EM , and naïve subsets based on the expression of CCR7 and CD45RA (Fig. 1A), and transduced each type with KvDN or GFP control lentiviral vectors. As expected, after stimulation for 7 days, GFP control transduced cells from the T CM subset differentiated into T EM , whereas KvDN-transduced cells failed to differentiate and remained predominantly T CM (Fig. 1, B and C). KvDN cells demonstrated a significantly greater increase in CCR7 upregulation and reversion to a CCR7 ϩ phenotype compared with the controls. To ascertain whether the observed accumulation of T CM was indeed derived from T EM and not a small contaminating pool of T CM , we labeled the T EM cells with the membrane marker PKH and analyzed their coordinated levels of CCR7 expression and cellular division (Fig. 1D). Consistent with the notion of T EM plasticity, significantly more of the labeled KvDN-transduced T EM reverted to CCR7 ϩ T CM and exhibited slowed proliferation as compared with the control T EM cells. This reversal was evident in both primary isolated T EM and chronically activated (in vitro) T EM (Fig. 1, E and F), as well as in cells stimulated with anti-CD3 alone (supplemental Fig. S5), consistent with an effect on co-stimulation-independent effector memory T cells. Cell viability was equal in both control and KvDN pools as measured by Annexin V staining (supplemental Fig. S1).

Kv1.3 Loss of Function Mutation Causes a Delay of Cell Cycle in G2/M Phase in T EM Cells-To assess the relationship between cell cycle progression and the diminished capacity of
Kv-blocked T EM cells to proliferate and differentiate, we performed a cell cycle analysis of control and KvDN-transduced T cells. As shown in Fig. 2, A and B, CD4ϩ T cells transduced with KvDN display a significantly greater proportion of cells in G2/M phase when compared with control cells. We fractionated the cells into distinct subsets and observed no significant difference in control and KvDN cells in cell cycle profiles in T CM and naïve subsets. In contrast, T EM cells transduced with KvDN had significant increases in the numbers of cells in G2/M phase, relative to GFP control T EM cells (Fig. 2, C and D). Treatment of T cells with the DNA synthesis inhibitor, aphidicolin, inhibited proliferation and caused S phase arrest but did not increase levels of CCR7 (supplemental Fig. S2).

Kv1.3 Loss of Function Mutation Induces Nuclear Accumulation of p21 cip1 That Is Accompanied by Down-regulation of
Cyclin B1 and Cdk1-Because ion channels have been linked to cell cycle progression related to both p21 and Cdks in other cell types, and cell cycle genes were differentially expressed in our gene array, we next performed Western blot analyses of p21 cip1 , which is a potent Cdk inhibitor, as well as cyclin B1 and Cdk1, which are responsible for the G2/M phase transition, in the cytoplasmic and nuclear fractions of the transduced T cells (Fig.  3A). Quantification of these blots revealed a significant increase in nuclear p21 cip1 in KvDN-transduced cells as compared with controls (Fig. 3B). There was no such change in p27 kip1 . In contrast, accumulation of cyclin B1 and Cdk1 were observed in the cytoplasm of KvDN cells, but was less evident in the nuclear fraction as compared with GFP controls. Taken together, these data indicate that Kv1.3 blockade may induce a cell cycle delay of T EM cells in the G2/M phase through a p21-mediated/cyclin B1 and Cdk1-dependent pathway.

Kv1.3 Loss of Function Mutation Enhances SMAD3 Expression and
Phosphorylation-Based on the information from our gene array data and prior reports suggesting that SMAD3 can regulate cell cycle progression, and previous studies showing that calmodulin regulates SMAD signaling, we measured the expression and phosphorylation of SMAD3 in control and KvDN transduced T cells (20). Our results indicate that a loss of function mutation of Kv1.3 led to an increase in expression of pSMAD3 as compared with GFP control cells (Fig. 4, A-C).
Further, Western blot analysis demonstrated a significant accumulation of pSMAD3 in the nucleus of KvDN cells when compared with GFP control cells (Fig. 4, D and E). An increase in phosphorylated SMAD3 was also seen when CD4ϩ T cells were stimulated in the presence of the pharmacological Kv1.3 blocker, margatoxin, and was equivalent to the change seen during canonical TGF-␤-induced signal transduction (supplemental Fig. S3). These data suggest that Kv1.3 blockade, achieved either with the use of a pharmacological inhibitor or the dominant negative Kv1.x construct, enhances SMAD3 phosphorylation and translocation of pSMAD3 into the nucleus where it regulates transcription of target genes.
Transcriptional Regulation of p21 Expression by SMAD3 in KvDN Cells-SMAD3 is a canonical TGF␤/activin-induced transcription factor with a variety of downstream effects on x-transfected CD4ϩ cells by FACS, followed by 48 h serum starvation. Cells were then restimulated with anti-CD3/CD28 for 72 h. Cells were immunostained for SMAD3 (red) and phospho-SMAD3 (Ser-423/425) (red) and subsequently viewed by immunofluorescence microscopy. Cellular nuclei were counterstained with DNA dye DAPI (blue). An isotype-matched antibody was used as a negative control. Original magnification, ϫ100. D, FACS-sorted GFP ؉ cells from transduced CD4؉ T cells at day12 were rested for 24 h and then stimulated with anti-CD3/CD28 for 6 and 24 h. Cytoplasmic and nuclear protein extracts were analyzed for SMAD3 and phospho-SMAD3 by Western blot. E, protein expression was quantified according to average densitometric ratio. Experiments were performed in triplicate, normalized to actin, and presented as percent of maximum average densitometric ratio.
gene expression. A previous study indicated that SMAD3 induces transcriptional activation of p21 by binding to consensus elements in the promoter (21). To assess whether SMAD3 directly affected activation of p21, a chromatin immunoprecipitation assay (ChIP) was performed in KvDN transduced and GFP control cells. As shown in Fig. 5, immunoprecipitation with an antibody specific for SMAD3 demonstrated binding to a region in the p21 promoter containing SBE in KvDN cells, but not GFP control cells. This binding was also not observed when an IgG control antibody was used for the immunoprecipitation. This recruitment of SMAD3 to the p21 promoter in the KvDN cells suggests that the increased nuclear accumulation of p21 in KvDN cells is a direct result of increased phosphorylation and nuclear translocation of SMAD3, and is consistent with our observations of decreased protein levels of Cdk1 and cyclin B. These data were further supported by observations that inhibition of SMAD3 phosphorylation with the use of SIS3 (specific inhibitor of SMAD3) resulted in a 50% reduction in CCR7 expression and G2/M accumulation in KvDN cells (supplemental Fig. S4).

DISCUSSION
We report that a loss of function mutation of Kv1.3 resulted in suppression of CD4ϩ T cell differentiation into T EM , and further, enhanced reversion of T EM to T CM . Results of our mechanistic studies suggest that the effect is related to a delay in cell cycle at G2/M and induction of SMAD3-mediated expression of p21 cip1 , but not p27 kip1 , with resulting suppression of Cdk1 and cyclin B1. These data have several implications for elucidating the process of T cell lineage differentiation and provide new evidence for the importance of the role of ion channels in regulating not only cell cycle, but also the immunologic state and function of T cells. Because T EM have been identified in the target organs of several autoimmune diseases, understanding the signaling pathways that lead to expansion and reversion of memory cells may allow for the development of specific targeted therapies for T EM cells in these diseases.
The maintenance of immunological memory within the T CM pool has been attributed to either asymmetric cell division or reversion of differentiated T EM to T CM , but the signaling mechanisms that underlie T cell memory lineage fate decisions have not been well delineated. While several specific transcription factors have been shown to be necessary for polarization of T cells toward specific cytokine profiles, and SMAD3 is known to be important in TGF␤ and T cell regulation, the role of SMAD3 in T EM to T CM differentiation has not been explored. Kv1.3 blockade results in calcium depletion and SMAD3 phosphorylation, which may lead to the induction of the lymph node homing receptors CCR7 and CXCR4.
As activation of T cells is associated with cell division and progression through the cell cycle, we hypothesized that a loss of function mutation of Kv1.3 might be affecting differentiation via an effect on cell cycle progression. Regulation of cell cycle progression occurs through coordinated expression and suppression of numerous Cdks by members of the cyclin-dependent kinase inhibitor protein (cip/kip) family. Two members of the cip/kip family of cyclin-dependent kinase inhibitors, p21 cip1 and p27 kip1 , have been shown to play important roles in T cell anergy. p27 kip1 functions to maintain cells in G1 until appropriate stimulation occurs, and is suppressed by costimulatory signals such as CD28 and IL-2 (22)(23)(24). p21 cip1 likely plays a complementary role to p27 kip1 by regulating cell cycle inhibitors Cdk1 and cyclin B1 at G2/M, as shown herein under conditions of strong costimulation, which should repress p27 kip1 . Thus, the prior observation that G1/S arrest by itself does not restore antigen responsiveness, but SMAD3 knockdown mutant does, indicates a critical role for SMAD3 signaling in anergy, independent of p27 kip1 (24,25).
TGF␤/SMAD signaling is regulated upstream by levels of intracytoplasmic calcium and the calcium-calmodulin-dependent kinase II (CaMKII), which prevents SMAD3 from complexing with SMAD2 and translocating to the nucleus (26). Thus, when intracellular calcium levels are depleted, as occurs during Kv1.3 blockade, SMAD3 should more easily complex with SMAD2 and undergo phosphorylation at the C-terminal serine 423-5 site, which is necessary for transcriptional activation of downstream factors (27), such as p21 (Fig. 6).
Interestingly, lymphocytes express Kv1.3 channels both at their plasma membrane and in organelles, such as mitochondria. The studies performed herein utilized a loss of function mutation that is expected to affect channel expression at both locations, as well as the pharmacological Kv1.3 inhibitor margatoxin, which is a non-cell permeable inhibitor that would be  Regulation of p21 via SMAD3 in DN-Kv1.x-transduced cells. A, schematic illustration of the p21 promoter depicting the location of SBE relative to the transcription start site. B, FACS-sorted GFP ϩ cells from transduced CD4ϩ T cells at day12 were rested for 24 h and then stimulated with anti-CD3/CD28 for 6 h. ChIP was performed with anti-SMAD3 antibody or IgG control antibody. Quantitative PCR was performed using primers amplifying the p21 promoter from Ϫ1752 to Ϫ1733 bp. PCR product was run on a gel and binding for DN-Kv transduced cells was compared with GFP controls. Lane 1, input; lane 2, immunoprecipitated with anti-SMAD3; lane 3, immunoprecipitated with IgG control. C, quantitative PCR results are graphed as percent of input. A representative result from at least three independent experiments is shown. The data are expressed as mean Ϯ S.D. of three experiments. Values that are significantly different from that of GFP control cells or IgG control are indicated as *, p Ͻ 0.05; **, p Ͻ 0.01; ***, p Ͻ 0.005. expected to affect only channels expressed at the plasma membrane. The similarity of results seen with both methods of functional blockade suggest a role for Kv1.3 channels at the plasma membrane, but not for those expressed in organelles, in regulating differentiation via an effect on cell cycle progression and SMAD3 phosphorylation.
In summary, our findings support a novel role for ion channels in regulating T cell differentiation. Remarkably, in cells with a Kv1.3 loss of function mutation, not only do T CM fail to differentiate into T EM , but enhanced reversion of T EM into T CM was observed. This effect was traced to enhanced SMAD3 signaling and subsequent induction of p21 and suppression of cyclin B1 and Cdk1 linking this pathway with the observed effect. These findings are consistent with the hypothesis that the strength of T cell signal may determine T CM to T EM differentiation, but suggests this process is more reversible than previously thought and that T lymphocyte plasticity may directly relate to calcium modulation by ion channels. The down-regulation of CaMKII signaling capable of preventing SMAD3 from complexing with SMAD2 leads to increased recruitment of SMAD3 into the SMAD transcriptional complex and translocation to the nucleus, which in turn results in increased p21 expression. The overexpression of p21 reduces the complex formation between Cdk1 and cyclin B1, thereby causing G2/M phase cell cycle arrest.