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Molecular and Cellular Biology, October 2002, p. 7041-7052, Vol. 22, No. 20
0270-7306/02/$04.00+0 DOI: 10.1128/MCB.22.20.7041-7052.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
E7 Abolishes Raf-Induced Arrest via Mislocalization of p21Cip1
Thomas F. Westbrook,1 Don X. Nguyen,1 Barry R. Thrash,2 and Dennis J. McCance1,3*
Department of Microbiology and Immunology,1
Department of Biochemistry and Biophysics,2
The Cancer Center, University of Rochester, Rochester, New York 146423
Received 19 March 2002/
Returned for modification 18 June 2002/
Accepted 11 July 2002

ABSTRACT
The cellular response to oncogenic Ras depends upon the presence
or absence of cooperating mutations. In the absence of immortalizing
oncogenes or genetic lesions, activation of the Ras/Raf pathway
results in a p21
Cip1-dependent cellular arrest. The human papillomavirus
oncoprotein E7 transforms primary cells in cooperation with
Ras and abolishes p21
Cip1-mediated growth arrest in the presence
of various antimitogenic signals. Here we have utilized a conditional
Raf molecule to investigate the effects of E7 on p21
Cip1 function
in the context of Raf-induced cellular arrest. E7 bypassed Raf-induced
arrest and alleviated inhibition of cyclin E-CDK2 without suppressing
Raf-specific synthesis of p21
Cip1 or derepressing p21
Cip1-associated
CDK2 complexes. Activation of Raf led to nuclear accumulation
of p21
Cip1, and we provide evidence that this effect is mediated
by inhibition of Akt, a regulator of p21
Cip1 localization. Loss
of Akt activity appears to be an important event in the cellular
arrest associated with Raf-induction, since maintenance of Akt
activity was necessary and sufficient to bypass Raf-induced
arrest. In agreement, expression of E7 sustained Akt activity
and reduced nuclear accumulation of p21
Cip1, resulting in decreased
association between p21
Cip1 and cyclin E-CDK2. Taken together,
these data suggest that E7 inhibits p21
Cip1 function in the
context of Raf signaling by altering Raf-Akt antagonism and
preventing the proper subcellular localization of p21
Cip1. We
propose that E7 elicits a proliferative response to Raf signaling
by targeting p21
Cip1 function via a novel mechanism.

INTRODUCTION
Tumorigenesis occurs through the accumulation of genetic alterations
that collectively transform normal cells into malignant derivatives
(
23). Increased cell division associated with transformation
of primary cells usually requires the cooperation of at least
two oncogenic mutations, while expression of individual oncogenes
can promote arrest, senescence, and apoptosis (
20,
39,
64),
suggesting the presence of cellular safeguards to oncogenic
stress. This is illustrated by the distinct cellular responses
to hyperactivation of the Ras/Raf signaling cascade. Stimulation
of Ras or Raf can induce cell cycle arrest in various primary
cell types and at high signaling strength in immortalized fibroblasts
(
29,
37,
56,
65,
72). However, genetic lesions resulting in
activation of cooperating cellular oncogenes (e.g.,
myc) or
loss of tumor suppressors (e.g., p53) disables the growth-inhibitory
effects of Ras/Raf and potentiates their mitogenic activity
(
30,
38). Similarly, viral oncoproteins such as adenovirus E1A,
simian virus 40 (SV40) large T antigen, and human papillomavirus
E7 cooperate with Ras (
70), suggesting that such factors impinge
upon critical effectors of Ras-induced arrest.
p21Cip1 is an important determinant in the cellular response to Ras/Raf activation. p21Cip1 was independently isolated as an inducer of cellular senescence, a transcriptional target of the p53 tumor suppressor, and a direct inhibitor of CDK2 (19, 24, 46). p21Cip1 is regulated at the transcriptional and posttranscriptional levels, with transcription of p21Cip1 activated by p53-dependent and p53-independent mechanisms (19, 40). p21Cip1 expression is also induced during senescence-derived arrest and in terminal differentiation of myoblast, epithelial, and hematopoietic cell lineages (40, 46, 48). Ras and Raf induce a p21Cip1-dependent cell cycle arrest in fibroblasts, epithelial keratinocytes, and Schwann cells (37, 58, 64, 65). Furthermore, genetic loss of p21Cip1 confers a proliferative advantage to Ras-transduced embryonic fibroblasts and promotes Ras-induced epithelial tumorigenesis (41, 65), implicating p21Cip1 as a logical target of transforming oncogenes. This is highlighted by observations that oncogenes or genetic lesions that cooperate with Ras in cellular transformation frequently abolish p21Cip1 function (19, 37, 49, 64, 70).
Human papillomaviruses (HPV) are small DNA viruses that require unscheduled S-phase entry in terminally differentiated epithelial keratinocytes in order for viral genome amplification to occur (34). Not surprisingly, HPV have evolved several strategies for uncoupling differentiation from cell cycle arrest. The E7 early gene product of HPV subtype 16 (HPV-16) stimulates cellular progression through the G1-to-S transition in the presence of various G1 arrest signals, suggesting that E7 has evolved to interact with key components of cellular growth-regulatory pathways. The best-described target of E7 is the retinoblastoma (RB) family of pocket proteins (RB, p107, and p130) (11, 16, 17, 26). E7 interacts with the pocket proteins through an LXCXE motif and can disrupt RB-mediated gene regulation (16). In addition, expression of E7 leads to a reduction in the steady-state level of RB by ubiquitin-dependent degradation (5, 13, 31). E7 has also been suggested to obviate the CDK-inhibitory function of p21Cip1 (21, 31). In accordance, E7 abolishes G1 arrest induced by DNA damage, epithelial differentiation, and transforming growth factor ß (TGF-ß), stimuli that negatively regulate proliferation via p21Cip1 (12). Importantly, E7 can transform primary rodent cells in cooperation with oncogenic Ras (52, 69), suggesting that E7 abolishes p21Cip1-mediated growth inhibition elicited by Ras/Raf signaling.
In the present study, we have examined the effects of E7 on p21Cip1 function in the context of Raf-induced arrest. Utilizing a conditional Raf kinase, we demonstrate that E7 abolishes p21Cip1 function induced by Raf. Expression of E7 prevents inhibition of cyclin E-CDK2 and rescues cell cycle progression. Activation of Raf induced p21Cip1 nuclear accumulation, and we provide evidence that this effect is mediated by inhibition of Akt activity, a regulator of p21Cip1 localization. Furthermore, maintenance of Akt activity bypassed Raf-induced arrest, suggesting that loss of Akt activity is necessary for growth arrest elicited by Raf. Consistent with this interpretation, expression of E7 prevented loss of Akt activity and reduced nuclear accumulation of p21Cip1, resulting in a decreased association between p21Cip1 and cyclin E-CDK2. Taken together, these results suggest that E7 targets p21Cip1 function by sustaining Akt-mediated regulation of p21Cip1 localization during Raf signaling.

MATERIALS AND METHODS
Cell culture.
NIH 3T3 cells stably expressing the RafAR fusion protein have
been described previously (
65) and were kindly provided by Hartmut
Land, University of Rochester (Rochester, N.Y.). This cell line
and all derivatives were cultured in Dulbecco's modified Eagle's
medium (DMEM) without phenol red (GIBCO-BRL) supplemented with
10% charcoal-stripped newborn calf serum (NCS; HyClone). Cell
lines stably expressing E7, E7.C24G, or human cyclin E were
established via the recombinant amphotropic pBabe retroviral
system described elsewhere (
43). Upon infection, cells were
selected in 2.5-µg/ml puromycin (Sigma) and were used
for limited generations. Asynchronous cells were seeded at low
density (5
x 10
5 cells per 15-cm-diameter dish) and were subsequently
treated with RafAR-inducing 1.0 µM R1881 (methyltrienolone;
Dupont) or vehicle (ethanol) for the indicated times. For TGF-ß
experiments, Mv1Lu cells with doxycycline-inducible E7 expression,
tet-E7 Mv1Lu (a kind gift from M. O'Reilly), were treated with
3 ng of TGF-ß/ml with or without 2 µg of doxycycline/ml
for 24 h.
Cell cycle analysis.
Cells were pulsed with 10 µM bromodeoxyuridine (BrdU) for 30 min, trypsinized, and fixed in 70% ethanol for 12 h at 4°C. Subsequently, cells were labeled with fluorescein isothiocyanate-conjugated anti-BrdU (Boehringer Mannheim), treated with RNase A (1 mg/ml; Sigma), and stained with propidium iodide (20 µg/ml; Sigma) following standard protocols. Data were collected and analyzed by FACSCaliber (ELITE) and Multicycle software.
Immunoblotting and IP.
Cell pellets were lysed in HLB lysis buffer (50 mM Tris, pH 8.0, 150 mM NaCl, 1% Triton X-100, 1 mM dithiothreitol, and protease inhibitor cocktail [Sigma P8340]) for 30 min with vortexing. After centrifugation, protein content was quantitated via a standard Bio-Rad Bradford assay. For immunoblotting, 30 to 50 µg of cell lysate was separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto nitrocellulose membrane (Schleicher & Schuell). After incubation with primary and secondary antibodies, antigen detection was performed by using the enhanced chemiluminescence kit from NEN. The following antibodies were obtained from Santa Cruz: anti-cyclin D1 (sc-450, Western blotting), anti-cyclin D2 (sc-593, Western), anti-cyclin E (sc-481, immunoprecipitation [IP] and Western), anti-human cyclin E (sc-198, IP and Western), anti-CDK2 (sc-163g, IP and Western), anti-CDK4 (sc-260, IP and Western), anti-p21Cip1 (sc-6246, Western), anti-p21Cip1 (sc-397, IP and immunofluorescence), anti-p27Kip1 (sc-528, Western and immunofluorescence), and antiphosphothreonine (sc-5267, Western). HPV-16 E7-specific and RB-specific antibodies were purchased from Zymed and Pharmingen, respectively. Antibodies recognizing Akt or Akt phosphorylated at serine-473 were obtained from Cell Signaling. For IPs, cell lysates were incubated with primary antibodies for 2 h at 4°C, and immune complexes were collected on protein A-agarose beads (Santa Cruz) for an additional 1 h. The complexes were washed four times with HLB buffer and resolved by SDS-12% PAGE for immunoblotting.
Kinase assays.
After IP, immune complexes were washed two additional times in kinase buffer (50 mM Tris, pH 7.5, 10 mM MgCl2, and 1 mM dithiothreitol). Kinase assays were performed in kinase buffer with 30 µM ATP, 3 µCi of [
-32P]ATP, and 15 µg of histone H1 (for cyclin E-CDK2 complexes) or 2 µg of glutathione trasnferase (GST)-RB C terminus (for CDK4 complexes) per reaction for 15 min at 23°C. Radiolabeled substrate was resolved on SDS-12% PAGE and quantified with a PhosphorImager and ImageQuant (Molecular Dynamics) software. For in vitro p21Cip1 inhibition experiments, purified recombinant GST-p21Cip1 was incubated with 20 µg of target control or E7-expressing cell lysates for 30 min at 30°C before assaying for cyclin E-associated histone H1 kinase activity as described above.
Plasmids and transfections.
pBabe retroviral constructs expressing E7 and E7.C24G were generated and are described elsewhere (45). The pBabe derivative expressing human cyclin E was kindly provided by B. Amati (67). The pcDNA3 constructs encoding Akt K179 M (6) and myristoylated Akt (32) were the generous gifts of Paul Coffer and Richard Roth, respectively. The green fluorescent protein (GFP) expression plasmid, pEGFPC1, is commercially available (Clontech). For transient transfections, control or E7-expressing cells were seeded on 60-mm-diameter dishes at a density of 1.5 x 105 cells/plate. Cells were transfected 24 h later with the indicated plasmids using Lipofectamine 2000 (Invitrogen) according to the manufacturer's instructions. After a 5-h incubation, the transfection medium was replaced with DMEM without phenol red (GIBCO-BRL) supplemented with 10% charcoal-stripped NCS (HyClone) for an additional 6 h. Subsequently, cells were treated with vehicle (ethanol) or R1881 for an additional 30 h, pulsed with 10 µM BrdU during the last 10 h of treatment, and analyzed for BrdU incorporation by immunofluorescence (see below).
Immunofluorescence.
For localization experiments, cells were plated in six-well dishes and treated accordingly. After treatment, cells were fixed in 3.7% paraformaldehyde, permeabilized in 0.2% Triton X-100 and 10% fetal bovine serum (FBS) in phosphate-buffered saline (PBS) for 10 min, and incubated with p21Cip1- or p27Kip1-specific antibodies (1:100 dilution) or normal immunoglobulin G (IgG) for 12 h at 4°C. Cells were washed three times in PBS with 10% FBS and stained with fluorophore-conjugated anti-rabbit (1:200 dilution; Molecular Probes) for 30 min. All antibody solutions were prepared in 10% FBS in PBS. For transfection experiments, cells were pulsed with BrdU for 10 h prior to fixation. Cells were fixed and permeabilized as described for cyclin kinase inhibitor (CKI) localization experiments, and cellular DNA was denatured by incubation with DNase I (100 U/ml; Gibco) for 1 h at 37°C. BrdU-positive cells were stained with fluorophore-conjugated anti-BrdU (Molecular Probes) for 12 h at 4°C. Antigen staining was visualized by inverted-fluorescence microscopy (Olympus CK40), and images were captured with a Quality Imaging camera and software. Exposure times were kept constant for each experiment.

RESULTS
E7 overcomes Raf-induced growth arrest.
The E7 oncoprotein from high-risk HPV-16 can transform primary
fibroblasts in cooperation with oncogenic Ras (
52,
69). Activation
of the Ras/Raf/mitogen-activated protein kinase (MAPK) pathway
induces cell cycle arrest (
29,
36,
37,
56,
64,
65,
72), indicating
that E7 must impair Ras-induced arrest. To explore the molecular
basis for E7-mediated bypass of Ras-induced arrest, we utilized
a conditional RafAR molecule in which an activated Raf kinase
was fused to the androgen receptor hormone-binding domain (
65).
Importantly, Raf acts directly downstream of Ras (
42,
68), and
Ras effector loop mutants that preferentially activate Raf (but
not phosphatidylinositol 3-kinase [PI 3-K] or Ral.GDS) confer
growth arrest similar to that conferred by oncogenic Ras (
36).
Additionally, Raf renders growth and morphological phenotypes
similar to those of Ras in primary and immortal fibroblasts
(
36,
65). In order to assess the effects of E7 in this system,
RafAR-expressing NIH 3T3 cells were infected with the retroviral
vector pBabe (
43) or its derivative encoding HPV-16 E7. Infected
cells were pooled, examined for E7 expression (Fig.
1A), and
used for subsequent experiments. Activation of RafAR with 1.0
µM R1881 led to morphological changes, including elongation
and development of extended processes (data not shown). These
RafAR-induced alterations in cell morphology, which are consistent
with previous descriptions in NIH 3T3 and other cell types (
36,
37,
65), were not affected in E7-expressing cells, indicating
that at least some components of Raf signaling are not disrupted
by the presence of E7. Upon examination of cell proliferation,
RafAR activation led to G
1 arrest in control cells (Babe), with
>85% of cells accumulating in G
1 (Fig.
1B). This was accompanied
by inhibition of DNA synthesis as shown in Fig.
1C. However,
cells expressing E7 continued cell cycle progression (Fig.
1B)
and DNA synthesis (Fig.
1C) in the presence of activated RafAR.
Similar observations have been made in separately generated
clonal and pooled E7-expressing cell lines. These results indicate
that E7 perturbs Raf-induced G
1 arrest.
E7 prevents inactivation of cyclin E-CDK2 by p21Cip1.
In NIH 3T3 fibroblasts, Raf activation leads to inhibition of
DNA synthesis preceded by increased expression of p21
Cip1 and
loss of cyclin E-CDK2 kinase activity (
65,
72). To determine
the nature of resistance to RafAR-induced arrest in E7-expressing
cells, we examined the expression levels and activities of G
1-specific
cyclins, CDKs, and p21
Cip1. Activation of RafAR led to induction
of cyclin D1 and cyclin E in control and E7-expressing cells
(Fig.
2A). Importantly, p21
Cip1 was also elevated in both cell
lines upon RafAR stimulation (Fig.
2A). Consistent with observations
in other p21
Cip1-dependent arrest systems (
21,
31,
61), this
implies that E7 does not overcome Raf-induced arrest by preventing
p21
Cip1 expression. In RafAR-arrested control cells, stimulation
of RafAR resulted in the loss of steady-state cyclin A and accumulation
of hypophosphorylated RB (Fig.
2A). Cyclin E-CDK2 activity is
required for hyperphosphorylation of RB and cyclin A expression
(
60,
71,
74). In accordance, control cells exhibited significant
loss of cyclin E-CDK2 activity and a less dramatic decrease
in CDK4-associated kinase activity (Fig.
2B and C), likely due
to a greater sensitivity of CDK2 to inhibition by Kip/Cip CKIs
(
8,
33,
53). In contrast, cyclin E-CDK2 and CDK4 kinase activities
were maintained upon RafAR stimulation of E7-expressing cells
(Fig.
2B and C). In addition, cyclin A expression and RB hyperphosphorylation
were similar in asynchronous and RafAR-activated cells in the
presence of E7. Since biochemical and genetic approaches have
demonstrated that p21
Cip1 is an essential mediator of Raf-induced
arrest (
65,
72), these results suggest that E7 overcomes RafAR-induced
arrest by abolishing the CDK2-inhibitory function of p21
Cip1.
E7 does not derepress p21Cip1-associated CDK2 activity.
E7 has been shown to bypass several p21
Cip1-mediated G
1 arrest
signals, and a model has been proposed stipulating that p21
Cip1-associated
CDK2 complexes are derepressed via a p21
Cip1-E7 interaction
(
21). However, others have reported that E7 does not associate
with p21
Cip1 (
28,
61). We explored the possibility that E7 derepresses
p21
Cip1-cyclin E-CDK2 complexes within the context of Raf signaling
by testing two key predictions: (i) E7 should interact with
p21
Cip1 in cell lysates, and (ii) p21
Cip1 should be associated
with active cyclin E-CDK2 complexes. To test the first corollary
of this model, we utilized standard co-IPs with E7- and p21
Cip1-specific
antibodies. No interaction between E7 and p21
Cip1 was detected
(data not shown). However, E7 expression is low in this system,
raising the possibility that the putative E7-p21
Cip1 interaction
was not detected due to technical limitations. To confirm the
co-IP results, purified recombinant GST-E7 was mixed with control
cell lysates and precipitated complexes were examined for the
presence of p21
Cip1 by Western blot analysis. p21
Cip1 was not
found in GST-E7 precipitates (Fig.
3A). As controls, p21
Cip1 was detected in GST-cyclin E-CDK2 precipitates, and RB was associated
with GST-E7. In the reciprocal experiment, GST-p21
Cip1 was mixed
with cell lysate and an excess of radiolabeled E7. No p21
Cip1-E7
interaction was observed, while GST-p130-
35S-E7 and GST-p21
Cip1-cyclin
D1 complexes were detected (Fig.
3B). These results suggest
that E7 does not associate with p21
Cip1 in this system.
In order to address the second corollary that p21
Cip1 is associated
with active cyclin E-CDK2 in E7-expressing cells, an immunodepletion
approach was used. We asked if depletion of p21
Cip1-containing
complexes from cell lysates would reduce the level of remaining
cyclin E-CDK2 activity. To this end, RafAR-induced E7-expressing
cell lysates were subjected to three rounds of immunodepletion
with control or p21
Cip1-specific antibodies shown previously
to precipitate all known cyclin-CDK-p21
Cip1 complexes (
7). p21
Cip1 was efficiently depleted as monitored by Western blot analysis
(Fig.
4A). Cyclin E-CDK2 complexes were then immunoprecipitated
from depleted lysates and assessed for kinase activity. p21
Cip1-specific
immunodepletion reduced p21
Cip1 levels by >95% but did not
alter the residual cyclin E-CDK2 kinase activity (Fig.
4A),
indicating that any depleted p21
Cip1-cyclin E-CDK2 complexes
were inactive and that E7 does not derepress p21
Cip1-associated
CDK2 in RafAR-activated cells. In addition, cyclin E and CDK2
are not rendered intrinsically resistant to p21
Cip1 by E7, as
cyclin E-associated kinase activity in lysates of control and
E7-expressing cells was equally sensitive to inhibition by purified
recombinant GST-p21
Cip1 (Fig.
4B).
Enhanced expression of cyclin E does not overcome RafAR-induced arrest.
Expression of E7 increased cyclin E protein levels approximately
2.5- to 3-fold (Fig.
2A), which is consistent with the ability
of E7 to dysregulate RB-E2F transcriptional regulation of the
cyclin E gene (
21,
73). This effect is independent from and
additive to the RafAR-induced elevation of cyclin E (Fig.
2A).
Since E7 did not alter the intrinsic sensitivity of cyclin E-CDK2
to p21
Cip1, we considered that dysregulation of cyclin E expression
by E7 may be sufficient to overcome RafAR-induced, p21
Cip1-mediated
arrest. This scenario was examined by stable expression of human
cyclin E in RafAR-NIH 3T3. Exogenous human cyclin E associates
with and activates endogenous murine CDK2 (
1,
67), as human
cyclin E-specific antisera precipitated robust levels of kinase
activity (Fig.
5A, top row). However, retroviral expression
of cyclin E did not abolish RafAR-induced arrest (Fig.
5B).
In addition, IP of human cyclin E complexes or total endogenous
CDK2 revealed that exogenous cyclin E expression did not prevent
p21
Cip1-mediated inhibition of cyclin E-CDK2 (Fig.
5A), suggesting
that the activity of E7 in this system is not defined solely
by induction of cyclin E levels. These observations are consistent
with other reports that arrest imposed by Kip/Cip CKIs cannot
be overcome by elevated physiological accumulation of cyclin
E (
1,
50).
E7 alters the stoichiometry between p21Cip1 and cyclin E-CDK2.
Upon RafAR activation, cells expressing E7 maintained cyclin
E-CDK2 activity (Fig.
2A) in complexes free of p21
Cip1 (Fig.
4A), suggesting that E7 may prevent the association of p21
Cip1 with a pool of cyclin E-CDK2 complexes. Equal amounts of p21
Cip1 were associated with cyclin E-immunoprecipitates in RafAR-induced
control and E7-expressing cells (data not shown). However, since
there is a significant increase of cyclin E steady-state levels
in E7-expressing cells (Fig.
2A), this observation would imply
that the stoichiometry of p21
Cip1 and cyclin E-CDK2 is altered
in the presence of E7. To illustrate this contention more clearly,
cyclin E-containing complexes were immunoprecipitated from RafAR-induced
control or E7 cell lysate, standardizing on the level of cyclin
E expression (Fig.
6A, top row). As seen in Fig.
6A (bottom
row), cyclin E-associated p21
Cip1 was significantly lower in
E7-expressing cells. This suggests that E7 expression may lead
to accumulation of p21
Cip1-free cyclin E-CDK2 complexes. In
order to examine this hypothesis more directly, RafAR-induced
control or E7 cell lysates were depleted with p21
Cip1-specific
antisera as described for Fig.
4A. Mock or p21
Cip1-depleted
lysates were subsequently analyzed for remaining cyclin E, CDK2,
and p21
Cip1. The levels of cyclin E and CDK2 were significantly
reduced by the p21
Cip1-specific antisera in both cell types
(Fig.
6B, left column). This indicates that a substantial quantity
of CDK2 complexes is associated with p21
Cip1, consistent with
previous reports (
7,
75,
76). However, E7-expressing cell lysates
retained approximately threefold more cyclin E and CDK2 than
the control counterparts in p21
Cip1-depleted lysates. Since
data from Fig.
4A demonstrate that cyclin E-associated kinase
activity is not associated with p21
Cip1, the increased pool
of p21
Cip1-free cyclin E-CDK2 in E7 cells (Fig.
6B) is likely
responsible for E7-specific maintenance of cyclin E-CDK2 activity
during RafAR activation (Fig.
2B and C). Altogether, these observations
indicate that the presence of E7 hinders p21
Cip1 association
with and inhibition of cyclin E-CDK2 complexes in RafAR-activated
cells.
E7 prevents CKI nuclear accumulation.
Induction of p21
Cip1 expression by p53 or other antimitogenic
stimuli is accompanied by its nuclear accumulation. Since the
localization of p21
Cip1 is considered to be important in its
function as an inhibitor of proliferation (
22,
66), the effects
of RafAR on p21
Cip1 cellular localization were examined. Upon
staining with p21
Cip1-specific antibodies, a similar fraction
(

40%) of control and E7-expressing cells exhibited strong nuclear
fluorescence (Fig.
7). This observation is consistent with reports
that p21
Cip1 localizes to the nucleus during mid-G
1 (
14), as
50 to 55% of asynchronous cells were in G
1 (Fig.
1B). Interestingly,
induction of RafAR resulted in a dramatic increase in p21
Cip1 nuclear accumulation, with >90% of control cells showing
nuclear p21
Cip1-staining (Fig.
7). This observation suggests
that Raf signaling activates p21
Cip1 function by regulating
its cellular localization as well as increasing its synthesis.
Notably, E7 expression markedly reduced the RafAR-specific nuclear
localization of p21
Cip1 (Fig.
7), without altering induction
of p21
Cip1 expression (Fig.
2A). As cyclin E is primarily a
nuclear protein (
47), these results are consistent with the
idea that E7 prevents p21
Cip1 association with cyclin E-CDK2
by inhibiting RafAR-induced nuclear compartmentalization of
p21
Cip1.
Since E7 has also been shown to abolish the CKI function of
the related p27
Kip1 during cellular arrest (
63) (data not shown),
we examined if mislocalization was a more general strategy by
which E7 impinges on CKI function. TGF-ß signaling
leads to p27
Kip1-mediated inhibition of cyclin E-CDK2 and cell
cycle arrest in the epithelial cell line Mv1Lu (
55). We investigated
the effects of E7 on p27
Kip1 localization in the context of
TGF-ß utilizing an Mv1Lu derivative that expresses
E7 in response to doxycycline (Fig.
8A). Consistent with previous
observations (
12), E7 prevented the arrest imposed by TGF-ß
(data not shown). Interestingly, TGF-ß induced a robust
nuclear accumulation of p27
Kip1 that was alleviated in the presence
of E7 (Fig.
8C and D). E7 altered p27
Kip1 localization without
affecting expression levels of the CKI (Fig.
8B). We have also
observed this mislocalization of p27
Kip1 by E7 during growth
factor deprivation in fibroblasts (data not shown). These results
suggest that E7 hinders Kip/Cip CKI function through a conserved
mechanism (mislocalization) and in response to multiple antimitogenic
signals.
The PI 3-K/Akt pathway is required for E7-mediated abolition of RafAR-induced arrest.
p21
Cip1 contains a bipartite nuclear localization sequence (NLS)
in its C terminus (
22). Mutation of the NLS reduces the capacity
of p21
Cip1 to inhibit CDK activity and cellular proliferation
(
59,
66,
77). Recently, Akt has been shown to phosphorylate
threonine-145 within the p21
Cip1 NLS, leading to cytoplasmic
localization of p21
Cip1 (
77). In accordance, inhibition of Akt
or its activator, PI 3-K, results in reduced p21
Cip1 phosphorylation,
promoting nuclear accumulation of p21
Cip1 and growth arrest
(
77). In order to assess the role of Akt in E7-mediated abolition
of RafAR-induced arrest, RafAR was activated in E7-expressing
cells in the presence or absence of LY294002, an inhibitor of
PI 3-K. As previously demonstrated, E7-expressing cells continue
through the G
1-to-S transition following RafAR activation. However,
cell cycle progression of RafAR-induced, E7-expressing cells
was diminished in the presence of LY294002 (Fig.
9A). Incubation
with LY294002 also restored Raf-induced nuclear accumulation
of p21
Cip1 (Fig.
9B), suggesting that PI 3-K/Akt activity is
required for E7 to impair p21
Cip1 localization and overcome
RafAR-induced G
1 arrest. Because inhibition of PI 3-K could
have pleiotropic effects beyond the specific activity of Akt,
we further explored the role of Akt in this system by utilizing
a dominant-negative mutant of Akt, Akt K179 M. RafAR-activated
control or E7-expressing cells were transiently transfected
with vector or Akt K179 M expression plasmids in conjunction
with a plasmid encoding GFP. DNA synthesis of the transfected,
GFP-positive cells was measured by BrdU incorporation. As shown
in Fig.
9C, introduction of Akt K179 M reduced BrdU incorporation
of RafAR-induced E7-expressing cells to a level similar to that
for RafAR-induced control cells, indicating that Akt activity
is required for E7-mediated bypass of RafAR arrest. In addition,
Akt activity appears sufficient to rescue G
1-to-S progression
during RafAR signaling, since transfection of RafAR-activated
control cells with a myristoylated, constitutively active form
of Akt restored BrdU incorporation to asynchronous levels (Fig.
9C). These results suggest that Akt antagonizes Raf-induced
arrest. Consequently, we examined the effects of RafAR signaling
on the status of Akt using antibodies that detect total or serine-473
phosphorylated (active) Akt. In control cells, the steady-state
levels of total and active Akt were decreased upon RafAR activation
by 66 and 79%, respectively (Fig.
9D). This RafAR-induced reduction
in Akt activity correlated with a significant decrease in threonine-phosphorylated
p21
Cip1 despite elevated levels of total p21
Cip1 (Fig.
9E).
In contrast, E7-expressing cells maintained total and activated
Akt at or near asynchronous levels and exhibited a modest increase
in threonine-phosphorylated p21
Cip1 upon RafAR activation (Fig.
9D and E). Taken together, these observations suggest that RafAR
signaling may converge on p21
Cip1 in two ways: inducing transcription
of p21
Cip1 and stimulating p21
Cip1 nuclear accumulation via
negative regulation of Akt. While E7 does not interfere with
RafAR-specific expression of p21
Cip1, the ability of RafAR to
induce Akt down-regulation and p21
Cip1 nuclear localization
is prevented by E7, consistent with the idea that maintenance
of Akt is important in E7-mediated cell cycle progression in
the presence of RafAR activation. This hypothesis is further
supported by analysis of the E7.C24G point mutation within the
context of the RafAR system. Residue 24 resides in the LXCXE
motif of E7 and is essential for the E7-RB interaction (
3,
44).
Importantly, it has been demonstrated that mutation of the LXCXE
motif disrupts the ability of E7 to cooperate with an activated
Ras pathway in cellular transformation (
2,
18,
51). As represented
in Fig.
10B, RafAR-NIH 3T3 cells stably expressing E7.C24G were
as sensitive to RafAR-induced inhibition of DNA synthesis as
cells transduced with empty retrovirus, although the E7- and
E7.C24G-expressing cell lines expressed comparable levels of
E7 as determined by Western blot analysis (Fig.
10A). This suggests
that the LXCXE motif is essential in E7-mediated abolition of
RafAR-induced arrest. In contrast to cells expressing wild-type
E7, E7.C24G-expressing cells exhibited RafAR-induced nuclear
accumulation of p21
Cip1 (data not shown) and were incapable
of maintaining active Akt and cyclin E-associated kinase activity
upon RafAR induction (Fig.
10C). Altogether, these observations
support the hypothesis that persistence of Akt activity may
play a role in the ability of E7 to abolish p21
Cip1 function
and RafAR-induced arrest.

DISCUSSION
E7 alters p21Cip1 localization.
Oncogenic activation of the Ras/Raf/MAPK pathway can lead to
a p21
Cip1-dependent cell cycle arrest (
37,
65,
72). HPV-16 E7
transforms primary cells in cooperation with Ras and abolishes
growth arrest elicited by various antimitogenic signals that
induce p21
Cip1 expression (
12,
52,
69). In the present study,
we demonstrate that HPV-16 E7 abolishes the CDK-inhibitory function
of p21
Cip1 in response to Raf activation by inhibiting its nuclear
accumulation. Furthermore we show that Akt, a regulator of p21
Cip1 localization, is required for the ability of E7 to impair p21
Cip1 nuclear accumulation and Raf-induced arrest. The ability to
impinge on p21
Cip1 function is conserved in several Ras-cooperating
oncogenes. However, these oncogenes target p21
Cip1 by differing
mechanisms. For instance, SV40 large T antigen interacts with
and inactivates the p53 tumor suppressor, a transcriptional
activator of p21
Cip1 (
15,
19). In rat Schwann cells, expression
of large T antigen prevents Raf-induced, p53-mediated expression
of p21
Cip1, resulting in a mitogenic cellular response to Raf
(
37). Alternatively, other Ras-cooperating oncogenes do not
affect the expression or accumulation of p21
Cip1. Myc activates
expression of factors that sequester p21
Cip1 and the closely
related p27
Kip1 (
49,
67). In the context of Raf signaling, Myc
restores cyclin E-CDK2 activity by inducing expression of cyclin
E and cyclin D2, with cyclin D-CDK complexes sequestering p21
Cip1 and cyclin E feeding a p21
Cip1-free pool of activable cyclin
E-CDK2 (
4,
49). Similar to Myc, E7 induces synthesis of cyclin
E (Fig.
2A) (
21,
73). Increased levels of cyclin E may elevate
the pool of total cyclin E-CDK2 in E7-expressing cells but,
similar to previous observations (
50), is insufficient to bypass
Raf-induced arrest or restore cyclin E-CDK2 activity (Fig.
5A and B).
Our experiments support a novel mechanism by which E7 prevents Raf-induced, p21Cip1-mediated inhibition of cyclin E-CDK2. We show that Raf activation enhances the nuclear localization of p21Cip1 (Fig. 7) and that E7 expression reduces this Raf-specific p21Cip1 nuclear accumulation. Since p21Cip1 is thought to establish a regulatory threshold that must be overcome for CDK2 activation (7, 25, 27), we predict that a reduction in nuclear p21Cip1 would effectively lower the "local threshold" of p21Cip1 in the nuclear compartment. This is consistent with the observation that E7-expressing cells exhibited an increased pool of p21Cip1-free cyclin E-CDK2 despite Raf-induced elevation in p21Cip1 levels (Fig. 6A and B). Previously, a model was proposed in which E7 abolishes p21Cip1 function by directly interacting with and derepressing p21Cip1-associated CDK2 complexes (21, 31). However, our experiments do not support such a model. Interaction between E7 and p21Cip1 was not observed in the context of Raf signaling (Fig. 3) and could not be detected in other cell types (data not shown) (28, 61). In addition, immunodepletion experiments indicate that p21Cip1-associated cyclin E-CDK2 complexes are not active in the presence of E7 (Fig. 4A), suggesting that E7 does not physically derepress p21Cip1-cyclin E-CDK2 complexes. Furthermore, we have shown that the intrinsic sensitivity of cyclin E-CDK2 to p21Cip1-mediated inhibition is not altered in E7-expressing cells (Fig. 4B). Taken together, these data imply that E7 impinges on p21Cip1 function via an alternative mechanism.
The ability of E7 to reduce nuclear accumulation of p21Cip1 and prevent inhibition of cyclin E-CDK2 suggests that p21Cip1 localization affects its regulation of CDK activity. Indeed, mutation of the nuclear localization sequence of p21Cip1 reduces its growth-inhibitory function (22, 77). Interestingly, subcellular location is an important aspect of other CKI function. For instance, the coordinated inhibition of CDK4 and CDK2 by p15Ink4b and p27Kip1 requires proper compartmentalization of both CKIs within the cell (54). We have also shown that E7 affects the nuclear localization of p27Kip1 upon serum withdrawal (data not shown) or TGF-ß (Fig. 8), suggesting that the ability of E7 to mislocalize Kip/Cip CKIs is conserved in the context of other biological signals.
Akt has recently been shown to regulate p21Cip1 and p27Kip1 localization via phosphorylation of their respective NLSs (77) (J. M. Slingerland, personal communication). Interestingly, E7 prevents Raf-specific reduction in Akt levels and p21Cip1 phosphorylation (Fig. 9D), suggesting that E7 alters localization of p21Cip1 by targeting Akt. In accordance, inhibition of the PI 3-K/Akt signaling pathway abolished the effects of E7 on p21Cip1 localization (Fig. 9B). Further experiments are required to determine the role of Akt in E7-mediated bypass of other p21Cip1- and p27Kip1-associated arrest signals. However, Akt has been implicated in diverse contexts, including cell survival, proliferation, and transformation, making Akt an intriguing putative target of E7 (9, 10).
Antagonism between Ras effectors.
Ras transduces extracellular information through a multitude of signaling cascades. Raf and Akt, components of two "parallel" Ras signaling pathways, have been shown to interact, with Akt phosphorylating and negatively regulating Raf activity (57, 78). In this study, we provide evidence that Raf can functionally antagonize Akt. We demonstrate that Raf can down-regulate steady-state levels of total and active Akt (Fig. 9D). Importantly, transfection with a constitutively active Akt restored cell cycle progression during Raf signaling (Fig. 9C), indicating that loss of Akt activity may be essential in Raf-induced arrest. Consistent with this idea, expression of E7 maintained total and active Akt levels (Fig. 9D), and disruption of Akt activity prevented E7-mediated bypass of Raf arrest (Fig. 9A and C). Interestingly, an E7 mutant deficient in the ability to bind and disrupt RB does not maintain Akt activity (Fig. 10C), suggesting that RB may be involved in regulating Akt or factors that control Akt activity. However, the mechanism(s) by which Raf and E7 target Akt is presently unclear. Nevertheless, the observation that Raf down-regulates Akt function establishes precedent for bidirectional cross talk between these Ras effector pathways. The antagonism between Raf and Akt suggests that the cellular response elicited by simultaneous stimulation of Raf and Akt can be affected by the intensity and duration of the stimulation. For instance, anchorage detachment in primary fibroblasts leads to Raf-dependent anoikis (79). Activation of Raf in this context requires loss of Akt activity, and exogenously restored Akt activity can disrupt Raf activation and restore cell survival. Likewise, sustained Akt activity can prevent serum- and insulin-like growth factor 1-induced activation of the Raf/ERK signaling cascade, promoting myotube differentiation and hypertrophy (57, 78). Here we demonstrate that Raf activation leads to loss of Akt activity and that this may be an essential event in the cellular arrest imposed by Raf.
Cooperation between E7 and Ras signaling.
Activation of the Ras/Raf/MAPK pathway can stimulate transformation or cellular arrest, depending on the signaling intensity and presence or absence of cooperating oncogenic mutations (29, 35, 62, 65, 70, 72). In the present study, we have shown that the HPV-16 E7 oncoprotein abolishes growth arrest imposed by Raf activity, a signal that elicits growth and morphological phenotypes similar to those elicited by Ras in primary and immortal cells (36, 65). Consistent with these observations, E7 inhibits Ras-induced arrest and senescence and subsequently transforms primary cells in cooperation with activated Ras (52, 69). Raf-induced arrest is dependent on the CKI p21Cip1 (65, 72), and we demonstrate that E7 impairs p21Cip1 CDK-inhibitory function during Raf signaling. As previously mentioned, other oncogenes (e.g., Myc and SV40 large T antigen) that cooperate with Ras in cellular transformation also impair p21Cip1 function (15, 49). This convergence of function implies that inactivation of p21Cip1 may be an important mechanism by which oncogenic mutations alter the cellular response to the activated Ras/Raf pathway from growth arrest to proliferation. Indeed, genetic abolition of p21Cip1 confers a proliferative advantage in Ras-transduced fibroblasts and promotes aggressive Ras-induced epithelial tumorigenesis (41, 65). These observations suggest that p21Cip1 is critical in suppressing Ras-induced transformation. In light of our observations that E7 can abolish p21Cip1 function in the context of Raf signaling, this has important implications for HPV pathogenesis, since high-risk HPV infect and contribute to tumorigenesis in the cervical epithelium (34).

ACKNOWLEDGMENTS
We thank E. Harlow, P. Coffer, R. Roth, R. Freeman, and B. Amati
for plasmids and antibodies and M. O'Reilly for tet-E7 Mv1Lu
cells. For feedback and support during the course of this work
and on the manuscript, we acknowledge J. Zhao, S. Butler, S.
Dewhurst, S. Huang, D. Patel, H. McMurray, L. Baglia, L. DeLeu,
J. Mendler, and C. Westbrook. We are particularly grateful to
H. Land for cell lines, reagents, and helpful discussions. We
thank P. Keng for assistance with flow cytometry.
T.F.W. was the recipient of a fellowship on NAIAID Training Grant T32AIO7362. This work was supported by NIAID grant RO1AI30798.

FOOTNOTES
* Corresponding author. Mailing address: University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave., Box 672, Rochester, NY 14642. Phone: (585) 275-0101. Fax: (585) 473-9573. E-mail:
dennis_mccance{at}urmc.rochester.edu.


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Molecular and Cellular Biology, October 2002, p. 7041-7052, Vol. 22, No. 20
0270-7306/02/$04.00+0 DOI: 10.1128/MCB.22.20.7041-7052.2002
Copyright © 2002, American Society for Microbiology. All Rights Reserved.
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