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Prepublished online as a Blood First Edition Paper on September 11, 2003; DOI 10.1182/blood-2003-05-1756.

Submitted June 2, 2003
Accepted August 28, 2003
Survivin regulates hematopoietic progenitor cell proliferation through p21WAF1/Cip1 dependent and independent pathways
Seiji Fukuda, Charlie R Mantel, and Louis M Pelus*
Department of Microbiology and Immunology and Walther Oncology Center and the Walther Cancer Institute, Indiana University School of Medicine, Indianapolis, IN, USA
* Corresponding author; email: lpelus{at}iupui.edu.
The cyclin dependent kinase inhibitor, p21WAF1/Cip1 and Survivin enhance CFU-GM cell cycle and proliferation and have also been implicated as anti-apoptotic proteins. We investigated the relationships between p21 and Survivin in primary CFU-GM and c-kit+, lin- cells and demonstrate p21 dependent and independent pathways whereby Survivin regulates progenitor cell proliferation. Ectopic Survivin enhanced p21+/+ CFU-GM formation and expansion of c-kit+, lin- cells, while p21 gene loss abrogated these effects, indicating a p21 requirement. A dominant-negative form of Survivin as well as p21 gene-deletion accelerated the loss of CFU-GM upon growth factor deprivation, while wild-type Survivin overexpression inhibited apoptosis of p21+/+ CFU-GM and c-kit+, lin- cells but not p21-/- cells, suggesting that both Survivin and p21 block apoptosis of progenitors and that Survivin-mediated anti-apoptosis requires p21. In contrast to the p21-dependent anti-apoptotic effects, Survivin increased the proportion of CFU-GM in S-phase in both p21+/+ and p21-/- cells. Furthermore, modulating Survivin expression increased polyploidy in c-kit+, lin- cells, which was accentuated by p21 deficiency. These results suggest that the Survivin-p21 axis plays an important role in proliferation of normal hematopoietic cells and that Survivin regulates apoptosis through a p21WAF1/Cip1 dependent pathway but may control S-phase entry independent of p21.

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