Next Article 
Mol Cell Biol, May 1998, p. 2431-2443, Vol. 18, No. 5
0270-7306/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Double-Stranded RNA-Independent Dimerization of
Interferon-Induced Protein Kinase PKR and Inhibition of Dimerization by
the Cellular P58IPK Inhibitor
Seng-Lai
Tan,1
Michael J.
Gale Jr.,1 and
Michael G.
Katze1,2,*
Department of
Microbiology1 and
Regional Primate
Research Center,2 University of Washington,
Seattle, Washington 98195
Received 21 August 1997/Returned for modification 16 October
1997/Accepted 22 January 1998
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ABSTRACT |
The interferon (IFN)-induced, double-stranded RNA-activated protein
kinase (PKR) mediates the antiviral and antiproliferative actions of
IFN, in part, via its translational inhibitory properties. Previous
studies have demonstrated that PKR forms dimers and that dimerization
is likely to be required for activation and/or function. In the present
study we used multiple approaches to examine the modulation of PKR
dimerization. Deletion analysis with the
repressor fusion system
identified a previously unrecognized site involved in PKR dimerization.
This site comprised amino acids (aa) 244 to 296, which span part of the
third basic region of PKR and the catalytic subdomains I and II. Using
the yeast two-hybrid system and far-Western analysis, we verified the
importance of this region for dimerization. Furthermore, coexpression
of the 52-aa region alone inhibited the formation of full-length PKR
dimers in the
repressor fusion and two-hybrid systems. Importantly,
coexpression of aa 244 to 296 exerted a dominant-negative effect on
wild-type kinase activity in a functional assay. Due to its role as a
mediator of IFN-induced antiviral resistance, PKR is a target of viral and cellular inhibitors. Curiously, PKR aa 244 to 296 contain the
binding site for a select group of specific inhibitors, including the
cellular protein P58IPK. We demonstrated, utilizing both
the yeast and
systems, that P58IPK, a member of the
tetratricopeptide repeat protein family, can block kinase activity by
preventing PKR dimerization. In contrast, a nonfunctional form of
P58IPK lacking a TPR motif did not inhibit kinase activity
or perturb PKR dimers. These results highlight a potential mechanism of
PKR inhibition and define a novel class of PKR inhibitors. Finally, the
data document the first known example of inhibition of protein kinase
dimerization by a cellular protein inhibitor. On the basis of these
results we propose a model for the regulation of PKR dimerization.
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INTRODUCTION |
Cellular protein kinases play
crucial roles in propagating, regulating, and coordinating signals
necessary for many seminal biological processes, including metabolism,
gene expression, cell growth, differentiation, and development. As a
result, protein kinases are subjected to elaborate control mechanisms,
including association with domains or subunits that inhibit kinase
activity by an autoregulatory process (40, 44) or domains
that target the kinase to different subcellular localizations and/or
substrates (23, 36). In addition, association with
activating or inhibitory proteins (21, 86), reversible
protein phosphorylation (19, 32), and multimerization
(31, 76) also may regulate kinase activity. While
dimerization is a common regulatory mechanism for receptor protein
kinases, it is less so for cytosolic nonreceptor protein kinases. The
latter class of protein kinases, whose dimerization is implicated in
their activation and/or function, includes the cGMP- and cAMP-dependent
kinases (81), casein kinase 2 (9), Mst1 kinase
(17), Raf-1 kinase (22), and the interferon
(IFN)-induced, double-stranded (ds)-RNA-activated kinase (PKR)
(60). PKR is novel in that it also regulates its own protein
synthesis at the translational level (7, 82).
PKR is a pivotal component of the host antiviral defense system because
of its translational inhibitory properties (58, 74). Viral
replication produces dsRNA that can bind PKR via two dsRNA-binding
motifs (DSRMs) located in the N-terminal portion of the kinase,
resulting in autophosphorylation and consequently activation of the
enzyme. Activated PKR, in turn, phosphorylates the
subunit of
eukaryotic initiation factor-2 (eIF-2
), leading to a complex series
of biochemical events that culminate in a dramatic decrease in the
initiation of protein synthesis (15, 59). This disables the
use of the translational machinery for the production of viral
proteins, and hence restricts viral replication within the cell. Due to
its function in antiviral defense, PKR is a target of viral and
cellular inhibitors (42, 51). The best-characterized
cellular protein inhibitor of PKR is P58IPK, which is
activated upon influenza virus infection (53, 54). P58IPK appears to be a member of a potential new class of
molecular chaperones containing tetratricopeptide repeat motifs and the "J region" of the DnaJ family (52, 62). The
non-enzymatic P58IPK protein inhibits both the auto- and
trans-phosphorylation activities of PKR (53, 54).
However, the exact mode of P58IPK action is not fully
understood, although it likely involves direct physical interaction
with PKR (25, 69).
In addition to its role in interferon-induced antiviral resistance,
there is growing evidence that PKR is involved in the control of cell
growth and proliferation. Overexpression of PKR in mouse
(46), insect (4), and yeast (14) cells
results in severe inhibition of growth due to increased eIF-2
phosphorylation. Furthermore, expression of catalytically inactive
mutants of PKR elicits fibroblast transformation and tumor formation
upon injection of the cells into nude mice, suggesting that PKR has
tumor suppressor properties (6, 46, 61). In support of this
view, the P58IPK protein exhibits oncogenic potential;
overexpression of the cellular PKR inhibitor causes a transformed
phenotype and rapid tumor formation in nude mice (3).
The mechanism(s) by which the functionally defective PKR mutants or
wild-type P58IPK induce malignant transformation is not
known. One hypothesis is that the PKR mutants inhibit kinase function
by forming inactive heterodimers with endogenous wild-type PKR (6,
46). This also raises a fundamental question concerning the role
of dimerization on PKR function. Indeed, evidence for PKR dimerization
dependent on the DSRMs has been reported (16, 67), although
its role in activation and/or function remains unclear (71,
85). Moreover, the role of P58IPK in modulating PKR
dimer formation has not been investigated.
Recent efforts to identify the region and mechanism responsible for PKR
dimerization have led to conflicting results (16, 66, 67).
This controversy can be explained, at least in part, by our
demonstration herein that PKR can dimerize through a previously unrecognized region independent of the DSRMs. In addition, we show that
P58IPK, but not a nonfunctional form of the protein,
prevents PKR dimer formation, suggesting that P58IPK
inhibits PKR by converting PKR dimers into stable monomers. To our
knowledge, our findings present the first known example of a cytosolic
kinase whose activity may be modulated at the level of dimerization
through association with a nonenzymatic cellular protein inhibitor.
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MATERIALS AND METHODS |
Bacterial strains, bacteriophage, and media.
KH54 and the
Escherichia coli strains AG1688 and JH372 (34)
were kindly provided by J. C. Hu (Texas A&M University). AG1688, which carries the lacIq gene for maintaining low
expression level of the fusion protein, was used to assess immunity to
the tester phage,
KH54.
KH54 has undergone a deletion of the
cI repressor. JH372 strain, which is a derivative of AG1688,
harbors the lacZ gene under the control of the
PR promoter and was used in
-galactosidase (
-Gal)
activity assays. The E. coli strain XL-1 Blue (Stratagene)
was used in the cloning of plasmids. E. coli strains used in
this study were propagated in Luria broth (LB) or agar (73)
and stored at
70°C in LB containing 20% (vol/vol) glycerol. All
media contained 20 µg of chloramphenicol and/or 50 µg of ampicillin
per ml for plasmid selection.
Plasmid constructions.
repressor fusions containing
various regions of PKR were constructed in the plasmids pC132 and pC168
(55), kindly provided by F. Gigliani (Universita La
Sapienza). pC132 (12) carries a fusion between the
N-terminal 132 residues of the
cI repressor (
N) and
the Rop protein. Expression of fusion protein is driven by the pLac
promoter. pC168, a derivative of pC132, replicates under the control of
the replication origin from p15A and is thus a low-copy-number replicon
compatible with plasmids (such as pC132 and pGEX2T) that contain the
ColE1 origin. Gene fusions were performed by cloning PCR-amplified PKR
DNA fragments into the SalI and BamHI sites of
pC132 or pC168. Digestion with SalI and BamHI
completely removed the Rop part of the fusion in pC132 and pC168 and
created the backbone vectors for the construction of the
N fusions.
DNA fragments were amplified by PCR with the appropriate primers to introduce the required restriction sites and the stop codon on the DNA
fragments. PCR was performed with the
Pfu DNA polymerase (Stratagene). Plasmid pcDNAI/NEO
(Invitrogen) carrying PKR(K296R) (43) was used as a template
for the amplification of the various fragments of PKR. DNA fragments
obtained by PCR were purified on agarose gels, recovered with the
GeneClean II kit (Bio 101), digested, and cloned into the backbone of
pC132 or pC168. When possible, internal fragments were released from
the resultant plasmids by using the appropriate restriction enzymes and
replaced with the corresponding internal fragments from
pcDNAI/NEO-PKR(K296R) to minimize PCR-generated mutations. pKH101
expressing only the N-terminal DNA-binding domain of the repressor
(
N) was obtained from J. C. Hu.

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FIG. 1.
repressor-derived dimerization tests. (A) Structure
and function of cI repressor. Wild-type cI repressor comprises a N-terminal DNA-binding domain
( N) and a C-terminal dimerization domain that are tethered by a
flexible linker. The cI protein binds to early promoters as a dimer
and represses the transcription of genes required for the phage lytic
growth. N itself is unable to dimerize efficiently and thereby is
inactive. (B) Rationale for the repressor fusion system. Fusion of
a heterologous protein (PKR in this case) containing a dimerization
sequence restores dimer formation and DNA binding; cells become immune
to superinfection and form white colonies on X-Gal medium when
carrying a lacZ reporter under the control of N-PKR. (C)
Dimer disruption assay. The coexpression of a protein (a GST fusion in
this case) capable of interfering with PKR dimer formation renders
cells sensitive to superinfection and turns them blue on X-Gal
medium due to derepression of reporter expression.
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The glutathione-S-transferase (GST)-PKR(244-296) construct
was made by cloning a PCR-amplified DNA fragment with the appropriate primers to introduce the SalI site at the 3' end and the
BamHI site at the 5' end of the fragment into
SalI-BamHI-digested pGEX-4T-3 (Pharmacia
Biotech). Construction of GST-P58IPK and GST-
TPR6
fusions has been described previously (52, 79). GST-PKR was
obtained from B. R. Williams (Cleveland Clinic Foundation). The
GST-NS1 and GST-K3L constructs were provided by R. M. Krug (Memorial Sloan-Kettering Cancer Center) and E. Beattie (University of
Washington), respectively. pCDNA1/NEO-PKR(296-551) was constructed by
cloning a PCR-amplified DNA fragment into the BamHI and
XhoI sites of pCDNA1/NEO.
Construction of the PKR(244-551) in pET11a (Novagen) was as described
previously (5). To create the GAL4 DNA-binding domain fusion
containing PKR(244-551), the NdeI linker sequence,
CCATATGG, was ligated into the SmaI site of pGBT9
(Clontech Laboratories) to generate pGBT10. The plasmid insert encoding
PKR(244-551) was released from pET11a by cleaving with restriction
enzymes NdeI and BamHI, purified on agarose gel,
and cloned into NdeI-BamHI-digested pGBT10.
Construction of the PKR(K296R) in pGBT10 and GAL4 transcriptional activation domain fusions containing PKR(K296R), -(1-296), -(1-242), -(244-551), -(244-366), -(367-551), and -(244-296) in pGAD425 (Clontech Laboratories) was described previously (25).
pYES2 (Invitrogen) and pYX222 (Novagen) were used for expression of
PKR(244-296), P58IPK, and P58IPK
TPR6 in
yeast. pYX222-PKR(244-296) was generated by cloning an EcoRI-BglII fragment from pGAD425-PKR(244-296)
(25) into the EcoRI-BamHI sites of
pYX222. pYES2-PKR(244-296) was constructed by inserting an
EcoRI-SalI fragment of pYX222-PKR(244-296) into the EcoRI and XhoI sites of pYES2. To create
pYX222-P58IPK, an EcoRI-BamHI
fragment released from pYX232-P58IPK (27) was
cloned into the corresponding sites of pYX222.
pYX222-P58IPK
TPR6 was produced by replacing the
BstEII-BamHI fragment of the P58IPK gene in pYX222-P58IPK with a
BstEII-BamHI fragment from
pET15b-P58IPK
TPR6 (79). Construction of
P58IPK and P58IPK
TPR6 in pYES2 will be
described in a separate report (28).
repressor-derived dimerization tests.
Bacterial cells
expressing different
N fusions or coexpressing
N and GST fusions
were assessed for immunity to
KH54 by cross-streak tests. Phage
(~109 PFU) were striped down the center of an agar plate
containing appropriate antibiotics and 100 nM
isopropyl-
-D-thiogalactopyranoside (IPTG), and allowed
to dry. Cells from liquid cultures grown overnight at 30°C in LB
supplemented with appropriate drugs, 10 mM MgSO4, and 0.2%
maltose were streaked perpendicularly across the phage stripe with a
toothpick. For dot plaque assay, lawns of E. coli strains
containing various plasmids were infected by spotting with 5-µl
aliquots of serial dilutions of phage lysates containing 102 to 106 PFU at 10-fold intervals. Infected
lawns were incubated overnight at 30°C.
-Gal assays were done on
agar plates layered with 3 ml of top agar containing the appropriate
antibiotic(s), 20 µM 5-bromo-4-chloro-3-indolyl-
-D-galactopyranoside (X-Gal),
100 nM IPTG, and 4 mM phenylethyl-
-D-thiogalactoside.
Colony color determination was made after streaking overnight cultures
and overnight incubation at 30°C. Plasmids pBR322 and pACYC184 (New England Biolabs) were used as empty vector controls.
Yeast two-hybrid system.
Yeast strain Hf7c (Clontech
Laboratories), which carries the HIS3 reporter fused to a
GAL1 promoter sequence, was used to assay for protein-protein
interactions. The two-hybrid plasmids pGBT10 and pGAD425 were used for
construction of GAL4 DNA-binding domain (GBD) and GAL4 transcriptional
activation domain (GAD) fusions, respectively. Hf7c was cotransformed
with pGBT10-PKR(244-551) and different pGAD425 plasmid constructs as
indicated. Transformation was performed by the lithium acetate method
(75). Transformants were plated on solid synthetic defined
(SD) medium lacking tryptophan (Trp) and leucine (Leu) for selection of
double transformants and determination of transformation efficiency. To
select for histidine (His)-positive colonies, transformants grown on SD
plates lacking Trp and Leu for 3 days at 30°C were streaked onto SD
plates lacking Trp, Leu, and His and allowed to grow for 3 to 5 days to
deplete endogenous His stores. Colonies were then streaked onto
His-containing plates in the presence of 1 mM 3-amino-triazole (3-AT)
and incubated for 3 to 5 days at 30°C, after which the plates were
scored for growth.
In order to introduce a third protein into the yeast two-hybrid system,
we used the plasmid pYX222 (Novagen), which is compatible with the
two-hybrid plasmids, pGBT10 and pGAD425. Since pYX222 contains a
HIS3+ selectable marker, we used yeast strains
SFY526 (Clontech Laboratories) and Y187 (obtained from S. J. Elledge, Baylor College of Medicine) for selection of triple
transformants of pYX222, pGBT10, and pGAD425 plasmids. A mating
procedure was used to combine all three plasmids. The
MATa strain SFY526 was cotransformed with
pGBT10-PKR(K296R) and pGAD425-PKR(K296R), and the MAT
strain Y187 was transformed with pYX222-P58IPK,
pYX222-P58IPK
6, or control pYX222. After mating,
diploids were streaked on SD plates lacking Trp, Leu, and His. The
lacZ reporters integrated in the genome of both strains were
used to assess interaction based on a Clontech Laboratories
-Gal
assay. Yeast cell extracts were prepared by a glass bead method as
described previously (25).
PKR functional assay in yeast.
To determine the effect of
overexpression of P58IPK and PKR fragments upon PKR
function in vivo, we used a yeast growth suppression assay (26,
71). P58IPK or PKR(244-296) was coexpressed from the
pYES2 plasmid in Saccharomyces cerevisiae strain RY1-1,
which carried two copies of human PKR integrated into the
LEU2 locus, under the control of the galactose-inducible GAL1-CYC1 promoter (71). RY1-1 exhibits a growth
arrest phenotype when grown on minimal medium containing galactose as
the sole carbon source due to hyperphosphorylation of yeast eIF-2
by
PKR. Thus, the ability of P58IPK or PKR(244-296) to
interfere with PKR function was assessed by reversion of the
PKR-mediated growth suppression effect and analysis of the eIF-2
phosphorylation state in the appropriate RY1-1 strain harboring the
corresponding expression plasmid. Reversal of yeast growth arrest and
in vivo eIF-2
phosphorylation status was determined as previously
described (26).
In vitro transcription and translation.
Transcripts encoding
full-length and mutant PKR were generated essentially as described
previously (43) with the T7 promoter of pCDNA1/NEO.
Linear transcripts encoding full-length PKR(K296R), PKR(1-242), and
PKR(244-551) were prepared from pCDNA1/NEO-PKR(K296R) as described
previously (25, 43). Transcripts encoding PKR(296-551) were
generated by linearizing pCDNA1/NEO-PKR(296-551) with BamHI digestion. Transcript integrity was monitored by agarose gel
electrophoresis. For in vitro translation, 2-µg portions of each in
vitro transcription product were used to program a rabbit reticulocyte
lysate system (Promega) in the presence of
[35S]methionine as described previously (43).
To verify that the translation products were of the expected sizes, an
aliquot of each was analyzed by sodium dodecyl sulfate-polyacrylamide
gel electrophoresis (SDS-PAGE) and fluorography. Translation product abundance was quantitated by scintillation counting of the
trichloroacetic acid-precipitable material from each translation
reaction.
Far-Western analysis.
For the detection of in vitro
self-interaction of PKR, increasing amounts of purified bacterially
expressed GST and GST-PKR(244-296) fusion proteins were
size-fractionated by SDS-PAGE on a 14% resolving gel. Proteins were
transferred to nitrocellulose and renatured by overnight incubation in
BLOTTO G (50 mM Tris-HCl [pH 7.5], 1% nonfat milk powder, 50 mM
NaCl, 1 mM EDTA), 1 mM dithiothreitol, and 10% glycerol) at room
temperature. Filters were then rinsed twice in Hyb75 buffer (20 mM
HEPES, 1% nonfat milk powder, 75 mM KCl, 2.5 mM MgCl2, 1 mM dithiothreitol, 0.05% Nonidet P-40) and subsequently overlaid with
approximately 5.0 × 105 cpm of
[35S]methionine-labeled in vitro-translated product from
PKR amino acids (aa) 1 to 242, 244 to 551, or 296 to 551 (in fresh
Hyb75 buffer) overnight at 4°C. Production, purification, and
quantitation of GST fusions and in vitro translation products were
carried out as described previously (25). Filters were
washed three times with Hyb75 buffer and then subjected to
autoradiography.
Immunoblot analysis.
One milliliter of the same overnight
culture (3 ml) used for the
repressor fusion tests was centrifuged,
and the pellet was resuspended in 2× SDS sample buffer. Protein
samples were subjected to SDS-PAGE on a 12% gel (equal amounts of
protein estimated by Coomassie blue staining were loaded into each
lane) and were then electroblotted onto nitrocellulose membranes.
Immunoblot analyses were performed with the indicated antibodies and
enhanced chemiluminescence (Amersham) as described previously
(4).
DNA sequencing and sequence analysis.
All DNA constructs
were verified to be the correct reading frame by restriction mapping
and nucleotide sequence analysis. Sequencing reactions were carried out
by using the Applied Biosystems dye terminator system (University of
Washington). DNA sequences were analyzed by DNA strider and the
Wisconsin GCG package (Madison, Wis.). Homology searches were carried
out using the BLAST (1) service at the National Center for
Biotechnology Information (NCBI). Synthetic oligonucleotides were
purchased from Life Technologies.
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RESULTS |
The
repressor fusion system detects a novel region involved in
PKR dimerization.
We used the
repressor fusion assay
(34) to determine the region(s) responsible for mediating
PKR dimerization because it is a relatively simple system in which to
study dimer interactions (33). A schematic of the
repressor fusion system is shown in Fig. 1. We first determined whether
full-length PKR dimerized in this assay by scoring for bacterial
immunity to
superinfection. Since wild-type PKR is partly toxic to
bacteria (5), we used a catalytically inactive PKR protein,
PKR(K296R) (43). This mutant protein is well characterized
and retains the ability to dimerize (16, 66, 67) and
interact with known PKR partners (10, 25, 26). As revealed
by dot plaque assays (Fig. 2A), bacteria
expressing a fusion between the
repressor N-terminal DNA-binding
domain (
N) and PKR(K296R), designated
N-PKR(K296R), were clearly
less susceptible to
superinfection than were bacteria expressing
N alone. This indicates successful reconstitution of
N
DNA-binding activity promoted by PKR dimerization in E. coli. As an additional test, the plasmid was also introduced into a strain (JH372) that harbors the lacZ reporter gene under
the control of the
PR promoter (34). In this
scenario, dimerization is assayed by
-Gal activity, whereby
functionally reconstituted
N fusions repress expression of
lacZ. As shown in Fig. 2B, bacteria expressing a
N fusion
of PKR(K296R) or the Rop protein control (12) formed white
colonies on indicator plates containing the chromogenic lactose analog
X-Gal. On the contrary, bacterial cells that expressed only
N or an
empty vector control (pBR322) developed blue colonies.

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FIG. 2.
Dimerization properties of N-PKR fusion proteins. (A)
Dot plaque assay. Freshly poured lawns of E. coli (strain
AG1688) expressing either N alone or N-PKR(K296R) fusion were
infected by spotting with 5-µl aliquots of 10-fold dilutions of
lysates of KH54. The titer and pattern of the aliquots are
indicated. Sensitivity to superinfection was scored by evaluating
lysis plaques. (B) Repression of -Gal expression. Repressor activity
of the indicated N fusions was assessed by expression from the
PR lacZ reporter in strain JH372. A
functional N fusion inhibits lacZ expression, resulting
in white colony color. In contrast, cells lacking a functional
repressor fusion form blue colonies due to -Gal production. (C)
Cross-streak tests. Phages were striped down the center of an agar
plate, and cells harboring the plasmids expressing the indicated N
fusions were streaked perpendicularly across the phage stripe.
Sensitive cells were scored by assessing lysis by the phage (i.e., the
streak disappeared or was noticeably thinner after crossing the phage
zone). (D) Expression of N chimeric proteins containing different
PKR mutants. Crude cell extracts were subjected to SDS-PAGE on a 14%
gel and visualized by immunoblot analysis by using a polyclonal
antibody raised against PKR (4). Detection of
N-PKR(244-296) was unsuccessful by this analysis. The positions of
fusion proteins are indicated by arrows. The molecular size standards
are shown in kilodaltons.
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We next proceeded to map the dimerization region on PKR by generating
hybrid proteins consisting of
N and various regions of PKR.
Consistent with previous results (16, 67), immunity to phage
superinfection by cross-streak tests indicated that dimerization of PKR
can occur via the intact DSRMs (Fig. 2C). Interestingly, all
N
fusions that contained aa 244 to 296 of PKR also retained their ability
to dimerize in this assay. To verify the
immunity test results
produced by the different fusion genes, we assessed lacZ
repression by
-Gal assay (Fig. 2B). The results of lacZ repression were consistent with those of
immunity. Importantly, we
confirmed that all fusion proteins accumulated to detectable levels
(Fig. 2D), indicating that the loss of repressor activity was not
merely due to an absence of protein in the cells. Although
N-PKR(244-296) was not readily detectable by Western analysis due
to its small size, positive results obtained from both
-Gal and
immunity tests (as well as experiments described below) suggest that
fusion protein is most likely expressed to sufficient levels. Taken
together, these results suggest that PKR dimerization is mediated by at
least two different regions, including a previously undescribed region
(aa 244 to 296) independent of the DSRMs, as summarized in Fig.
3.

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FIG. 3.
PKR dimerization activity maps two independent regions.
Schematic representation of domain structures of wild-type (WT) PKR and
PKR deletion constructs used in the repressor fusion system. DSRM1
and DSRM2 denote the positions of the dsRNA-binding motifs 1 and 2, respectively. The protein kinase catalytic domain begins at residue 264 and contains the conserved kinase homology subdomains labeled I to XI
(2). A summary of the dimerization activity of PKR variants
is shown on the right. The solid bars at the top indicate the positions
of the dimerization regions of PKR. The positions of terminal amino
acids are also indicated.
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Residues 244 to 296 mediate dsRNA-independent dimerization of PKR
in the yeast two-hybrid system and in far-Western analysis.
To
validate that aa 244 to 296 were indeed involved in PKR-PKR
interaction, we used the yeast two-hybrid system to detect protein-protein interactions as a result of their ability to
reconstitute the trans-activating function of the GAL4
protein (24). Since PKR dimerization dependent on the DSRMs
(aa 1 to 167) has been demonstrated by use of the two-hybrid assay
(16, 67), we focused instead on the examination of PKR
DSRM-independent interactions. A hybrid protein consisting of PKR aa
244 to 551 and the GAL4 DNA-binding domain was therefore constructed.
The ability of this hybrid protein to associate with various regions of
PKR fused to the GAL4 transcriptional activation domain was examined.
All fusion constructs were expressed to detectable levels in the yeast cells as detected by Western blot analysis (25). As
illustrated in Fig. 4, only hybrid
proteins containing aa 244 to 296 interacted with PKR(244-551), as
indicated by growth on His
medium. Conversely, all
cotransfectants grew on medium supplemented with His, indicating that
the lack of growth on His
medium is not due to toxicity
caused by the overexpression of the relevant hybrid proteins in yeast.

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FIG. 4.
PKR self-associates independently of the DSRMs in the
yeast two-hybrid system. Yeast strain Hf7c containing
pGBT10/PKR(244-251) was transformed with the indicated pGAD425
plasmids containing various PKR mutants or plasmid alone.
Cotransformants were replica plated on His+ medium (left)
and His medium (right) containing 1 mM 3-AT. Interaction
was scored by growth on His medium. Western blot analysis
indicated that all GAL4 fusions were efficiently expressed in yeast
(not shown).
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To further demonstrate, by an independent in vitro assay, that aa 244 to 296 interact with PKR independently of the DSRMs, we conducted
far-Western experiments. GST-PKR(244-296) or, as a control, GST alone
was electrophoresed by SDS-PAGE. Following transfer, the nitrocellulose
filters were probed with [35S]methionine-labeled in
vitro-translated PKR constructs containing either aa 1 to 242, 244 to
551, or 296 to 551. All translation products were verified by SDS-PAGE
and fluorography (25; data not shown). As depicted
in Fig. 5, the 35S-labeled
PKR(244-551) probe interacted with GST-PKR(244-296) in a
concentration-dependent manner but did not interact with GST alone. In
contrast, neither a 35S-labeled PKR aa 1-to-242 nor a
35S-labeled PKR aa 295-to-551 probe recognized GST or
GST-PKR(244-296). These results collectively support our conclusion
that PKR can dimerize in vivo and in vitro independently of the DSRMs
and that the dimerization is mediated, at least in part, by aa 244 to
296.

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FIG. 5.
Direct PKR-PKR interaction via aa 244 to 296. Increasing
amounts (lanes 1 and 6, 10 ng; lanes 2 and 7, 20 ng; lanes 3 and 8, 30 ng; lanes 4 and 9, 40 ng; lanes 5 and 10, 50 ng) of purified
bacterially expressed GST and GST-PKR(244-296) were subjected to
SDS-PAGE and transferred to nitrocellulose. The filter was overlaid
with radiolabeled PKR aa 1-to-242 (top), 244-to-551 (middle), or
296-to-551 probe (bottom) and subjected to autoradiography. Arrows
indicate positions of GST fusion protein and GST alone.
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Coexpression of an amino acid fragment (aa 244 to 296) inhibits
both PKR dimerization and kinase function.
To further
demonstrate that aa 244 to 296 were sufficient to mediate PKR
dimerization, we asked whether coexpression of GST-PKR(244-296) could
prevent dimerization of
N-PKR(K296R) in the
repressor system via
the formation of heterodimers (see Fig. 1C).
If this were the case, the bacteria would
turn blue on X-Gal-treated plates and become sensitive to phage
superinfection due to the loss of functional
N-PKR(K296R) dimers
(and hence repressor activity). Bacteria producing both
N-PKR(K296R)
with GST-PKR(244-296), but not with GST alone, formed blue colonies on
X-Gal-treated plates and were sensitive to phage superinfection (Table
1). No repressor activity was observed in bacteria coexpressing an
empty vector control (pACYC184) with GST-PKR(244-296). Furthermore,
GST-PKR(244-296) did not disrupt dimerization of the Rop protein
control in the
repressor system.
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TABLE 1.
Summary of resistance and -Gal expression
properties of JH372 or AG1688 clones coexpressing N-PKR(K296R) and
GST fusionsa
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To corroborate these results, we demonstrate that the aa 244-to-296
segment alone also prevents the formation of PKR dimers in another
independent assay. In the yeast two-hybrid system, PKR homodimerization
can be detected by the induction of
-Gal expression in the
appropriate tester strains (16, 66, 67). We thus asked if
coexpression of the aa 244-to-296 fragment could inhibit PKR
homodimerization in the system. Indeed, when the aa 244-to-296 fragment
was overexpressed, self-interaction between PKR was significantly
reduced (Fig. 6A). As a control, PKR
homodimerization was not affected by the vector alone. Furthermore, the
possibility that expression of the 244-to-296 segment reduced the
amount of expression of the PKR fusion proteins in the assay is ruled
out by Western blot analysis (Fig. 6B). The consistent results obtained with two different methods strongly suggest that aa 244 to 296 are
sufficient to inhibit PKR dimerization.

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FIG. 6.
PKR aa 244-to-296 fragment alone prevents full-length
PKR dimerization and inhibits kinase activity. Expression of
N-PKR(K296R) with the low-copy-number plasmid pC168 was sufficient
to inhibit lacZ expression in strain JH372, resulting in
white colony color (see Table 1). Coexpression from a high-copy-number
plasmid of a second protein or protein domain [GST-PKR(244-296)]
capable of disrupting the association of N-PKR(K296R) molecules
resulted in derepression of lacZ and blue colonies. immunity was determined by cross-streak assays as described for Fig.
2B. Bacteria coexpressing an inhibitor of PKR dimer formation are
sensitive to infection in this case. (A) Coexpression of aa 244 to
296 reduced the amount of PKR dimer formation in the yeast two-hybrid
system. Yeast strain SFY526 cotransformed with constructs expressing
PKR(K296R) fused to GBD and PKR(K296R) fused to GAD or empty vectors
(pGBT10 and pGAD425) was mated with yeast strain Y187 transformed with
the expression constructs pYX222-PKR(244-296) or the negative control
vector pYX222. Diploids were selected on a minimal selective medium
lacking Trp, Leu, and His. -Gal assays of yeast cell extracts
cotransformed with the indicated plasmids were performed as described
in Materials and Methods. The results shown represent the mean activity
obtained from two experiments. (B) Expression of GAL4-PKR fusion
constructs in yeast. An immunoblot analysis of extracts prepared from
the indicated yeast transformants is shown. The panel represents the
same blot probed sequentially with antibodies to PKR or actin as
indicated. Not shown is PKR(244-296), which we were unable to detect
by this analysis. The positions of GBD-PKR(K296R) and GAD-PKR(K296R)
fusion proteins are indicated by arrows. (C) PKR aa 244-to-296 reverse
wild-type kinase-mediated growth suppression in yeast. Yeast strain
RY1-1 was transformed with the 2µm yeast expression constructs
pYES2-PKR(244-296) or pEMBLYex-K3L (positive control) or the negative
control vector pYES2. Transformants were spotted at various dilutions,
as indicated in the middle of the panel, on uracil-deficient minimal
synthetic medium containing 2% dextrose (SD) or 10% galactose-2%
raffinose (SGAL) as the carbon source and scored for growth. Kinase
function inhibition was scored by growth on the SGAL plate. Western
blot analysis indicated that PKR was efficiently expressed in all yeast
strains (not shown).
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Despite the results of these interaction studies, it was essential to
prove the biological relevance of our observations. We therefore
determined whether expression of the 52-aa fragment was sufficient to
inhibit PKR activity by using a functional assay in yeast
(71). High-level expression of the PKR gene from a galactose-inducible promoter in the yeast strain RY1-1 cultured on
galactose medium severely impairs cell growth due to PKR-mediated hyperphosphorylation of yeast eIF-2
(14, 71). We reasoned that expression of the aa 244-to-296 fragment should suppress the
toxicity of PKR in yeast by forming inactive heterodimers with
wild-type PKR. As shown in Fig. 6C, RY1-1 cells expressing PKR(244-296) (or the vaccinia virus K3L positive control) but not
cells expressing the vector control were able to overcome the growth
defect effect caused by wild-type PKR induction. Furthermore, like
P58IPK as described below, coexpression of PKR(244-296)
reduced the extent of eIF-2
phosphorylation in RY1-1 yeast cells
expressing PKR (data not shown). These results collectively indicate
that dominant interference can occur by the formation of inactive
heterodimers between PKR(244-296) and PKR, adding support to the
functional significance of dimerization via aa 244 to 296 in kinase
function.
P58IPK inhibits PKR activity through the disruption of
PKR dimerization.
Earlier studies had demonstrated that PKR aa 244 to 296 comprised the binding site for kinase inhibitors, including
P58IPK, the cellular inhibitor recruited by influenza virus
to inactivate the protein kinase (25, 26). Given that
dimerization may be essential for PKR activity and that the aa
244-to-296 region overlaps with the site of P58IPK
interaction, we next explored the possibility that P58IPK
adversely affected PKR dimerization. To test this possibility, we
examined whether coexpression of a GST-P58IPK fusion could
prevent or reduce dimerization of
N-PKR(K296R) in the
repressor
fusion system. As summarized in Table 2,
transformants coexpressing GST-P58IPK but not those
expressing GST alone turned blue on X-Gal plates and became sensitive
to
superinfection, indicating that P58IPK inhibits PKR
dimerization. The specificity of GST-P58IPK for disruption
of PKR dimerization was demonstrated by the fact that
GST-P58IPK did not diminish dimerization of the Rop protein
control in the
repressor system. Furthermore, coexpression of the
GST fusion containing other known PKR inhibitors that bind to other
regions of the kinase, including the vaccinia virus K3L protein
(25) and the influenza virus NS1 protein (78),
had little or no effect on the dimeric state of PKR (Table 2).
P58IPK did not abolish dimerization of a PKR fragment
containing residues 1 to 167 (data not shown), suggesting that
P58IPK acts specifically at residues 244 to 296 and that
the two regions can dimerize independently.
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TABLE 2.
Summary of resistance and -Gal expression
properties of JH372 or AG1688 clones coexpressing N-PKR(K29R) and
various GST fusionsa
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To obtain independent verification, we performed a similar analysis
utilizing the yeast two-hybrid system. Coexpression of P58IPK, but not the vector control, markedly reduced the
formation of PKR-PKR complex in the two-hybrid assay (Fig.
7). As a control, we tested a
nonfunctional form of P58IPK, which lacked TPR domain 6 (P58IPK
TPR6), in the bacterial and yeast assay. The TPR6
motif of P58IPK was earlier found to be necessary for
binding to PKR and inhibiting kinase activity (25, 69). As
predicted, we demonstrated that P58IPK
TPR6 did not
abrogate PKR dimerization either in the
repressor assay (Table 2)
or in the yeast assay (Fig. 7). It should be noted that in all cases
recombinant proteins were produced to detectable levels (Fig. 7 and
8). Thus the lack of disruption of PKR
dimerization and kinase inhibition cannot be explained by the failure
to produce the relevant polypeptides. It also should be mentioned that
P58IPK is not fused to a heterologous nuclear localization
sequence in the coexpression plasmid (pYX222) in this experimental
system. It is therefore likely that P58IPK associated with
the GAL4-PKR(K296R) fusions in the cytoplasm and the complex was then
translocated together to nuclei because of nuclear localization
sequence in the GAL4 fusions. This is consistent with the observation
that most PKR and P58IPK are found in the cytoplasm
(20, 38, 39, 42).

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FIG. 7.
P58IPK inhibits PKR dimer formation in the
yeast two-hybrid system. (Top) -Gal activities of triply transformed
yeast cells. The appropriate GAL4 two-hybrid tester strains were
transformed with the indicated plasmids, and -Gal assay of the yeast
cell extracts was performed as described for Fig. 6B. The results shown
here represent the mean activity derived from two experiments. (Bottom)
Expression of GAL4-PKR fusions in yeast cells. An immunoblot analysis
of extracts prepared from the indicated yeast transformants is shown.
The panel represents the same blot probed sequentially with antibodies
to PKR or actin as indicated.
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FIG. 8.
P58IPK prevents PKR dimerization in the repressor fusion system. (A) Coexpression levels of GST fusion
proteins. Crude cell extracts from bacteria coexpressing
N-PKR(K296R) and various GST fusions were subjected to SDS-PAGE on a
14% gel and visualized by immunoblot analysis with a polyclonal
antibody directed against GST. Positions of molecular size standards
are indicated in kilodaltons. (B) Expression of N-PKR chimeric
protein. The panel represents the same blot probed with a polyclonal
antibody to PKR. The arrow indicates the position of N-PKR(K296R).
(See also Table 2.)
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If the disruption of PKR dimers by P58IPK had functional
relevance, it was essential to demonstrate that wild-type
P58IPK but not the
TPR6 mutant retained the ability to
inhibit PKR in an in vivo assay. To examine this, we utilized the yeast
functional assay described above. RY1-1 cells expressing
P58IPK but not P58IPK
TPR6 or vector control
were able to overcome the growth defect effect caused by wild-type PKR
(Fig. 9A). The vaccinia virus K3L protein
was used in these assays as a positive control (26). These
data were further supported by the reduced levels of eIF-2
phosphorylation observed in RY1-1 expressing P58IPK
compared to those in yeast cells expressing P58IPK
TPR6
or vector alone (Fig. 9B). We verified that both wild-type and mutant
P58IPK were expressed at similar levels (Fig. 9C).
Importantly, RY1-1 cells coexpressing P58IPK but not
P58IPK
TPR6 with PKR exhibited an increase in PKR levels,
a finding consistent with a P58IPK-mediated inhibition of
PKR autoregulation and stimulation of protein synthesis (7, 71,
82). Thus, these findings strongly support our hypothesis that
P58IPK inhibits PKR activity by converting PKR dimers to
monomers.

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FIG. 9.
A P58IPK mutant incapable of disrupting PKR
dimerization does not inhibit PKR function. (A) Yeast growth analysis.
Yeast strain RY1-1 was transformed with the 2µm expression plasmid
pYES2 (vector control), pYES2-P58IPK,
pYES2-P58IPK 6, or pEMBLYex4-K3L (positive control) and
streaked onto SD (not shown) or SGAL medium. Growth on the SGAL-treated
plate indicated inhibition of PKR function in yeast cells. All
transformants grew on SD medium (not shown). (B) eIF-2
phosphorylation analysis. Extracts from RY1-1 yeast cells harboring
pYES2-P58IPK (lane 1), pYES2-P58IPK 6 (lane
2), pYES2 (lane 3), or pEMBLYex4-K3L (control; lane 4) were separated
by isoelectric focusing and subjected to immunoblot analysis with an
antiserum to yeast eIF-2 . Arrows indicate the positions of yeast
eIF-2 phosphorylated on basal sites only (lower band) and yeast
eIF-2 phosphorylated on Ser-51, the site of phosphorylation by PKR
(upper band). (C) Protein expression. Strains were grown for 5 h
in galactose-containing liquid medium, and extracts prepared as
described previously (26). Proteins (25 µg) were separated
by SDS-PAGE and subjected to immunoblot analysis. The panels represent
the same blot probed sequentially with antibodies to PKR (top),
P58IPK (middle), or actin (bottom).
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|
 |
DISCUSSION |
Dimerization of PKR and its role in kinase regulation.
PKR was
originally inferred to function as a dimer because activation of PKR
displayed second-order kinetics (47). This notion was later
supported by numerous biochemical analyses demonstrating that PKR
exists in solution predominantly as a dimer (11, 49). Furthermore, the dominant negative phenotype of nonfunctional PKR
mutants suggests that they form inactive heterodimers with wild-type
PKR (6, 46, 61). It is thought that dimerization may mediate
activation of PKR through trans-phosphorylation between two
PKR monomers brought into close proximity by binding to a single
molecule of dsRNA (47). That the wild-type enzyme is able to
phosphorylate a catalytically inactive PKR in trans is consistent with this view (83, 84). Moreover, Cosentino et al. (16) demonstrated that PKR dimerizes via the DSRMs, and that dimerization in vitro is dependent on the presence of dsRNA.
Cosentino et al. (16) also demonstrated that the
dimerization region of PKR resides within the N-terminal region of 184 residues, which includes the DSRMs. In contrast, Ortega et al. (66) reported that a PKR fragment containing residues 1 to
280 was insufficient to interact with full-length PKR. Indeed, genetic complementation studies in yeast (71) and in vitro binding
studies (67) suggest there may be more than one dimerization
region on PKR. The data presented in this study help reconcile these conflicting reports. We identified a site within aa 244 to 296 capable
of promoting PKR dimerization, which spans the hinge region and
catalytic subdomains I and II (60). In a finding that is consistent with the notion that dimerization is essential for PKR
activation or function, we show that coexpression of the 52-aa fragment
that inhibits dimerization also inhibits kinase function. Our results
thus provide a simple explanation for the discrepancy generated from
PKR dimerization studies, i.e., PKR can dimerize via direct
protein-protein interaction dictated by a motif located within aa 244 to 296, as well as via dsRNA-mediated association between the DSRM
sequences. Amino acid residues 244 to 296 of PKR include part of the
so-called third basic domain (aa 233 to 273), which does not appear to
bind detectable levels of RNA (50). Intriguingly, deleting
this segment in full-length PKR abolishes kinase activity in vivo
(50, 71). Experiments are in progress to identify the
critical residues within the 244-to-296 region that are required for
dimerization.
While dimer formation of PKR may not be required for activation
(85), such formation may regulate its catalytic function. Dimerization is known to confer unique properties on enzymes; it may
regulate the level of enzyme activity (8, 22) or modify enzyme specificity for substrate selection (57). In regard
to the latter, PKR has also been shown to phosphorylate other
substrates, including the inhibitor I
B of the transcription factor
NF-
B (48), the human immunodeficiency virus type 1 Tat
protein (10), and an unknown protein of 90 kDa
(70). Even in cases in which no apparent change in activity
is linked to dimerization, it may stabilize the protein and/or prevent
it from protease degradation or phosphatase action. Furthermore, the
possibility that PKR dimerization plays a role in subcellular
localization of the kinase cannot be excluded since PKR is found in
both the nucleus and the cytoplasm (20, 38, 39).
Model for PKR dimerization.
Although dsRNA binding has been
suggested to mediate the dimerization of PKR DSRMs, evidence for a
dsRNA-independent mechanism also has been reported (66, 85).
However, it will be difficult to decipher the exact mechanism of
dimerization because both the dsRNA-binding and the dimerization
properties of the DSRMs are closely embedded in the same regions
(68). In any case, both the DSRMs and the aa 244-to-296
region may be required for the formation of a stable PKR dimer complex.
Proteins that contain more than one dimerization region have been
described, including the transcription factor AP-4 (35),
c-Myc (18), the thyroid hormone receptor (63),
the vitamin D receptor (64), and the early B-cell factor
(29). However, it is beyond the scope of this study to
compare the relative affinities of each of the two independent
dimerization domains of PKR. Interestingly, we found that
P58IPK, which binds PKR at aa 244 to 296, effectively
inhibited dimerization of full-length PKR but not a PKR fragment
containing aa 1 to 167 (Fig. 7 and 8; data not shown).
On the basis of our results and other studies, we propose a revised
model for the regulation of the PKR dimeric state (Fig. 10A). In this model, the interaction of
dsRNA with the DSRMs of PKR serves at least two purposes. First, dsRNA
binding may target PKR to ribosomes (87), increasing the
effective intracellular PKR concentration so that dimerization and
localized functional activity are subsequently favorable. Second, it
induces a conformational change that exposes the aa 244-to-296 region
to promote protein-protein mediated dimerization of the kinase.
P58IPK binding to aa 244 to 296 presumably alters the
conformation of PKR such that the kinase, despite the presence of the
DSRMs, can no longer form a functional dimer. Alternatively,
P58IPK disruption of PKR dimers may simply be due to
competition between PKR-PKR and PKR-P58IPK complexes. The
observation that both the 244-to-296 segment and P58IPK (as
well as a viral PKR inhibitor; see below) bind to PKR at the same site
(aa 244 to 296) and inhibit kinase dimerization favors the latter
scenario.

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FIG. 10.
PKR dimerization. (Top) Proposed model for the
modulation of PKR dimerization. The catalytic domain (C) and the
regulatory domain (R) containing DSRMs are shown. (I) dsRNA binding to
the DSRMs bridges PKR molecules and induces a conformational change
that unmasks the dimerization site with residues 244 to 296 (darkened
region) to promote intermolecular association of PKR. (II) Binding of
P58IPK to the aa 244-to-296 region leads to monomerization
of PKR and presumably to inactivation of the kinase. (III) Deletion of
the DSRM sequences results in a conformational alteration exposing this
dimerization region, and thus the isolated catalytic domain is still
capable of forming dimers via aa 244 to 296. (Bottom) Limited homology
within the noncatalytic portion of the aa 244-to-296 dimerization
region of PKR with human (h) and rabbit (r) glycogen-associated
subunits of PP1 (PP1-G). Identical residues are shown by the shaded
area; dotted lines indicate the less-conserved residues. The numbers
refer to the positions of the amino acids listed. Homology was
identified by using the NCBI BLAST program (1).
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The importance of residues 244 to 296 in PKR dimerization and
P58IPK interaction brings up the question of whether
homologous domains in other proteins dimerize or associate with PKR,
P58IPK, and/or P58IPK-like proteins.
Interestingly, the noncatalytic part of the aa 244-to-296 region
contains a putative sequence motif (Fig. 10B) that is also present in
the glycogen-associated subunit of the type 1 serine-threonine protein
phosphatase (PP1-G) (13). It is tempting to speculate that
the identified sequence motif may also play a role in the phosphatase
dimerization and/or interaction with PKR. Regarding the latter, the
type 1 protein phosphatase has been shown to dephosphorylate PKR,
causing a loss in kinase activity (77).
Does P58IPK represent a new class of PKR
inhibitors?
Until the present study, regulation of kinase
dimerization by a cellular protein inhibitor had not been reported. The
PIN protein inhibitor of the neurotransmitter nitric oxide synthase apparently inhibits the enzyme by directly interfering with its dimeric
state (37). The results reported here demonstrate that P58IPK can specifically prevent PKR dimerization, providing
insights into the mechanism by which P58IPK inhibits PKR
activity. In addition, since P58IPK is an established
inhibitor of PKR, the finding also lends support to the functional
importance of dimerization for kinase activity. Consistent with the
view that the aa 244-to-296 region mediates dimerization, PKR
inhibitors that act elsewhere on the molecule, including the
pseudosubstrate protein K3L (25) and the dsRNA-binding protein NS1 (78), did not perturb the dimeric state of PKR
(Table 2). The biological significance of aa 244 to 296 of PKR is
further exemplified by the fact that at least one other PKR inhibitor, the hepatitis C virus nonstructural protein 5A (NS5A), also associates with PKR in this region (26). Therefore, P58IPK
and NS5A may constitute a new group of PKR effectors, i.e., those that
act via disruption of PKR dimerization.
In agreement with the notion that disruption of PKR dimerization by
P58IPK is associated with the loss of kinase function, a
nonfunctional form of P58IPK lacking the TPR6 domain was
unable to inhibit PKR dimer formation. Because the TPR6 domain of
P58IPK is required for interacting with PKR
(25), a P58IPK protein devoid of this domain
(P58IPK
TPR6) would not be expected to disrupt PKR
dimers. We cannot, however, exclude the possibility that
P58IPK also may act by preventing the activation of PKR by
blocking the ATP-binding residues or autophosphorylation sites found
within aa 244 to 296 (80). Alternatively, P58IPK
may affect the conformation essential for proper ATP binding or
sterically hinder the access of substrates to the catalytic site. The
former strategy has precedence among the cyclin-dependent kinase
inhibitors (45, 65, 72), including the INK4 family members,
which all contain the ankyrin repeat motifs (41), a finding
that is reminiscent of the tetratricopeptide repeat motifs of
P58IPK. Therefore, it is conceivable that there may be more
than one mechanism of P58IPK-mediated PKR inhibition,
especially given the fact that P58IPK inhibits both the
auto- and trans-phosphorylation activity of active PKR
(53, 54).
 |
ACKNOWLEDGMENTS |
We thank F. Gigliani and J. C. Hu for gifts of plasmids and
strains for the
repressor fusion system. We thank M. Domenowske for
figure preparation, N. M. Tang, R. M. Krug and E. Beattie for
providing GST fusion constructs, K. Elias and M. J. Korth for
helpful comments on the manuscript, and G. M. Barber and members of our laboratory for encouragement and stimulating discussions.
This work was supported by National Institutes of Health grants AI
22646, RR 00166, and AI-41629 to M.G.K. M.J.G. is currently a
Helen Hay Whitney Fellow. S.-L.T. is supported by a grant from the
Gustavus & Louise Pfeiffer Research Foundation.
 |
FOOTNOTES |
*
Corresponding author. Mailing address: University of
Washington, Health Sciences Bldg., Rm. I-321, 1705 Pacific St., NE,
Seattle, WA 98195. Phone: (206) 543-8837. Fax: (206) 685-0305. E-mail: honey{at}u.washington.edu.
 |
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