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Dept. of Biochemistry, Tufts University School of Medicine, 136 Harrison Ave., Boston, Massachusetts 02111,1 Dept. of Radiation Oncology, Tufts-New England Medical Center, 750 Washington St., Boston, Massachusetts 02111,2 School of Nutrition Science and Policy, Tufts University,Boston, Massachusetts,3 Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, 750 Washington St., Boston, Massachusetts 02111,4 Dept. of Medicine, Division of Hematology, Johns Hopkins University School of Medicine, 720 Rutland Ave, Ross Research Building, Room 1025, Baltimore, Maryland 212055
Received 7 April 2006/ Returned for modification 5 May 2006/ Accepted 17 August 2006
| ABSTRACT |
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| INTRODUCTION |
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In contrast to its well-known mitogenic activity in immortal cells, the expression of oncogenic RAS in normal primary cells induces premature senescence (see, e.g., reference 43). While RAF and extracellular signal-regulated kinase (ERK) signaling are necessary in both immortal and senescent cells, the p38 mitogen-activated protein kinase (MAPK) pathway is unique to RAS-induced senescence (22, 25, 51). While the p38 MAPK pathway is usually linked to apoptosis, several recent papers have highlighted p38 MAPK signaling in growth arrest and in premature senescence (11, 27, 53, 55). For RAS-induced senescence, MAPK kinase 6 (MKK6)/MKK3 and p38 MAPK are necessary components (51). MKK3 and MKK6 are the direct upstream kinases that activate p38 MAPK by phosphorylation (39). In addition, WIP1 is a phosphatase for p38 MAPK and also has a role in tumorigenicity (5). Previous studies have shown that WIP1 is amplified in breast tumors (31). In mouse models, abrogation of WIP1 prevents RAS- or erb2-mediated tumorigenesis, which could be restored by blocking p38 MAPK activity (10, 12). The role of WIP1 directly in senescence or in primary human cell has not been addressed. Together, the published data indicate that an active p38 MAPK pathway may be central to RAS-mediated senescence and to tumor suppression.
The downstream target(s) of the p38 MAPK pathway in premature senescence has not been identified. In this paper, we investigated whether HBP1 was a relevant downstream target in a RAS- and p38 MAPK-mediated senescence pathway. By work in our laboratory and several others, HBP1 was first identified as a target of the RB and p130 family members and was characterized as a transcriptional repressor and cell cycle inhibitor in cells and animals (29, 30, 44, 45, 47, 49, 54, 56, 57, 61). Other studies have highlighted HBP1 as a negative regulator of the Wnt and epidermal growth factor receptor (EGFR) pathways, which are both associated with poor prognosis in breast and other cancers (4, 41). In addition, recently completed work demonstrates that HBP1 mutations are associated with human breast cancer and further highlights the importance of understanding the signaling contexts for HBP1 (38). For the relationship to p38 MAPK, HBP1 was reisolated as an interactor with p38 MAPK. Consistently, HBP1 also contained p38 MAPK docking and phosphorylation sites. The inhibition of p38 MAPK activity triggered HBP1 instability and subsequently enhanced cell cycle progression. Together with another study, these data suggest that G1 progression (of immortal cells) can be controlled by p38 MAPK through regulation of the stabilities of HBP1, p21CDKI protein, and other proteins (53, 55).
In this work, we investigated the role of HBP1 in a premature senescence pathway. We find that HBP1 was necessary for premature senescence by RAS-p38 MAPK and that RB regulation was essential. To expand the role of the p38 MAPK signaling in premature senescence, we demonstrate that expression levels of p38 MAPK phosphatase WIP1 have a role in regulating senescence. HBP1 was also necessary for WIP1 knockdown (KD)-dependent premature senescence. HBP1 itself also induced premature senescence that required RB. Together, our results support a model in which HBP1 is a downstream effector of RAS, p38 MAPK, and RB and provide new insights into the signaling mechanisms that lead to premature senescence. The implications of a RAS/p38 MAPK/HBP1/RB network in premature senescence and in early human cancer transitions will be discussed.
| MATERIALS AND METHODS |
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For growth curves, cells were plated at 1 x 104 per well in six-well plates. Every 3 days, cells were trypsinized from plates and cell numbers were counted. At each split, 104 cells were reseeded to each well in fresh plates and allowed to grow until the next split. PD levels were calculated with the formula PD = log (n2/n1)/log 2, where n1 is the number of cells seeded and n2 is the number of cells recovered. The day when drug selection was completed (day 14 after infection) was defined as day 0.
For BrdU incorporation in situ, cells were grown on coverslips and synchronized in 0.2% fetal bovine serum-Dulbecco's modified Eagle's medium for 24 h. The subconfluent cultures were incubated for 2 h in the presence of 10 µg BrdU and fixed, and nuclei incorporating BrdU were visualized by immunostaining using a commercially available kit (BrdU labeling and detection kit I, catalog no. 1296736; Roche). For visualization of all nuclei in a field, the coverslips were stained with Hoechst dye (final concentration of 25 µg/ml in phosphate-buffered saline [PBS]) for 1 min at 37°C. All coverslips were examined using fluorescence microscopy with the appropriate filters. At least 300 cells were counted in randomly chosen fields from each culture well.
Retroviral gene expression. pBabePuro-HBP1 and pBabePuro-delEX7 were constructed by cloning the respective human HBP1 fragment into pBabePuro(EcoRI). pBabePuro-pmHMG (with triple-point mutations in the high-mobility group [HMG] DNA binding domain of HBP1) was generated by overlapping PCR based on pBabePuro-HBP1. Point mutations were introduced at positions 434, 435, and 437, changing lysine-434 to glutamic acid (AAA to GAA), arginine-435 to glutamic acid (AGA to GAA), and methionine-437 to threonine (ATG to ACG). pBabePuro-pmLXC, pBabePuro-pmIXC, and pBabePuro-pmL/IXC were generated by overlapping PCR based on pBabePuro-HBP1. For pBabePuro-pmLXC, Cys-37 of the human HBP1 LXCXE motif was converted to Gly (TGT to GGT). For pBabePuro-pmIXC, Cys-325 of the human HBP1 IXCXE motif was converted to Gly (TGT to GGT). For pBabePuro-pmL/IXC, both Cys-37 and Cys-325 of the LXCXE and IXCXE motifs, respectively, were converted to Gly (TGT to GGT). pBabeHygro-MKK3A was constructed by inserting human MKK3(Ala) cDNA into pBabeHygro, and pBabeHygro-MKK6E was constructed by inserting the human MKK6(Glu) cDNA into pBabeHygro vector. pBabeBleo-RASV12 was a gift from Larry Feig. pSVE-RB was a gift from Phil Hinds.
Knockdown plasmids. pSM2-Wip1miRNA (catalog no. RHS1764-97181967) and pSM2-p130miRNA (catalog no. RHS1764-9099586) knockdown plasmids were purchased from OpenBiosystems. The following short hairpin RNA (shRNA) plasmids were constructed in the pSuper-retro background (Oligoengine): HBP1 knockdown #213 (GATCCCCACTGTGAGTGCCACTTCTCTTCAAGAGAGAGAAGTGGCACTCACAGTTTTTTGGAAA), targeting 19 residues from nucleotide 942 for human; HBP1 knockdown #022 (GATCCCCCACATGGAGCTTGATGACCTTCAAGAGAGGTCATCAAGCTCCATGTGTTTTTGGAAA), targeting 19 residues from nucleotide 343 for human; and RB knockdown (GATCCCCATGGAAGATGATCTGGTGATTCAAGAGATCACCAGATCATCTTCCATTTTTTGGAAA). Underlined sequences represent the hairpins. The HBP1 #213 construct was used for most experiments, but some results were verified with the HBP1 #022 construct.
Retroviral gene transduction was carried out as previously described, using Phoenix packaging cells. Cells were infected with retroviruses and then selected in 0.7 µg/ml puromycin, 100 µg/ml hygromycin B, 200 µg/ml zeocin, starting 1 day after infection. We typically achieved stable cell lines after 14 days of selection. Treatments with SB203580 (10 µM) or vehicle control usually started after 14 days of selection.
Immunoblots and antibodies. Cells at 70 to 80% confluence were lysed in radioimmunoprecipitation assaybuffer (phosphate-buffered saline containing 1% Triton X-100, 0.5% deoxycholate, 0.1% sodium dodecyl sulfate, 1 mM Na3VO4, and complete protease inhibitor cocktail [Roche]). After the lysates were cleared by centrifugation, protein concentrations were determined by Bradford assays. Twenty to 50 µg of proteins was separated on a sodium dodecyl sulfate-10% polyacrylamide gel electrophoresis gel and transferred to Trans-Blot nitrocellulose membranes (Bio-Rad). The primary antibodies used were for HBP1 (N-20X; Santa Cruz), p53 (FL-393; Santa Cruz), p16 (C-20; Santa Cruz), p38 (A-12; Santa Cruz), phospho-p38 (#9211; Cell Signaling), RB (#554136; BD Pharmingen), and p130 (sc-317; Santa Cruz). For the detection of transfected HBP1 and its mutants, the HA.11 antibody (Covance) was used at a 1:1,000 dilution.
SA-ß-Gal staining. Cells were washed twice in PBS, fixed for 3 to 5 min at room temperature in 3% formaldehyde, and washed with PBS again. Then, cells were incubated overnight at 37°C with freshly prepared senescence-associated (SA)-ß-galactosidase (ß-Gal) stain solution (1 mg/ml X-Gal [5-bromo-4-chloro-3-indolyl-ß-D-galactopyranoside], 40 mM citric acid-sodium phosphate, pH 6.0, 5 mM potassium ferrocyanide, 5 mM potassium ferricyanide, 150 mM NaCl, 2 mM MgCl2). At least 300 cells were counted in randomly chosen fields (21).
RT-PCR. RNA was isolated by using TRIzol reagent (Gibco-BRL). One microgram of RNA was analyzed by reverse transcription (RT)-PCR with an Access RT-PCR kit (Promega). The DNA sequences of the human HBP1 primers were 5'-ATCATCTCCTGTACACATCATAGC-3'and 5'-CATAGAAAGGGTGGTCCAGCTTAC-3'; these primers resulted in an RT-PCR product of 523 bp. The DNA sequences of the human Wip1 primers were 5'-GAACAAGTCTGGGGTGAATC-3' and 5'-ATAGGAAGGGCTGTCAGTCA-3'; these primers resulted in an RT-PCR product of 527 bp. To normalize the RT-PCR results, 18S primers and associated competimers (Ambion) were used at a 1:10 ratio. This protocol provided a linear signal for normalization of experimental results. The annealing temperature was 55°C. All products were analyzed by agarose gel electrophoresis and visualized by computerized gel documentation (Bio-Rad) (24).
Telomere length assay. Ten micrograms of genomic DNA per sample was digested by restriction enzymes HinfI and RsaI, electrophoresed on a 1% agarose gel, and transferred to nylon membrane by Southern blotting. The membrane was baked at 120°C for 20 min. The blotted DNA fragments are hybridized to a digoxigenin-labeled probe specific for telomeric repeats and incubated with a digoxigenin-specific antibody covalently coupled to alkaline phosphate. Finally, the immobilized telomere probe was visualized by virtue of alkaline phosphatase metabolizing CDP-Star, a sensitive chemiluminescent substrate. The average telomere restriction fragment (TRF) length can be determined by comparing the signals relative to a molecular weight standard, as described in the protocol. A TeloTAGGG telomere length assay kit (catalog no. 2209136; Roche) was used, but this method was similar to published methods (see, e.g., references 28 and 58).
Protein t1/2 measurements. We modified published conditions for half-life (t1/2) measurements by using a cycloheximide block (3). WI-38 cells were treated with 0.5 µg/ml cycloheximide and harvested in radioimmunoprecipitation assay lysis buffer at the time points indicated in Fig. 7. Protein levels were then examined by Western blotting for HBP1 as described above. The HBP1 protein was quantitated by densitometric analysis.
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| RESULTS |
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RB binding and function are required for premature senescence induced by HBP1. Because HBP1 appeared to have a role in RAS- and p38 MAPK-induced premature senescence, we investigated whether HBP1 expression itself might trigger premature senescence. Stable cell lines expressing wild-type HBP1 and selected mutants were established by retroviral expression in WI-38 cells. The expression of HBP1 in these cell lines was evaluated by both RT-PCR (data not shown) and Western blot analysis (Fig. 4B). The expression of hemagglutinin (HA)-HBP1 was detected by anti-HA antibody. As shown in Fig. 4C, the expression of wild-type HBP1 induced a senescence-like morphology as determined by SA-ß-Gal staining. This was confirmed by analysis of p53 and p16 expression (Fig. 4B). More than 70% of wild-type, HBP1-expressing cells had accumulated SA-ß-Gal staining at low passage, which is the expected result for premature senescence.
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We next asked whether RB was required for the induction of premature senescence by HBP1 (Fig. 5). Two complementary experiments were performed. The RB-negative SAOS-2 cell line has been used as a model for RB-dependent premature senescence (2). As shown in Fig. 5A, expression of HBP1 did not elicit premature senescence in this cell line, suggesting that a functional RB is required. As expected, reexpression of RB induced premature senescence in SAOS-2 cells (2). In a second approach, we knocked down either RB or p130 in the WI-38 cells and then assessed the consequences on premature senescence by HBP1. As shown in Fig. 5B, an RB knockdown, but not a p130 knockdown, abrogated premature senescence in response to HBP1 expression. Because HBP1 binds both p130 and RB, these data indicate that the RB-HBP1 interaction is necessary for premature senescence. Together, these experiments demonstrate that HBP1 requires full RB binding to trigger premature senescence. Because RB is a major player in senescence (reviewed in references 13 and 20), these experiments highlight that HBP1 is a plausible effector of RB in premature senescence.
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5 kb. Thus,
HBP1-expressing cells have the hallmarks of premature senescence but
not replicative senescence. In contrast, the cell lines expressing the
two HBP1 mutants had changes in TRF length that were similar to those
for the control cells undergoing replicative senescence. As shown in
Fig. 6F, cells expressing
HBP1 mutants that were defective in premature senescence exhibited TRF
changes and replicative senescence. As the control cells and the two
HBP1 mutant-expressing cell types eventually became senescent at PD42,
the TRF lengths shortened to 5.0, 5.3, and 5.0 kb, respectively. Note
that the wild-type HBP1-expressing cells failed to reach PD42, which is
another indication of premature senescence (Fig.
6F). These results
indicate that wild-type HBP1-expressing cells exhibited the hallmarks
of premature senescence that are independent of changes in telomere
length.
While HBP1 may have a role in premature senescence
induced by RAS or p38 MAPK, HBP1 unexpectedly had little contribution
to normal replicative senescence in primary cells. Our approach was to
examine the expression levels of HBP1 as a function of population
doubling and test its functionality for replicative senescence. While
HBP1 was expressed in both young and senescent cells, the level of HBP1
protein apparently increased with advancing PD during replicative
senescence. In addition, there was a detectable increase in protein
stability that was coincident with p38 MAPK activation (Fig.
7A and
B). The differences in half-life at PD40
(t1/2 = 74 min) and PD20
(t1/2 = 23 min) reflect an
3-fold
difference in HBP1 protein stability. There was also a definable
increase in active p38MAP activity as the cells reached PD40 (Fig.
7A). These HBP1 protein
half-life differences are remarkably similar to those observed in our
previous work, which showed that p38 MAPK activity stabilizes the HBP1
protein (53). These
previous experiments represent necessary characterization,
but a functional test for the role of HBP1 was still
required.
Regardless of the increases in HBP1 protein stability and level, HBP1 nonetheless appeared to have little, if any, contribution to replicative senescence. The growth rate of HBP1 knockdown cells was similar to that of the control cells (infected with the vector control pSuper.retro) (Fig. 7C and D). The percentages of SA-ß-Gal-stained cells in the HBP1 knockdown and in control lines at high passage are nearly identical (Fig. 7E). Telomere lengths were also similar in the control and HBP1 KD lines (Fig. 7F). Finally, p38 MAPK activation and HBP1 levels (Fig. 7G) were increased in control cells. p38 MAPK activation was also increased in the HBP1 KD cells, indicating that the signaling into p38 MAPK was intact in the HBP1 KD. With repeated passage, the cells expressing an HBP1 mutant that does not bind RB (L/IXC) eventually exhibited replicative senescence (data not shown) but did not show any premature senescence in wild-type HBP1-expressing cells (Fig. 6B and C). Similarly, cells expressing pmHMG and delEX7, which did not show premature senescence, eventually underwent replicative senescence (data not shown). Similarly, cells expressing MKK3ala also exhibited normal replicative senescence at PD42 (data not shown). Thus, the data in Fig. 6 and 7 highlight that HBP1 and possibly p38 MAPK signaling have a greater functional role in premature senescence than in replicative senescence. The functional tests were important, as there were increased levels of active p38 MAPK and of HBP1 in both types of senescence. In addition, the specificity of the HBP1 shRNA knockdown for premature senescence but not replicative senescence argues against global off-target effects.
HBP1-induced premature senescence depends upon p38 MAPK activity. Previous work has shown that the inhibition of p38 MAPK activity abolished RAS-induced premature senescence (51). If HBP1 is a functionally relevant target in the RAS/p38 MAPK senescence pathway, the inhibition of p38 MAPK activity should also abrogate HBP1-imposed premature senescence. HBP1-expressing and control cells were cultured with or without SB203580, which specifically inhibits p38 MAPK but not ERK or Jun N-terminal protein kinase (JNK) (29). HBP1 levels were decreased with SB203580 treatment (Fig. 8C). The growth rate of the HBP1-expressing cells was very low compared to those of the two HBP1 mutant-expressing cell types and the control cells in the absence of SB203580 (Fig. 8A). We have made similar observations for other cell types expressing HBP1 (40, 43). The selected HBP1 mutants served as controls, as neither triggered premature senescence. However, in the presence of SB203580, a significant increase in growth rate was observed in HBP1-expressing cells, resulting in a growth rate nearly identical to that of untreated wild-type cells (Fig. 8A). Conversely, SB203580 treatment resulted in a marked decrease in the number of SA-ß-Gal-positive senescent cells of all types. However, in each experiment, overexpression of HBP1 resulted in higher senescence (Fig. 8B). In sum, the inhibition of p38 MAPK activity decreased HBP1-induced premature senescence.
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| DISCUSSION |
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Implications for RAS- and p38 MAPK-mediated premature senescence. RAS-mediated senescence is the best-characterized model of oncogene-induced premature senescence. The work in this paper adds HBP1 as a functionally and clinically relevant player in senescence pathways. Several recent reviews have highlighted the need for a better understanding of cellular senescence (14, 36). In human diploid fibroblasts, the expression of RAS can trigger a premature senescence program that limits the promitogenic consequences of excessive RAS signaling (18, 51). Excessive RAS signaling can be mimicked by expression of B-RAF expression, as shown in the benign nevi, in which senescent cells are evident. These benign nevi can be the precursors to malignant melanoma (33). In contrast, RAS expression leads to full transformation in immortalized cells, where senescence has been overridden. These and many other studies highlight that the abrogation of premature senescence imposed by RAS or other oncogenes subsequently forces tumorigenic progression. Thus, identifying players in oncogene-mediated senescence provides a unique opportunity to delineate targets that reimpose senescence to prevent tumorigenic progression.
While RAF, MEK, and ERK are similar in both mitogenic and premature-senescence pathways, the activation of p38 MAPK by RAS is unique to premature senescence and has important implications for blocking tumorigenesis. Several studies with primary human cells have shown that p38 MAPK activity triggers senescence and is specifically required for premature senescence imposed by RAS or its downstream effectors RAF and ERK. There is additional evidence that RAS and non-RAS premature-senescence signals may also signal to p38 MAPK and underscore the importance of this kinase network in senescence (18, 22, 25, 51). Thus, the cell-based studies are consistent with the RAS-MKK6/MKK3-p38 MAPK axis in senescence (see, e.g., references 18 and 51).
It is
important to consider the possibility of senescence in previously
published studies on p38 MAPK signaling and the suppression of
tumorigenesis. In mouse, two different studies have highlighted the
role of p38 MAPK signaling in preventing tumorigenesis in several
different contexts. Studies by Brancho and colleagues reported that
mouse embryo fibroblasts that are double knockouts of MKK6 and MKK3
were susceptible to transformation by viral oncoproteins
(9). The deletion of both
MKK6 and MKK3 abolished p38 MAPK activation. A similar result was
obtained by deletion of p38 MAPK
(10). Senescence in
either the MKK6/
MKK3/ or the
p38
/MAPK14/ mouse model has not
been addressed. Based on published work, previous studies, and this
paper, cells defective in p38 MAPK signaling might be refractive to
RAS-induced premature senescence.
The data in this paper identify WIP1 as a new regulator of senescence. WIP1 was originally identified as an amplified gene in breast cancer and as a p53-inducible protein (23, 31). WIP1 is also a phosphatase that inactivates p38 MAPK. Therefore, WIP1 would oppose the activating kinases MKK6 and MKK3. In mouse models, the deletion of the WIP1 gene (expected to give high p38 MAPK activity) conferred protection against mammary tumorigenesis in response to transgenic erbB2 or RAS. However, chemical inhibition of p38 MAPK activity restored tumorigenesis by erbB2 and RAS in the WIP1/ mouse models, indicating that the resulting high p38 MAPK activity created a barrier to tumorigenesis (5, 10, 12, 23). In this study, we showed that a knockdown of WIP1 triggers premature senescence, suggesting that a senescence mechanism may have prevented tumorigenesis in these mouse studies.
The work in this paper adds HBP1 as a functionally relevant player in a RAS-p38 MAPK senescence pathway to premature senescence in primary cells. These studies place p38 MAPK and HBP1 at an important junction regarding premature senescence and suggest that these two proteins may be part of premature-senescence-executing machinery that may be engaged by imbalances of RAS and other signals. If this p38 MAPK/HBP1 "checkpoint" were abrogated, then a cascade of events leading to tumorigenic conversion could be initiated.
Insights into an RB network in senescence. Our study also identifies HBP1 as a new effector of RB in senescence. While p16 is a known RB pathway component in senescence, recent reviews have highlighted that the roles of RB and possible RB effectors of senescence are surprisingly poorly understood (13, 20, 50). A long-standing observation is that RAS-induced senescence requires the RB pathway, as signified by the induction of the p16 CDK4 inhibitor. Some studies have also linked RB to regions of senescence-associated heterochromatin foci by histone methylation (H3K9) (1, 37). However, unlike in the studies with E2Fs in proliferation, few transcriptional targets for RB in senescence have been described.
The data in Fig. 4 and 5 underscore the role of HBP1 as a unique effector of RB in premature senescence. These data suggest that HBP1 may be an important factor for mediating the RB pathway in premature senescence. While HBP1 was initially isolated as an RB- and p130-interacting protein, other signaling contexts have not exhibited a clear dependence on any RB family member (4, 41). The role of RB in senescence is well established (13, 20), although a recent study indicates that p130 may compensate when RB is absent (26). HBP1 can bind both RB and p130, and the results in Fig. 5 demonstrate that the interaction with RB is the more relevant to senescence. However, in senescence, HBP1 clearly requires RB binding to trigger senescence and thus may provide a unique insight into its role as an effector of senescence. Thus, the experiments whose results are shown in Fig. 4 and 5 highlight the importance of the HBP1-RB interaction for premature senescence. It should be noted that the DNA binding domain is also required for premature senescence (Fig. 6). Thus, the RB and DNA binding domains of HBP1 are both necessary for the induction of premature senescence.
This work has the dual benefit of identifying a downstream effector of RAS in senescence and a potentially important mediator of RB in senescence. While p53 and p16 were also elevated with HBP1 expression and premature senescence, we do not yet know whether activation is direct or a consequence of triggering premature senescence. These issues are under investigation. In cancer, abrogation of RB or HBP1 may compromise the senescence-executing mechanisms and facilitate full tumorigenic conversion. While our work was in progress, C/EBPß was also reported to be a new RB target in senescence (42). How this transcription factor might collaborate with p38 MAPK, RAS, and/or HBP1 is not known.
Implications for cancer. While oncogene-mediated senescence is an established phenomenon in human cells, the recent demonstration of senescence in premalignant clinical specimens (33) and in mouse models of premalignant transitions (8, 15) emphasizes that senescence is a general phenomenon in tumorigenesis that is no longer limited to cell culture. When oncogene-induced senescence is abrogated in immortalized human cells, RAS then triggers its well-known functions of uncontrolled mitogenesis and transformation. In human cells, the expressions of telomerase, the simian virus 40 (SV40) early region (large and small T antigen), and RAS are necessary components of transformation. The SV40 large T antigen neutralizes the RB and p53 pathways, which are key players in senescence. Studies by Zhao, Roberts, Hahn, and Weinberg have delineated cellular counterparts that functionally complement SV40 large and small T antigens in the transformation of human cells (7, 59; reviewed in references 6 and 60 and references therein). The possible role of HBP1 or of the p38 MAPK-signaling pathway has not yet been directly addressed for human transformation models, although studies with murine cells suggest a tumor-suppressive function.
A larger and fundamental question regarding breast or any other cancer is whether poor prognosis is specified in the earliest stages of transformation. Cancer prognosis at the level of the primary tumors is an exceedingly important area, as relapse is usually incurable. In breast cancer, relapse is characterized by distant metastases. Investigation of these important questions is greatly aided by the recent availability of public databases with data on gene expression from the primary tumors of patients, which were then observed for up to 14 years for relapse (52). The data in Fig. 9 suggest that the relative expression levels of at least two genes linked to senescence might also correlate with future prognosis. WIP1 and HBP1 are two genes in the RAS and p38 MAPK pathway that are delineated in this paper, but both have previous links to breast cancers. Both genes can exert their functional effect through changes in levels. We have recently completed a study that shows that HBP1 mutations exist in invasive breast cancer, with the molecular studies showing that decreased HBP1 levels also increased tumorigenicity and invasive potential (38). Thus, subtle changes in HBP1 expression levels could have an impact. Similarly, overexpression of WIP1 was associated with human breast cancer (31), while a knockout of the WIP1 gene was associated with suppression of tumorigenicity in some mouse models. Consistently, Fig. 9 shows that low expression levels of HBP1 or of WIP1 in primary tumors can be correlated with later breast cancer relapse, even when the early-stage primary tumors have not yet shown metastases. Thus, the variation in the expression levels of HBP1 and WIP1, which are both associated with premature senescence, could have a lasting impact on tumorigenic progression. For HBP1, we would suggest that decreased HBP1 expression might contribute to interruption of senescence and the deregulation of some signaling pathways (Wnt, EGFR) (reviewed in references 24 and 32) that are linked to poor prognosis in breast and other cancers. While only a first glimpse, the Kaplan-Meier survival analysis in Fig. 9 underscores the potential future clinical relevance of the studies in this paper. New studies that build upon the results of this paper will be necessary to investigate the possible prognostic and therapeutic potential of WIP1, HBP1, and p38 MAPK in breast and other cancers.
| ACKNOWLEDGMENTS |
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We thank Larry Feig and his laboratory staff for reagents and for helpful discussion on RAS signaling. We also thank Daqin Mao and Phil Hinds for the gift of SAOS-2 cells and helpful suggestions about senescence.
| FOOTNOTES |
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Published ahead of print on 11 September 2006. ![]()
Supplemental material for this article may be found at
http://mcb.asm.org/. ![]()
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