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Blood, 1 December 2000, Vol. 96, No. 12, pp. 3894-3899
NEOPLASIA
The aberrant fusion proteins PML-RAR and PLZF-RAR
contribute to the overexpression of cyclin A1 in acute
promyelocytic leukemia
Carsten Müller,
Rong Yang,
Dorothy J. Park,
Hubert Serve,
Wolfgang E. Berdel, and
H. Phillip Koeffler
From the Division of Hematology/Oncology, Cedars-Sinai
Research Institute/UCLA School of Medicine, Los Angeles, CA, and the
Department of Medicine, Hematology/Oncology, University of
Münster, Münster, Germany.
 |
Abstract |
Cyclin A1 is a newly discovered cyclin that is overexpressed in
certain myeloid leukemias. Previously, the authors found that the
frequency of cyclin A1 overexpression is especially high in acute
promyelocytic leukemia (APL). In this study, the authors investigated
the mechanism of cyclin A1 overexpression in APL cells and showed that
the APL-associated aberrant fusion proteins (PML-retinoic acid
receptor alpha [PML-RAR ] or PLZF-RAR ) caused the increased
levels of cyclin A1 in these cells. The ectopic expression of either
PML-RAR or PLZF-RAR in U937 cells, a non-APL myeloid cell line,
led to a dramatic increase of cyclin A1 messenger RNA and protein. This
elevation of cyclin A1 was reversed by treatment with
all-trans retinoic acid (ATRA) in cells expressing
PML-RAR but not PLZF-RAR . ATRA also greatly reduced the high
levels of cyclin A1 in the APL cell lines NB4 and UF-1. No effect of
ATRA on cyclin A1 levels was found in the ATRA-resistant NB4-R2 cells. Further studies using ligands selective for various retinoic acid receptors suggested that cyclin A1 expression is negatively regulated by activated RAR . Reporter assays showed that PML-RAR led to activation of the cyclin A1 promoter. Addition of ATRA inhibited PML-RAR -induced cyclin A1 promoter activity. Taken together, our
data suggest that PML-RAR and PLZF-RAR cause the high-level expression of cyclin A1 seen in acute promyelocytic leukemia.
(Blood. 2000;96:3894-3899)
© 2000 by The American Society of Hematology.
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Introduction |
Mammalian cyclin A1 is a highly tissue-specific
cyclin with prominent expression only in testis in normal
tissues.1-3 The mammalian cyclin A1 has a homologue in
Xenopus, and, interestingly, the Xenopus cyclin A1 is expressed in eggs
and early embryos, but not in late embryos or cultured
cells.4 Although the role of Xenopus cyclin A1 in early
development is still unknown, the cyclin A1-cdk2 activity has been
shown to function in the p53-independent apoptosis pathway induced by
ionizing radiation before the midblastula transition.5
Recently, a cyclin A1 deletional murine model has been
established.6 In cyclin A1 / mice, male
germ cells of the testis cannot enter the first meiotic division; thus,
the males are defective in spermatogenesis, which results in male
sterility. However, the meiotic cell cycle for oogenesis seems normal
in these mice. This transgenic model demonstrated that cyclin A1 has an
important role in the regulation of the meiotic cell cycle during
spermatogenesis. No other abnormalities have been reported for the
cyclin A1 / mice as of yet. In contrast, the deletion of
murine cyclin A2 (homologue of human cyclin A) is embryonically
lethal.7 Together, these results suggest that cyclin A1
and cyclin A2 have different biological functions.
Although human cyclin A1 has high expression only in the testis, we and
others also found cyclin A1 expression in CD34+
hematopoietic progenitor cells, which suggests that cyclin A1 may have
a function in hematopoiesis.8,9 So far, no conclusive evidence shows that cyclin A1 functions in the mitotic cell cycle. But
the expression of a Xenopus cyclin A1 mutant in yeast had a severe
effect on the cell cycle of the yeast by inducing aberrant spindle
movement.10 Also, we recently showed that the human cyclin
A1 messenger RNA (mRNA), protein- and cdk2-associated kinase activity
are highly regulated during the mitotic cell cycle in the MG63
osteosarcoma cell line.11 Furthermore, we observed that
cyclin A1 interacts with important cell-cycle regulators (Rb and E2F-1)
in the leukemic cell line NB4.11 In addition, cyclin A1
can activate the transcription factor B-Myb by phosphorylating its c-terminus (C.M. et al, unpublished data,
January 2000).
Previously, we studied a large collection of leukemia samples from
patients and found high levels of cyclin A1 expression in all of the
acute promyelocytic leukemia (APL) samples.8 APL is a
subtype (French-American-British classification subtype M3) of acute
myeloid leukemia and is characterized by a t(15;17) chromosomal
translocation in 99% of the cases.12 This translocation causes the fusion of 2 genes, PML and
RAR , leading to the aberrant fusion protein
PML-retinoic acid receptor alpha (PML-RAR ), which disrupts the
function of both normal PML and RAR .12 The PML-RAR fusion protein has an important role in the development of APL, as
shown by transgenic murine models.13-15 On the basis of
this knowledge, we decided to test the hypothesis that the PML-RAR fusion protein is responsible for the overexpression of cyclin A1 in
APL. We show that the ectopic expression of PML-RAR is sufficient to
elevate levels of cyclin A1 in U937 myeloid leukemia cells and cyclin
A1 is negatively regulated by the RAR pathway. Induction of cyclin
A1 occurs at the transcriptional level, since PML-RAR co-expression
led to induction of cyclin A1 promoter activity. These results appear
to explain why cyclin A1 is overexpressed in APL cells and raise the
possibility that overexpression of cyclin A1 may contribute to the
aberrant proliferation of these leukemia cells.
 |
Materials and methods |
Cell lines
Human leukemic cells were cultured in RPMI with L-glutamine and
10% fetal calf serum. NB4 and NB4-R2 cells were gifts from Dr Lanotte
(St Louis-Hospital, Paris, France), and the UF-1 cells were a gift from
Dr Kizaki (Keio University, Tokyo, Japan). The stable U937 cell
line (PR9) that can express PML-RAR in a Zn2+-inducible
fashion was previously described,16 and it was kindly provided by Dr Pelicci (Perugia University, Perugia, Italy). The stable
PLZF-RAR -expressing U937 cell line (B412) was a gift from Dr
Ruthardt (University of Frankfurt, Frankfurt, Germany).17 For induction of either PML-RAR or PLZF-RAR in these cells, 0.1 mmol/L ZnSO4 was added to the culture media. All cell lines were cultured in regular RPMI plus 10% fetal calf serum.
Northern blot analysis
Total RNA was extracted from cells by means of Trizol reagent
(GIBCO-BRL, Gaithersburg, MD), and a standard Northern blot protocol was used.18 The complementary DNA (cDNA)
fragments of cyclin A1, cyclin A, and -actin were used as probes.
For analyzing the half-life of cyclin A1 mRNA, cells were treated with
10 µg/mL actinomycin D, and cyclin A1 mRNA levels were
followed over time by Northern blot analysis.
Quantitative real-time polymerase chain reaction
Quantitation of mRNA levels for cyclin A1 was also carried out
by means of the 5' nuclease assay real-time fluorescence detection method as described previously.19 Briefly, cDNA was
amplified by polymerase chain reaction (PCR) in the ABI prism 7700 sequence detector (PE Biosystems, Foster City, CA). Oligonucleotide
probes annealed to the PCR products during the annealing and extension steps. The probes were labeled at the 5' end with VIC (GAPDH) or FAM
(cyclin A1) and at the 3' end with TAMRA, which served as a quencher.
The 5' to 3' nuclease activity of the Taq polymerase cleaved the probe
and released the fluorescent dyes (VIC or FAM), which were detected by
the laser detector of the sequence detector. After the detection
threshold was reached, the fluorescence signal was proportional to the
amount of PCR product generated. Initial template concentration was
calculated from the cycle number when the amount of PCR product passed
a threshold set in the exponential phase of the PCR reaction. Primers
and probes were described previously.19 All probes were
positioned across exon-exon junctions. Gene expression levels were
calculated by means of standard curves generated by serial dilutions of
U937 cDNA. The relative amounts of gene expression were calculated by
using the expression of GAPDH as an internal standard. At least 3 independent analyses were performed for each gene, and data are
presented as mean ± SE.
Immunoblot analysis
Immunoblots were performed as described18 with the
use of an antibody against a C-terminal peptide of cyclin
A1.11 Leukemia cells were washed in phosphate-buffered
saline and lysed in RIPA buffer, and the protein concentration was
determined by protein assay (Bio-Rad, Hercules, CA). For each
sample, 20 µg total protein was loaded per lane, and 4% to 15%
gradient gels were used for protein separation. Proteins of
the gel were transferred onto nitrocellulose membrane. An anti-actin
antibody (Santa Cruz Biotechnology, Santa Cruz,
CA) was used to confirm equal loading.
Treatment of cells with retinoids
The following retinoids were used in this study: ATRA (Sigma
Chemical, St Louis, MO); 9-cis retinoic acid
(Sigma Chemical); and retinoid receptor-specific ligands AM580
(RAR ), SR11346 (RAR ), SR11254 (RAR ), SR11246 (retinoid X
receptor [RXR]), SR11283 (anti-AP-1), and SR11256
(panagonist) (gifts of Dr Dawson, SRI International, Menlo Park, CA).
The concentration and time for treatment were noted in Figure legends.
Luciferase reporter assays
Transient transfections and reporter assays in U937 cells were
carried out by electroporation as described previously.20 A total of 21 µg of plasmid was electroporated; this consisted of 10 µg reporter plasmid and 10 µg expression plasmid together with 1 µg of the renilla-luciferase-expressing pRL-SV40 plasmid (Promega,
Madison, WI). The previously described cyclin A1 reporter plasmids
contained base pairs 1199 to +145 (1344 bp) and base pairs 190 to
145 (335 bp), respectively.20,25 In experiments without PML-RAR expression, empty expression vector was used to
reach the total of 21 µg. Luciferase activity for firefly and renilla
luciferase was analyzed 14 hours after transfection; experiments were
independently carried out at least 3 times; and the bars represent
mean ± SE.
 |
Results |
The ectopic expression of APL-associated fusion proteins PML-RAR
and PLZF-RAR induces elevation of cyclin A1 levels in
U937 cells
To investigate whether the expression of the fusion protein
PML-RAR was sufficient to induce a high level of cyclin A1
expression, we used an engineered U937 leukemia cell line (PR9) that
has a stable integration of the PML-RAR cDNA under the control of
the Zn2+-inducible murine metallothionein 1 promoter.16 This cell line allowed us to analyze the
influence of PML-RAR on cyclin A1 levels by comparing the cyclin A1
RNA levels before and after adding Zn2+ to the medium.
The anti-RAR immunoblot in Figure 1A
shows the induction of PML-RAR protein when 100 µmol/L
ZnSO4 was added to PR9 cells for 24 hours. During this
period, the level of cyclin A1 mRNA was dramatically increased, as
shown by Northern blot (Figure 1B, upper panel), while the cyclin A
mRNA level did not change significantly (Figure 1B, middle panel).
Densitometric measurement indicated a 10.9-fold increase of cyclin A1
in Zn2+-induced cells. An anti-cyclin A1 immunoblot also
showed that the protein levels of cyclin A1 increased when PML-RAR
was expressed (Figure 1C). Adding Zn2+ to the control
parental U937 cells or to empty vector transfected U937 cells did not
change cyclin A1 mRNA under the same experimental conditions (data not
shown). In addition, Zn2+ treatment of U937 cells
transfected with a Zn2+-inducible C/EBP cDNA
led to cyclin A1 down-regulation, thus further evidencing the
specificity of cyclin A1 induction by PML-RAR (data not shown).

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| Figure 1.
Induction of cyclin A1 by PML-RAR expression.
(A) Immunoblot showing induction of PML-RAR by ZnSO4
(0.1 mmol/L, 24 hours) in U937-PR9 cells that were stably
transfected with PML-RAR under control of a
Zn2+-inducible promoter. On each lane, 30 µg protein was
loaded, and the blot was probed with an anti-RAR rabbit polyclonal
antibody (Santa Cruz Biotechnology). Protein markers are shown
in kilodaltons. (B) Northern blot showing elevation of cyclin A1 RNA
(upper panel) but not cyclin A (middle panel) when PML-RAR was
induced by ZnSO4. Equal loading was shown by staining for
the 18-strand RNA (18s RNA). PR9 cells were induced to express
PML-RAR for 24 hours, and total RNA was isolated. On each lane, 20 µg RNA was loaded. (C) Immunoblot showing that cyclin A1 protein
levels also increased after induction of PML-RAR in U937-PR9 cells
(24 hours, ZnSO4). On each lane, 30 µg protein was
loaded. The lower panel shows a nonspecific band recognized by the
anti-cyclin-A1 antibody that served as an internal control for loading
of protein.
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Since PML-RAR disrupts the functions of both normal PML and RAR ,
we hypothesized that either the PML or the RAR pathway was involved
in the regulation of cyclin A1. To determine which of the 2 pathways
was involved, we studied whether another fusion protein, PLZF-RAR ,
could affect cyclin A1 level. PLZF-RAR is a fusion protein generated
by a t(11;17) chromosomal translocation that fuses the zinc-finger
protein PLZF to RAR . This translocation is observed in a small
portion of APL cases.12 The PLZF-RAR fusion protein can
also function as a dominant negative protein to disrupt the RAR
function. Since this rare translocation does not involve PML, it should
not affect the normal functions of PML. To test the effects of
PLZF-RAR on cyclin A1 levels, we used another engineered U937 cell
line with stable integration of the PLZF-RAR cDNA under the control
of the Zn2+-inducible metallothionein 1 promoter.17 This cell line, B412, expressed the fusion
protein PLZF-RAR when ZnSO4 was added, as shown by an
anti-RAR immunoblot (Figure 2A). The
Northern blot in Figure 2B showed that the expression of PLZF-RAR
could also elevate cyclin A1 mRNA dramatically (8.1-fold increase by
densitometric measurement), and the cyclin A mRNA level did not change
significantly. Again, the addition of ZnSO4 to the parental
U937 cells did not change cyclin A1 levels (data not shown). These
results suggested that the RAR pathway was involved in the
regulation of cyclin A1, which is disrupted in APL cells.

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| Figure 2.
Induction of cyclin A1 by expression of PLZF-RAR .
(A) PLZF-RAR was induced by ZnSO4 (0.1 mmol/L, 24 hours)
in U937-B412 cells. The immunoblot was performed as described in the
legend for Figure 1. (B) Cyclin A1 RNA levels before and after
induction of PLZF-RAR in B412 cells (Northern blot, upper panel).
The same blot was also probed with a cyclin A probe after stripping of
the cyclin A1 probe (middle panel), and no difference was observed for
cyclin A. Equal loading was shown by staining for the 18s RNA.
B412 cells were induced to express PLZF-RAR for 24 hours, and total
RNA was isolated. On each lane, 20 µg RNA was loaded.
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ATRA reversed elevated levels of cyclin A1 mRNA induced by
PML-RAR but not by PLZF-RAR
Since the oncogenic effect of PML-RAR can be reversed by ATRA,
which activates RAR and restores the normal functions of the RAR
pathway, we tested whether ATRA could also reverse the elevated levels
of cyclin A1 induced by PML-RAR in PR9 cells. As shown in Figure
3, ATRA treatment of PR9 (induced by
Zn2+ for 24 hours to express PML-RAR ) reversed the
elevation of cyclin A1 mRNA in a time- and dose-dependent manner. When
10 6 mol/L ATRA was used, an 80% reduction of cyclin A1
mRNA was observed by 6 hours, and these transcripts continued to
decrease to almost undetectable levels at 48 hours. Since ATRA reduced
the cyclin A1 mRNA level below base level before induction of
PML-RAR , we tested and confirmed that ATRA could also reduce the
expression of cyclin A1 in the parental U937 cells (data not shown).
The dose-response experiments showed that as little as
10 12 mol/L ATRA (24 hours) could significantly decrease
the level of cyclin A1 mRNA in PR9 cells (Figure 3B-C). In contrast to
the strong effects of ATRA on PML-RAR -expressing U937 cells, a much weaker reaction to ATRA was observed in PLZF-RAR -expressing U937 cells (Figure 3C). At all concentrations tested, a stronger reactivity to ATRA was noted in PML-RAR - than in PLZF-RAR -expressing U937 cells (Figure 3C).

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| Figure 3.
Effects of ATRA on PML-RAR - and PLZF-RAR -induced
elevation of cyclin A1 in inducibly transfected U937 cells.
(A) PR9 cells were induced to express PML-RAR for 24 hours, and
expression of cyclin A1 mRNA was analyzed by Northern blot at various
time points after addition of ATRA (1 µmol/L). On each lane,
20 µg total RNA was loaded. (B) Dose-effect of ATRA (24 hours) was
analyzed as in panel A. (C) Real-time PCR was used to compare the
dose-dependent effects of ATRA on PML-RAR - and on
PLZF-RAR -expressing U937 cells (see "Materials and methods" for
details on the procedure). Shown are means and SEM of 3 independent
analyses. At all concentrations of ATRA, the effects on cyclin A1
expression were more pronounced in PML-RAR - than in
PLZF-RAR -expressing cells.
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Cyclin A1 levels were reduced by ATRA in patient-derived
promyelocytic leukemia cell lines
We tested 2 APL cell lines, UF-1 and NB4, that naturally express
PML-RAR and high levels of cyclin A1. As shown in Figure 4A, exposure of UF-1 to ATRA dramatically
reduced expression of cyclin A1 mRNA in a dose- and time-dependent
manner. A 70% decrease of cyclin A1 mRNA level occurred at 12 hours'
exposure to ATRA (10 6 mol/L), and concentrations higher
than 10 7 mol/L were effective. Similar results were also
observed for NB4 cells with a 90% reduction at 8 hours
(10 6 mol/L), and the cyclin A1 mRNA level became nearly
undetectable at 48 hours (Figure 4B). For NB4 cells, ATRA
concentrations as low as 10 10 mol/L markedly reduced
cyclin A1 mRNA levels at 24 hours (Figure 4B). The UF-1 cells were
established from an individual with APL whose leukemic cells had become
refractory to ATRA. Previous studies have shown that UF-1 APL cells
were more resistant to ATRA than NB4 cells.21,22 This was
also observed here. An anti-cyclin-A1 immunoblot showed that the level
of cyclin A1 protein was also reduced by ATRA treatment in NB4 cells.
After 72 hours of incubation, negligible levels of cyclin A1 protein
were present (Figure 5). We also analyzed
the effects of ATRA on NB4-R2 cells, an NB4-derived cell line that is
resistant to ATRA.23,24 This cell line did not
down-regulate cyclin A1 upon ATRA exposure as demonstrated by Western
blot analyses (Figure 5). Similar results were obtained at the mRNA
level (data not shown).

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| Figure 4.
ATRA reduced levels of cyclin A1 RNA in the APL cell
lines UF-1 and NB4.
(A) Northern blots showing the time course and dose response of cyclin
A1 mRNA levels in UF-1 cells exposed to ATRA. In the time-course study,
10 6 mol/L ATRA was used. In the dose-response study,
cells were harvested 24 hours after treatment. On each lane, 20 µg
total RNA was loaded, and equal loading was confirmed by probing the
blot with an actin probe. (B) NB4 cells were studied in a manner
similar to that described in panel A.
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| Figure 5.
Reduction of cyclin A1 protein levels by ATRA in NB4
cells but not in ATRA-resistant NB4-R2 cells.
Immunoblot analysis showing cyclin A1 protein levels in NB4 cells at 0, 24, and 72 hours of exposure to ATRA (10 6 mol/L). On each
lane, 20 µg total protein was loaded. An anti-actin antibody was
used to demonstrate equal loading.
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RAR is involved in the regulation of cyclin A1
To determine the role of different isoforms of retinoid receptors
in the regulation of cyclin A1, we tested a panel of retinoids that
could preferentially activate different receptor isoforms. NB4 cells
were treated for 3 days with various retinoids
(5 × 10 7 mol/L), and the levels of cyclin A1 mRNA were
analyzed by Northern blot. As shown in Figure
6, compounds that activated RAR and, to a lesser extent, RAR reduced cyclin A1 levels in NB4 cells. Ligands for RAR , RXR, and an anti-AP-1 retinoid had no effect on
cyclin A1 mRNA levels. In contrast, expression of cyclin A mRNA
decreased only slightly after exposure to the retinoids, and little
difference in potency was observed among various analogues.

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| Figure 6.
Modulation of levels of cyclin A1 RNA by retinoids
selective for different retinoid acid receptor isoforms.
NB4 cells were treated with the indicated ligands
(5 × 10 7 mol/L) for 3 days, and Northern blot was
performed with the simultaneous use of the 32P-labeled
cyclin A1 and cyclin A probes. On each lane, 20 µg total RNA
was loaded.
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PML-RAR does not alter the mRNA half-life of cyclin A1
To investigate whether cyclin A1 mRNA was stabilized by the
expression of PML-RAR , we determined the half-life of cyclin A1 mRNA
by treating PR9 cells (under both inducing and noninducing conditions
for PML-RAR ) with actinomycin D followed by Northern blot analysis.
As shown in Figure 7, the half-life of
cyclin A1 did not change markedly under noninducing and inducing
conditions, with calculated half-lives of cyclin A1 being 3.6 and 4.5 hours for noninduced and induced cells, respectively. These results suggested that the increased level of cyclin A1 mRNA caused by PML-RAR was probably a result of increased transcription of
cyclin A1.

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| Figure 7.
Half-life of cyclin A1 mRNA in PR9 cells with and
without induction of PML-RAR .
The Northern blot was performed as described in "Materials and
methods." For uninduced and induced cells, 20 and 10 µg RNA was
loaded, respectively. The calculated half-lives were 3.6 and 4.5 hours
for uninduced ( Zn2+) and induced (+Zn2+)
cells, respectively.
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PML-RAR expression leads to increased cyclin A1 promoter activity.
Potential effects of PML-RAR on the human cyclin A1 promoter were
analyzed in transient transfection assays with the use of firefly
luciferase as the reporter and renilla luciferase driven from an SV40
promoter for standardization purposes. These experiments were carried
out in the native U937 cell line. Expression of PML-RAR reduced
luciferase activity of the empty vector (PGL3-Basic) by 80% (Figure
8A). In contrast, PML-RAR led to an
increase of cyclin A1 promoter activity by more than 2-fold. The effect
was stronger in the 1344-bp promoter fragment than in the 335-bp
promoter fragment (Figure 8A). This experiment was performed 6 times
and always led to the same, albeit relatively small, stimulation. To
determine whether the increase of cyclin A1 promoter activity upon
PML-RAR expression was specific, the experiments were repeated in
the presence of ATRA (10 6 mol/L). PGL3-Basic activity was
similar in these experiments and in the experiments performed in the
absence of ATRA (Figure 8B). In stark contrast, ATRA not only inhibited
the PML-RAR -mediated increase of cyclin A1 promoter activity but
actually led to a decrease of cyclin A1 promoter activity when
PML-RAR was co-expressed (Figure 8B).

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| Figure 8.
Activation of the cyclin A1 promoter by PML-RAR and
reversal of this effect by ATRA.
U937 cells were transiently transfected with cyclin A1
promoter-luciferase constructs and either PML-RAR expression vector
or an empty vector control. Expression of a renilla luciferase
expression vector was used for standardization purposes. (A) Activity
of the empty luciferase reporter vector PGL3-Basic was reduced by 80%
upon PML-RAR expression. In contrast, the cyclin A1 promoter
constructs were activated more than 2-fold (1344-bp construct) or
1.7-fold (335-bp construct). (B) The activating effects of PML-RAR
were reversed when ATRA (10 6 mol/L) was added after
electroporation.
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Discussion |
Recently, we observed that cyclin A1 is often overexpressed in
APL, a subtype of acute myeloid leukemia.8 To elucidate the mechanism of cyclin A1 overexpression in APL, we tested whether the
APL-associated aberrant fusion protein PML-RAR was responsible for
the elevation of cyclin A1 mRNA. Using a stable PML-RAR -expressing cell line, we found that expression of PML-RAR was sufficient to
induce the elevation of levels of cyclin A1. Employing similar approaches, we showed that induction of expression of another APL-associated fusion protein, PLZF-RAR , also increased the levels of cyclin A1. Control experiments involving non-transfected and empty-vector-transfected U937 cell lines as well as a
Zn2+-inducible C/EBP U937 cell line
demonstrated the specificity of cyclin A1 induction by the APL
fusion proteins.
Since both fusion proteins disrupt the normal RAR function, our
results strongly suggested that the RAR pathway negatively regulates
the expression of cyclin A1 and that this negative regulation is
disrupted by the aberrant fusion proteins. This hypothesis was further
supported by the observation that ATRA, which can restore the normal
functions of RAR , reversed the PML-RAR -induced increase of
cyclin A1 in PR9 cells. The effect of ATRA on the PLZF-RAR -expressing B412 cell lines was significantly weaker. But
in contrast to the clinically observed ATRA resistance of PLZF-RAR -expressing APL, a decrease in cyclin A1 expression was noted. One possible explanation would be that inducible expression systems (even in initially clonal populations) contain cells with highly differing degrees of transgene expression. Therefore, it is
possible that non-PLZF-RAR -expressing or only low-level
PLZF-RAR -expressing cells are responsible for the decrease of
cyclin A1 expression. This explanation is even more likely considering
that non-transfected U937 cells showed decreased cyclin A1 expression
upon ATRA exposure as well (data not shown).
In addition to the effects of ATRA on the genetically engineered cell
lines, ATRA lowered cyclin A1 levels in the APL cell lines UF-1 and
NB4. Again, ATRA-resistant NB4-R2 cells did not respond to ATRA. By
analyzing the activity of retinoids that were selective for various
retinoid acid receptor isoforms, we showed that activated RAR
mediated the negative regulation of cyclin A1. This is congruent with
the fact that APL is caused by the abnormal fusion product of PML and
RAR , and clinical remissions of APL occur by administering ATRA to
these individuals.
Further experiments concerning the molecular mechanism of cyclin A1
induction by PML-RAR hinted at the transcriptional level as the
origin of cyclin A1 overexpression in APL. First, cyclin A1 was
consistently induced by PML-RAR at the mRNA as well as at the
protein level. Second, PML-RAR did not change the cyclin A1 mRNA
half-life. Third, promoter assays demonstrated that PML-RAR expression led to an increase of cyclin A1 promoter activity. The
degree of cyclin A1 promoter induction upon PML-RAR expression was
relatively small but highly consistent. The decrease of promoter activity after addition of ATRA further indicated the specificity of
the PML-RAR effect on the cyclin A1 promoter.
How does PML-RAR act upon the cyclin A1 promoter and how is this
effect reversed by ATRA? Previously, ligand-activated RAR has been
reported to mediate transcriptional repression through AP-1 sites in
promoter regions of genes.26,27 In our experiments, an
anti-AP-1 ligand did not have any effect on cyclin A1 levels in NB4
cells, indicating that activated RAR probably does not affect the
cyclin A1 promoter through AP-1 sites. In addition, the known human
cyclin A1 promoter sequence does not contain consensus retinoic acid
response elements (RAREs).25 Our previous work showed that expression of cyclin A1 is tightly regulated by histone deacetylase activity, and several lines of evidence suggested the
existence of a tissue-specific repressor of cyclin A1 promoter activity.19 The findings presented in the current study
are consistent with a model in which the repressor mechanism of the cyclin A1 promoter itself is repressed by PML-RAR and PLZF-RAR . This hypothesis would explain why the repressor proteins PLZF-RAR and PML-RAR can lead to cyclin A1 induction and activation of the
cyclin A1 promoter in the absence of known RAREs in the
promoter sequence. Activation of RAR can decrease cyclin A1 levels,
but the exact mechanism of repression is unclear. The relevant
repressor mechanism might be specific for hematopoietic cells since
PML-RAR activated the cyclin A1 promoter in U937 cells but not in
NIH3T3 cells or in Cos-7 cells (data not shown). Future work will focus on the further characterization of this repressor mechanism.
Whether cyclin A1 overexpression plays a role in the pathogenesis of
APL also needs further investigation. The ectopic expression of
PML-RAR in U937 cells was previously shown to lead to a loss of the
capacity to differentiate in response to either vitamin D3
or transforming growth factor 1.16 PLZF-RAR
expression had similar effects on U937 cells except that it did not
cause enhanced sensitivity to retinoid acid.17 Cyclin A1
is likely to function in the progression of the mitotic cell cycle when it is expressed.11 In addition to the binding of cyclin A1
to Rb-family members, we recently discovered that it can also
phosphorylate and activate B-Myb, an essential transcription factor for
G1/S progression (C.M. et al, unpublished data). B-Myb is of
crucial importance for the proliferation of hematopoietic cells, and
its activation by cyclins is required to gain strong transcriptional activity.28,29 These findings imply a role for cyclin A1
in acute promyelocytic leukemia, but further studies are necessary to
elucidate the potential role of cyclin A1 in the pathogenesis of acute
myeloid leukemia.
In summary, 2 discoveries were made in this study: (1) Overexpression
of cyclin A1 observed in APL cells is caused by the expression of the
aberrant fusion proteins, PML-RAR and PLZF-RAR . PML-RAR itself
can lead to activation of the cyclin A1 promoter. (2) Cyclin A1 is
negatively regulated by the RAR pathway, which is disrupted by the
abnormal fusion proteins. The exact relevance of cyclin A1 in the
pathogenesis of acute promyelocytic leukemia awaits further studies.
 |
Acknowledgments |
H.P.K. holds the Mark Goodson Chair in Oncology Research and is a
member of the Jonsson Cancer Center. Annette Westermann and Silvia
Klümpen for excellent technical assistance; Drs Kizaki, Lanotte,
Pelicci, and Ruthardt for providing cell lines used in this
study; and Dr Behre for providing RNA from the C/EBP
inducibly transfected cell line.
 |
Footnotes |
Submitted August 31, 1999; accepted July 28, 2000.
Supported by grant no. 5R01CA26038-22 from National Institutes of
Health and US Department of the Army grant DAMD17-96-1-6054, as well as
the Parker Hughes, C. and H. Koeffler Funds, Horn Foundation, and
Lymphoma Foundation of America. C.M's work is supported by grants from the Deutsche Forschungsgemeinschaft (Mu 1328/2-1), the
Deutsche Krebshilfe (10-1539-Mü1), and the IMF-program at the
University of Münster.
C.M. and R.Y. contributed equally to this article.
The publication costs of this
article were defrayed in part by
page charge payment. Therefore,
and solely to indicate this fact,
this article is hereby marked
"advertisement"
in accordance with 18 U.S.C.
section 1734.
Reprints: H. Phillip Koeffler, Division of
Hematology/Oncology, Cedars-Sinai Medical Center/UCLA School of
Medicine, 8700 Beverly Blvd, Los Angeles, CA 90048.
 |
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