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Molecular and Cellular Biology, January 2002, p. 370-377, Vol. 22, No. 1
0270-7306/01/$04.00+0 DOI: 10.1128/MCB.22.1.370-377.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
p19ARF Is Dispensable for Oncogenic Stress-Induced p53-Mediated Apoptosis and Tumor Suppression In Vivo
Dawn Tolbert, Xiangdong Lu, Chaoying Yin, Mathew Tantama, and Terry Van Dyke*
Department of Biochemistry and Biophysics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599
Received 27 July 2001/
Returned for modification 27 August 2001/
Accepted 3 October 2001

ABSTRACT
Recent studies have shown the p19
ARF tumor suppressor to be
involved in the response to oncogenic stress by regulating the
activity of p53. This response is mediated by antagonizing the
function of Mdm2, a negative regulator of p53, indicating a
pathway for tumor suppression that involves numerous genes altered
in human tumors. We previously described a transgenic mouse
brain tumor model in which oncogenic stress, provided by cell-specific
inactivation of the pRb pathway, triggers a p53-dependent apoptotic
response. This response suppresses the growth of developing
tumors and thus represents a bona fide in vivo tumor suppressor
activity. We further showed that E2F1, a transcription factor
known to induce p19
ARF expression, was required for the response.
Here, we use a genetic approach to test whether p19
ARF functions
to transduce the signal from E2F1 to p53 in this tumor suppression
pathway. Contrary to the currently accepted hypothesis, we show
that a deficiency in p19
ARF has no impact on p53-mediated apoptosis
or tumor suppression in this system. All measures of p53 function,
including the level of apoptosis induced by pRb inactivation,
the expression of p21 (a p53-responsive gene), and the rate
of tumor growth, were comparable in mice with and without a
functional
p19ARF gene. Thus, although p19
ARF is required in
some cell types to transmit an oncogenic response signal to
p53, it is dispensable for this function in an in vivo epithelial
system. These results underscore the complexity of p53 tumor
suppression and further indicate the existence of distinct cell-specific
pathways that respond to similar stimuli.

INTRODUCTION
p19
ARF was first identified as the product of an alternative
transcript within the
p16INK4a gene (
20). Deletions of the
INK4a/ARF locus have been found in a variety of human cancers (
21), and
mice nullizygous at the
INK4a/ARF locus develop tumors with
a high frequency, usually lymphoma and sarcoma (
24). Importantly,
mice that specifically lack p19
ARF but retain p16
INK4a develop
a similar spectrum of tumors (
11), establishing the tumor suppressor
function of p19
ARF. Recent studies in fibroblasts in vitro (
2,
3,
8,
16,
35) and in B cells in vivo (
4,
23) suggest a role
for p19
ARF in p53 responses to oncogenic stress. For example,
overexpression of c-Myc, E2F1, activated Ras, or E1A in primary
mouse embryonic fibroblasts (MEF) induces p53-dependent growth
arrest or apoptosis, and these effects are attenuated in
p19ARF null cells. Furthermore, p53-deficient cells are resistant to
p19
ARF-induced cell cycle arrest (
11), indicating that p19
ARF acts upstream of p53. Biochemical analyses show that p19
ARF can bind to Mdm2 and block Mdm2-induced p53 degradation, thus
providing a molecular mechanism by which p19
ARF can activate
p53 (
10,
19,
26,
32,
33).
These studies suggest a model in which p19ARF acts as a tumor suppressor by responding to oncogenic signals, possibly via direct transcriptional activation by E2F transcription factors (2, 35) and by transmitting the signal to p53 via Mdm2 regulation. Indeed, the development of B-cell lymphoma in Eµ-myc transgenic mice is significantly accelerated in Ink4a-ARF+/- (8, 23) and ARF+/- (4) backgrounds. Since a similar effect occurs in p53+/- mice (7, 23), these observations support the hypothesis that p53-mediated tumor suppression in this model is dependent on p19ARF. However, it is not known whether the same mechanism is broadly operative in diverse cell types susceptible to p53 tumor suppression.
Here, we address the role of p19ARF in p53-mediated epithelial cell apoptosis and tumor suppression in vivo. Previously, we developed a transgenic mouse model (TgT121) in which epithelial brain tumors are initiated by cell-specific expression of T121, an oncoprotein derived from simian virus 40 (SV40) T antigen that specifically inactivates pRb and related proteins p107 and p130 (22, 27). Inactivation of these proteins in choroid plexus (CP) epithelial cells induces aberrant proliferation and p53-dependent apoptosis, resulting in the development of slow-growing tumors (Fig. 1A). In a p53 null background, the T121-induced apoptosis is significantly reduced, and tumor growth is accelerated sevenfold (Fig. 1A) (27). Thus, the development of tumors in this model serves as a paradigm for oncogenic stress-induced p53-mediated apoptosis and tumor suppression in epithelial cells in vivo.
Using a genetic approach, we further showed that the p53-mediated
apoptosis in CP is dependent on E2F1 (Fig.
1B) (
18). Hence,
based on the observations described above, p19
ARF was a likely
candidate for transmitting the signal from E2F1 to p53 (Fig.
1B). Here, we test this hypothesis by assessing the effect of
p19
ARF deficiency on T
121-induced p53-dependent apoptosis and
tumor suppression in vivo.

MATERIALS AND METHODS
Generation of p19ARF-deficient TgT121 mice.
Characterization of
TgT121 transgenic mice (C57BL6/J;DBA2) was
described previously (
22,
27). Mice harboring a homozygous deletion
of
p19ARF exon 1 (C57BL6/J; Sv129) (
11) were kindly provided
by C. J. Sherr and M. F. Roussel (St. Jude Childrens
Hospital).
TgT121;p19ARF+/- and
TgT121;p19ARF-/- mice were generated
by crossing hemizygous
TgT121 mice with
p19ARF-/- mice through
two generations. In all experiments,
TgT121;p19ARF+/- and
TgT121;p19ARF-/- littermates were compared to control for any variability in
the genetic background.
TgT121;p19ARF+/+ mice were generated
in a single cross between
TgT121 mice and
p19ARF+/- mice.
TgT121 and
p19ARF genotypes were identified by PCR analysis of tail
DNA (
11,
27).
Histology, proliferation, and apoptosis assays.
Brain tissues were fixed, embedded, and sectioned as described (18). Apoptotic cells were detected in sections using the terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling (TUNEL) assay (27). Cell proliferation was determined by in situ immunodetection of bromodeoxyuridine (BrdU) incorporation as described (18). The significance of differences in apoptosis levels and cell proliferation levels between mice with different genotypes was evaluated by t test. P < 0.05 was considered significant.
In situ RNA hybridization.
Sections were treated and hybridized as previously described (18). The p21 antisense probe was generated by T7 transcription of an EcoRI-linearized pBS-KSp21 template. The p19ARF antisense probe was generated by T3 transcription of a BamHI-linearized pBS-KSp19ARF (a kind gift of Yue Xiong). Probes were labeled with [
-35S]UTP (5 x 104 cpm/µl) and hybridized to slides at 50°C overnight. For the p19ARF-specific probe, slides were exposed for 60 days; for the p21-specific probe, slides were exposed for 3 days. The sense probes did not show any signal above background in both p21 and p19ARF in situ hybridizations.

RESULTS
p19ARF expression is induced in T121-expressing cells.
Since oncogenic stress in cultured cells results in transcriptional
induction of p19
ARF (
2,
3,
16,
35), we first determined whether
p19
ARF transcripts were induced upon T
121 expression coincident
with p53 activation in CP. In situ RNA hybridization with a
mouse p19
ARF-specific probe detected a clearly positive signal
in CP of
TgT121 mice (Fig.
2C), whereas no signal above background
was detected in normal nontransgenic CP (Fig.
2B). As predicted
from previous studies, the p19
ARF signal was not dependent on
p53, based on the positive signal in
TgT121;p53-/- CP (Fig.
2D). Although p19
ARF transcripts were clearly induced in CP
by T
121, levels were quite low, based on the requirement for
an exposure time of 8 weeks. By comparison, p21 transcripts
induced by the activation of p53 were detected in 3 days using
similar procedures (
18) (see Fig.
5). Nonetheless, induction
of p19
ARF transcripts specifically by T
121 expression supported
the possibility that p19
ARF transmits a signal to p53.
p19ARF is not required for p53-dependent apoptosis.
To test whether p19
ARF is required for the induction of p53-dependent
apoptosis by pRb protein inactivation, we generated
TgT121 mice
deficient in p19
ARF by a series of backcrosses with
p19ARF-/- mice (
11). Apoptosis within the CP of several young (4 and 8
weeks)
TgT121;p19ARF+/+,
TgT121;p19ARF+/-,
TgT121;p19ARF-/-,
and
p19ARF-/- mice was measured in situ using the TUNEL assay
(Fig.
3A).
TgT121;p53-/- mouse brain sections were assessed
as a control. Although p53 deficiency dramatically reduced the
level of apoptosis, p19
ARF deficiency had little or no effect
(Fig.
3A and B). The average apoptosis level in the CP of
TgT121;p19ARF+/+ mice was 8.6% ± 1.9% (
n = 6). The average relative apoptosis
indices (AI) of
TgT121;p19ARF-/- and
TgT121;p19ARF+/- CP compared
with that of
TgT121;p19ARF+/+ CP (100%) were 92.9% ±
19.2% and 113.0% ± 23.1%, respectively. The small difference
between the
TgT121;p19ARF-/- group (
n = 6) and the
TgT121;p19ARF+/+ group (
n = 6) is not statistically significant (
P = 0.601).
Moreover, as shown previously (
27), the relative AI of
TgT121;p53-/- CP (
n = 3) was reduced to 12.4% ± 8.5%. Thus, contrary
to the hypothesis, these data show that p53-dependent apoptosis
in response to aberrant proliferation of epithelial cells in
vivo does not require p19
ARF.
p19ARF deficiency does not interfere with tumor cell cycle.
Recent studies have shown that p19
ARF could inhibit cell growth
by a p53-independent pathway (
29). Thus, although p19
ARF was
clearly dispensable for the p53-dependent apoptosis of CP tumor
cells, it was possible that p19
ARF affected the tumor cell cycle
by unknown p53-independent mechanisms. To determine whether
this was the case, the fraction of proliferating tumor cells
was determined in the presence and absence of p19
ARF by in situ
immunodetection of BrdU incorporation.
TgT121;p19ARF+/+,
TgT121;p19ARF+/-,
TgT121;p19ARF-/-, and
p19ARF-/- mice of different ages (4 and
8 weeks) were examined. This analysis indicated that p19
ARF deficiency did not affect the proliferation of CP tumor cells.
The average percentage of BrdU-positive cells in the CP of
TgT121;p19ARF+/+ mice was 8.5% ± 2.2% (
n = 6). The relative BrdU staining
levels within the CP of
TgT121;p19ARF-/- and
TgT121;p19ARF+/- mice were 86.5% ± 21.2% and 107.5% ± 37.6%, respectively
(
n = 6 in both cases) (Fig.
3C). Thus, no significant effect
of p19
ARF on tumor cell proliferation was detected (
P = 0.288).
p19ARF deficiency does not accelerate CP tumor growth.
In previous studies of TgT121 mice, we showed that tumor growth was slow, becoming life-threatening only after a mean age of 26 weeks (22). Deficiency of p53 caused acceleration of tumor growth due to reduced apoptosis, and the animals died by 4 weeks of age (27). Given that neither apoptosis nor proliferation appeared to be altered by p19ARF deficiency, tumor growth was predicted to be unaltered as well. However, it was possible that additional unexpected parameters dependent on p19ARF could impact either the rate or morphological characteristics of tumor growth. Because TgT121;p19ARF-/- and TgT121;p19ARF+/- mice simultaneously develop multiple tumor types, including CP tumors, sarcoma, and lymphoid malignancies (summarized in Table 1), survival does not provide an appropriate assessment of CP tumor growth. However, unlike TgT121;p53-/- mice, all TgT121;p19ARF-/- mice survived beyond 4 weeks of age to a mean age of 17 weeks. This result confirms that p19ARF deficiency does not induce a phenocopy of p53 deficiency.
Further assessment of CP tumor histopathology showed no detectable
differences between
TgT121;p19ARF-/- and
TgT121;p19ARF+/+ CP
tumors (for example, compare panels A and B of Fig.
4). Although
survival time is clearly affected by the combination of
TgT121 and altered
p19ARF alleles (Table
1), evidence indicates that
this effect results from exacerbation by coexisting malignancies.
For example, in mice with compound genotypes, the simultaneous
presence of leukemia (induced by p19
ARF deficiency) and CP carcinoma
(caused by T
121 expression) resulted in extensive infiltration
of leukemia cells into the brain (Fig.
4C), a phenotype not
observed in either individual background. It is likely that
such effects caused the mice to die at earlier ages (Table
1).
In summary, evaluation of CP tumor growth indicates that p19
ARF is not required for suppression of tumorigenesis in brain epithelium.
p53 function is intact in CP of p19ARF-deficient mice.
Although p19
ARF was not required for p53-mediated apoptosis
or tumor suppression in CP epithelium, we considered whether
p53 activity was at all dependent on p19
ARF in this cell type.
Furthermore, although unlikely, it was a formal possibility
that the absence of p19
ARF had triggered a switch from p53-dependent
apoptosis and tumor suppression to p53-independent functions,
thus masking the impact on p53. Hence, we used an independent
assessment of p53 function to determine whether p53 remained
active in p19
ARF-deficient CP.
The p21 gene is a direct transcriptional target of p53 (5). In previous work, we demonstrated that p53-dependent p21 expression was indeed induced by T121 in CP (18). Furthermore, CP tumors that underwent p53 loss of heterozygosity also lost p21 expression, providing a perfect correlation between loss of p53 function and loss of p21 expression (12). If p53 activation were mediated by p19ARF in response to the T121 oncogenic signal, then p21 induction would not be observed in TgT121;p19ARF-/- CP, as in the case of TgT121;E2F1-/- and TgT121;p53-/- mice (18). Thus, the level of p21 expression in the CP was determined for TgT121;p19ARF-/-, TgT121;p19ARF+/-, and TgT121;p19ARF+/+ mice (n > 3 in each case). In all cases, no difference in p21 induction between TgT121;p19ARF-/- and TgT121;p19ARF+/+ CP was observed (Fig. 5). These results demonstrate that the p53 pathway induced by oncogenic stress in CP epithelium does not require p19ARF function.

DISCUSSION
We previously showed that p53 suppresses the growth of brain
epithelial tumors by mediating apoptosis in response to aberrant
proliferation resulting from Rb pathway inactivation (
27). Although
p19
ARF is widely believed to generally transmit oncogenic stress
signals to p53 (
25,
31), the studies presented here show that
no defects were detected in known p53 responses in the CP of
p19
ARF-deficient mice. p53-dependent apoptosis, tumor suppression,
and transcriptional transactivation all remained unaffected
in the absence of p19
ARF. Thus, these studies indicate that
p19
ARF does not transmit the oncogenic stress signal to p53
in this system. Furthermore, since p19
ARF deficiency appeared
to have no effect on CP tumor growth or morphology, p19
ARF also
does not appear to suppress tumors in this cell type by p53-independent
mechanisms.
Previous studies by others showed that B-cell lymphoma induced in transgenic mice by c-myc overexpression is accelerated in Ink4a/ARF+/- and ARF+/- backgrounds, similar to the effect observed in p53+/- mice (see the introduction). Further experiments in primary B cells and in B-cell lymphomas indicate that deficiencies in p53, Ink4a/ARF, or ARF also reduce the level of c-myc-induced apoptosis (4, 23). Moreover, in c-myc-induced lymphomas, mutation of p53 or deletion of the Ink4a/ARF locus was frequent. These mutations were mutually exclusive (23), supporting the idea that p19ARF and p53 are on the same tumor suppression pathway in B cells. Thus, the fact that p19ARF was not required for p53-dependent apoptosis and tumor suppression in brain epithelium indicates that this pathway is not universal to all cell types and that cell-specific mechanisms exist for transmitting an oncogenic stress signal to p53 for tumor suppression. This concept is supported by a recent report that medulloblastoma induced in mice heterozygous for patched is accelerated by p53 deficiency but not by p19ARF deficiency (30). Although the mechanism for p53 tumor suppression in this model is unknown, the result clearly indicates that p19ARF is not required.
A recent study by K. Tsai and T. Jacks (personal communication) shows that p19ARF is also dispensable for p53-dependent apoptosis of embryonic central nervous system (CNS) neurons and ocular lens epithelium. pRb deficiency induces unscheduled cell proliferation in both cell types, resulting in p53-dependent apoptosis (13, 15, 17). As in the adult CP, the response in these cells requires E2F1 (28). Quantitative analysis of the apoptosis in Rb-/- p19ARF-/- embryos showed that p53-mediated apoptosis was unaffected in the CNS and was only minimally diminished in the lens. Furthermore, p53 transactivation and DNA binding remained intact in the absence of p19ARF. Previous work in the embryonic lens had shown that a deficiency in both p16Ink4a and p19ARF inhibited p53-dependent apoptosis to a greater extent, although the relative contributions of the two factors could not be resolved (19). Interestingly, in support of cell-specific mechanisms for p53 regulation, Tsai and Jacks (personal communication) show that p53-dependent proliferation suppression in embryonic peripheral neurons (13) does appear to depend on p19ARF.
Hence, one or more p19ARF-independent pathways exist that trigger p53 tumor suppression in response to disrupted cell cycle regulation in vivo. What is the mechanism? One possibility is that p19ARF carries out this function when present, but a compensatory factor signals p53 in its absence, i.e., a redundancy exists at this step in the pathway. We consider this possibility unlikely since there are no known p19ARF-related proteins. Thus, any compensatory pathway, such as an alternative cell-specific pathway, would be unique and hence interesting.
p19ARF signals to p53 by regulating Mdm2 (10, 19, 26, 32, 33), a protein that specifically binds p53 and targets it for degradation via the ubiquitin pathway (1, 6). We do not yet know whether Mdm2 is also the target for p53 regulation in CP tumor suppression. Mdm2 deficiency in the mouse causes lethality in the early embryo (9, 14), so that a cell-specific deficiency will be required to test the role of Mdm2 in this or any other in vivo tumor model. We do know that E2F1, and possibly other E2Fs (34), act upstream of p53 to facilitate the apoptotic response to pRb pathway inactivation in CP (18). Thus, as with p19ARF, the signal(s) to p53 could be directly transcriptionally regulated by E2Fs. However, further experimentation will be required to uncover potential candidates. To this end, we are currently using an array-based approach to examine the genes whose transcription is induced in response to T121 in CP in an E2F1-dependent fashion.
In summary, the studies presented here indicate that, although p19ARF signaling to p53 is a critical tumor suppression mechanism in some cell types, it does not universally mediate p53 tumor suppression in response to disrupted cell cycle regulation. Importantly, additional mechanisms, likely dictated by the cell type, do exist.

ACKNOWLEDGMENTS
The first two authors contributed equally to this work.
We thank Chuck Sherr and Martine Roussel (Saint Jude Childrens Hospital, Memphis, Tenn.) for providing ARF-/- mice. We also thank Virginia Godfrey (UNC at Chapel Hill) for histological evaluation of non-CP tumors in this study. We acknowledge the UNC Lineberger Comprehensive Cancer Center Histology Core for processing tissues used in this study and the UNC Division of Laboratory Animals for excellent animal care.
This work was supported by NCI grants 1 R01 CA 46283 and 5 U01 CA84314 to T.V.D.

FOOTNOTES
* Corresponding author. Mailing address: Lineberger Comprehensive Cancer Center, CB# 7295, Chapel Hill, NC 27599-7295. Phone: (919) 962-2145. Fax: (919) 966-3015. E-mail:
tvdlab{at}med.unc.edu.


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Molecular and Cellular Biology, January 2002, p. 370-377, Vol. 22, No. 1
0270-7306/01/$04.00+0 DOI: 10.1128/MCB.22.1.370-377.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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