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[Cancer Research 55, 2910-2919, July 1, 1995]
© 1995 American Association for Cancer Research

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Topological Control of p21WAF1/CIP1 Expression in Normal and Neoplastic Tissues1

Wafik S. El-Deiry2, Takashi Tokino2, Todd Waldman, Jon D. Oliner, Victor E. Velculescu, Marilee Burrell, David E. Hill, Eugene Healy, Jonathan L. Rees, Stanley R. Hamilton, Kenneth W. Kinzler and Bert Vogelstein3

The Oncology Center and Program in Human Genetics and Molecular Biology. The Johns Hopkins University School of Medicine, Baltimore, Maryland 21231 [W. S. E-D., T. T., T. W., J. D. O., V. E. V., K. W. K., B. V.]; Howard Hughes Medical Institute [W. S. E-D., B. V.] and Department of Medicine and Genetics, [W. S. E-D.] University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104; Oncogene Science, Inc., Cambridge, Massachusetts 02142 [M. B., D. E. H.]; Department of Dermatology, University of Newcastle upon Tyne, Newcastle upon Tyne, United Kingdom NEI4LP [E. H., J. L. R.]; and Department of Pathology and Oncology Center, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205 [S. R. H.]

The p53-regulated gene product p21WAF1/CIP1 is the prototype of a family of small proteins that negatively regulate the cell cycle. To learn more about p21WAF1/CIP1 regulation in vivo, monoclonal antibodies were developed for immunohistochemistry. These revealed that p21WAF1/CIP1 expression followed radiation-induced DNA damage in human skin in a pattern consistent with its regulation by p53. A detailed comparison of the human, rat, and mouse p21WAF1/CIP1 promoter sequences revealed that this induction was probably mediated by conserved p53-binding sites upstream of the transcription start site. In unirradiated tissues, p21WAF1/CIP1 expression was apparently independent of p53 and was observed in a variety of cell types. Moreover, there was a striking compartmentalization of p21WAF1/CIP1 expression throughout the gastrointestinal tract that correlated with proliferation rather than differentiation. As epithelial cells migrated up the crypts, the K167-expressing proliferating compartment near the crypt base ended abruptly, with the coincident appearance of a nonproliferating compartment expressing p21WAF1/CIP1. In colonic neoplasms, this distinct compartmentalization was largely abrogated. Cell cycle inhibitors are thus subject to precise topological control, and escape from this regulation may be a critical feature of neoplastic transformation.

1 This work was supported by NIH Grants GM07184, CA43460, and CA62924 (to B. V.) and by MRC and NECRC (to J. L. R.). W. S. E-D. is an Assistant Investigator and B. V. is an Investigator of the Howard Hughes Medical Institute, B. V. is an American Cancer Society Research Professor.

2 The first two authors contributed equally to this work.

3 To whom requests for reprints should be addressed, at Molecular Genetics Laboratory, The Johns Hopkins Oncology Center, 424 North Bond Street, Baltimore, MD 21231-1001.

Received 4/21/95. Accepted 4/27/95.




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Cancer Res.Home page
Long. G. Wang, L. Ossowski, and A. C. Ferrari
Overexpressed Androgen Receptor Linked to p21WAF1 Silencing May Be Responsible for Androgen Independence and Resistance to Apoptosis of a Prostate Cancer Cell Line
Cancer Res., October 1, 2001; 61(20): 7544 - 7551.
[Abstract] [Full Text] [PDF]


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J. Gen. Virol.Home page
H. J. Kwun, E. Y. Jung, J. Y. Ahn, M. N. Lee, and K. L. Jang
p53-dependent transcriptional repression of p21waf1 by hepatitis C virus NS3
J. Gen. Virol., September 1, 2001; 82(9): 2235 - 2241.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
W. Yang, A. Velcich, J. Mariadason, C. Nicholas, G. Corner, M. Houston, W. Edelmann, R. Kucherlapati, P. R. Holt, and L. H. Augenlicht
p21WAF1/cip1 Is an Important Determinant of Intestinal Cell Response to Sulindac in Vitro and in Vivo
Cancer Res., August 1, 2001; 61(16): 6297 - 6302.
[Abstract] [Full Text] [PDF]


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MutagenesisHome page
J. E. Baulch, O. G. Raabe, and L. M. Wiley
Heritable effects of paternal irradiation in mice on signaling protein kinase activities in F3 offspring
Mutagenesis, January 1, 2001; 16(1): 17 - 23.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
W. C. Yang, J. Mathew, A. Velcich, W. Edelmann, R. Kucherlapati, M. Lipkin, K. Yang, and L. H. Augenlicht
Targeted Inactivation of the p21WAF1/cip1 Gene Enhances Apc-initiated Tumor Formation and the Tumor-promoting Activity of a Western-Style High-Risk Diet by Altering Cell Maturation in the Intestinal Mucosa
Cancer Res., January 1, 2001; 61(2): 565 - 569.
[Abstract] [Full Text]


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J. Pharmacol. Exp. Ther.Home page
A.-C. Hellin, M. Bentires-Alj, M. Verlaet, V. Benoit, J. Gielen, V. Bours, and M.-P. Merville
Roles of Nuclear Factor-kappa B, p53, and p21/WAF1 in Daunomycin-Induced Cell Cycle Arrest and Apoptosis
J. Pharmacol. Exp. Ther., December 1, 2000; 295(3): 870 - 878.
[Abstract] [Full Text]


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Nucleic Acids ResHome page
K. Krause, M. Wasner, W. Reinhard, U. Haugwitz, C. Lange-zu Dohna, J. Mossner, and K. Engeland
The tumour suppressor protein p53 can repress transcription of cyclin B
Nucleic Acids Res., November 15, 2000; 28(22): 4410 - 4418.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
A. Quaroni, J. Q. Tian, P. Seth, and C. Ap Rhys
p27Kip1 is an inducer of intestinal epithelial cell differentiation
Am J Physiol Cell Physiol, October 1, 2000; 279(4): C1045 - C1057.
[Abstract] [Full Text] [PDF]


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IOVSHome page
F. Mouriaux, C.-A. Maurage, P. Labalette, B. Sablonnière, F. Malecaze, and J.-M. Darbon
Cyclin-Dependent Kinase Inhibitory Protein Expression in Human Choroidal Melanoma Tumors
Invest. Ophthalmol. Vis. Sci., September 1, 2000; 41(10): 2837 - 2843.
[Abstract] [Full Text]


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Cancer Res.Home page
C. S. Seitz, H. Deng, K. Hinata, Q. Lin, and P. A. Khavari
Nuclear Factor {{kappa}}B Subunits Induce Epithelial Cell Growth Arrest
Cancer Res., August 1, 2000; 60(15): 4085 - 4092.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
M. Migaldi, A. Sgambato, L. Garagnani, R. Ardito, P. Ferrari, Carmela De Gaetani, A. Cittadini, and G. P. Trentini
Loss of p21Waf1 Expression Is a Strong Predictor of Reduced Survival in Primary Superficial Bladder Cancers
Clin. Cancer Res., August 1, 2000; 6(8): 3131 - 3138.
[Abstract] [Full Text]


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J. Gen. Virol.Home page
J. Sinclair, J. Baillie, L. Bryant, and R. Caswell
Human cytomegalovirus mediates cell cycle progression through G1 into early S phase in terminally differentiated cells
J. Gen. Virol., June 1, 2000; 81(6): 1553 - 1565.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
R. Ralhan, S. Agarwal, M. Mathur, B. Wasylyk, and A. Srivastava
Association between Polymorphism in p21Waf1/Cip1 Cyclin-dependent Kinase Inhibitor Gene and Human Oral Cancer
Clin. Cancer Res., June 1, 2000; 6(6): 2440 - 2447.
[Abstract] [Full Text]


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J. Biol. Chem.Home page
J. Liu, X. Shen, V.-A. Nguyen, G. Kunos, and B. Gao
alpha 1 Adrenergic Agonist Induction of p21waf1/cip1 mRNA Stability in Transfected HepG2 Cells Correlates with the Increased Binding of an AU-rich Element Binding Factor
J. Biol. Chem., April 14, 2000; 275(16): 11846 - 11851.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
B.-D. Chang, K. Watanabe, E. V. Broude, J. Fang, J. C. Poole, T. V. Kalinichenko, and I. B. Roninson
Effects of p21Waf1/Cip1/Sdi1 on cellular gene expression: Implications for carcinogenesis, senescence, and age-related diseases
PNAS, April 11, 2000; 97(8): 4291 - 4296.
[Abstract] [Full Text] [PDF]


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GutHome page
S Siavoshian, J-P Segain, M Kornprobst, C Bonnet, C Cherbut, J-P Galmiche, and H M Blottiere
Butyrate and trichostatin A effects on the proliferation/differentiation of human intestinal epithelial cells: induction of cyclin D3 and p21 expression
Gut, April 1, 2000; 46(4): 507 - 514.
[Abstract] [Full Text] [PDF]


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Toxicol PatholHome page
A. Yoshida, R. R. Newbold, and D. Dixon
Abnormal Cell Differentiation and p21 Expression of Endometrial Epithelial Cells Following Developmental Exposure to Diethylstilbestrol (DES)
Toxicol Pathol, March 1, 2000; 28(2): 237 - 245.
[Abstract] [PDF]


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Mol. Cell. Biol.Home page
L. A. Allan, T. Duhig, M. Read, and M. Fried
The p21WAF1/CIP1 Promoter Is Methylated in Rat-1 Cells: Stable Restoration of p53-Dependent p21WAF1/CIP1 Expression after Transfection of a Genomic Clone Containing the p21WAF1/CIP1 Gene
Mol. Cell. Biol., February 15, 2000; 20(4): 1291 - 1298.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
Y. Shirakawa, Y. Naomoto, M. Kimura, R. Kawashima, T. Yamatsuji, T. Tamaki, M. Hamada, M. Haisa, and N. Tanaka
Topological Analysis of p21WAF1/CIP1 Expression in Esophageal Squamous Dysplasia
Clin. Cancer Res., February 1, 2000; 6(2): 541 - 550.
[Abstract] [Full Text]


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CROBMHome page
J. L. Schwartz
Biomarkers and Molecular Epidemiology and Chemoprevention of Oral Carcinogenesis
Critical Reviews in Oral Biology & Medicine, January 1, 2000; 11(1): 92 - 122.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
T. Sukata, K. Ozaki, S. Uwagawa, T. Seki, H. Wanibuchi, S. Yamamoto, Y. Okuno, and S. Fukushima
Organ-specific, Carcinogen-induced Increases in Cell Proliferation in p53-deficient Mice
Cancer Res., January 1, 2000; 60(1): 74 - 79.
[Abstract] [Full Text]


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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
K. Sonoyama, S. Rutatip, and T. Kasai
Gene expression of activin, activin receptors, and follistatin in intestinal epithelial cells
Am J Physiol Gastrointest Liver Physiol, January 1, 2000; 278(1): G89 - G97.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
E. C. Thornborrow and J. J. Manfredi
One Mechanism for Cell Type-specific Regulation of the bax Promoter by the Tumor Suppressor p53 Is Dictated by the p53 Response Element
J. Biol. Chem., November 19, 1999; 274(47): 33747 - 33756.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
F. Beier, A. C. Taylor, and P. LuValle
The Raf-1/MEK/ERK Pathway Regulates the Expression of the p21Cip1/Waf1 Gene in Chondrocytes
J. Biol. Chem., October 15, 1999; 274(42): 30273 - 30279.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
D. Kardassis, P. Papakosta, K. Pardali, and A. Moustakas
c-Jun Transactivates the Promoter of the Human p21WAF1/Cip1 Gene by Acting as a Superactivator of the Ubiquitous Transcription Factor Sp1
J. Biol. Chem., October 8, 1999; 274(41): 29572 - 29581.
[Abstract] [Full Text] [PDF]


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JCOHome page
G. Pruneri, L. Pignataro, N. Carboni, R. Buffa, D. Di Finizio, B. M. Cesana, and A. Neri
Clinical Relevance of Expression of the CIP/KIP Cell-Cycle Inhibitors p21 and p27 in Laryngeal Cancer
J. Clin. Oncol., October 1, 1999; 17(10): 3150 - 3159.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
M. E. Saunders, R. MacKenzie, R. Shipman, E. Fransen, R. Gilbert, and R. C. K. Jordan
Patterns of p53 Gene Mutations in Head and Neck Cancer: Full-Length Gene Sequencing and Results of Primary Radiotherapy
Clin. Cancer Res., September 1, 1999; 5(9): 2455 - 2463.
[Abstract] [Full Text] [PDF]


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CROBMHome page
G. Paolo Dotto
Signal Transduction Pathways Controlling the Switch Between Keratinocyte Growth and Differentiation
Critical Reviews in Oral Biology & Medicine, July 1, 1999; 10(4): 442 - 457.
[Abstract] [Full Text] [PDF]


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BloodHome page
T. Taniguchi, H. Endo, N. Chikatsu, K. Uchimaru, S. Asano, T. Fujita, T. Nakahata, and T. Motokura
Expression of p21Cip1/Waf1/Sdi1 and p27Kip1 Cyclin-Dependent Kinase Inhibitors During Human Hematopoiesis
Blood, June 15, 1999; 93(12): 4167 - 4178.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
R. Mirzayans, S. Bashir, D. Murray, and M. C. Paterson
Inverse correlation between p53 protein levels and DNA repair efficiency in human fibroblast strains treated with 4-nitroquinoline 1-oxide: evidence that lesions other than DNA strand breaks trigger the p53 response
Carcinogenesis, June 1, 1999; 20(6): 941 - 946.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
J. Q. Tian and A. Quaroni
Involvement of p21(WAF1/Cip1) and p27(Kip1) in intestinal epithelial cell differentiation
Am J Physiol Cell Physiol, June 1, 1999; 276(6): C1245 - C1258.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
J. D. heng, B. A. Werness, J. S. Babb, and N. J. Meropol
Paradoxical Correlations of Cyclin-dependent Kinase Inhibitors p21waf1/cip1 and p27kip1 in Metastatic Colorectal Carcinoma
Clin. Cancer Res., May 1, 1999; 5(5): 1057 - 1062.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Y. Zhang, M. B. Dickman, and C. Jones
The Mycotoxin Fumonisin B1 Transcriptionally Activates the p21 Promoter through a cis-Acting Element Containing Two Sp1 Binding Sites
J. Biol. Chem., April 30, 1999; 274(18): 12367 - 12371.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
O. Eickelberg, M. Roth, R. Lorx, V. Bruce, J. Rudiger, M. Johnson, and L.-H. Block
Ligand-independent Activation of the Glucocorticoid Receptor by beta 2-Adrenergic Receptor Agonists in Primary Human Lung Fibroblasts and Vascular Smooth Muscle Cells
J. Biol. Chem., January 8, 1999; 274(2): 1005 - 1010.
[Abstract] [Full Text] [PDF]


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ScienceHome page
F. Bunz, A. Dutriaux, C. Lengauer, T. Waldman, S. Zhou, J. P. Brown, J. M. Sedivy, K. W. Kinzler, and B. Vogelstein
Requirement for p53 and p21 to Sustain G2 Arrest After DNA Damage
Science, November 20, 1998; 282(5393): 1497 - 1501.
[Abstract] [Full Text]


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J. Biol. Chem.Home page
H.-y. Tang, K. Zhao, J. F. Pizzolato, M. Fonarev, J. C. Langer, and J. J. Manfredi
Constitutive Expression of the Cyclin-dependent Kinase Inhibitor p21 Is Transcriptionally Regulated by the Tumor Suppressor Protein p53
J. Biol. Chem., October 30, 1998; 273(44): 29156 - 29163.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
J.-L. Tsao, J. Zhang, R. Salovaara, Z.-H. Li, H. J. Jarvinen, J.-P. Mecklin, L. A. Aaltonen, and D. Shibata
Tracing Cell Fates in Human Colorectal Tumors from Somatic Microsatellite Mutations : Evidence of Adenomas with Stem Cell Architecture
Am. J. Pathol., October 1, 1998; 153(4): 1189 - 1200.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
A. M. De Marzo, A. K. Meeker, J. I. Epstein, and D. S. Coffey
Prostate Stem Cell Compartments : Expression of the Cell Cycle Inhibitor p27Kip1 inNormal, Hyperplastic, and Neoplastic Cells
Am. J. Pathol., September 1, 1998; 153(3): 911 - 919.
[Abstract] [Full Text] [PDF]




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