
[Cancer Research 60, 2025-2032, April 1, 2000]
© 2000 American Association for Cancer Research
S-phase Arrest and Apoptosis Induced in Normal Mammary Epithelial Cells by a Novel Retinoid1
Yuxiang Zhang,
Arun K. Rishi,
Marcia I. Dawson,
Rainbow Tschang,
Lulu Farhana,
Madanamohan Boyanapalli,
Uwe Reichert,
Braham Shroot,
Eric C. Van Buren and
Joseph A. Fontana2
John D. Dingell VA Medical Center [Y. Z., A. K. R., R. T., L. F., M. B., J. A. F.] and Karmanos Cancer Institute, Detroit, Michigan 48201 [Y. Z., A. K. R., R. T., L. F., M. B., E. C. V. B., J. A. F.]; Molecular Medicine Research Institute, Mountain View, California 94043 [M. I. D]; and Center International de Rescherches Dermatologigues Galderma, F. 06902 Valbonne, France [U. R., B. S.]
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ABSTRACT
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The addition of all-trans-retinoic acid has been found to
mediate a G1 cell cycle phase arrest but not apoptosis in
normal mammary epithelial cells. We have now found that addition of the
novel retinoid 6-[3-(1-adamanty1)]-4-hydroxyphenyl]-2-naphthalene
carboxylic acid (CD437), which appears to function through a pathway
independent of retinoic acid nuclear receptors, results in an S-phase
arrest that is preceded by a 4-fold elevation in the levels of the
cyclin-cyclin dependent kinase (cdk) inhibitor
p21WAF1/CIP1. Failure to inhibit E2F-1 activation of
genes through its phosphorylation by the cyclin cdk2 kinase has been
shown to result in S-phase arrest and apoptosis in a number of cell
types. Although exposure of the normal mammary cells to CD437 does not
result in modulation of cyclin A or cdk2 levels, an increase in E2F-1
levels and a marked inhibition of cyclin A/cdk2 kinase activity are
observed. Exposure to CD437 results in enhanced E2F-1 binding to its
DNA consensus sequences and transcriptional activity during S phase. We
hypothesize that this enhanced E2F-1 transcriptional activity results
in S-phase arrest and subsequent apoptosis that has been observed in
other systems.
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INTRODUCTION
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Retinoids have been demonstrated to play important roles in the
normal differentiation and development of a wide variety of vertebrate
structures and tissues (1
, 2)
. In addition, these
compounds, through their antiproliferative activity, have been shown to
inhibit the growth of a number of malignant and normal cell lines.
Retinoids also function as chemopreventive agents through their ability
to inhibit the transformation of preneoplastic diseases and have been
shown to modify cellular activity predominately through their
modulation of gene expression (3, 4, 5, 6)
. This is accomplished
through the binding of retinoids to specific nuclear transcription
factors
(RARs3
and RXRs), which, in turn, bind to specific consensus sequences
(retinoic acid response elements and retinoid X response elements),
resulting in the activation or inhibition of gene expression
(7, 8, 9)
. The specific genes involved in the
antiproliferative activity of retinoids remain unclear, although a
number of investigators have speculated that this is achieved through
their anti-AP-1 activity (10, 11, 12)
.
The growth of breast carcinoma cells has been shown to be inhibited by
retinoids. This appears to be more dramatic in cells expressing high
levels of RAR-
, in which significantly lower concentrations of
retinoids are required for growth inhibition (13
, 14)
. The
ER in the presence of ligand has been shown to up-regulate RAR-
;
whether the enhanced sensitivity of ER-positive cells to
retinoid-mediated inhibition of cell growth is due to enhanced RAR-
expression is not clear (15, 16, 17, 18, 19)
. The ability of retinoids
to inhibit the growth of normal breast cells was investigated recently
(19)
. The addition of tRA resulted in
G1 cell cycle arrest with accompanying inhibition
of growth (20)
. We have recently described a novel
retinoid, 6-[3-(1-adamanty1)]-4-hydroxyphenyl]-2-naphthalene
carboxylic acid (CD437), which is a potent inducer of apoptosis in a
number of malignant cell lines including both ER-positive and
ER-negative breast carcinoma cells and appears to function through a
RAR/RXR-independent pathway (21, 22, 23)
. We have previously
shown that the induction of apoptosis is preceded by the induction of
the cyclin/cdk complex inhibitor p21WAF1/CIP1 and
G1 cell cycle arrest. We have now examined the
effect of CD437 on the growth of normal breast cells and found that in
marked distinction to tRA, CD437 induced an S-phase cell cycle arrest
in these cells, followed by the onset of apoptosis.
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MATERIALS AND METHODS
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Chemicals.
CD437 was synthesized as described previously (24)
dissolved in DMSO to a concentration of 5 mM, and stored at
-80°C under a nitrogen atmosphere.
Cell Growth.
The normal human mammary epithelial cell lines AG11132A and AG11134A
were obtained from the National Institute of Aging, Aging Cell Culture
Repository (Coriell Institute for Medical Research, Camden, NJ). All
studies in these cell lines, which have been shown to possess a limited
life span, were performed between passages 15 and 18. MCF-7 and
MDA-MB-231 human breast carcinoma cells were obtained from Dr. Mark
Lippman (Lombardi Cancer Center, Washington, D.C.) All cells were grown
in Mammary Epithelial Cell Basal Medium (Clonetics, San Diego, CA)
supplemented with 4 µl/ml bovine pituitary extract (Clonetics), 5
µg/ml insulin, 10 ng/ml epidermal growth factor, 0.5 mg/ml
hydrocortisone, 10 µM isoproterenol, and 10
mM HEPES (pH 7.4). Cells were cultured at 37°C in a
humidified incubator with 5% CO2:95% air.
Western Blots.
Western blots were performed essentially as described previously
(25)
. Logarithmically growing cells were treated with
CD437 for various times, and cells were harvested and lysed in Laemmli
lysis buffer [500 mmol/liter Tris-HCl (pH 6.8), 2 mmol/liter EDTA,
10% glycerol, 10% SDS, and 5% ß-mercaptoethanol]. Protein lysates
(50 µg/lane) were electrophoresed on 12% SDS-polyacrylamide gels and
transferred to nitrocellulose membranes. The filters were blocked with
5% nonfat dried milk in 1x PBS/0.5% Tween 20 and then incubated with
the appropriate antibodies. Horseradish peroxidase-conjugated rabbit
antimouse IgG (Bio-Rad Laboratories, Hercules, CA) was used as the
secondary antibody, and the bands were developed using the Amersham
enhanced chemiluminescence (Amersham, Arlington Heights, IL)
nonradioactive method following the manufacturers instructions.
Cyclin A antibody was obtained from Santa Cruz Biotechnology (Santa
Cruz, CA), PARP antibody was bought from PharMingen (San Diego, CA),
and p21WAF1/CIP1, cdk2, and E2F-1
antibodies were obtained from Transduction Laboratories (Lexington,
KY).
Apoptosis Quantification.
Apoptotic cells were stained with acridine orange as described by
Whitacre et al. (26)
. After exposure to CD437,
cells were harvested, washed with PBS, and resuspended to a cell
concentration of 1 x 106
cells/ml. Fifty µl of cell suspension were stained with 5 µl of an
acridine orange solution (100 mg/ml in PBS) in the dark.
Northern Blots.
RNA was isolated using the single-step method of Chomczynski and Sacchi
(27)
. The full-length p21WAF1/CIP1
cDNA probe was kindly provided by Drs K. Kinzler and B. Vogelstein
(John Hopkins University, Baltimore, MD). Electrophoresis, Northern
transfer, washing conditions, and hybridizations were performed as
described previously (28)
. Equivalent loading was
confirmed by 28S/18S RNA levels.
BrdUrd Labeling.
Cells were exposed to 50 or 100 nM CD437 or vehicle alone
for 48 h and then pulse-labeled with BrdUrd using an in
situ proliferation kit (Boehringer Mannheim, Indianapolis,
Indiana) as directed by the manufacturer. Flow cytometric
analysis was performed on a FACScan (BDIS, San Jose, CA), which uses an
argon ion laser tuned to 15 mW at 488 nm for fluorescence excitation
and light scattering. FITC fluorescence was collected in the FL1
detector using a 530/30 nm band pass filter, and propidium iodide
fluorescence was collected in the FL2 detector using a 585/42 nm band
pass filter. The Doublet Discrimination Module was used to remove
aggregates. Data were acquired with LYSYS II software on a CONSORT 32
workstation (BDIS). Typically, 20,000 events were saved as list mode
data and analyzed with CELLQUest software (BDIS) using a Power
Macintosh 7500/100 computer (Apple Computer, Cupertino, CA). Routine
quality control of the FACScan was performed using AutoCOMP software
and CaliBRITE beads; in addition, CellFIT software and DNA Quality
Control Particles were also used (BDIS).
Cyclin A-dependent Kinase Assay.
Cells were collected and lysed at 4°C in lysis buffer containing 10
mM Tris (pH 7.5), 130 mM NaC1, 1% Triton
X-100, 10 mM NaF, 10 mM sodium phosphate, 10
mM Na PPi, 16 µg/ml benzamide HCl,
10 µg/ml phenanthrolene, 10 µg/ml aprotinin, 10 µg/ml leupeptin,
10 µg/ml pepstatin, and 1 mM phenylmethylsulfonyl
fluoride. Clarified extracts containing 500 µg of protein were
incubated (4°C, 2 h) with 10 µl of agarose-conjugated
anti-cyclin A antibody (sc-751 AC; Santa Cruz Biotechnology) in a total
volume of 1 ml. The immunocomplexes were washed three times in lysis
buffer and then suspended in 20 µl of kinase buffer containing 50
mM HEPES (pH7.0), 0.1 mM EDTA, 0.01% Brij 35,
0.1 mg/ml BSA, 0.1% ß-mercaptoethanol, 0.15 M NaCl, and
10 µl of ATP mix [930 µl of protein kinase assay buffer, 6 µl of
50 mM ATP (pH 7.0), 20 µl of 2 M
MgCl2, and 44 µl of
[32P]ATP (10 mCi/ml)]. Histone (2 µg) was
added to the immunoprecipitates and incubated for 20 min at 30°C.
Reactions were terminated by adding SDS-PAGE sample buffer, and
phosphorylated proteins were resolved by SDS-PAGE.
Transient Transfection Assay.
Transient transfection assays were performed essentially as we have
described previously (29)
. The reporter construct
containing the E2F-1 promoter linked to a luciferase gene was a kind
gift of Dr. David Livingston (Dana-Farber Cancer Center, Boston, MA).
In brief, cells were plated in a 100-mm dish at a density of
3 x 106 cells/dish and then
cotransfected with pCMVß (Clonetech, Palo Alto, CA), which carries
the Escherichia coli Lac Z gene under the control of the
cytomegalovirus promoter and encodes for ß-galactosidase and the
E2F-1 reporter construct. After a 6-h incubation with the plasmid DNAs,
the cells were washed and incubated for an additional 48 h in the
presence and absence of 50 nM CD437. The cells
were harvested, and ß-galactosidase and luciferase were measured as
described previously (29)
.
Gel Mobility Shift Assays.
The double-stranded oligonucleotide containing the consensus binding
site for E2F-1 transcription factor was obtained from Santa Cruz
Biotechnology. The double-stranded oligonucleotide probe was
phosphorylated using T4 polynucleotide kinase and
ATP as per the standard methods. The double-stranded, phosphorylated
oligonucleotide containing the E2F motif was then ligated into
MluI-digested, end-filled pGL2-Promoter plasmid vector. A
recombinant plasmid containing three E2F motifs ligated as concatamers
was obtained. The sequence of the E2F inserts was confirmed by
sequencing, followed by PAGE purification of a
100-bp-long
XhoI-XbaI fragment containing three concatamers
of E2F motif. The
100-bp subfragment was then labeled by end-filling
using [32P]dCTP and Klenow fragment of DNA
polymerase essentially as described previously (29)
.
DNA-protein binding was measured using gel electrophoretic mobility
shift assays essentially as described previously (29)
.
Briefly, 30 µg of the nuclear protein extracts obtained from
untreated and CD437-treated normal human mammary epithelial cell line
AG11132A and 5 µg of the nuclear protein extracts from untreated,
wild-type MCF-7 human breast carcinoma cells were incubated on ice for
15 min with 2 µg of polydeoxyinosinic-deoxycytidylic acid, 5 µg of
BSA, and 1x binding buffer [10 mM HEPES (pH
7.5), 1 mM ß-mercaptoethanol, 10% glycerol
(v/v), and 50 mM KCl]. After the addition of
32P-labeled probe DNA (50 pg of probe/reaction),
the mixture was incubated for another 15 min on ice. Excess unlabeled
specific and nonspecific competitor DNAs were added 15 min before the
addition of labeled probe. The specific competitor DNA consisted of the
above-mentioned 100-bp XhoI-XbaI DNA fragment
containing three E2F consensus sequences, whereas nonspecific
competitor DNA consisted of 110 bp of double-stranded GADD45 cDNA
fragment (positions 580690; Ref. 29
). The binding
reactions were electrophoresed onto a 5% nondenaturing polyacrylamide
gel (acrylamide:bisacrylamide, 30:0.8) containing 5% glycerol at 150 V
in 1 mM EDTA, 3.3 mM
sodium acetate, and 6.7 mM Tris (pH 7.5). The
gels were dried at 60°C, and DNA-protein binding was visualized by
autoradiography.
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RESULTS
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CD437 Inhibition of MDA-MB-231, AG11132A, and AG11134A
Proliferation.
The normal human mammary epithelial cell lines AG11132A and
AG11134A express RAR-
, -ß, and -
and display a limited life
span (20)
. To compare the growth-regulatory properties of
CD437 in the malignant MDA-MB-231 cells and in the AG11132A and
AG11134A cell lines, the three cell lines were grown in defined media
(see "Materials and Methods") because the addition of fetal bovine
serum to the normal human mammary cell lines results in their death
(data not shown). As demonstrated in Fig. 1A
, the addition of various concentrations of CD437 to the
three cell lines resulted in marked inhibition of growth, with maximum
growth inhibition noted with 50 nM CD437. The
addition of 50 nM CD437 to the cells resulted in
complete inhibition of growth over a 3-day period (Fig. 1B)
.
The concentration of CD437 required to cause inhibition of growth in
MDA-MB-231 cells was significantly lower than previously reported when
the cells were grown in 5% fetal bovine serum (21)
; we
and others (30)
have demonstrated that the increased
biological effect noted with retinoids in the absence of serum is due
to decreased serum binding. Increasing serum concentrations
necessitates increased CD437 concentrations for a biological effect
because 98% of CD437 is serum-bound (data not shown).

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Fig. 1. CD437 inhibition of AG11132A, AG11134A, and MDA-MB-231
cell proliferation. The cell lines were seeded in 24-well plates in
medium as described in "Materials and Methods." The cells were
incubated overnight, and then (A) various concentrations
of CD437 or (B) 50 nM CD437 were added, and
the cells were incubated for 3 days. The error
bars represent the SDs derived from three independent
experiments.
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CD437 Induction of Cell Cycle Arrest.
Exposure of all three cell lines results in the inhibition of cell
proliferation (Fig. 1)
. We have previously noted that CD437 induced
G1 arrest in MDA-MB-231 cells grown in serum
(21)
. We therefore examined whether CD437 induced a cell
cycle arrest in AG11132A and AG11134A cells grown under serum-free
conditions. CD437 induced a S-phase cell cycle phase arrest in AG11132A
cells (Fig. 2)
after exposure to either 50 or 100 nM CD437, with
approximately 90% of the cells found to be in S phase, as demonstrated
by the marked increase in BrdUrd incorporation. There was a progressive
increase in the percentage of S-phase cells over time when AG11132A
cells were exposed to CD437 (Fig. 3)
.

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Fig. 2. CD437 induction of S-phase cell cycle arrest. AG11132A
cells were incubated in medium in the presence and absence of 50 or 100
nM CD437 for 48 h, and the cells were incubated
with BrdUrd as described in "Materials and Methods." The results of
two independent experiments are shown.
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Fig. 3. CD437-mediated S-phase arrest in AG11132A cells. Cells
were seeded in medium and exposed to CD437 (50 nM). At the
end of incubation period, the cells were harvested, and flow cytometric
analysis for DNA content was performed as described in "Materials and
Methods." The results are representative of two independent
experiments.
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CD437-induced p21WAF1/CIP1 mRNA and Protein Levels.
Enhanced p21WAF1/CIP1 expression has been
associated with a G1 cell cycle arrest (Ref.
31
and the references therein). CD437 induced
p21WAF1/CIP1 mRNA and protein expression and
G1 cell cycle arrest in a number of breast
carcinoma cell lines (21)
. However, we found that CD437
induced an S-phase cell cycle arrest in AG11132A and AG11134A cells. We
therefore investigated whether CD437 induced
p21WAF1/CIP1 mRNA and protein expression in these
cell lines. A 4-fold increase in p21WAF1/CIP1
mRNA expression was noted in the AG11132A and AG11134A cell lines after
exposure to 50 nM CD437 at 24 h (Fig. 4, A and B)
. Exposure to CD437 also resulted in a
corresponding increase in p21WAF1/CIP1 protein
expression at 24 h (Fig. 5)
, with a 6-fold and 3-fold increase in
p21WAF1/CIP1 expression noted in AG11132A and
AG11134A, respectively, as determined by laser densitometry. This
increase in p21WAF1/CIP1 mRNA and protein
expression was similar to that noted previously when other breast
carcinoma cell lines were exposed to CD437 (21)
.

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Fig. 4. CD437 induction of p21WAF1/CIP1 mRNA in
AG11132A and AG11134A cells. Cells were seeded in medium as described
in "Materials and Methods," and after 24 h of incubation,
CD437 (50 nM) was added, and the cells were harvested at
various times. Northern blots were performed as indicated in
"Materials and Methods." A, a representative
Northern blot assay. B, quantitation of a representative
experiment of two independent experiments. The values are expressed
relative to respective controls, which were given an arbitrary value of
1.
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Fig. 5. CD437 induction of p21WAF1/CIP1 protein
expression. Cells were seeded in medium and exposed to CD437 as
described in the legend to Fig. 3
. Cells were harvested at various
times after exposure to CD437, and Western blots were performed as
described in "Materials and Methods." A representative Western blot
is shown. Similar results were obtained from two independent
experiments.
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CD437 Induction of Apoptosis.
Exposure of breast carcinoma cells to CD437 results in the
induction of apoptosis (21)
. We therefore determined
whether CD437 also induced apoptosis in the AG11132A and AG11134A cell
lines; apoptosis was assessed using a number of criteria. As depicted
in Fig. 6
, exposure to CD437 for 72 h resulted in fragmented nuclei and
condensed chromatin with intact plasma membranes in both normal cell
lines as well as in the MDA-MB-231 cell line. Less than 5% of the
cells displayed these features of apoptosis at 48 h, but 35% and
75% apoptotic cells were noted at 72 and 96 h, respectively. To
further confirm CD437-mediated apoptosis in the AG11132A and AG11134A
cell lines, we determined whether exposure to CD437 resulted in
activation of the caspase system; activation of the caspase system and
cleavage of a number of substrates including PARP have been associated
with apoptosis (32
, 33)
. We quantitated the activation of
caspase-3, -8, and -9 after exposure to CD437 using specific substrates
for each caspase. Exposure to CD437 resulted in a progressive increase
in caspase-3 activity with time. Data in Fig. 7
show an 8-fold increase in caspase-3 activity after 48 h of
treatment with CD437. Activation of caspase-8 and -9 was not noted
until 48 h of exposure to CD437, with a 3-fold increase in the
activity of both. PARP cleavage was also assessed in these cells.
AG11132A cells were exposed to 50 nM CD437, the adherent
and floating cells were harvested separately, and PARP cleavage was
assessed (Fig. 8)
. Cleavage of PARP from its normal Mr
115,000 to Mr 85,000 was noted
in both the adherent and floating cells, with the floating cells that
were already undergoing apoptosis demonstrating complete cleavage to
the Mr 85,000 form (Fig. 8)
. PARP
cleavage was not noted in the control cells.

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Fig. 6. CD437-mediated apoptosis in AG11132A, AG11134A, and
MDA-MB-231 cells. Cells were exposed to 50 nM CD437 for
72 h; the cells were then harvested and stained with acridine
orange as described in "Materials and Methods."
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Fig. 7. CD437 activation of caspase-3, -8, and -9. AG11132A and
AG11134A cells were exposed to 50 nM CD437 for 48 h,
and then the cells were harvested, and caspase-3, -8, and -9 activities
were assessed as described in "Materials and Methods."
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Fig. 8. CD437-mediated PARP cleavage. AG11132A cells were grown as
described in "Materials and Methods" and exposed to 50
nM CD437 for 72 h. Control (C) cells were
treated with vehicle only. Adherent (AD) and floating
(FL) cells were harvested separately, and Western blots
were performed as described in "Materials and Methods."
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S-phase Arrest and Apoptosis.
S-phase arrest and apoptosis have been associated with the
inappropriate expression of E2F-1 or failure to inactivate the
E2F-1/DP-1 complex through phosphorylation
(34, 35, 36)
. The cyclin A/cdk2 complex has been found to be
responsible for the phosphorylation of the E2F-1/DP-1 complex and its
subsequent inability to bind to E2F-1 consensus sequences (34
, 37)
. We therefore examined whether modulation of E2F-1, cyclin
A, or cdk2 levels occurred during CD437-mediated inhibition of growth
and apoptosis of the normal breast cells. We did not observe any
modulation of either cyclin A or cdk2 levels after exposure to CD437
(data not shown). However, we found a 3-fold increase in E2F-1 protein
levels in AG11132A cells after a 2448-h exposure to CD437 (Fig. 9)
. Inhibition of cyclin A/cdk2 kinase with subsequent failure to
phosphorylate E2F-1/DP-1 due to inhibition of cyclin A-cdk2 kinase
activity could also result in failure to inactivate E2F/DP1 (34
, 37)
. We therefore examined cyclin A-dependent kinase activity in
the AG11132A cells after exposure to CD437. Exposure to CD437
resulted in complete inhibition of cyclin A/cdk2 kinase activity (Fig. 10)
.

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Fig. 9. CD437 elevation of E2F-1 levels. Cells (AG11132A) were
seeded in medium and exposed to 50 nM CD437 as described in
the legend to Fig. 3
. Cells were harvested at either 24 or 48 h
after exposure to either vehicle or CD437, and Western blots were
performed as described in "Materials and Methods." A representative
of two independent experiments is shown.
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Fig. 10. Cyclin A-dependent kinase activity in CD437-treated
AG11132A cells. Cells were treated with 50 nM CD437 and
harvested at 48 h. Cyclin A immunoprecipitation and the kinase
assay were performed as described in "Materials and Methods."
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Despite multiple attempts, we were not able to adequately
immunoprecipitate E2F-1 to assess its phosphorylation by the cyclin
A/cdk2 kinase. We therefore evaluated E2F-1-mediated transcriptional
activity using an E2F-1 reporter construct in AG11132A cells after
exposure to vehicle or 50 nM CD437. Exposure to CD437
resulted in a statistically significant (P < 0.001) 1.5-fold increase in E2F-1-mediated transcriptional activity in
the CD437-exposed cells (Fig. 11)
. We further assessed whether inhibition of cyclin A/cdk2 activity
resulted in decreased E2F-1 phosphorylation/inactivation and thus
increased E2F-1 binding to its consensus sequence by performing gel
shift assays using nuclear extracts from AG11132A cells exposed to
vehicle or CD437. As shown in Fig. 12
, the level of E2F-1 bound to its consensus sequence was significantly
increased in the CD437-treated cells.

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Fig. 11. CD437 enhanced E2F-1-mediated transcriptional activity.
Transient transfections and exposure to CD437 are described in
"Materials and Methods." The luciferase activity (expressed in
light units) was normalized to ß-galactosidase activity (expressed as
absorbance). The results are the mean of four independent experiments
relative to the vehicle-treated cells, which was arbitrarily
defined as 1:bar SE.
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Fig. 12. Gel mobility shift assays. Binding of nuclear proteins
from CD437-treated and -untreated normal mammary epithelial AG11132A
cells and MCF-7 human breast carcinoma cells to a
32P-labeled, 100-bp, double-stranded DNA subfragment
containing three E2F consensus sequences. Binding reactions were as
described in "Materials and Methods." Lane 1, probe
only; Lane 2, probe and the nuclear protein extracts
from untreated AG11132A cells; Lane 3, probe, nuclear
protein extracts from untreated AG11132A cells, and 1000-fold excess of
the cold unlabeled probe fragment DNA; Lane 4, probe,
nuclear protein extracts from untreated AG11132A cells, and 1000-fold
excess of the cold, unlabeled, double-stranded, 110 bp of GADD45 cDNA
fragment (positions 580690; Ref. 29
); Lane
5, probe, nuclear protein extracts from CD437-treated AG11132A
cells; Lane 6, probe, nuclear protein extracts from
CD437-treated AG11132A cells, and 1000-fold excess of the cold,
unlabeled probe fragment DNA; Lane 7, probe, nuclear
protein extracts from CD437-treated AG11132A cells, and 1000-fold
excess of the cold, unlabeled, double-stranded, 110 bp of the GADD45
cDNA fragment (positions 580690; Ref. 29
); Lane
8, probe only; Lane 9, probe and the nuclear
protein extracts from untreated MCF-7 cells; Lane 10,
probe, nuclear protein extracts from untreated MCF-7 cells, and
1000-fold excess of the cold, unlabeled, probe fragment DNA;
Lane 11, probe, nuclear protein extracts from untreated
MCF-7 cells, and 1000-fold excess of the cold, unlabeled,
double-stranded, 110 bp of GADD45 cDNA fragment (positions 580690;
Ref. 29
); The arrow denotes the
location of the putative E2F protein-DNA complex.
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 |
DISCUSSION
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CD437 has been found to induce cell cycle arrest and apoptosis in
a variety of malignant cells (21, 22, 23
, 38, 39, 40, 41, 42)
. The ability
of this novel retinoid to influence the growth of normal cells has not
been investigated. In this report, we examined the ability of CD437 to
affect the growth of normal mammary epithelial cells. We used
the normal mammary epithelial cell strains AG11132A and AG11134A, which
were derived from reduction mammoplasty specimens and display a limited
life span. As demonstrated by us and other investigators
(20)
, these cells possess all three RARs. The addition of
tRA to similar cell lines (AG11132 and AG11134) resulted in
G1 cell cycle arrest but not apoptosis
(20)
. The observed G1 cell cycle
arrest induced by tRA appeared to be independent of p53 and was not
associated with the induction of G1 cyclin/cdk
inhibitors, i.e., p21 or p27 (20
, 43)
. These
results are in marked distinction to those noted with CD437, in which
an S-phase arrest was noted with an associated increase in
p21WAF1/CIP1 expression and subsequent apoptosis.
In addition, whereas only 50 nM CD437 was
required for S-phase cell cycle arrest and apoptosis, 1
µM tRA was required for
G1 cell cycle arrest in these cells. An obvious
explanation for the different results obtained between tRA and CD437 is
that these retinoids most likely posses different mechanism(s) of
action. tRA functions through the classical retinoid pathways involving
the RARs, whereas a number of investigators have now found using a
variety of cells that CD437 can function through a RAR/RXR-independent
pathway(s) (20, 21, 22)
. The mechanism through which CD437
mediates its actions remains to be defined.
We had previously found that CD437 induced a G1
cell cycle arrest in a number of breast carcinoma cells
(21)
; however, in the present study, we found that CD437
induces an S-phase cell cycle arrest in the two normal mammary
epithelial cell lines. The ability of CD437 to induce a S-phase cell
cycle arrest has been documented in several studies using lymphoma or
prostate carcinoma cell lines (22
, 42)
. Why CD437 induces
S-phase arrest in normal mammary epithelium cells but
G1 arrest in breast carcinoma cells is not clear.
There appears to be no correlation between the presence of functional
p53 or induction of p21WAF1/CIP1 and the specific
cell cycle phase in which the cells are arrested because breast
carcinoma cells with a functional p53 arrested in
G1, and normal mammary epithelial cells with a
functional p53 arrested in S phase; p21WAF1/CIP1
is induced in all of these cell lines (21)
. Whether the
normal mammary cells possess an S-phase checkpoint that is lost in the
carcinoma cell lines is not clear. Interestingly, this has been found
to be the case in keratinocytes; normal keratinocytes possess an
adhesion-dependent S-phase checkpoint that appears to be absent in
immortalized and tumorigenic cell lines (44)
.
Progression of cells from the G1 phase of the
cell cycle to the S phase is associated with E2F-1 activation of a
number of genes whose expression is required for the
G1 to S transition (45
, 46)
. In
addition, cyclin A/cdk2 inactivation of E2F-1 binding activity is
intimately associated with orderly progression along the S phase and
entrance into the G2-M phase of the cell cycle
(35)
. Overexpression of E2F-1 or inhibition of cyclin
A/cdk2 phosphorylation of E2F-1 has been associated with S-phase delay
and subsequent apoptosis (34
, 47
, 48)
. We therefore
examined the levels of E2F-1, cyclin A and cdk2 after exposure to
CD437. CD437 did not modulate the expression of cyclin A or cdk2, but
it did increase the level of E2F-1 in these cells. Several studies have
now documented that E2F-1 levels are up-regulated as a response to DNA
damage (49
, 50)
; whether this is the mechanism through
which CD437 enhances E2F-1 expression remains to be delineated.
Inactivation of E2F-1 with subsequent failure of the E2F-1/DP-1 complex
to bind to its consensus sequences requires the phosphorylation of
these factors by the cyclin A/cdk2 kinase (37
, 51)
.
Exposure of cells to CD437 was found to result in marked inhibition of
cyclin A/cdk2 kinase activity. Neither cyclin E, cyclin D, nor cyclin B
can substitute for cyclin A in the phosphorylation of the E2F-1/DP-1
complex with its subsequent inactivation (37)
; thus, the
CD437-mediated inhibition of cyclin A/cdk2 kinase activity would result
in continued and inappropriate activation of E2F-1 and subsequent
S-phase arrest and apoptosis. We speculate that the marked elevations
in p21WAF1/CIP1 after incubation with CD437 was
responsible for the decrease in cyclin A/cdk2 kinase activity. It has
been demonstrated previously by a number of investigators that
p21WAF1/CIP1 can indeed inhibit cyclin A/cdk2
kinase activity. Li et al. (52)
demonstrated
that overexpression of p21WAF1/CIP1 in human
sarcoma cells leads to inhibition of phosphorylation of cyclin
A-associated kinase activity and inhibition of phosphorylation of
E2F-1, with resultant enhanced binding of E2F-1 to the E2F-1 consensus
sequence. In addition, the kinase activity of cyclin A/cdk2 associated
with p21WAF1/CIP1 is significantly
lower than that of cyclin A/cdk2 kinase free of
p21WAF1/CIP1, and as cells progress through the S
phase, p21WAF1/CIP1 levels fall, and free cyclin
A/cdk2 levels increase, with subsequent increases in kinase activity
(53)
. The CD437-mediated increase in
p21WAF1/CIP1 expression would continue to inhibit
cyclin A/cdk2 activity, even in S phase. Two observations suggest that
the CD437-mediated inhibition of cyclin A/cdk2 kinase results in
abnormal activation of E2F-1: (a) CD432-treated cells
display enhanced E2F-1-mediated transcriptional activity; and
(b) enhanced binding of E2F-1 to its consensus sequence. We
have previously shown that CD437 enhances
p21WAF1/CIP1 expression through enhanced
stability of the mRNA (54)
.
As opposed to tRA, CD437 induced apoptosis in both normal mammary
epithelial cell lines after the S-phase arrest. Apoptosis was
documented using a number of criteria. AG11132A and AG11134A cell lines
displayed fragmented nuclei and condensed chromatin with intact plasma
membranes after exposure to CD437. In addition, this process was
preceded by the activation of caspase-3,-8, and -9 and cleavage of
PARP. We have previously found that caspase-3 is activated in
CD437-mediated apoptosis in leukemia cell lines (23)
.
Caspase-8, also known as Flice, is directly activated by Fas and tumor
necrosis factor
through the accessory molecule FADD, whereas
caspase-9 and -3 are activated using a separate pathway (55
, 56)
. We have found that CD437-mediated apoptosis is not
inhibited in cells expressing either a dominant negative FADD or Flice
that blocked tumor necrosis factor
- and Fas-mediated apoptosis.
Thus, CD437-mediated apoptosis appears to predominately involve the
caspase-9 and -3 pathway.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Supported in part by a Merit Review Award by the
Medical Research Services of the Department of Veterans Affairs (to
J. A. F.) and NIH Grant P01CA51993 (to M. I. D. and J. A. F.).
Flow cytometry studies were supported by NIH Grant P30
CA22453-20 to the Molecular and Cellular Imaging and Analytical
Cytometry Core Facility of the Karmanos Cancer Institute. 
2 To whom requests for reprints should be
addressed, at John D. Dingell VA Medical Center, Oncology (11 M-HO),
4646 John R. Street, Detroit, MI 48201. Phone: (313) 576-3661;
Fax: (313) 576-1122. 
3 The abbreviations used are: RAR, retinoic acid
receptor; RXR, retinoid X receptor; BrdUrd,
5-bromo-2'-deoxyuridine; cdk, cyclin dependent kinase; ER, estrogen
receptor; PARP, poly(ADP-ribose) polymerase; tRA,
all-trans-retinoic acid; BDIS, Becton Dickinson
Immunocytometry Systems. 
Received 9/16/99.
Accepted 2/ 2/00.
 |
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