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Blood, Vol. 90 No. 12 (December 15), 1997:
pp. 4924-4932
By
From the Division of Hematology/Oncology, University of California at Los Angeles School of Medicine, Los Angeles, CA; and Laboratory of Molecular Virology, National Cancer Institute, Bethesda, MD.
Human T-cell leukemia virus type-I (HTLV-I), the etiologic agent of adult T-cell leukemia (ATL) transforms human T cells both in vivo and in vitro. However, the long latency period between infection and development of ATL, as well as the small fraction of the infected population that actually develops this disease, suggest that factors in addition to the virus are involved in its pathogenesis. Mutation of tumor suppressor gene p53 has been found in both HTLV-I-transformed T-cell lines and ATL cases at relatively low frequency. However, increasing evidence supports p53 functional impairment in HTLV-I-transformed T cells. Tax, the major transactivator of HTLV-I, is critical for the initial events involved in transformation. We have considered the possibility that p53 may regulate transcription of viral and cellular genes important for viral replication and transformation. Inactivation of p53 function might then permit constitutive expression of these viral and cellular genes. We have investigated the effects of wild-type and mutant p53 on Tax-mediated activation of the HTLV-I long terminal repeat (LTR) and the promoters of several cellular genes including the interleukin (IL)-1
ADULT T-CELL LEUKEMIA (ATL) is a highly aggressive T-cell malignancy etiologically linked to a retrovirus, human T-cell leukemia virus type-I (HTLV-I).1,2 Transformation by HTLV-I both in vitro and in vivo occurs in a slow stepwise manner,3,4 and progresses from oligoclonality to monoclonal dominance with decreased interleukin-2 (IL-2) dependence.5 The existence of host suppressors that inactivate HTLV-I is proposed because of the long latency period for development of ATL, usually greater than 50 years, with only 2% to 5% of infected individuals developing leukemia.6 The HTLV-I genome does not possess typical proto-oncogenic sequences,7 nor does it activate cellular proto-oncogenes by integration at specific genomic sites.8 Karyotypic analysis of lymphocytes from ATL patients shows no consistent structural abnormality. Therefore, other factors in addition to HTLV-I infection appear to be involved in the development of ATL. Multistep carcinogenesis for ATL is suggested by stochastic analysis9; however, none of the proposed additional events have been identified.
A potential candidate gene involved in the evolution to a malignant phenotype is the p53 tumor suppressor gene. p53 plays an important role in cell-cycle regulation and DNA repair and is often deleted and mutated in a wide variety of human malignancies.10 Recent studies have shown mutations in the highly conserved regions of the gene in only a minority of HTLV-I-transformed T-cell lines and in one fourth of ATL samples.11-14 Since p53 mutations are not found in all patients, the possibility that inactivation of p53 could occur by alternate mechanisms is suggested. Viral proteins of DNA-transforming viruses, such as SV40 and adenovirus, can inactivate p53 function through direct binding.15,16 Wild-type p53 protein is usually detected at low steady-state levels, due to the rapid turnover of newly synthesized protein.17-19 However, the patterns of expression of mutant p53 and wild-type p53 complexed with SV40 T-antigen or adenovirus 5 E1B differ from that of wild-type p53. Both mechanisms can prolong the half-life of the p53 protein. Some studies have demonstrated elevated steady-state levels of p53 protein in the majority of HTLV-I-transformed cell lines despite the presence of the wild-type sequence in the p53 coding region compared with nontransformed lymphocytes, suggesting functional impairment of the protein.20-22 The mechanism responsible for the increased stabilization of p53 in these cells is presently unknown. Additionally, a recent report has observed elevated levels of p53 in IL-2-independent cell lines relative to IL-2-dependent lines.23 In fact, several lines of evidence suggest the functional inactivation of p53 in HTLV-I-transformed T cells.23,24
HTLV-I encodes a 40-kd protein, Tax, which transforms rodent fibroblasts,25 immortalizes normal human T cells,26 and can induce a leukemia-like disease in transgenic mice.27 Tax is critical for HTLV-I gene regulation28-30 and has been shown to modulate the expression of a number of cellular genes critical for proliferation or growth processes, such as the genes encoding IL-2, IL-2 receptor (IL-2R), IL-1, IL-6, IL-8, IL-10, granulocyte-macrophage colony-stimulating factor (GM-CSF ), c-Fos, Fra-1, c-Jun, JunB, and JunD.31-37 The deregulation of these Tax-responsive cellular genes may play an important role in HTLV-I transformation. Thus, Tax appears to be necessary but not sufficient for malignant transformation, as only a small percentage of infected individuals develop ATL following a latency period of several decades.
The p53 protein is a transcription factor that can bind specifically to DNA sequences in various promoters and stimulate their transcriptional activity.38 It can also function as a transcriptional repressor of many growth factor-regulated genes.39,40 Interestingly, Uittenbogaard et al41 demonstrated transcriptional repression of p53 by HTLV-I Tax.41 However, the converse effect of p53 on the promoter activity of HTLV-I has not been investigated. Consequently, we were interested in determining whether p53 inactivation could upregulate the HTLV-I long terminal repeat (LTR) and cellular promoters, leading to the overexpression of HTLV-I and several cellular genes (cytokines and their receptors) seen in HTLV-I-transformed cells.
We studied the effect of wild-type and mutant human p53 expression on the activity of HTLV-I and several cellular promoters fused to a chloramphenicol acetyltransferase (CAT) reporter gene. We found that wild-type p53 is a potent repressor of Tax transactivation of the HTLV-I LTR and several cellular promoters.
Cell lines.
The human T-cell acute lymphocytic leukemia line Jurkat, the cutaneous T-cell lymphoma line HuT78,42 the HTLV-I-infected T-cell line MT-2,43 and the monocytoid cell line U937 were maintained in RPMI 1640 medium (GIBCO BRL, Grand Island, NY) supplemented with 10% heat-inactivated fetal bovine serum, 50 U/mL penicillin, 50 µg/mL streptomycin, and L-glutamine at 37°C and 5% CO2 . Jurkat-Tax cells were derived from Jurkat cells that were stably transfected with the HTLV-I Tax gene driven by the promoter for human cytomegalovirus (HCMV).35 Expression of Tax was confirmed by reverse transcription-polymerase chain reaction and by transactivation of the CAT gene driven by the HTLV-I LTR. Jurkat-Tax cells were cultured in RPMI 1640 medium supplemented with 10% fetal calf serum and 400 µg G418 (Life Technologies, Gaithersburg, MD) per milliliter.
Activation of gene expression by p53.
To determine if p53 expression vectors were functioning properly in Jurkat, HuT78, and U937 cells, the effect of the wild-type and mutant p53 expression vectors was first studied on p53 control constructs. These reporter gene constructs contain multiple copies of either a consensus p53 binding sequence for the positive control PG13-CAT or a scrambled p53 binding sequence for the negative control MG15-CAT adjacent to a minimal promoter and CAT reporter gene. Figure 1 shows that the wild-type p53 expression vector stimulated the p53-positive control PG13-CAT and failed to stimulate the p53-negative control MG15-CAT in these cells. The mutants of p53 chosen for this study were already described and are as follows: pC53-SCX3 (143A), pC53-248W (248W), and pC53-273H (273H). The mutant p53 expression vectors did not stimulate either control vector. Thus, wild-type and mutant p53 expression vectors behaved as expected in an assay with p53 control reporter constructs. No mutations were found in the p53 coding region in the HTLV-I-infected cell line MT-2.11,14,23,24 The plasmid PG13-CAT was used to determine the relative levels of functional p53 protein in MT-2. In accordance with the previous experiments,23 MT-2 and Jurkat, HuT78, and U937 cells had no measurable CAT activity (data not shown).
It has been shown that p53 can either activate or suppress the activity of a number of target genes. Gene activation usually involves interaction of p53 with a specific consensus sequence, whereas it is thought that gene suppression involves interaction of p53 with the basal transcription machinery.38-40 A consensus DNA binding half site for wild-type p53 has been identified (Pu-Pu-Pu-C-A/T-T/A-G-Py-Py-Py) and shown to mediate most of the gene-stimulatory effects of wild-type p53.51 Sequence analysis of the HTLV-I LTR and cellular gene promoter regions studied here showed the absence of sites highly related to the consensus sequence. The fact that the inhibitory effect of p53 is exerted on a wide variety of promoters both viral and cellular suggests that p53 probably affects one or more of the common generalized transcription factors or that it binds to promoter sequences nonspecifically and inhibits transcription. The transient transfection results indicated that the effect of p53 on the HTLV-I LTR might be due to an interaction between p53 and Tax. As in previous reports, we failed to identify a complex between Tax and p53.21,22 Tax stimulates HTLV-I gene expression through conserved 21-bp repeat enhancer elements located in the LTR of the virus.28,52,53 We used a gel-shift analysis using the 21-bp element derived from the HTLV-I LTR to determine whether p53 inhibits complex formation. However, no significant difference in complex formation was seen between p53-transfected and p53-untransfected Jurkat cells, which transiently express Tax (data not shown), demonstrating that p53 does not seem to affect binding of the nuclear factor(s) to the 21-bp enhancer element. Wild-type p53 in cells that constitutively express Tax protein inhibited transactivation of the HTLV-I LTR by Tax (Figs 4 and 5), suggesting that p53 inhibits Tax activity after Tax protein is made. This possibility is particularly attractive, since both Tax and wild-type p53 physically interact with TBP.54,55 Therefore, TBP could mediate an antagonism of p53 against Tax. A synthesized oligonucleotide extending from position -40 to -10 bearing the TATA box was subjected to further analysis. We found that GST-p53 wild-type, but not control GST, could preclude the binding of TBP to this TATA motif in a dose-dependent manner, most probably through protein-protein interaction. In contrast, the codon 135 mutant GST-p53 had no effect. As a result, TBP is no longer able to assemble a functional transcription initiation complex.
Submitted February 19, 1997;
accepted August 12, 1997.
The publication costs of this article were defrayed in part by page
charge payment. This article must therefore be hearly marked
``advertisment'' in accordance with 18 U.S.C. section 1734 solely to
indicate this fact. We thank Dr B. Vogelstein for providing pC53 expression and analysis vectors.
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