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[Cancer Research 62, 7305-7315, December 15, 2002]
© 2002 American Association for Cancer Research


Molecular Biology and Genetics

Gadd45a Protects against UV Irradiation-induced Skin Tumors, and Promotes Apoptosis and Stress Signaling via MAPK and p531 ,2

Jeffrey Hildesheim, Dmitry V. Bulavin, Miriam R. Anver, W. Gregory Alvord, M. Christine Hollander, Lilit Vardanian and Albert J. Fornace, Jr.3

Gene Response Section, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland 20892-4255 [J. H., D. V. B., M. C. H., L. V., A. J. F.]; Pathology/Histotechnology Laboratory, Science Applications International Corp., Frederick, Maryland 21702-1201 [M. R. A.]; and Data Management Services, National Cancer Institute at Frederick, Frederick, Maryland 21702-1201 [W. G. A.]


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Skin cancer is the most frequent form of malignancy in the world, and UV radiation is the primaryenvironmental carcinogen responsible for its development. Herein we demonstratethat Gadd45a is a critical factor protecting the epidermis against UV radiation-induced tumorigenesis by promoting damaged keratinocytes to undergo apoptosis and/or cell cycle arrest, two crucial events that prevent the expansion of mutant or deregulated cells. Whereas Gadd45a has been implicated in cell cycle arrest, apoptosis, and DNA repair, to determine the physiological function of endogenous Gadd45a after genotoxic stress, the skin of Gadd45a-null mice was targeted with UV radiation. We report that Gadd45a induces apoptosis and cell cycle arrest by maintaining p38 and c-JNK MAPK activation in keratinocytes. The absence of Gadd45a results in loss of sustained p38/JNK MAPK activity beyond 15–30 min after UV radiation that leads to inadequate p53 activation and loss of normal activation of G1 and G2 checkpoints. Moreover, loss of Gadd45a dramatically reduces UV-induced apoptotic keratinocytes, "sunburn cells." Consequently, Gadd45a-null mice are more prone to tumors relative to wild-type mice. Therefore, we conclude that Gadd45a, like p53, is a key component protecting skin against UV-induced tumors.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
UV radiation is a naturally occurring genotoxic agent and is the primary environmental carcinogen responsible for the development of most skin cancers (1, 2, 3, 4) . Much of the important damage produced by solar radiation is caused by UVB fluences (290–320 nm), which induce damage to a variety of cellular targets including DNA. In the case of DNA damage, UVB generates oxygen radicals as well as inducing cyclobutane pyrimidine dimers and pyrimidine-pyrimidone 6–4(6–4) photoproducts (5, 6, 7) . These forms of DNA damage will, directly or indirectly, signal the activation of a series of signal transduction cascades comprised of serine/threonine kinases, MAPKs4 (8, 9, 10, 11) . In addition, UV radiation rapidly triggers signal transduction pathways involving the MAPKs by activation of growth factor receptors and other non-nuclear targets (12, 13, 14) . Under normal conditions, MAPKs are known to play critical roles in development, which include regulating cellular proliferation, differentiation, and death (10 , 15) . Whereas the extracellular signal-regulated kinase (ERK) MAPKs are preferentially activated by mitogenic stimuli, p38 and JNK/stress-activated protein kinase MAPKs are activated by growth-suppressive stimuli such as genotoxic stress, transforming growth factor ß, and proinflammatory cytokines (16 , 17) . Activated p38 and JNK in turn will phosphorylate and contribute to the activation of numerous transcription factors, such as p53, c-Myc, c-Jun, c-Fos, and ATF-2, involved in regulating stress-induced genes, which orchestrate events leading to cell cycle arrest, DNA repair, and/or apoptosis (10 , 15 , 17, 18, 19, 20, 21, 22, 23, 24) . These targets are not limited to transcription factors only; e.g., p38 has been shown recently to phosphorylate a key inhibitory site in the cell-cycle protein Cdc25B (25) .

One family of genes that is downstream, and perhaps upstream, of the MAPK cascade is the Gadd45 (growth-arrest and DNA damage-inducible) family. This family is composed of three genes: Gadd45a (Gadd45/Gadd45{alpha}), Gadd45b (Myd118/Gadd45ß), and Gadd45g (CR6/Gadd45{gamma}/OIG37; Refs. 26, 27, 28, 29, 30 ). Whereas all of the family members are stress inducible, Gadd45b and Gadd45g appear to have prominent roles in cellular differentiation events (26 , 29 , 31) , although Gadd45a is a p53-effector and stress-inducible gene (28) . Gadd45a is an ubiquitously expressed Mr 21,000 acidic protein, which, like p53, has been implicated in many biological processes related to maintenance of genomic stability and apoptosis. Gadd45a (along with Gadd45b and Gadd45g), for instance, has been shown to activate p38 and JNK MAPKs by associating with and activating MEKK4/MTK1 MAPK kinase kinase (32) , although this issue remains controversial, and has yet to be shown with a genetic approach for both Gadd45a and Gadd45b (33, 34, 35) . In the same vein, JNK-mediated apoptosis in vitro has been reported to occur via Brca1-induced Gadd45a transactivation (36) . Gadd45a is also able to associate with proteins involved in cell cycle regulation, such as p21 (Cdkna1), a cyclin-dependent kinase inhibitor (37) , and Cdc2/cyclinB, a key kinase for G2/M progression (38) ; it also associates with proliferating cell nuclear antigen, which is involved in DNA replication and repair (39 , 40) . Additionally, Gadd45a binds to core histones in damaged DNA (41) . The development of Gadd45a-null mice has provided important insights for the in vivo roles of this gene (42, 43, 44) . To a great extent, the phenotype of Gadd45a-null mice (42) parallels that of Tp53-null mice (45 , 46) . Whereas Gadd45a-null mice do not develop spontaneous tumors, these mice have an increased frequency of both ionizing radiation-induced and dimethylbenzanthracene-induced tumors (42 , 43) . Like p53-deficient cells (47 , 48) , cells derived from Gadd45a-null mice exhibited genomic instability, single oncogene transformation, loss of normal cellular senescence, increased cellular proliferation, incomplete cytokinesis, centrosome amplification, and reduced DNA repair (42 , 44) . In the case of apoptosis, Gadd45a-null fibroblasts, thymocytes, and lymphocytes showed proficient apoptosis to a variety of stimuli, such as ionizing (42) and UV radiation (35) . Thus, there is substantial but not complete overlap in the cellular roles for Gadd45a and p53.

Although Gadd45a is one of numerous downstream targets of p53 (47) , the fact that: (a) Gadd45 family members are able to activate the p38/JNK MAPK pathway (32 , 49) ; and (b) Tp53-null and Gadd45a-null mice share many similarities (42) , led us to hypothesize that Gadd45a may have some role in the regulation of p53. Because p38 (18) , as well as JNK (19) , can contribute to p53 activation after stresses such as UV radiation, and because Gadd45a can be induced by both p53-dependent (50) and -independent (28) mechanisms, Gadd45a could conceivably contribute to maintaining p53 activity through a p38/JNK MAPK-mediated feedback loop that in turn leads to additional increased expression of Gadd45a. In this report, we used both in vivo skin and in vitro primary keratinocyte culture systems to additionally elucidate the functions of endogenous Gadd45a pertaining to apoptosis, proliferation, and differentiation, all of which can contribute to tumorigenesis if perturbed. The importance (and relevance) of using UVB and solar radiation (290–320 nm and 290–400 nm, respectively) as the genotoxic agent instead of UVC radiation (240–290 nm) and skin as the organ system of choice is based on the fact that UVA and UVB are naturally occurring carcinogens, whereas UVC radiation does not appreciably penetrate the atmosphere, and that epidermal cells are the primary target of solar radiation. Herein we demonstrated that UV-irradiation of murine skin and Gadd45a-null epidermal keratinocytes had compromised p38, JNK, and p53 activation rendering the cells resistant to apoptosis and deficient in G1 and G2 checkpoint control. Whereas wt mice adequately responded to UV-induced stresses, the defects observed in Gadd45a-null mice and/or epidermal keratinocytes ultimately lead to a pronounced increase in susceptibility to UV-induced lesions, including hyperplasias, squamous cell papillomas, and carcinomas comparable with observations reported previously with Tp53-null mice (51) .


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Cell Culture.
Primary keratinocytes were derived from multiple litters of 1–2-day-old C57BL6/129 newborn mice. Mouse trunk skins were treated overnight with Dispase (25 units/ml) at 4°C followed by trypsinization at 37°C. Single cell suspensions were seeded on type IV collagen coated flasks (50 µg/ml; BD PharMingen) and cultured with serum-free keratinocyte medium (Life Technologies, Inc.) supplemented with bovine pituitary extract and recombinant epidermal growth factor as specified by the manufacturer. Medium was replenished every other day.

Dermal fibroblasts were harvested from the dermis of the same mice after Dispase treatment. Dermis was digested with collagenase (3.5 mg/ml; Worthington Biomedical Corp.) in DMEM and subsequently subject to two centrifugation steps to first pellet all dermal cells (fibroblasts and follicular keratinocytes, 3 min at 1200 rpm), and second, to eliminate the heavier follicular keratinocyte pellet (two times 3 min at 400 rpm). Dermal fibroblasts remaining in supernatant are seeded in regular flasks and cultured with DMEM/10% fetal bovine serum. Cells were fed every other day.

Cell Cycle Analysis.
Primary keratinocytes and dermal fibroblasts were allowed to reach ~70% confluence before they were UV-irradiated with the specified doses. For G1 checkpoint analysis, cells were pulsed for 3 h with 10 µM BrdUrd 15 h after irradiation. Pulsed cells were in turn harvested by trypsinization followed by centrifugation at 350 x g for 5 min. Cell pellets were fixed in 70% ethanol at -20°C for at least 1 h and hydrolyzed with 2 N HCl/0.5% Triton X-100 for 30 min at room temperature. HCl was in turn neutralized with 0.1 M sodium borate (pH 8.5). After washing the cells with 1x PBS, the pellet was resuspended in blocking solution (PBS containing 0.05% Tween 20/1% BSA) for 30 min, followed by 1-h incubation with FITC-conjugated anti-BrdUrd antibody (BD PharMingen). Lastly, cells were washed with 1x PBS and resuspended in FACS solution (PBS with 5 µg propidium iodide/10 µg/ml RNase).

For G2 checkpoint analysis, cells were fixed at indicated time points after UV irradiation in 70% ethanol. After washing the pellet with 1x PBS, cells were blocked with 2% BSA/0.05% Tween 20 in PBS for 20 min at room temperature. Subsequently, cells were incubated for 1 h with blocking solution containing antihistone H3 antibody (1:1000 dilution; Upstate Biotech). Next, cells were incubated with secondary antibody (Cy2-conjugated antirabbit IgG; Amersham Pharmacia Biotech) for 30 min at room temperature, washed with 1x PBS, and resuspended in FACS solution as described above. Mitotic index corresponds to the fraction of cells in mitosis.

Real-Time PCR.
Total RNA was extracted with Trizol from adherent cells as recommended by the manufacturer (Life Technologies, Inc.). cDNA synthesis was performed according to standard protocols (ThermoScript RT PCR System; Life Technologies, Inc.) on 1 µg of DNase-treated (DNA-free; Ambion) total RNA with a combination of random-hexamer and oligo(dT)20 primer. In turn, the single-stranded cDNA was used as template for real-time PCR performed with an ABI PRISM 7700 sequence detection system. Briefly, the total volume/reaction was 25 µl and composed of 50 ng of single-stranded cDNA template, 1x SYBR Green PCR master mix (Applied Biosystems), and 200 nM primer mix (forward and reverse primers combined). Templates were subject to 40 cycles of: denaturation (94°C, 20 s), annealing (55°C, 20 s), and extension (72°C, 30 s). Primer sets used are as follows: Gadd45{alpha}, 5'-GGTGAGCC TGAAGAAGGAAGCT-3' (forward), 5'-TTCTTGCAGTGCTTTGTAGTTTTTG-3' (reverse); Gadd45ß, 5'-TACATAT-TTGACAGCCCCCTCA-3' (forward), 5'-CAGAAG GTATCACGGGTAGGGT-3' (reverse); Gadd45{gamma}, 5'-AGCCGACTGCACTGCTCTTT-3' (forward), 5'-ACGATAGCGTCCTTTAGAA-AATGAA (reverse); and glyceraldehyde-3-phosphate dehydrogenase, 5'-GAA GGTGAAGGTCGGAGTC-3' (forward), 5'-GAAGAT-GGTGATGGGATTTC-3' (reverse).

In Vivo Apoptosis Assay.
Either newborn C57BL6/129 pups or 6-week-old depilated adult C57BL6/129 mice were irradiated with 1000 Jm-2 UVB generated from four Westinghouse FS20 SunLamp bulbs (270–385 nm emission spectrum with peak at 313 nm). The energy emitted by the lamps was measured with a model PMA2100 meter (Solar Light Co.) and a model PMA2106 UVR detector calibrated to register the energy from 282 to 326 nm. Trunk skin was harvested 24 h after irradiation and immediately fixed in 10% neutral buffered formalin. Five µm-thick sections of paraffin-embedded tissues were used for the TUNEL assay according to the manufacturer’s recommendations (TACS2 terminal deoxynucleotidyl transferase-Blue Label In Situ Apoptosis Detection kit; Trevigen). Briefly, end-labeling of fragmented DNA was performed with a reaction mix composed of 2 µl terminal deoxynucleotidyl transferase (15 units/µl), 2 µl cobalt cation (50 mM), 2 µl deoxynucleoside triphosphate mix (0.25 mM each biotinylated nucleotide triphosphate), and 100 µl labeling buffer. Samples were incubated for 60 min in a humidified chamber. Samples were in turn incubated with streptavidin-HRP (1:750 dilution) for 10 min. After conjugation, all of the samples were incubated for precisely the same length of time (2.5 min) with HRP substrate. Lastly, sections were counterstained with Red Counterstain C (Trevigen) and visualized with light microscopy. Ten animals/genotype were used (5 irradiated versus 5 unirradiated).

RNase Protection Assay.
Total RNA was extracted from full thickness adult mouse skin with Trizol (Invitrogen) and subject to the RiboQuant multiprobe RNase protection assay as per manufacturer’s recommendations (BD PharMingen). Briefly, the multiprobes were synthesized by incubating 50 ng of RNase protection assay template set for 60 min at 37°C with [{alpha}-32P]UTP (3000 Ci/mmol, 10 mCi/ml) and other components supplied in the kit such as transcription buffer, cold nucleotides, T7 polymerase, RNasin, and DTT. The synthesis reaction was terminated with DNase by incubating samples at 37°C for an additional 30 min. Radiolabeled probes (~6 x 105 cpm/reaction) were hybridized overnight at 56°C to 20 µg of total RNA and subsequently incubated with RNase A+T1 mixture at 30°C for 45 min, and proteinase K for an additional 15 min at 37°C. After phenol-chloroform extraction and ethanol precipitation, the RNase-digested samples were resuspended in loading buffer and resolved on a 6% polyacrylamide, 8 M urea denaturing gel. Quantitation was performed with a phosphorimager.

Immunohistochemistry.
Newborn mice were irradiated as described above. Trunk skin was harvested 1 h after irradiation and immediately fixed in 10% neutral buffered formalin. Five-µm thick sections were deparaffinized and subject to antigen unmasking with 10 mM sodium citrate buffer (pH 6.0). After unmasking, sections were incubated with 1% hydrogen peroxide for 10 min to eliminate endogenous peroxidase activity. After the quenching step, sections were washed several times in water and 1x PBS, and subsequently blocked for 1 h with 5% goat serum in PBS. Primary antibody (1:100 dilution of F-5 anti-p21 monoclonal antibodies; Santa Cruz Biotech.; 1:50 dilution of Phospho-p38 MAPK polyclonal antibody, 1:20 dilution of Phospho-JNK MAPK monoclonal antibody; Cell Signaling Technology, Inc.; and 1:50 dilution of Gadd45a polyclonal antibody; Santa Cruz Biotech.) was then applied in blocking solution, and sections were incubated overnight at 4°C. The following morning, secondary antibody was added (1:200 dilution of biotinylated antirabbit or antimouse IgG). For HRP conjugation and substrate detection, the Vectastain ABC kit was used as described by the manufacturer (Vector Laboratories). Four (p21) and 8 (p38, JNK, and Gadd45a) animals per genotype were used (2 irradiated per time point and 2 unirradiated).

UV Carcinogenesis and Histopathology.
Hairless mice were generated by crossing SKH1-hairless mice with the established C57BL6/129 Gadd45a-null mouse strain (42) . Littermates from hairless Gadd45a+/-crosses were used. Animals were age and gender-matched and subjected to three weekly doses of 1000 Jm-2 of UVB (Westinghouse FS40 SunLamp fluorescent tube) and 7300 Jm-2 of UVA (blacklight fluorescent tube; emission spectrum of 310–400 nm with peak at 365 nm) radiation for a total of 52 weeks. For this strain, this exposure corresponds to one minimal erythema dose, and the inclusion of UVA radiation gave a spectrum comparable with solar radiation. Comprehensive histopathology evaluation was performed on skins of 10 mice (5 wt and 5 Gadd45a-null). Entire skins were fixed in 10% buffered neutral formalin. All of the gross lesions on dorsal skin of trunk, pinnae, and tail were embedded in paraffin, sectioned at 5 µm, and stained with H&E.

Statistical Analysis.
Tumor multiplicities between wt and Gadd45a-null mice were compared using the nonparametric Wilcoxon rank-sum test because of the lack of homogeneity of variance between groups on the specific criterion of interest. Probabilities reported are two-sided.

Transient Transfection and CAT Assay.
Cells were transduced with LipofectAMINE 2000 reagent according to manufacturer’s recommendations (Invitrogen). Briefly, 10-cm plates were seeded with 300,000 cells and transfected 2 days later with 10 µg/plate of p53RE-CAT plasmid along with 20 µg of LipofectAMINE 2000/plate. Transfected cells were allowed to rest for 2 more days, after which they were irradiated with the specified doses of UVB. Total cell lysates were prepared 2 days after irradiation, and CAT assays were performed according to established protocols. Two independent experiments were performed in duplicate sets.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Gadd45a-/- Mouse Epidermis Is Resistant to Apoptosis.
Because of the potential role of Gadd45 family proteins in MAPK signaling and stress-induced apoptosis and DNA repair, we investigated whether Gadd45a-/- mice showed altered susceptibility to sunburn/apoptosis. In the epidermis, the manifestation of apoptotic keratinocytes originating from UV radiation is referred to as sunburn cells (52 , 53) . UV-induced sunburn cells have been demonstrated previously to require functional p53, the absence of which results in resistance to UV-induced apoptosis (53) . Although wt and Gadd45a-null thymocytes, embryonic fibroblasts, and splenic lymphocytes showed comparable levels of apoptosis after ionizing radiation or UV radiation (35 , 42) , interestingly the epidermis of Gadd45a-null mice was far more resistant to UVB-induced apoptosis (Fig. 1)Citation . Both Gadd45a-null and wt newborn mice were irradiated with a dose ranging from 0.8 to 5 minimum erythema doses in different human skin types (54) . At the established peak response time of 24 h after irradiation (55) , their skin was harvested and analyzed by TUNEL assay. Whereas wt mice had appreciable numbers of TUNEL-positive keratinocytes after irradiation in both the basal and nucleated suprabasal keratinocytes, mice lacking Gadd45a were resistant to apoptosis and only rarely showed sunburn/TUNEL-positive cells. Similar results were obtained from adult mice (Fig. 2Citation , top and middle panels). Histological analysis of the UVB-irradiated adult mouse skin revealed ~2.5-fold greater incidence of sunburn cells in wt mice as compared with Gadd45a-null mice. Interestingly, adult wt mice also demonstrated increased sensitivity to UV irradiation in comparison to Gadd45a-null mice as manifested by more pronounced erythema and the emergence of subcorneal pustules and epidermal erosion (Fig. 2Citation , bottom panels) coincident with elevated inflammatory cytokine responses (Fig. 3)Citation . Therefore, we conclude that Gadd45a, like p53, is intimately involved in orchestrating events leading to apoptosis in the skin, which may contribute to the observed inflammation in the dermis.



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Fig. 1. In vivo UV radiation-induced apoptosis in newborn mouse epidermal keratinocytes. Newborn Gadd45a+/+ (top two panels, +/+) and Gadd45a-/- (bottom two panels, -/-) mice were irradiated with 1000 Jm-2 UVB. Dorsal trunk skin from irradiated (UVR) and unirradiated (control) mice was harvested 24 h after UVR. Five-µm thick sections of formalin-fixed and paraffin-embedded tissue were subject to the TUNEL assay. Widespread DNA fragmentation in nuclei of keratinocytes undergoing apoptosis is visualized as an insoluble blue signal. Representative fields are shown of five assays (1 mouse/assay) performed per group; magnification is x200.

 


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Fig. 2. In vivo UV radiation-induced sunburn and inflammation in adult mouse skin. Six-week-old adult mice were irradiated on depilated dorsal skin with 1000 Jm-2 of UVB. Twenty-four h after UV radiation, the skin was harvested, fixed in 10% neutral-buffered formalin, and subject to H&E staining. Substantially more dyskeratotic and pyknotic sunburn cells (indicated by arrows) are present in UV-irradiated wt skin (+/+, middle left panel) as compared with Gadd45a-null skin (-/-, middle right panel) or control unirradiated skin (C, top left panel). Quantitation (top right panel) of randomly selected 1-cm segments of irradiated (UVR) and unirradiated controls (C) revealed a >2.5-fold increase in sunburn cells in wt mice (+/+) relative to Gadd45a-null mice (-/-). Moreover, irradiated wt mice frequently developed subcorneal pustules (bottom left panel) and/or complete epidermal erosion (bottom right panel). This degree of inflammation is not observed in Gadd45a-null mice. UV radiation experiments were performed in triplicate, and two 1-cm segments were scored per animal. Representative images are shown. Because hair removal will stimulate keratinocyte proliferation, the relative epidermal thickness of depilated skin is normally increased. Magnification is x200; bars, ±SD.

 


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Fig. 3. Cytokine expression profile of UVB irradiated mouse skin. Twenty µg of total RNA extracted from full thickness skin of both wt (+/+, {blacksquare}) and Gadd45a-null (-/-, ) mice at the indicated time points after UV radiation were used for RNase protection assays with RiboQuant multiprobe sets. Each time point corresponds to the average of two RNase protection assays performed on two separate animals and normalized to the average of duplicate sets of controls for the respective genotype. IL, interleukin; TNF-{alpha}, tumor necrosis factor {alpha}; LTß, lymphotoxin ß.

 
Gadd45a Is Required for Maintaining p38 and JNK MAPK Activation in Vivo.
Because Gadd45 family proteins have been reported to be upstream activators of p38 and JNK MAPK (32 , 56) , we were interested in determining whether Gadd45a-dependent apoptosis involves activation of these two signaling pathways in epidermal keratinocytes. Although comparable basal levels of p38 and JNK activity were detected by Western blot analysis of unirradiated wt and Gadd45a-/- keratinocytes (data not shown), immunohistochemical analysis of irradiated newborn mouse skin revealed that whereas activation of both p38 and JNK MAPK immediately after UVB radiation is independent of Gadd45a, sustained MAPK signaling requires Gadd45a (Fig. 4, A and B)Citation . Whereas anti-phospho-specific p38 antibodies (which detect activated p38) clearly stained granular keratinocytes in wt mice 15 min to 1 h after UV radiation, p38 activation was not appreciably maintained and/or detected in the epidermis of irradiated Gadd45a-null mice beyond 15 to 30 min after UV radiation (Fig. 4A)Citation . The suprabasal localization of active p38 in murine skin is in accordance to what has been reported previously (57) .



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Fig. 4. Immunohistochemical analysis of UV radiation-induced p38 and JNK MAPK activation, and Gadd45a accumulation in mouse skin. Formalin-fixed and paraffin-embedded tissue sections of newborn mouse skin were subject to immunohistochemical staining with either (A) anti-phospho-specific p38 antibodies, (B) anti-phospho-specific JNK antibodies, or (C) Gadd45a-specific antibodies. Primary antibodies were visualized with peroxidase staining. Whereas Gadd45a+/+ mouse skin (top panels, +/+) show marked and sustained p38 and JNK activation in the granular and basal layers, respectively, 15 min to 1 h after UVB irradiation (1000 Jm-2), irradiated Gadd45a-/- mouse skin (bottom panels, -/-) are only transiently responsive at early time points and resemble unirradiated controls after 1 h. Both p38 and JNK activation was sustained for up to 4 h in wt mice (data not shown). Gadd45a protein accumulation is detected in suprabasal keratinocytes 1 h after UV radiation. Magnifications (Mag, far right panels) with arrows demarcating positively stained regions within the epidermis are also shown. Representative fields are shown of four independent assays/trunk skin performed per genotype (two irradiated and two control); magnification is x200.

 
The immunohistochemical observations made with anti-phospho-specific JNK antibodies parallel the results obtained with the phospho-specific p38 antibodies (Fig. 4B)Citation . Whereas wt mice readily showed evidence for persistent JNK activation within the 15–60 min time frame, this was not observed in Gadd45a-null mice. Only transient and modest JNK activation was detected in Gadd45a-null skin at 30 min after UV radiation. Interestingly, unlike p38, active JNK was detected predominantly in the basal layer of the epidermis. Together, maintenance of p38 and JNK activation correlated well with the accumulation of Gadd45a protein in the epidermis 1 h after UV irradiation (Fig. 4C)Citation and the eventual emergence of TUNEL-positive nuclei of keratinocytes in all of the epidermal layers 24 h after UVR (Fig. 1)Citation . These results, along with the observation that Gadd45a is required for UV-induced sunburn cells, are consistent with Gadd45a as an upstream component of the MAPK signaling pathway involved in the normal maintenance of both p38 and JNK MAPK activity (18 , 58) .

UVB Radiation-induced p53 Activation Is Dependent on Gadd45a.
Both p38 and JNK have been implicated in normal p53 activation and p53-mediated apoptosis after UV radiation (18 , 19) . Furthermore, although it has been estimated that p53 has well over 100 downstream target genes (47) , the fact that Gadd45a-/- and Tp53-/- epidermal keratinocytes behave very similarly under genotoxic stress conditions suggests that either: (a) Gadd45a is the primary p53-effector gene in skin; and/or (b) that Gadd45a is not only a downstream p53-effector gene but is also, under some circumstances, necessary for p53 activation. To determine the latter, an UVB radiation-induced p53 transcriptional activation assay was performed with wt and Gadd45a-/- primary keratinocytes. UV irradiation of primary keratinocytes transfected with a chloramphenicol acetyltransferase reporter plasmid driven by a p53 response element clearly demonstrated that in the absence of Gadd45a, keratinocytes had a marked reduction in p53 activation (Fig. 5A)Citation . Whereas pronounced p53 activation was observed in Gadd45a+/+ cells irradiated with UVB (6-fold and 14-fold activation above background for UV doses of 150 and 250 Jm-2, respectively), relatively little or no p53 activation was observed in Gadd45a-/- cells (no activation and 2.5-fold activation above background, respectively, for the two doses; Fig. 5BCitation ). To determine whether the same effects occurred in vivo, p53 activity was indirectly determined by performing immunohistochemistry on UV-irradiated newborn mouse skin with anti-p21WAF1/Cip1-specific antibodies (Fig. 5C)Citation . Whereas p21 protein levels increase substantially in the nuclei of wt basal keratinocytes 4 h after UV radiation, only modest protein accumulation is detected in Gadd45a-null equivalents, indicative of reduced p53 activity in the absence of Gadd45a protein. The fact that UV radiation-induced p53 activation is dependent on Gadd45a, suggests that whereas Gadd45a is a p53-effector gene, it can also contribute to p53 activation. Consequently, this places Gadd45a both upstream and downstream of p53.



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Fig. 5. UV radiation-induced p53 activation comparison between Gadd45a+/+ and Gadd45a-/- keratinocytes. Primary mouse keratinocytes were transfected with a CAT reporter plasmid driven by a p53-responsive element and subsequently irradiated with the indicated doses of UVB. Twenty-five µg of total cell lysates were incubated with [14C]chloramphenicol as a substrate, and the products from the enzymatic reaction were resolved by TLC. In vivo p53 activity on UV-irradiated skin was determined by immunohistochemistry with anti-p21 antibodies. A, representative autoradiography images and (B) quantitative analysis of the CAT activity assay are shown. UV-irradiated cells were normalized to unirradiated control cells for each genotype. C, representative p21-stained sections for wt (+/+, top panels) and Gadd45a-null (-/-) mice are shown before (control) and 4 h after 1000 Jm-2 of UVB irradiation (UVR). Two independent in vitro experiments with duplicate sets of assays were performed. Immunohistochemistry was performed in duplicate animals. Magnification is x200; bars, ±SD.

 
Reduced G1 and G2 Checkpoints after UVB Radiation in Gadd45a-/- Keratinocytes.
The fact that we observed that Gadd45a is necessary for stress-induced activation of not only p38 and JNK MAPK but also of p53 in epidermal keratinocytes lead us to additionally investigate the importance of Gadd45a in UVB radiation-induced cell cycle arrest. Recent studies demonstrated that JNK and p38 MAPK are not only involved in p53 phosphorylation and activation (18 , 19) , but that p38 MAPK also mediates activation of a G2/M checkpoint by phosphorylating Cdc25B (25) . Consistent with the known role for p53 in G1 checkpoint activation (47 , 59) after many stresses including UV radiation (60) , FACS analysis of UVB-irradiated primary mouse keratinocytes revealed nearly a complete loss of G1 arrest in p53-null cells and a marked attenuation in Gadd45-/- cells. For example, BrdUrd labeling of keratinocytes 15 h after UV radiation showed that the G1:S ratio for irradiated wt keratinocytes is ~3-fold greater than the G1:S ratio for irradiated Gadd45a-null cells at 250 Jm-2 (Fig. 6A)Citation . Whereas both wt and Gadd45a-null cells have a dose-dependent G1 checkpoint response to UV radiation, Gadd45a-null cells are consistently less responsive. Considering that this checkpoint is nearly completely abrogated in p53-null, our findings in Fig. 5Citation and Fig. 6ACitation indicate that this checkpoint deficit in Gadd45a-null keratinocytes is because of attenuated p53 signaling. Interestingly, contrary to the observed defects in UV stress-induced G1 checkpoint response, Gadd45a-null keratinocytes respond effectively to classic differentiation and antiproliferative stimuli, such as calcium and transforming growth factor ß1-induced G1 arrest, which play a role in differentiation of suprabasal epidermal keratinocytes (data not shown; Refs. 61, 62, 63, 64, 65, 66 ).



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Fig. 6. FACS analysis of UV radiation-induced G1 and G2 checkpoints and relative expression levels of Gadd45 mRNA in keratinocytes and dermal fibroblasts. G1 checkpoint analysis was performed on monolayer cultures of (A) primary mouse keratinocytes and (C) primary dermal fibroblasts irradiated with increasing doses of UVB as indicated. Fifteen h after irradiation, cells were pulsed with BrdUrd for 3 h and subjected to FACS analysis. The G1:S phase ratio from duplicate data sets was determined for each dose. Experiments were performed in duplicate. Relative G1:S ratios for Gadd45a+/+ ({bullet}), Gadd45a-/- ({circ}), and Tp53-/- ({diamondsuit}) are shown. UV-irradiated data sets were normalized to unirradiated controls for each genotype. G2 checkpoint analysis was performed on (B) keratinocytes and (D) dermal fibroblasts irradiated with 150 Jm-2 of UVB. The mitotic indexes of Gadd45a+/+ ({bullet}), Gadd45a-/- ({circ}), and Tp53-/- ({diamondsuit}) cells at 1, 2, and 4 h after UV radiation was determined by FACS analysis with antihistone H3 antibodies. Data points were performed in duplicate, and results shown are representative of two independent experiments. Mitotic indexes for UV irradiated cells were normalized to unirradiated controls for each cell type and genotype. Real-time PCR was performed with RNA obtained from primary keratinocytes (KC) and dermal fibroblasts (DF) with primers sets specific for (E) Gadd45a and (F) Gadd45g. Amplification of glyceraldehyde-3-phosphate dehydrogenase was used as an internal loading control for each individual amplification reaction. The relative PCR amplification for Gadd45 mRNAs in dermal fibroblasts was normalized to the values obtained for keratinocytes. Experiments were performed in triplicate. Each assay was done in duplicate sets.

 
Both Gadd45a-null and Tp53-null keratinocytes also showed a pronounced reduction in G2 arrest after UV radiation (Fig. 6B)Citation . G2 checkpoint activation was measured by a reduction in the mitotic index in the first 4 h, and thus focuses primarily on cells already in G2 when irradiated. Nearly all of the wt cells (>=80%) were arrested by 1 h after UV radiation, and this arrest persisted during the following 3 h of the study. In contrast, only a marginal delay is seen for Gadd45a-null cells at 1 h, and the maximum checkpoint at 2 h was <40%. This weak checkpoint was transient, and the mitotic index returned to unirradiated levels by 4 h. A similar response was seen in Tp53-null keratinocytes where only marginal checkpoint activation is seen in the first 2 h with return to unirradiated levels by 4 h. Whereas G1 checkpoint abrogation is more pronounced in Tp53-null cells (Fig. 6A)Citation , interestingly the G2 checkpoint deficit is comparable with that of Gadd45a-/- cells. We conclude from these studies that Gadd45a, like p53, plays a pivotal role in sequestering keratinocytes in both G1 and G2 after UV radiation-induced stress. What remained to be seen was whether our results with keratinocytes are applicable to other skin cell types.

Abrogation of UVB Radiation-induced G1 and G2 Checkpoints Is Keratinocyte-specific.
To determine whether the involvement of Gadd45a in UV radiation-induced cell cycle arrest is cell-type specific, primary dermal fibroblasts were tested under similar conditions. In contrast to keratinocytes, Gadd45a-/- dermal fibroblasts did not manifest any G1 or G2 checkpoint deficits after UV radiation relative to Gadd45a+/+ dermal fibroblasts (Fig. 6, C and DCitation , respectively). On the basis of FACS analysis, both cell types responded equally well, in a dose-dependent manner, to various doses of UVB radiation. The observed differences in response to UV radiation for the two cell types could be because of a redundancy within the Gadd45 gene family, and it is conceivable that one or more Gadd45 genes could compensate for the lack of Gadd45a. To test this possibility, a comparison of the relative mRNA expression levels of the three Gadd45 genes in both primary keratinocytes and dermal fibroblasts was performed by quantitative reverse transcription-PCR (Fig. 6, E and F)Citation . Interestingly, whereas similar basal levels of Gadd45b expression are detected in keratinocytes and dermal fibroblasts (data not shown), the expression profile for Gadd45a (Fig. 6E)Citation and Gadd45g (Fig. 6F)Citation are significantly different for the two cell types. Primary dermal fibroblasts have a 2.6-fold lower expression of Gadd45a and a 10-fold greater expression of Gadd45g relative to primary keratinocytes. The relative expression levels noted for Gadd45b and Gadd45g in wt cells are maintained in Gadd45a-null cells (data not shown), and indicate that no compensatory mechanism exists in Gadd45a-/- keratinocytes and dermal fibroblasts.

Gadd45a Protects the Epidermis against Solar Radiation-induced Carcinogenesis.
Because we demonstrate that: (a) Gadd45a contributes to p53 activation via MAPK signaling; (b) the Gadd45a-null sunburn phenotype mimics that of Tp53-null mice; and (c) it is known that p53 protects against UV radiation-induced squamous cell carcinomas (51 , 67 , 68) , we were interested in determining whether UV-irradiated Gadd45a-null mice would have increased predisposition to skin tumorigenesis, as do Tp53-null mice (51) . Gadd45a-null and wt mice littermates were irradiated three times per week for 1 year with a source that mimics solar radiation and subsequently were processed for comprehensive histopathological examination. Overall, relative to wt mice, UV-irradiated Gadd45a-null mice demonstrated a dramatic increase in the total number of proliferative epidermal lesions including premalignant atypical epidermal hyperplasia, squamous cell papillomas, and squamous cell carcinomas (Table 1)Citation . The atypical hyperplasias consisted of discrete foci of thickened stratum spinosum with disorganization of nuclei and piling up of the basal epithelial cells, with frequent rete ridge protrusions into the dermis. The squamous cell tumors were typical of those normally described in skin carcinogenesis studies (Fig. 7Citation ; Ref. 69 ).


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Table 1 Multiplicity and incidence of solar radiation-induced proliferative lesions for wt and Gadd45a-null micea

 


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Fig. 7. UV-induced hyperproliferative lesions in the skin. Shown are representative H&E-stained skin cross-sections of mice subject to solar irradiation. Wild-type mice (top left panel) typically retained normal skin, whereas Gadd45a-null mice manifested a significant increase in hyperproliferative lesions such as atypical hyperplasia (top right panel), squamous cell papilloma (bottom left panel), and squamous cell carcinoma (bottom right panel). Magnification is x100.

 

    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
In this report, we provide evidence that endogenous Gadd45a protects epidermal keratinocytes against UV radiation-induced carcinogenesis by contributing to both apoptosis, and G1 and G2 checkpoint regulation via p38 and JNK MAPK signaling, and p53 activation. Interestingly, the epidermal damage induced by UVB radiation also triggers a substantial inflammatory response, which is lacking in Gadd45a-null mice. It remains to be determined whether this response primarily reflects production of inflammatory cytokines by normal skin components or the infiltrating inflammatory cells; IFN-{gamma}, for instance, is produced by inflammatory cells and not keratinocytes. Much of the Gadd45a-dependent regulatory effects we observed in keratinocytes appear to be cell type-specific. Whereas we observed a dramatic difference in p38 and JNK activation in keratinocytes exposed to UV radiation, recent reports demonstrated no changes in p38 and JNK MAPK activation after UV irradiation of embryo fibroblasts derived from the same mouse models (35) . Our results with dermal fibroblasts validate this observation, because Gadd45-null dermal fibroblasts behave similarly to the wt counterparts, and effectively block G1/S and G2/M transition after DNA damage. The fact that Gadd45g is expressed at appreciably higher levels in dermal fibroblasts is one possible explanation for why this particular cell type may be able to compensate for the lack of Gadd45a with proficient G1 and G2 checkpoint activation, in contrast to keratinocytes (Fig. 6, A–D)Citation . Additionally, our laboratory has reported previously that unlike Tp53-/- thymocytes, Gadd45a-/- thymocytes are as sensitive to DNA damage-induced apoptosis as are wt thymocytes (42) . Once again, these phenotypic differences can be attributed not only to the fact that Gadd45 family proteins have overlapping functions, but also to our observation that the Gadd45 genes are differentially expressed in different cell types (Fig. 6, E and F)Citation .

A provocative and controversial reported model implicates Gadd45 family proteins as upstream activators of p38 and JNK MAPK (32 , 49) . The Gadd45 genes are known to be stress responsive (28 , 70) . Consequently, stress-inducible Gadd45 family proteins could thus interact with and activate MTK1, which is followed by activation of its downstream targets, p38 and JNK. In contrast, it has been reported that both p38 (35) and JNK (34 , 35) activation not only precedes Gadd45a gene expression, but is also independent of de novo protein synthesis after stresses such as UV radiation. In the case of Gadd45b, its expression has been shown recently to have an antiapoptotic role in embryonic fibroblasts by down-regulating JNK, whereas having no effect on p38 or extracellular signal-regulated kinase activity (33) . In contrast, the activity of JNK and p38 during activation by T-cell receptor signaling has been reported to be markedly reduced in TH1 cells from Gadd45g-null mice. Whereas some of these findings may appear to contradict the former model by maintaining p53-effector genes as downstream targets of p38 and JNK, our data support the notion that Gadd45a is both downstream and upstream of p38/JNK MAPK, and is necessary for sustained MAPK signaling. We demonstrate that whereas the initial activation of both p38 and JNK MAPK is not dependent on Gadd45a, maintenance of MAPK activity beyond 15 to 30 min is dependent on newly synthesized Gadd45a protein. In fact, the effects that we observe with G1/G2-block, p53 activation, and apoptosis are all occurring well within the timeframe we observe de novo Gadd45a synthesis.

The manner in which Gadd45a-/- keratinocytes mimic the phenotype of Tp53-/- keratinocytes is not surprising in the context of Gadd45a being both upstream and downstream of p38/JNK. Whereas it is reasonable to assume that the antiproliferative effects of p38 and JNK are achieved via p53-mediated G1 arrest (32 , 71 , 72) , an increasing body of evidence also implicates p38 in G2 checkpoint regulation. It has been reported recently that initiation of an UV radiation-induced G2/M checkpoint is mediated by p38, which is responsible for the phosphorylation and repression of the G2/M transition initiator Cdc25B phosphatase, and that phosphorylation of this phosphatase is required for 14-3-3-mediated inhibition to occur (25) .

On the basis of our results, along with the information above, we propose a model that delineates how Gadd45a-mediated G1, G2 checkpoint, and apoptosis are achieved via a positive feedback loop with p38 and JNK (Fig. 8)Citation . Stress MAPK signaling is rapidly activated by UV radiation with induction of the Gadd45a gene by p53 signaling. Gadd45a, as well as Gadd34 (MyD116) and Gadd153 (CHOP), is also stress-inducible in p53-deficient cells via signaling involving p38 and other MAPKs (28 , 47 , 73) . With increases in the level of Gadd45a after UV radiation, "feedback" signaling loops involving Gadd45a and upstream MAPK components, such as MTK1, maintain strong signaling of p38 and JNK. p53 activation will result in changes in transcription of p53-effector genes such as p21 (Cdkn1a), 14-3-3{sigma}, Gadd45a, and others involved in cell cycle control (71) . p21 will induce G1 arrest, whereas multiple factors, such as 14-3-3{sigma} and Gadd45a, will contribute to G2 arrest (74) . Gadd45a protein will directly contribute to G2 arrest by disrupting Cdc2/cyclin B1 kinase activity and indirectly by blocking Cdc25B phosphatase activity via p38 (25 , 38) . p38/JNK activation by Gadd45a will also indirectly contribute to G1 arrest through p53-mediated events. For example, inhibition of p38 activity has been shown previously to markedly attenuate p53 transcriptional activity and p53-mediated apoptosis after UV radiation (18) . Whether the cell will undergo either cell cycle arrest or apoptosis may be determined by the severity of the insult as well as cellular context. Whereas transient p38/JNK activation will likely result in cell cycle block, prolonged p38/JNK activation will likely set the apoptotic program in motion. Loss of stress MAPK signaling can lead to inadequate protection against tumorigenesis. Indeed, a recent report clearly demonstrates that p38 MAPK is a critical tumor suppressor protecting against E1A and H-Ras-induced transformation of mouse embryonic fibroblasts (75) . Moreover, a relatively high frequency of mutations in the Gadd45a gene has been identified recently in pancreatic tumors, additionally strengthening its link to cancer (76) . Therefore, it is understandable how the absence of Gadd45a predisposes irradiated skin to tumors by enabling damaged and deregulated cells to not only survive the genotoxic insult, but also to proliferate after loss of normal checkpoint controls.



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Fig. 8. Working model for the role of Gadd45a in stress signaling. Genotoxic stress, such as UV radiation will lead to rapid activation of MTK1, which in turn leads to phosphorylation and activation of JNK/p38 MAPK. JNK/p38 MAPK will contribute to activation of several transcription factors, including p53. In turn, Gadd45a is activated by both p53-dependent and/or p53-independent means; in the end, newly synthesized Gadd45a protein is essential for maintaining MAPK and p53 activity via a positive feedback loop with MTK1. Keratinocytes lacking Gadd45a have compromised UV radiation-induced JNK/p38 MAPK and p53 activation, and consequently have abrogated G1 and G2 checkpoints, as well as resistance to apoptosis.

 
In summary, the results presented above not only provide a better understanding of the biological function of Gadd45a in a physiologically relevant system but also enable us to clarify and integrate many of the controversies regarding Gadd45a and the MAPK signaling pathways. A better understanding of the mechanisms involved in maintaining genomic integrity is essential for the identification of potential targets, such as Gadd45a, and development of future therapeutic approaches for the most prevalent form of human neoplasia, the various forms of skin cancer.


    ACKNOWLEDGMENTS
 
We thank Drs. P. Donald Forbes and Luigi D’Aloisio for expert advise on carcinogenesis studies; Dr. Natalia Dmitrieva for help and suggestions with the mitotic index assays; and Andrew Patterson for outstanding technical assistance. We also thank Dr. Stuart Tyner for helpful discussions and critical reading of the manuscript.


    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 the National Cancer Institute, NIH, under contract No. N01-C0-12400 and N01-C0-12401. Back

2 Supplementary data for this article is available at Cancer Research Online (http://cancerres.aacrjournals.org). Back

3 To whom requests for reprints should be addressed, at Gene Response Section, Center for Cancer Research, National Cancer Institute, NIH, Building 37, Room 6144, 37 Convent Drive, MSC 4255, Bethesda, MD 20892-4255. Phone: (301) 402-0744; Fax: (301) 480-1946; E-mail: af6z{at}nih.gov Back

4 The abbreviations used are: MAPK, mitogen-activated protein kinase; JNK, c-Jun NH2-terminal kinase; BrdUrd, bromodeoxyuridine; FACS, fluorescence-activated cell sorter; TUNEL, terminal deoxynucleotidyl transferase-mediated nick end labeling; HRP, horseradish peroxidase; wt, wild-type; CAT, chloramphenicol acetyltransferase. Back

Received 7/ 8/02. Accepted 10/17/02.


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