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Blood, 1 November 2005, Vol. 106, No. 9, pp. 3256-3263.
Prepublished online as a Blood First Edition Paper on June 28, 2005; DOI 10.1182/blood-2003-10-3458.
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Submitted October 14, 2003
Accepted June 21, 2005
The hydroxyurea-induced small GTP-binding protein SAR modulates -globin gene expression in human erythroid cells
Delia C Tang, Jianqiong Zhu, Wenli Liu, Kyung Chin, Jun Sun, Ling Chen, John A Hanover, and Griffin P Rodgers*
Molecular and Clinical Hematology Branch, National Institutes of Health, BETHESDA, MD, USA
Laboratory of Cell Biochemistry, National Institutes of Health, BETHESDA, MD, USA
* Corresponding author; email: gr5n{at}nih.gov.
Hydroxyurea (HU), a drug effective in the treatment of sickle cell disease, is thought to indirectly promote fetal hemoglobin (Hb F) production by perturbing the maturation of erythroid precursors. The molecular mechanisms involved in HU-mediated regulation of -globin expression are currently unclear. We identified an HU-induced small GTP-binding protein, secretion-associated and ras-related (SAR), in adult erythroid cells using differential display. Stable SAR expression in K562 cells increased -globin mRNA expression and resulted in macrocytosis and cells that appeared immature. SAR-mediated induction of -globin also inhibited K562 cell growth by causing arrest in G1/S, apoptosis, and delay of maturation, cellular changes consistent with the previously known effects of HU on erythroid cells. SAR also enhanced both - and -globin transcription in primary bone marrow CD34+ cells, with a greater effect on -globin than on -globin. Though upregulation of GATA-2 and p21 were observed both in SAR-expressing cells and HU-treated K562 cells, PI3 kinase and phosphorylated ERK were inhibited specifically in SAR-expressing cells. These data reveal a novel role of SAR distinct from its previously known protein trafficking function. We suggest that SAR may participate in both erythroid cell growth and -globin production by regulating PI3 kinase/ERK and GATA-2/p21-dependent signal transduction pathways.

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