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Molecular and Cellular Biology, September 2003, p. 6139-6149, Vol. 23, No. 17
0270-7306/03/$08.00+0 DOI: 10.1128/MCB.23.17.6139-6149.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Carl C. Icahn Institute for Gene Therapy and Molecular Medicine, Mount Sinai School of Medicine, New York, New York,1 Department of Neuro-Oncology,2 Department of Molecular Genetics, The University of Texas M. D. Anderson Cancer Center, Houston, Texas,4 Osaka Bioscience Institute, Suita, Osaka 565-0874, Japan3
Received 12 November 2002/ Returned for modification 19 December 2002/ Accepted 2 June 2003
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One of the most frequently inactivated genes in tumors is PTEN (20, 32). It encodes a 403-amino-acid phosphatase that antagonizes the activity of phosphatidylinositol-3'-OH kinase (PI-3 kinase) on phosphoinositide substrates (21). PI-3 kinase has multiple effects, including activation of Akt/PKB, promoting survival signals, of p70S6-kinase, involved in the G1 cell cycle transition, and of the small G protein Rac, mediating cytoskeletal rearrangements (reviewed in reference 36).
In PTEN-deficient cell lines derived from tumors, expression of PTEN induces a marked decrease in proliferation due to cell cycle arrest in the G1 phase (10, 19). This arrest has been attributed to an increase in the CKI p27Kip1 detectable in cell lysates (19) or in cyclin E-cdk2 complexes (6). The increase in the CKI p27Kip1 has been explained by two mechanisms. A first mechanism is based on activation of p27Kip1 gene transcription by Forkhead transcription factors (FKHR) (23, 25). These factors are phosphorylated and inactivated by Akt/PKB (5, 16) and rendered active by inhibition of the PI-3 kinase-Akt/PKB pathway with PI-3 kinase inhibitors (23). A second mechanism consists of reduced degradation of p27Kip1 (22). An effect of PTEN on cyclin D1 expression was also observed (26, 27, 35), but its significance for the cell cycle was not investigated. Other groups have reported that PTEN does not modify cyclin D1 levels (19, 33).
Here, we analyzed the contribution of cyclin D1 to the cell cycle arrest determined by PTEN with an inducible system that we established for PTEN expression in two PTEN-deficient cell lines. We unambiguously found reduction of cyclin D1 expression levels after PTEN induction. We also found that PTEN prevents the increase in nuclear localization of cyclin D1 during cell cycle progression from the G1 to the S phase. In correlation with the decreased nuclear availability of cyclin D1, we found a lack of phosphorylation of endogenous Rb on cyclin D/CDK4-specific sites. As the expression of a nucleus-persistent mutant form of cyclin D1 reestablished the proliferation of PTEN-arrested cells, the subcellular distribution of cyclin D1 appears to be an important mechanism responsible for the effects of PTEN on the cell cycle.
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Cell growth assays. The U-87 MG (American Type Culture Collection) and U-251 MG (gift of T. J. Liu) glioblastoma cell lines, the MCF7 breast cancer cell line (gift of A. Monteiro), and Bosc23 cells were grown in Dulbecco modified Eagle's medium with 10% fetal calf serum (FCS). Both glioblastoma cell lines are PTEN deficient but differ in p53 gene status (15).
The protocols used for transfection, retroviral infection with amphotropic defective retroviruses, stable expression of PTEN proteins, cell proliferation, and soft agar colony assay have been described in detail elsewhere (11). For stable coexpression of two proteins, cells were simultaneously infected with a mixture of supernatants from Bosc23 cells transfected separately with constructs encoding the respective proteins.
To obtain nonleaky inducible expression of PTEN, U-87 cells dually infected with CXn/TR2 and CXbR(TO)-PTEN were diluted to 102 cells/ml and distributed in 96-well plates in 100 µl of selection medium containing 1 mg of neomycin per ml and 10 µg of blasticidin per ml. Surviving cell colonies were amplified and tested for nonleaky induced expression of PTEN by treatment with 1 µg of doxycycline per ml, followed by cell lysis and Western blot analysis. Single-cell colonies of dually infected U-251 cells were isolated, expanded, and tested as described above for nonleaky induced expression of PTEN.
Protein analysis. Cell lysis in buffer containing 50 mM HEPES (pH 7.5), 150 mM NaCl, 10 mM EDTA, 10% glycerol, and 1% Triton X-100 and Western blot analysis were previously described (11). For cytoplasmic and nuclear extracts, a nuclear and cytoplasm extraction kit (Pierce) was used in accordance with the manufacturer's instructions. All lysis buffers were supplemented with 1 mM dithiothreitol, 1 mM phenylmethylsulfonyl fluoride, 21 µg of aprotinin per ml, 1 mM sodium orthovanadate, and 0.1 mM sodium molybdate.
Antibodies were obtained for PTEN (A2B1), Myc tag (9E10), cyclin D1 (M-20), cyclin A (H432), Rb (C15), PARP (H-250), HA tag (Y-11; Santa Cruz Biotechnology), p27Kip1 (Transduction Laboratories), ß-actin (AC74; Sigma), phospho-Rb-S807/S811, phospho-Akt-S473, and Akt/PKB (Cell Signaling).
Immunofluorescence assay. Serum-starved U-87 cells (2 x 104) were plated on poly-D-lysine-coated glass coverslips (Becton Dickinson) in growth medium containing 10 or 20% FCS. When necessary, the inhibitors LY 294002 and rapamycin were added simultaneously with FCS at concentrations of 10 µM and 20 nM, respectively. After various periods of time, the cells were fixed and stained as described previously (12). The secondary antibodies used were fluorescein isothiocyanate-conjugated anti-mouse and tetramethyl rhodamine isothiocyanate-coupled anti-rabbit (Jackson ImmunoResearch Laboratories).
Cytofluorimetric analysis of cells. Cell cycle analysis was performed by monitoring the DNA content at various time points by propidium iodide staining. Cells synchronized in G1 by serum starvation for 24 h were fixed in 70% cold ethanol, washed once in phosphate-buffered saline containing 0.1% glucose, and incubated for 30 min at 4°C in phosphate-buffered saline containing 0.1% glucose, 1 mg of RNase A per ml, and 2 µg of propidium iodide per ml. Detection of intracellular antigens was performed with the Fix&Perm cell permeabilization kit (Caltag) in accordance with the directions of the manufacturer. The primary monospecific anti-PTEN and anti-HA tag (Y-11) antibodies were used at a 2-µg/ml concentration, and the secondary antibodies were the same as for immunofluorescence. Cells (10,000 to 20,000) were acquired by a FACScan flow cytometer (Becton Dickinson) and analyzed with the Cell-Quest software.
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FIG. 1. Retroviral inducible system for PTEN expression. (A) U-87 and U-251 glioblastoma cells were coinfected with pCXn/TR2 retroviruses containing the tetracycline-dependent repressor of the tetracycline operator and pCXbR(TO) retroviruses containing wild-type or enzyme-inactive mutant forms of PTEN (C124S and G129E) inserted after the repressible operator. The cells were grown in medium with 10% FCS and treated with doxycycline for 24 h to induce PTEN expression. Western blot analysis of proteins (50 µg) from total cell lysates was performed with anti-PTEN, anti-phospho-Akt (P-Akt), and anti-total Akt (Akt) antibodies. (B) Graphic representation of the time course of PTEN expression levels normalized to actin levels in PTEN-inducible U-87 cells following doxycycline treatment. The grey bar represents the actin-normalized endogenous PTEN level from MCF7 breast cancer cells. Total U-87 and MCF7 cell lysates were loaded onto the same gel and analyzed simultaneously with PTEN and actin antibodies. (C) Suppression of anchorage-independent growth by PTEN expression in U-87 PTEN-inducible cells. Nontreated cells were evenly distributed in soft agar plates whether containing (+) or not containing (-) doxycycline. Images of plates incubated for 3 weeks were taken with an Axiovert 200 microscope (Zeiss) at an original magnification of x2.5.
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Effects of PTEN induction on G1- to S-phase cell cycle progression. By using the PTEN-inducible system, we next analyzed the protein levels of molecules involved in the transition from the G1 to the S phase of the cell cycle (Fig. 2). PTEN-inducible U-87 cells were arrested in G0 by serum deprivation for 24 to 48 h and subsequently stimulated with serum to synchronously re-enter the cell cycle. Concomitantly with the serum addition, cells were treated with doxycycline to induce PTEN expression or left untreated. The untreated cells progressed through the cell cycle from the G0 phase at 0 h to the late G1 phase at 12 h and the S phase at 24 h and entered a new cell cycle by 36 h after serum stimulation (Fig. 2A). As expected, cells treated with doxycycline for PTEN expression showed no progression to the S phase at 24 h or beyond (Fig. 2A).
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FIG. 2. Time course analysis of G1-S-phase cell cycle regulators following PTEN induction. PTEN-inducible U-87 cells were synchronized in G0 by 24 h of serum deprivation and allowed to re-enter the cell cycle by 10% FCS stimulation (stim.) for the indicated periods of time in the presence (+) or in the absence (-) of doxycycline to induce PTEN expression. (A) Equal numbers of cells were prepared by propidium iodide DNA staining for cell cycle analysis by FACS. The table shows the percentage of cells in G0/G1 calculated with the ModFitLT program for cell cycle analysis. (B) Total cell lysates of equal numbers of cells were subjected to Western blot analysis with antibodies to PTEN, cyclin (Cyc) D1, phospho-Rb (P-Rb), Rb, p27Kip1 (Kip1), cyclin A, and actin. On the right side is shown a densitometric analysis of cells not expressing PTEN (white bars) or expressing PTEN (grey bars) for the expression levels of cyclin D1, p27Kip1, and cyclin A normalized to actin and of phospho-Rb normalized to total Rb. Quantification was performed with the ImageJ software. The data shown are the means and standard deviations of three experiments. Note the decrease in cyclin D1 levels and the increase in p27Kip1 levels in cells expressing PTEN.
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Phosphatase-inactive mutant forms of PTEN do not reduce cyclin D1 expression. To determine the mechanism by which PTEN causes a reduction in cyclin D1 expression, we first analyzed the requirements of the enzymatic activity of PTEN. Wild-type PTEN and two inactive mutant forms, PTEN-C124S and PTEN-G129E, were inducibly expressed in U-87 and U-251 glioblastoma cells. The G129E mutation has been reported to inactivate PTEN phosphatase activity only on phosphoinositides, and the C124S mutation inactivates the activity on both phospho-polypeptide and phosphoinositide substrates (24). To dissociate the influence of PTEN on cyclin D1 levels from the influence of the cell cycle phase on cyclin D1 levels, and thus to exclude the possibility of an indirect effect of PTEN on cyclin D1 levels through the PTEN-induced modification of the cell cycle, the experiments were carried out with cells deprived of serum for at least 24 h prior to PTEN induction. The cells thus synchronized in the G0 phase were maintained under serum deprivation throughout the course of the experiment. In such experiments carried out with the U-87 and U-251 cell lines, while PTEN decreased the cyclin D1 levels more than twofold, the expression of both mutant forms had no significant influence on cyclin D1 levels (Fig. 3A). To further confirm this finding, which is not in agreement with recently published data (35), time course experiments similar to that presented in Fig. 2 for PTEN were done in parallel for the two phosphatase-inactive mutant forms. The two mutant forms behaved similarly and, in contrast to PTEN, had no effect on cyclin D1 or on Rb phosphorylation (Fig. 3B). These results suggested that the dephosphorylation of phosphoinositides is necessary for PTEN's effect on cyclin D1 expression levels.
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FIG. 3. Effects of wild-type PTEN and enzyme-inactive mutant forms of PTEN on cyclin D1 protein levels. (A) Inducible U-87 and U-251 cells were serum starved for 36 h and subsequently treated with doxycycline in the absence of serum for 12 h to induce the expression of PTEN or the enzyme-inactive G129E and C124S mutant forms. The Western blot analysis was performed with the indicated antibodies. The graph shows the densitometric analysis of cyclin (Cyc) D1 levels normalized to the corresponding actin levels and expressed as ratios in PTEN-induced (+) versus noninduced (-) cells. Error bars indicate standard deviations from three experiments. There are significant differences (*) between cyclin D1 ratios for PTEN versus the C124S or G129E mutant form in U-87 cells (P < 0.02 and P < 0.01, respectively) and in U-251 cells (P < 0.01 in both cases). There is no significant difference between the C124S and G129E mutant forms in either U-87 (P = 0.26) or U-251 (P = 0.27) cells. The P values were obtained by using a paired, one-tailed t test. (B) Cell cycle analysis for the enzyme-inactive G129E and C124S mutant forms, showing no modification of cyclin D1 or phosphorylated Rb levels. This analysis was carried out as described in the legend to Fig. 2. stim., stimulation.
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FIG. 4. Effects of PI-3 kinase pathway inhibitors on cyclin (Cyc) D1 expression. PTEN-inducible U-87 cells, serum deprived for 36 h, were induced with doxycycline for 12 h, if not marked otherwise, and simultaneously treated with the inhibitors LY 294002 (LY) and LiCl at the indicated concentrations. Western blot analysis was performed with the indicated antibodies. The graph at the bottom shows the actin-normalized levels of cyclin D1. Note the decrease in cyclin D1 levels following inhibition of the PI-3 kinase by LY 294002 and partial restoration of the decreased cyclin D1 levels in PTEN-expressing cells following inhibition of GSK-3 by LiCl.
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FIG. 5. PTEN prevents the nuclear localization of cyclin (Cyc) D1. Western blot analysis of cyclin D1 subcellular distribution in PTEN-inducible U-87 cells. Equal volumes of nuclear (N) and cytoplasmic (C) extracts from cells processed as described in the legend to Fig. 2 were analyzed with the indicated antibodies. Because the protein concentrations in cytoplasmic extracts were twice as high as those in nuclear extracts after loading of the same volume of extract, the data presented here underestimate the nuclear cyclin D1 amounts by twofold. The intensity of cyclin D1 expression was measured in the cytoplasmic extracts and normalized to the cytoplasmic actin levels, and that measured in the nuclear extracts was normalized to the nuclear PARP levels. The normalized cyclin D1 levels are plotted in the upper graph ( and represent cytoplasmic values for noninduced and PTEN-induced cells, respectively, and and represent nuclear values for noninduced and PTEN-induced cells, respectively). The lower graph shows the nuclear/cytoplasmic ratio of the normalized levels of cyclin D1 for noninduced cells (empty columns) and PTEN-induced cells (filled columns). The means and standard deviations from three experiments are shown. Asterisks represent significant differences (P < 0.01) between the nuclear/cytoplasmic ratios of noninduced and PTEN-induced cells. The superimposed curve shows the normalized values of PTEN levels in PTEN-induced cells (black diamonds) during the time course. stim., stimulation.
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FIG. 6. PTEN prevents the nuclear localization of cyclin (Cyc) D1 in stable PTEN-expressing cells. (A) Immunofluorescence of formaldehyde-fixed cells with anti-PTEN monoclonal (green fluorescence) and anti-anti-D1 polyclonal (red fluorescence) antibodies and nuclear 4',6'-diamidino-2-phenylindole (DAPI) staining for U-87 cells stably expressing wild-type PTEN or the H93A enzyme-inactive mutant form of PTEN. Images were taken with a 40x objective and a Nikon fluorescence microscope. (B) Effects of LY 294002, rapamycin (RAP), and PTEN on the nuclear localization of cyclins D1 and A. Serum-starved cells stably expressing PTEN or the H93A mutant form of PTEN were stimulated with 10% FCS and treated with the indicated inhibitors for cyclin D1 or cyclin A detection, respectively. Cyclins D1 and A were detected by immunofluorescence as for panel A. A rabbit polyclonal antibody was used for cyclin A. The percentage of cells that presented nuclear localization of cyclins among the total number of cells expressing wild-type PTEN or the H93A mutant form of PTEN was averaged from three different fields for more than 150 cells in each category.
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FIG. 7. Inhibitory effects of PTEN on cell growth are overcome by coexpression of the nucleus-persistent T286A mutant form of cyclin D1. (A) The PTEN-induced proliferation defect is complemented by the expression of the T286A mutant form of cyclin D1. Equal numbers of U-87 cells doubly infected with either PTEN or the H93A mutant form of PTEN and the pCXp vector, wild-type cyclin D1 (D1), or the T286A mutant form of cyclin D1 (T286A) were subjected to double-drug selection. The efficiency of virus infection was near 100%, and essentially no cells died during drug selection. Proliferation was scored 3 days after the completion of drug selection by counting the cells with a hemacytometer. (B) Increased nuclear localization of the overexpressed T286A mutant form of cyclin D1. Western blot analysis with cyclin D1 antibody of nuclear (N) and cytoplasmic (C) extracts from cells coexpressing PTEN and either wild-type cyclin D1 (D1) or the T286A mutant form of cyclin D1 (T286A) in randomly growing cells in medium supplemented with 10% FCS. Overexpressed (arrowhead) cyclin D1 levels were quantified and normalized to those of actin and PARP as described in the legend to Fig. 5, and the corresponding cytoplasmic and nuclear expression levels are shown graphically. (C) The proportion of PTEN-expressing cells decreased as the passage number increased but was maintained when the cells coexpressed the T286A mutant form of cyclin D1. The cells described in panel A were subjected to serial passages (p), and the number of cells expressing PTEN was assessed by FACS analysis after intracellular staining with anti-PTEN antibody. On the right, PTEN-expressing cells (arrowheads) are indicated for two cell populations, the first coexpressing PTEN and the pCXp vector and the second coexpressing PTEN and the T286A mutant form of cyclin D1. On the left, the graph shows the evolution of PTEN-expressing cells along passages of the six cell populations analyzed, in percentages of PTEN-expressing cells among the total number of cells. These experiments were repeated at least twice with similar results.
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PKB/Akt restores the cyclin localization defect induced by PTEN. To test whether PTEN relocalizes cyclin D1 by inactivating Akt/PKB, we coexpressed PTEN with either wild-type Akt/PKB or a constitutively active form, MyrAkt, and observed the cellular localization of cyclin D1. Cyclin D1 was localized to the nuclei of a higher percentage of the cells expressing both PTEN and wild-type Akt or PTEN and MyrAkt than to those of cells expressing PTEN and vector control (Fig. 8A).
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FIG. 8. Akt/PKB rescues the cyclin D1 nuclear localization defect induced by PTEN. (A) Nuclear cyclin D1 was analyzed by immunofluorescence assay of fixed cells expressing PTEN in combination with the empty vector (pCXn), wild-type Akt/PKB (Akt), or constitutively active Akt/PKB (MyrAkt). Cells at passage 3 were serum deprived, stimulated with 20% FCS for 13 h, and stained with monoclonal anti-PTEN and polyclonal anti-cyclin D1 antibodies and DAPI. The percentage of cells that presented nuclear cyclin D1 staining was calculated separately for cells expressing PTEN (plus signs and light bars) or not expressing PTEN (minus signs and dark bars). The results represent the average of two or three random fields recorded at a magnification of 20x and containing more than 100 cells. (B) The number of PTEN-expressing cells increased with the passage number when the cells coexpressed activated MyrAkt. Cells in successive passages were monitored for PTEN expression by cytofluorimetry as described in the legend to Fig. 7C. Arrowheads show PTEN-expressing cells.
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Cyclin D1 levels were reduced early after the re-entry from G0 into G1, when the levels of induced PTEN protein were comparable to those of endogenous PTEN protein. Cyclin D1 reduction was accompanied by a strong decrease in the phosphorylation of Rb by cyclin D1/CDK4 complexes. In parallel with previous reports showing a reduction by PTEN of cyclin E/CDK2 activity (6, 19), our data support an early suppression by PTEN of cyclin D1/CDK4-mediated Rb phosphorylation.
We present here a dual mechanism of PTEN-induced down-regulation of cyclin D1 that involves a decrease in both the level and nuclear localization of cyclin D1. Both of these effects could be mimicked by LY 294002, a specific inhibitor of PI-3 kinase, indicating that production of phosphatidylinositol-3,4,5-trisphosphate is necessary for cyclin D1 maintenance. Consistent with these results, we also found that the phosphatase activity of PTEN on phosphoinositide substrates is necessary for its effect on cyclin D1. In disagreement with a previous report (35), we found that a mutation of PTEN disrupting the phosphoinositide phosphatase activity (G129E), or both phosphoinositide and phospho-peptide phosphatase activities (C124S), impaired the ability of PTEN to decrease cyclin D1 levels.
Cyclin D1 turnover is regulated in a complex manner. Its transcription is regulated by Ras and mitogen-activated protein kinases (2, 17) and by ß-catenin (34), which is negatively regulated by GSK-3 (37). The degradation of cyclin D1 is less well understood, but distinct degradation pathways have been suggested for the CDK-bound and free pools of cyclin D1 (13). Nuclear CDK4-bound cyclin D1 is phosphorylated by GSK-3ß, exported from the nucleus, and subsequently degraded (3, 8). The mechanism of degradation of free cyclin D1 is not known (13). As PTEN inactivates Akt/PKB (31), it activates GSK-3ß, which is phosphorylated and inactivated by Akt/PKB (7). Activation of GSK-3ß by PTEN may thus down-regulate both the transcription and the degradation of cyclin D1. A previous study has shown a severe decrease of the cyclin D1 mRNA levels in PC3 prostate cancer cells after overexpression of either PTEN or GSK-3, suggesting that PTEN decreases the transcription of cyclin D1 via a mechanism involving GSK-3-mediated inactivation of ß-catenin (27). In inducible U-87 cells, we found only a modest reduction in cyclin D1 mRNA after PTEN induction (1.8-fold by Northern analysis; data not shown). However, we also found that the degradation of cyclin D1 contributes to the decrease in cyclin D1 levels (1.7-fold higher turnover following PTEN induction; data not shown). Although the inhibition of GSK-3 by lithium partially restored the levels of cyclin D1 after PTEN expression, this effect was probably due to stabilization of the nuclear pool of cyclin D1 by lithium (3). Indeed, we showed that PTEN prevents the nuclear localization of cyclin D1. The partial effect of GSK-3 activity on cyclin D1 levels suggested that PTEN reduces cyclin D1 levels through GSK-3-independent mechanisms. One possibility could involve translation control by Akt/PKB and p70 S6 kinase through inhibition of the translation repressor 4E-BP1 (14). In our study, rapamycin, which indirectly inhibits p70 S6 kinase, had no effect on cyclin D1 levels (data not shown) or nuclear localization. It is more likely that PTEN influences the degradation of free cyclin D1, which has been reported to be independent of GSK-3 phosphorylation (13). Recently, PTEN has been shown to regulate p27Kip1 degradation by modulating the expression of the F-box protein from the E3 ligase complex targeting its ubiquitination (22). It would be interesting to identify the E3 ligase complex targeting cyclin D1 for degradation and to analyze whether PTEN also controls the degradation of cyclin D1 at this level.
The localization of cyclin/CDK complexes in the nucleus is important for the phosphorylation of nuclear proteins involved in cell cycle progression. We have shown that, besides the expression levels, PTEN also decreased the nuclear localization of cyclin D1. We observed this effect in cells progressing through the cell cycle but also, as with the decreased cyclin D1 expression, independently of the cell cycle, in serum-deprived cells, where induction of PTEN expression resulted in a twofold decrease in the nuclear/cytoplasmic ratio (data not shown). The decreased nuclear localization was restored by a constitutively active mutant form of Akt/PKB in the presence of PTEN, indicating that the pathway linking PTEN to cyclin D1 involves the inactivation of Akt/PKB by PTEN. The nuclear localization defect of cyclin D1 played a role in the growth arrest induced by PTEN, as overexpression of a mutant form of cyclin D1 that is resistant to GSK-3ß phosphorylation and persists in the nucleus (8) completely overcame the inhibitory effects of PTEN on proliferation. The availability of nuclear cyclin D1/CDK4 complexes may promote the G1-to-S transition by phosphorylating Rb but also by sequestering p27Kip1 from cyclinE/CDK2 complexes (29). In agreement with this alternate mechanism, we also found significantly increased levels of p27Kip1 in cells overexpressing the nucleus-persistent mutant form of cyclin D1 (data not shown). Thus, in addition to the direct effects on p27Kip1 transcription (23, 25) and degradation (22), PTEN may also have an indirect effect on the distribution of p27Kip1 in the various cyclin/CDK complexes. The decreases in cyclin D1 expression and nuclear localization by PTEN may thus inhibit the cyclin E/CDK2 complexes by preventing the distribution of p27Kip1 from cyclin E/CDK2 to cyclin D1/CDK4 complexes. In conclusion, our data show that PTEN negatively regulates the expression and nuclear localization of cyclin D1. Together with the effects of PTEN on p27Kip1, these mechanisms may constitute the basis of the suppression of cell proliferation by PTEN.
In the initial stages of this work, which were performed at The Rockefeller University, New York, N.Y., M.M.G. was supported by fellowships from the Medical Research Council of Canada and the National Cancer Institute (CA09673). A.R. was supported in part by National Institutes of Health grant RO1 GM57569.
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