Cancer Research Cancer Epigenetics  Genetics and Biology of Brain Cancer
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online

Cancer Research 67, 10789, November 15, 2007. doi: 10.1158/0008-5472.CAN-07-2033
© 2007 American Association for Cancer Research

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Supplementary Data
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hattori, T.
Right arrow Articles by Kitagawa, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hattori, T.
Right arrow Articles by Kitagawa, M.

Molecular Biology, Pathobiology, and Genetics

Pirh2 Promotes Ubiquitin-Dependent Degradation of the Cyclin-Dependent Kinase Inhibitor p27Kip1

Takayuki Hattori1, Tomoyasu Isobe1, Kenji Abe1, Hirotoshi Kikuchi1,2, Kyoko Kitagawa1, Toshiaki Oda1, Chiharu Uchida1 and Masatoshi Kitagawa1

1 Department of Biochemistry 1 and 2 Second Department of Surgery, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu, Japan

Requests for reprints: Masatoshi Kitagawa, Department of Biochemistry 1, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan. Phone: 81-53-435-2322; Fax: 81-53-435-2322; E-mail: kitamasa{at}hama-med.ac.jp.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The cyclin-dependent kinase inhibitor p27Kip1 is degraded in late G1 phase by the ubiquitin-proteasome pathway, allowing cells to enter S phase. Due to accelerated degradation of p27Kip1, various human cancers express low levels of p27Kip1 associated with poor prognosis. S-phase kinase–associated protein 2, the F-box protein component of an SCF ubiquitin ligase complex, is implicated in degradation of p27Kip1 during S-G2 phases. Recently, Kip1 ubiquitination–promoting complex has been reported as another ubiquitin ligase that targets cytoplasmic p27Kip1 exported from the nucleus in G0-G1 phases. Here, we identified a RING-H2–type ubiquitin ligase, Pirh2, as a p27Kip1-interacting protein. Endogenous Pirh2 physically interacted with endogenous p27Kip1 in mammalian cells. Pirh2 directly ubiquitinated p27Kip1 in an intact RING finger domain-dependent manner in vivo, as well as in vitro. Ablation of endogenous Pirh2 by small interfering RNA increased the steady-state level of p27Kip1 and decelerated p27Kip1 turnover. Depletion of Pirh2 induced accumulation of p27Kip1 in both the nucleus and cytoplasm. Pirh2 expression was induced from late G1-S phase, whereas p27Kip1 was decreased in synchronization with accumulation of Pirh2. Furthermore, reduction of Pirh2 resulted in an impairment of p27Kip1 degradation and an inhibition of cell cycle progression at G1-S transition in a p53-independent manner. Overall, the results indicate that Pirh2 acts as a negative regulator of p27Kip1 function by promoting ubiquitin-dependent proteasomal degradation. [Cancer Res 2007;67(22):10789–95]


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell cycle progression is controlled by cyclin-dependent kinases (CDK; ref. 1). The CDK activities are negatively regulated by CDK inhibitor proteins (CKI; ref. 2). In the quiescent and early G1 phase, p27Kip1, one of the Cip/Kip-type CKIs, exists in abundance in the cell nucleus to suppress cell cycle progression (3). Although the level of p27Kip1 mRNA does not vary during the cell cycle, p27Kip1 protein is degraded via the ubiquitin-proteasome system at late G1 phase, and thereby, cyclin D–CDK4 is activated to phosphorylate retinoblastoma protein. S-phase kinase–associated protein 2 (Skp2), an F-box substrate recognition subunit of the SCF ubiquitin ligase complex, recognizes Thr187-phosphorylated p27Kip1 in collaboration with cdc kinase subunit 1 (Cks1) to promote ubiquitination of p27Kip1 (47). p27Kip1 is accumulated in Skp2-knockout mouse tissues and embryonic fibroblast cells (8). Skp2 is therefore thought to be one of the ubiquitin ligases for p27Kip1.

Many studies have shown that a low expression level of p27Kip1 is associated with poor prognosis in many types of human cancers, such as colon, breast, lung, and stomach cancer (913). The low expression level of p27Kip1 is due to accelerated degradation of p27Kip1 in cancer cells. Moreover, some studies have shown high expression levels of Skp2 protein in human cancers, such as oral squamous cell carcinomas, colorectal carcinomas, non–Hodgkin's lymphomas, and non–small cell lung carcinomas (14, 15). Because it was shown in these studies that a high expression level of Skp2 is correlated with a low expression level of p27Kip1, Skp2/Cks1 is thought to be involved in degradation of p27Kip1 in human cancers.

However, expression of Skp2 begins in S phase, except for Skp2-overexpressing tumors (16, 17). Although Skp2 knockout cells are impaired in degradation of p27Kip1 in S-G2 phases, Hara et al. showed that Skp2-independent degradation of p27Kip1 was observed in Skp2-knockout lymphocytes in G1 phase (8, 18). It is therefore assumed that Skp2-independent mechanisms exist for stability control of p27Kip1. The Skp2-independent ubiquitination activity is unrelated to Thr187 phosphorylation of p27Kip1. Stability of p27Kip1 is affected by not only phosphorylation of Thr187 but also by phosphorylation of Ser10 (1922). Furthermore, phosphorylation of Ser10 regulates nuclear export of p27Kip1 for degradation via the ubiquitin-proteasome pathway in an Skp2-independent manner (21, 23). Recently, the cytoplasmic RING finger-type E3 complex Kip1 ubiquitination–promoting complex (KPC) was identified as a ubiquitin ligase for p27Kip1 (24). In the cytoplasm, KPC mediates ubiquitination of p27Kip1 exported from the nucleus in G0 and early G1 phase in a Ser10 phosphorylation–dependent manner. However, nuclear ubiquitin ligase for p27Kip1 that ubiquitinates p27Kip1 at G1-S transition is still unknown.

In the present study, we did yeast two-hybrid screening using the amino-terminal region of p27Kip1 as bait to identify novel p27Kip1-binding proteins that regulate p27Kip1 stability. We found that the RING finger protein Pirh2, a ubiquitin ligase for p53 (25), interacted with p27Kip1. Pirh2 ubiquitinated p27Kip1 in vivo, as well as in vitro, and thereby, p27Kip1 was degraded via the ubiquitin-proteasome pathway. Down-regulation of endogenous Pirh2 by small interfering RNA (siRNA) resulted in deceleration of p27Kip1 turnover and inhibition of cell cycle progression at G1-S transition in a p53-independent manner. Our results suggest that Pirh2 regulates p27Kip1 stability and cell cycle progression at G1-S transition.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell culture, reagents, and antibodies. All cells were maintained in DMEM supplemented with 10% heat-inactivated fetal bovine serum and antibiotics. T98G cells were synchronized at G0 phase by serum deprivation as described previously (26). MG132 (Peptide Institute) and cycloheximide (Wako) were purchased. p27Kip1 was immunoprecipitated by using polyclonal antibody C-19 (Santa Cruz Biotechnology) and detected by monoclonal antibody (57, BD Biosciences). Polyclonal antibodies against human Pirh2 (Calbiochem), mouse Pirh2 (T-18, Santa Cruz Biotechnology), luciferase (Sigma), Skp2 (H-435, Santa Cruz Biotechnology), Cks1 (FL-79, Santa Cruz Biotechnology), and cyclin A (H-432, Santa Cruz Biotechnology) were purchased. Monoclonal antibodies against FLAG-epitope (M2, Sigma), HA-epitope (12CA5, Roche), Xpress-epitope (Invitrogen), ß-actin (AC-15, Sigma), Hsp90 (BD Biosciences), p130 (BD Biosciences), {alpha}-tubulin (DM1A, Sigma), and p53 (DO-1, Santa Cruz Biotechnology) were used for immunoprecipitation and/or immunoblotting. Anti–cAMP-responsive element binding protein (CREB) polyclonal antibody (from Dr. M. Montminy, Salk Institute) and anti-KPC1 antiserum (from Dr. K.I. Nakayama, Kyushu University) were kindly provided.

Mammalian expression vectors and transfection. Human Pirh2 cDNA amplified by reverse transcription–PCR (RT-PCR) from HCT116 cell RNA was cloned into the pcDNA4-HisMax expression vector (Invitrogen). The resultant pcDNA4-HisMax-hPirh2 encodes 6xHis and the Xpress-epitope tag fused with the amino terminus of human Pirh2. PCR-based site-directed mutagenesis was used to obtain cDNA fragments encoding RING finger mutant hPirh2 (C148A). pcDNA3-FLAG-p27 and pCGN-HA-ubiquitin were described previously (19, 27). 293 and HepG2 cells were transfected by the calcium phosphate method.

Immunoprecipitation, Ni2+-resin precipitation, and immunoblotting. Cells were lysed in immunoprecipitation lysis buffer [0.5% Triton X-100, 150 mmol/L NaCl, 20 mmol/L Tris-HCl (pH 7.6), and protease inhibitor mix] or radioimmunoprecipitation assay buffer [50 mmol/L Tris-HCl (pH 8.0), 150 mmol/L NaCl, 0.1% SDS, 0.5% deoxycholate, 1% Triton X-100, and protease inhibitors mix]. Immunoprecipitation, Ni2+-resin precipitation, and immunoblotting were done as described previously with some modifications (27, 28).

In vitro ubiquitination assay. Glutathione S-transferase (GST)–tagged hp27Kip1, hPirh2, and hPirh2 (C148A) protein were expressed in Escherichia coli DH5{alpha} and affinity-purified with glutathione–Sepharose 4B (GE Healthcare), and then the GST tag was removed by cleavage with PreScission protease (GE Healthcare). p27Kip1 protein was incubated with or without Pirh2 protein at 30°C for 30 min in a 20-µL ubiquitination mixture supplemented with 50 mmol/L Tris-HCl (pH 8.3), 5 mmol/L MgCl2, 2 mmol/L DTT, 10 mmol/L phosphocreatinine, 0.2 units/mL phosphocreatinine kinase, 5 mmol/L adenosine-5'-triphosphate, 2 µL GST-ubiquitin, 50 µg/mL ubiquitin aldehyde, 250 µmol/L MG132, protease inhibitor mix, E1; (120 ng, Boston Biochem), and UbcH5b (50-260 ng, Boston Biochem). After incubation, the reactants were subjected to immunoblotting with anti-p27Kip1 antibody.

RNA interference. hPirh2 siRNA1 (5'-CAUGCCCAACAGACUUGUG-3'), hPirh2 siRNA2 (5'-GUAGCACAGACUCCUAUGC-3'), hPirh2 siRNA3 (5'-UGGACGAUCCACUGUUCAG-3'), mPirh2 siRNA1 (5'-AUUUAUGCCUAACCACGAA-3'), mPirh2 siRNA2 (5'-CCAUGCCAUCCGAAUACCA-3'), Skp2 siRNA1 (5'-CUGCGGCUUUCGGAUCCCA-3'), Skp2 siRNA2 (5'-GCAUGUACAGGUGGCUGUU-3'), KPC1 siRNA1 (5'-UCAACAGCGUCCUCAAUCA-3'), and KPC1 siRNA2 (5'-CCACCAUCGUGUCUGUAGA-3'). siRNA oligonucleotides with 3' dTdT overhangs were synthesized by Greiner Bio-One. Nonsilencing control siRNA (Qiagen) was purchased. The cells were transfected with siRNA oligonucleotides by using Oligofectamine or Lipofectamine RNAiMAX (Invitrogen) according to the manufacturer's protocol.

Subcellular fractionation. Nuclear and cytoplasmic extracts were prepared by using NE-PER nuclear and cytoplasmic extraction reagents (Pierce) according to the supplier's protocol.

Cell cycle analysis. Cells were fixed with 70% ethanol in PBS (–) at –20°C overnight. After treatment with 0.5 mg/mL of RNase, the cells were stained with 50 µg/mL of propidium iodide. The DNA contents were examined by flow cytometry (Epics XL, Beckman Coulter).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Identification of Pirh2 as a p27Kip1-interacting protein. To identify novel proteins interacting with p27Kip1, we did yeast two-hybrid screening of 3.2 x 106 clones of a rat brain cDNA library using the amino-terminal portion of p27Kip1 (amino acids 2-26 residues) as a bait. After second screenings, four distinct interacting candidates were identified after DNA sequencing. Among these clones, clone 9 encoded an unidentified protein that possessed a typical RING-H2 domain. During this study, two groups reported a RING-H2 protein with E3 ubiquitin ligase activity that was identical to clone 9. Beitel et al. reported the protein as an androgen receptor–interacting protein, whereas Leng et al. reported the protein as a p53-inducible and p53-interacting protein (Pirh2; p53-inducible protein with RING-H2 domain) which promotes ubiquitination of p53 (25, 29). Clone 9 is called Pirh2 hereafter. Recently, Logan et al. reported Pirh2 as a ubiquitin ligase for histone deacetylase 1 (30).

To verify physical interaction between p27Kip1 and Pirh2 in mammalian cells, expression plasmids for His6-Xpress-Pirh2 and FLAG-p27Kip1 were cotransfected into HEK293 cells. When His-tagged Pirh2 was precipitated with Ni2+ resin and immunoblotted with anti-p27Kip1 antibody, p27Kip1 was only coprecipitated in the presence of transfected Pirh2 (Fig. 1A ). To further confirm this interaction, we examined whether endogenous Pirh2 associated with endogenous p27Kip1. COLO320DM cell extracts were subjected to immunoprecipitation with anti-Pirh2 or antiluciferase as an isotype control and immunoblotted with anti-p27Kip1 antibody. As shown in Fig. 1B, p27Kip1 was coprecipitated with Pirh2 in the case of precipitation with anti-Pirh2 but not in an isotype control. Taken together, the results suggest that Pirh2 and p27Kip1 physically interact with each other in mammalian cells.


Figure 1
View larger version (31K):
[in this window]
[in a new window]
[Download PPT slide]
 
Figure 1. Interaction between Pirh2 and p27Kip1. A, Pirh2 interacts with p27Kip1 in vivo. 293 cells were cotransfected with the indicated plasmids. After 36 h, the cells were treated with 10 µmol/L MG132. 6xHis-Xpress-Pirh2 was precipitated with Ni2+ resin and immunoblotted (IB) with anti-p27Kip1 or anti-Xpress antibody. B, endogenous p27Kip1 interacts with endogenous Pirh2. COLO320DM cells were treated with 10 µmol/L MG132 for 6 h, then cells were lysed, immunoprecipitated (IP) with anti-Pirh2 or antiluciferase antibody, and immunoblotted with anti-p27Kip1 or anti-Pirh2 antibody.

 
Pirh2 promotes ubiquitination of p27Kip1 in vivo as well as in vitro. To determine whether Pirh2 can promote ubiquitination of p27Kip1 in vivo, FLAG-p27Kip1 and HA-ubiquitin expression plasmids were cotransfected into HEK293 cells with Xpress-Pirh2 or Xpress-Pirh2 mutants (in which residue Cys148 within the RING finger domain was replaced with alanine, C148A) expression plasmid. Cell extracts were subjected to immunoblotting with anti-p27Kip1 antibody. Cotransfection with Pirh2 enhanced ubiquitination of p27Kip1, which was not seen in the absence of Pirh2 or in the case of cotransfection with RING mutant (C148A) Pirh2 (Fig. 2A ). Pirh2-mediated ubiquitination of p27Kip1 was also observed in HepG2 cells (Fig. 2B). In this experiment, only HA-ubiquitinated p27Kip1 was detectable because p27Kip1 was immunoprecipitated twice as described in Fig. 2. Immunoblots with anti-HA and anti-p27Kip1 antibodies gave ladders with similar mobility shifts identical to the molecular mass of a ubiquitin chain (Fig. 2B; note that Ub1-p27 or Ub2-p27 equally migrate in all panels). These results suggested that the high–molecular mass species recognized by anti-p27Kip1 antibody were indeed ubiquitin-modified p27Kip1. Pirh2 could not induce ubiquitination of another Cip/Kip family CKI member, p57Kip2, which is a close relative of p27Kip1, indicating that Pirh2 specifically ubiquitinated p27Kip1 (data not shown). Pirh2 did not discriminate between phosphorylated and unphosphorylated forms of Ser10, because wild-type p27Kip1 and Ser10 mutants (S10A and S10E) were ubiquitinated by Pirh2 to similar extents (data not shown). We then investigated whether ubiquitination of p27Kip1 could be reconstituted in a cell-free system with purified components. Pirh2-mediated polyubiquitination was detected only with all of the reaction components and depended on the presence of an intact RING finger domain (Fig. 2C). In this in vitro ubiquitination assay, the high–molecular mass p27Kip1 bands disappeared when lysine-free GST-ubiquitin was used, indicating that p27Kip1 ubiquitination induced by Pirh2 consists of polymerization reaction of the ubiquitin chain (Fig. 2D). These observations suggest that Pirh2 promotes ubiquitination of p27Kip1 in vivo, as well as in vitro, and that p27Kip1 is a direct substrate for Pirh2.


Figure 2
View larger version (56K):
[in this window]
[in a new window]
[Download PPT slide]
 
Figure 2. Pirh2 ubiquitinates p27Kip1. A, Pirh2 promotes ubiquitination of p27Kip1 in a RING finger domain-dependent manner in vivo. 293 cells were cotransfected with wild-type Pirh2 (WT) or RING mutant (C148A) Pirh2 (MT) together with the indicated plasmids. At 36 h after transfection, the cells were treated with 10 µmol/L MG132 for 12 h and then lysed and immunoblotted with anti-p27Kip1 or anti-Xpress antibody. B, HepG2 cells were transfected with the indicated plasmids. After 36 h, the cells were treated with 10 µmol/L MG132 for 12 h. Then the cells were lysed and immunoprecipitated with anti-p27Kip1 antibody (1st IP). The immunocomplex was denatured in Laemmli's sample buffer containing SDS and 2-mercaptoethanol to dissociate contaminant proteins associated with p27Kip1. p27Kip1 was reimmunoprecipitated (2nd IP) with anti-p27Kip1 antibody and immunoblotted with anti-HA and p27Kip1 antibodies. C, Pirh2 directly ubiquitinates p27Kip1 in vitro. Recombinant p27Kip1 was incubated with or without recombinant Pirh2 and GST-ubiquitin in the in vitro ubiquitination mixture as described in Materials and Methods. After the ubiquitination reaction, the samples were analyzed by immunoblotting with anti-p27Kip1 antibody. D, Pirh2 induces polyubiquitination of p27Kip1. Recombinant p27Kip1 was incubated with wild-type GST-ubiquitin or lysine free GST-ubiquitin (KR) together with FLAG-Pirh2 purified from transfected 293T cell extract in the in vitro ubiquitination mixture. After the ubiquitination reaction, the samples were analyzed by immunoblotting with anti-p27Kip1 antibody.

 
Ablation of cellular Pirh2 causes an accumulation and stabilization of p27Kip1 protein. To clarify the role of Pirh2 in a more physiologic setting, endogenous Pirh2 mRNA was targeted with siRNA, and the effect on steady-state level of endogenous p27Kip1 was assessed. Pirh2 targeting siRNA, but not control siRNA, induced a decrease in intracellular Pirh2 in COLO320DM cells (Fig. 3A ). Concomitant with the decrease in Pirh2 level, p27Kip1 protein accumulated. p53 protein level was not altered by siRNA treatment (Fig. 3A, top), presumably because of its mutation in COLO320DM cells (31). Accumulation of p27Kip1 by Pirh2 ablation was also observed in T98G (Fig. 3D), HeLa, U2OS, Saos2, and MCF7 cells (data not shown). Because the expression levels of Skp2, Cks1, an essential cofactor for p27Kip1 ubiquitination by SCFSkp2 complex (4, 6), and p130, one of the targets for SCFSkp2 (32), were not altered even in Pirh2-depleted cells (Fig. 3A, top), accumulation of p27Kip1 was not due to unexpected inactivation of SCFSkp2 by Pirh2 depletion. Treatment with MG132 increased p27Kip1 protein levels in control cells, whereas p27Kip1 levels in Pirh2-depleted cells were hardly affected, indicating involvement of Pirh2 function in proteasome-dependent destabilization of p27Kip1 (Fig. 3A, bottom). To analyze the effect of Pirh2 depletion on p27Kip1 protein turnover, we did a cycloheximide assay. As shown in Fig. 3B, the results indicated that ablation of Pirh2 prolonged the half-life of p27Kip1 protein in COLO320DM cells. These data indicated that Pirh2 specifically promotes turnover of p27Kip1 protein at the physiologic level.


Figure 3
View larger version (51K):
[in this window]
[in a new window]
[Download PPT slide]
 
Figure 3. Accumulation and stabilization of p27Kip1 protein by siRNA targeting Pirh2 mRNA. A, Pirh2 ablation increases steady-state p27Kip1 protein level in a proteasome-dependent manner. siRNA targeting Pirh2 (P) or a control (C) one was transfected into COLO320DM cells. After 48 h, the cells were cultured with or without 10 µmol/L MG132 for 6 h. The effectiveness of siRNA was assessed by immunoblotting with anti-Pirh2 antibody. Steady-state p27Kip1, p53, p130, Skp2, and Cks1 protein levels were analyzed by immunoblotting with indicated antibodies. Expression levels of ß-actin or {alpha}-tubulin are indicated as an internal control. B, ablation of Pirh2 delays p27Kip1 protein turnover. COLO320DM cells were transfected with control or Pirh2 siRNA. The cells were then treated with 10 µg/mL of cycloheximide (CHX) for indicated periods and harvested for immunoblotting with anti-p27Kip1 and anti–ß-actin antibodies (top). The results were plotted after quantitation (bottom). The effectiveness of siRNA was assessed by immunoblotting with anti-Pirh2 antibody (bottom right). C, Pirh2 ablation increases steady-state p27Kip1 protein level in Skp2–/– MEFs. siRNA targeting Pirh2 (P1 and P2) or a control one was transfected into Skp2–/– MEFs. Pirh2, p27Kip1, and {alpha}-tubulin protein levels were analyzed by immunoblotting with indicated antibodies. D, Pirh2 ablation increases p27Kip1 protein stability in a manner independent of KPC. T98G cells were transfected with the indicated combinations of siRNA. Lysates were analyzed by immunoblotting as indicated.

 
Next, we examined the effect of Skp2 or KPC1, a component of KPC ubiquitin ligase complex with RING domain that catalyzes p27Kip1 ubiquitination, on the steady-state level of endogenous p27Kip1. In Skp2–/– MEFs, p27Kip1 protein was accumulated compared with wild-type MEFs. Accumulation of p27Kip1 protein was also observed even in Skp2–/– MEFs transfected with Pirh2 siRNA (Fig. 3C). Depletion of Pirh2 or KPC1 alone induced accumulation of p27Kip1 protein (Fig. 3D). Ablation of Pirh2 together with KPC1 resulted in an additive increment of p27Kip1 protein level. Because KPC1 expression was not affected by Pirh2 siRNA transfection, accumulation of p27Kip1 in Pirh2-depleted cells was not due to unexpected inactivation of KPC complex by Pirh2 depletion (Fig. 3D). These data indicated that not only SCFSkp2 and KPC complexes but also Pirh2 regulate p27Kip1 protein levels and that Pirh2 regulates p27Kip1 protein stability in a manner independent of SCFSkp2 and KPC complex.

Pirh2 destabilizes p27Kip1 in both the nucleus and cytoplasm. Next, we examined the subcellular localization of endogenous Pirh2 and p27Kip1 by immunoblot analysis of nuclear and cytoplasmic fractions prepared from COLO320DM cells treated with control or Pirh2 siRNA. As shown in Fig. 4 , Pirh2 and p27Kip1 were detected in both nuclear and cytoplasmic fractions. In cells depleted of Pirh2 by siRNA, p27Kip1 was accumulated in both nuclear and cytoplasmic fractions compared with cells transfected with control siRNA. On the other hand, nuclear p27Kip1 was predominantly accumulated in Skp2-depleted cells compared with cytoplasmic p27Kip, and only cytoplasmic p27Kip1 was accumulated in KPC1-depleted cells. These results indicated that Pirh2 promoted ubiquitination of p27Kip1 and, subsequently, degradation of it in both the nucleus and cytoplasm.


Figure 4
View larger version (52K):
[in this window]
[in a new window]
[Download PPT slide]
 
Figure 4. Pirh2 regulates p27Kip1 protein stability in both the nucleus and cytoplasm. Nuclear or cytoplasmic fractions prepared from COLO320DM cells transfected with control, Pirh2, Skp2, or KPC1 siRNA were subjected to immunoblotting with anti-Pirh2, anti-Skp2, anti-p27Kip1, anti-Hsp90 (cytoplasmic marker), or anti-CREB (nuclear maker) antibody. The effectiveness of KPC1 siRNA was assessed by quantitative RT-PCR. Knockdown efficiency of KPC1 was about 60%.

 
Pirh2 is induced from late G1 to S phase. To determine whether the expression of Pirh2 is dependent on cell cycle progression, we investigated the expression levels of Pirh2 in various cell cycle phases. T98G cells were synchronized at G0 phase by serum deprivation, and then cell cycle progression was stimulated by a serum-containing medium. The expression level of Pirh2 was low in G0 and early G1 phases compared with that in an asynchronous cell extract and gradually increased toward S phase (Supplementary Fig. S1). On the other hand, expression of Skp2 began from S phase. The expression level of p27Kip1 was inversely diminished in synchronization with an increase in the expression level of Pirh2. These observations indicated that Pirh2 was induced from late G1 phase toward S phase.

Pirh2 contributes to the degradation of p27Kip1 and cell cycle progression at G1-S transition in a p53-independent manner. Next, we examined the effects of depletion of endogenous Pirh2 on p27Kip1 protein degradation and cell cycle progression at G1-S transition. In this experiment, we used a glioblastoma cell line T98G, in which the p53 gene is mutated (33) to exclude any effects of p53 on cell cycle progression. Moreover, T98G cells are easily arrested at G0 phase by serum depletion and then synchronously reenter into G1 phase by serum stimulation (26). We transfected T98G cells with control or Pirh2 siRNA and then synchronized the cells in G0 phase by serum withdrawal. After serum stimulation, cells were harvested at the indicated times and analyzed expression levels of p27Kip1 and Pirh2 by Western blotting. The reduction of p27Kip1 protein in late G1 phase was markedly inhibited by treatment with Pirh2 siRNA (Fig. 5A ). Concomitant with impairment of p27Kip1 protein degradation, ablation of Pirh2 resulted in an arrest in cell cycle progression at G1-S transition. These results indicate that Pirh2 activity is required for p27Kip1 degradation and cell cycle progression at G1-S transition in a p53-independent manner. Finally, we compared the effects on p27Kip1 protein abundance and cell cycle progression of depletion of three ubiquitin ligases for p27Kip1. T98G cells transfected with control, Pirh2, Skp2, or KPC1 siRNA were synchronized in G0 phase and released as described above. Knockdown efficiencies of Pirh2, Skp2, and KPC1 at 18 h after release were about 60%, 75%, and 50%, respectively. As shown in Fig. 5B, reduction of Pirh2 most strongly induced both an impairment of p27Kip1 protein degradation and G1-S arrest when compared with Skp2 and KPC1. Taken together, these data indicate that Pirh2 regulates p27Kip1 stability and cell cycle progression at G1-S transition.


Figure 5
View larger version (44K):
[in this window]
[in a new window]
[Download PPT slide]
 
Figure 5. Down-regulation of Pirh2 attenuates the cell cycle progression from G1-S phase. A, T98G cells were transfected with control or Pirh2 siRNA. The cells were synchronized at G0 phase by serum deprivation and then cultured in a medium containing serum. At the indicated periods thereafter, cells were harvested and stained with propidium iodide for cell cycle analysis by flow cytometry. Lysates from parallel samples were analyzed by immunoblotting as indicated. B, ablation of Pirh2 has the most significant effect on cell cycle progressions when compared with the known ubiquitin ligases for p27Kip1, including Skp2 and KPC1. T98G cells were transfected with control Pirh2, Skp2, or KPC1 siRNA, then the cells were synchronized and analyzed as in A.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
It has been shown that the cellular amount of p27Kip1 is mainly regulated at the posttranslational level and is tightly controlled in synchronization with the cell division cycle (3436). It has also been shown that Skp2–/– cells are impaired in disruption of p27Kip1 in S-G2 phases but that p27Kip1 still undergoes ubiquitination and is degraded in late G1 phase even in Skp2-null cells (8, 18). These studies suggest that another ubiquitin ligase promotes proteasomal degradation of p27Kip1 in late G1 phase.

In this study, we identified RING finger type ubiquitin ligase Pirh2 as a new p27Kip1-interacting protein. Pirh2 certainly associated with p27Kip1 in mammalian cells (Fig. 1). Pirh2 directly ubiquitinated p27Kip1 in intact RING finger domain-dependent manner in vivo, as well as in vitro (Fig. 2). The expression level of Pirh2 was low in G0 and early G1 phases and increased toward S phase, whereas the expression level of p27Kip1 was inversely diminished in synchronization with an increase in the expression level of Pirh2 (Supplementary Fig. S1). Furthermore, depletion of Pirh2 in late G1 phase markedly impaired degradation of p27Kip1 and cell cycle progression at G1-S transition (Fig. 5). These results indicated that Pirh2, which is distinct from Skp2, functions as a ubiquitin ligase for p27Kip1 at G1-S transition.

In addition to p27Kip1, Pirh2 has been shown to associate with other molecules, including p53, androgen receptor, TIP60, and HDAC1 (25, 29, 30, 37). We showed that the block in the cell cycle progression due to Pirh2 depletion does not require p53 activity. To show that Pirh2 depletion–induced cell cycle arrest does not occur when p27Kip1 is suppressed, we tried to perform the same experiment, as shown in Fig. 5, by using Pirh2 and/or p27Kip1 siRNA. However, Pirh2 blocked cell cycle progression even in the T98G cells simultaneously treated with p27Kip1 siRNA (data not shown). This is because siRNA-mediated depletion of p27Kip1 was inefficient in T98G cells, and thereby, remaining p27Kip1 was stabilized and accumulated by Pirh2 depletion. Therefore, we cannot rule out the participation of other components than p53 and p27Kip1, which might also be stabilized in the absence of Pirh2.

Here, we evaluate the effects of depletion of three E3s, Pirh2, Skp2, and KPC1, on the cell cycle progression at G1-S phase with regard to changes in the DNA contents and expression levels of cyclin A and p27Kip1 (Fig. 5B). Although cyclin A was induced at 18 and 24 h after release in these three E3-depleted cells, the expression levels were different. Careful comparison of protein levels of cyclin A and p27Kip1 at 18 and 24 h with these three-ligase–depleted cells revealed that the cyclin A induction was most impaired in Pirh2-depleted cells, and in particular, the reduction in p27Kip1 level was most greatly impaired in Pirh2-depleted cells. We think that the relatively higher amount of p27Kip1 may more effectively impair the cell cycle progression and that the low cyclin A levels in the extract from Pirh2-depleted cells reflect the existence of low number of S phase cells expressing cyclin A at 18-h to 24-h position. Taken together, differences in the cell cycle profiles in Fig. 5B were closely related to differences in degree of impairment of p27Kip1 degradation at G1-S transition. These results suggest that Pirh2 is a unique ubiquitin ligase in regulating p27Kip1 stability and cell cycle progression at G1-S transition.

The cytoplasmic RING finger-type E3 complex KPC mediates ubiquitination of p27Kip1 exported from the nucleus in G0 and early G1 phase in a Ser10 phosphorylation–dependent manner (24). On the other hand, Pirh2 exists in both the nucleus and cytoplasm, and Pirh2 destabilizes p27Kip1 in both fractions (Fig. 4). Relatively low levels of Pirh2 were present in early G1 phase, and the increment of Pirh2 began from 9 h after serum addition (mid-late G1 phase) to be apparent at 12 to 15 h (G1-S transition) after serum stimulation, whereas KPC1 level did not change during the cell cycle (Fig. 5B). It is possible that Pirh2 promotes ubiquitin-dependent degradation of p27Kip1 in the nucleus and cytoplasm at late G1 phase, whereas KPC and Pirh2 cooperatively degrade p27Kip1 exported from the nucleus to cytoplasm in early-mid G1 phase. On the other hand, Skp2 contributes degradation of nuclear p27Kip1 in S-G2 phase. In S phase, Skp2 expression is induced, and a low level of p27Kip1 is maintained in the nucleus by collaboration of Skp2 and Pirh2, in which expression level is also high in S phase. Therefore, our study indicated that Pirh2 has different characters from Skp2 and KPC, and it is thought that Pirh2, Skp2, and KPC ubiquitin ligases coordinately control the abundance of the whole cellular p27Kip1 protein level and the progression of the cell cycle.

In Fig. 3D, depletion of KPC1 causes a large increase in p27Kip1 protein levels in T98G cells, comparable with that seen when Pirh2 is depleted. Yet in Fig. 5B, the same cells treated with KPC1 siRNA can clearly progress through the cell cycle, whereas the Pirh2-depleted cells remain blocked. We think that these are the very data showing the difference in the role at G1-S transition from Pirh2 to KPC1. Note that the experiment shown in Fig. 3D was done in asynchronous cells, whereas the experiment in Fig. 5B was done in synchronization/release conditions. The experiments in asynchronous conditions indicate requirement of both Pirh2 and KPC1 in regulation of p27Kip1 stability in steady-state cells. On the other hand, the synchronization/release experiments give us the evidence for the cell cycle phase at which activity of Pirh2 or KPC1 is required. As discussed above, data shown in Fig. 5B suggest that Pirh2 rather than KPC1 negatively regulates p27Kip1 stability and positively regulates cell cycle progression at G1-S transition.

The original report concerning Pirh2 showed it to be also a p53 target gene, as well as being able to regulate p53 levels (25). Pirh2-mediated degradation of p27Kip1 may participate in facilitating execution of p53-induced apoptosis. p27Kip1 is cleaved by caspase-3–like activity in apoptotic cells (38), leading to a dramatic induction of cdk2 activity. Induction of apoptosis is accompanied by up-regulation of cyclin A–associated kinase activity, and inhibition of this activity suppresses apoptosis (3942). Considering that p53 enhances transcription of Pirh2 and given that disappearance of p27Kip1 is required for executing the apoptotic process, Pirh2 may participate in p53-induced apoptosis by destructing p27Kip1 to activate cyclin A/cyclin E–Cdk2 complexes.

The expression of p27Kip1 is reduced in many types of human cancers, and it is inversely related to tumor aggressiveness and directly associated with prognosis in individuals with such cancer (913). Because Duan et al. reported high expression of Pirh2 in human lung cancer (43), Pirh2, as well as Skp2, may be involved in poor prognosis of human cancers to promote accelerated degradation of p27Kip1. Because depletion of endogenous Pirh2 by siRNA treatment resulted in a marked inhibition of cell cycle progression of glioblastoma cells (Fig. 5), a Pirh2 inhibitor may be useful in cancer therapies for Pirh2-overexpressing tumors.


    Acknowledgments
 
Grants support: Ministry of Education, Science, Sports, Culture, and Technology of Japan grants-in-aid 16021220 (M. Kitagawa), 17590056 (K. Kitagawa), and 17770110 (T. Hattori), Ministry of Health, Labor, and Welfare of Japan Third Term Comprehensive Control Research for Cancer grant-in-aid (M. Kitagawa), and Ministry of Education, Science, Sports, Culture, and Technology of Japan Hamamatsu University School of Medicine COE program (M. Kitagawa).

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.

We thank Drs. Kei-ichi Nakayama, Takumi Kamura, Noriko Ishida, and Mark Montminy for kindly providing the materials, Sayuri Suzuki and Tomomi Iida for technical assistance, and our laboratory members for their helpful discussions.


    Footnotes
 
Note: Supplementary data for this article are available at Cancer Research Online (http://cancerres.aacrjournals.org/).

Received 5/31/07. Revised 8/28/07. Accepted 9/21/07.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Nurse P. Cyclin dependent kinases and cell cycle control (nobel lecture). Chembiochem 2002;3:596–603.[CrossRef][Medline]
  2. Sherr CJ, Roberts JM. CDK inhibitors: positive and negative regulators of G1-phase progression. Genes Dev 1999;13:1501–12.[Free Full Text]
  3. Nakayama KI, Nakayama K. Cip/Kip cyclin-dependent kinase inhibitors: brakes of the cell cycle engine during development. BioEssays 1998;20:1020–9.[CrossRef][Medline]
  4. Spruck C, Strohmaier H, Watson M, et al. A CDK-independent function of mammalian Cks1: targeting of SCF(Skp2) to the CDK inhibitor p27Kip1. Mol Cell 2001;7:639–50.[CrossRef][Medline]
  5. Tsvetkov LM, Yeh KH, Lee SJ, Sun H, Zhang H. p27(Kip1) ubiquitination and degradation is regulated by the SCF(Skp2) complex through phosphorylated Thr187 in p27. Curr Biol 1999;9:661–4.[CrossRef][Medline]
  6. Ganoth D, Bornstein G, Ko TK, et al. The cell-cycle regulatory protein Cks1 is required for SCF(Skp2)-mediated ubiquitinylation of p27. Nat Cell Biol 2001;3:321–4.[CrossRef][Medline]
  7. Carrano AC, Eytan E, Hershko A, Pagano M. SKP2 is required for ubiquitin-mediated degradation of the CDK inhibitor p27. Nat Cell Biol 1999;1:193–9.[CrossRef][Medline]
  8. Nakayama K, Nagahama H, Minamishima YA, et al. Targeted disruption of Skp2 results in accumulation of cyclin E and p27(Kip1), polyploidy and centrosome overduplication. EMBO J 2000;19:2069–81.[CrossRef][Medline]
  9. Bloom J, Pagano M. Deregulated degradation of the cdk inhibitor p27 and malignant transformation. Semin Cancer Biol 2003;13:41–7.[CrossRef][Medline]
  10. Slingerland J, Pagano M. Regulation of the cdk inhibitor p27 and its deregulation in cancer. J Cell Physiol 2000;183:10–7.[CrossRef][Medline]
  11. Catzavelos C, Bhattacharya N, Ung YC, et al. Decreased levels of the cell-cycle inhibitor p27Kip1 protein: prognostic implications in primary breast cancer. Nat Med 1997;3:227–30.[CrossRef][Medline]
  12. Fredersdorf S, Burns J, Milne AM, et al. High level expression of p27(kip1) and cyclin D1 in some human breast cancer cells: inverse correlation between the expression of p27(kip1) and degree of malignancy in human breast and colorectal cancers. Proc Natl Acad Sci U S A 1997;94:6380–5.[Abstract/Free Full Text]
  13. Porter PL, Malone KE, Heagerty PJ, et al. Expression of cell-cycle regulators p27Kip1 and cyclin E, alone and in combination, correlate with survival in young breast cancer patients. Nat Med 1997;3:222–5.[CrossRef][Medline]
  14. Bashir T, Pagano M. Aberrant ubiquitin-mediated proteolysis of cell cycle regulatory proteins and oncogenesis. Adv Cancer Res 2003;88:101–44.[CrossRef][Medline]
  15. Masuda TA, Inoue H, Sonoda H, et al. Clinical and biological significance of S-phase kinase-associated protein 2 (Skp2) gene expression in gastric carcinoma: modulation of malignant phenotype by Skp2 overexpression, possibly via p27 proteolysis. Cancer Res 2002;62:3819–25.[Abstract/Free Full Text]
  16. Gstaiger M, Jordan R, Lim M, et al. Skp2 is oncogenic and overexpressed in human cancers. Proc Natl Acad Sci U S A 2001;98:5043–8.[Abstract/Free Full Text]
  17. Imaki H, Nakayama K, Delehouzee S, et al. Cell cycle-dependent regulation of the Skp2 promoter by GA-binding protein. Cancer Res 2003;63:4607–13.[Abstract/Free Full Text]
  18. Hara T, Kamura T, Nakayama K, Oshikawa K, Hatakeyama S. Degradation of p27(Kip1) at the G(0)-G(1) transition mediated by a Skp2-independent ubiquitination pathway. J Biol Chem 2001;276:48937–43.[Abstract/Free Full Text]
  19. Ishida N, Kitagawa M, Hatakeyama S, Nakayama K. Phosphorylation at serine 10, a major phosphorylation site of p27(Kip1), increases its protein stability. J Biol Chem 2000;275:25146–54.[Abstract/Free Full Text]
  20. Rodier G, Montagnoli A, Di Marcotullio L, et al. p27 cytoplasmic localization is regulated by phosphorylation on Ser10 and is not a prerequisite for its proteolysis. EMBO J 2001;20:6672–82.[CrossRef][Medline]
  21. Besson A, Gurian-West M, Chen X, Kelly-Spratt KS, Kemp CJ, Roberts JM. A pathway in quiescent cells that controls p27Kip1 stability, subcellular localization, and tumor suppression. Genes Dev 2006;20:47–64.[Abstract/Free Full Text]
  22. Kotake Y, Nakayama K, Ishida N, Nakayama KI. Role of serine 10 phosphorylation in p27 stabilization revealed by analysis of p27 knock-in mice harboring a serine 10 mutation. J Biol Chem 2005;280:1095–102.[Abstract/Free Full Text]
  23. Ishida N, Hara T, Kamura T, Yoshida M, Nakayama K, Nakayama KI. Phosphorylation of p27Kip1 on serine 10 is required for its binding to CRM1 and nuclear export. J Biol Chem 2002;277:14355–8.[Abstract/Free Full Text]
  24. Kamura T, Hara T, Matsumoto M, et al. Cytoplasmic ubiquitin ligase KPC regulates proteolysis of p27(Kip1) at G1 phase. Nat Cell Biol 2004;6:1229–35.[CrossRef][Medline]
  25. Leng RP, Lin Y, Ma W, et al. Pirh2, a p53-induced ubiquitin-protein ligase, promotes p53 degradation. Cell 2003;112:779–91.[CrossRef][Medline]
  26. Kitagawa M, Higashi H, Jung HK, et al. The consensus motif for phosphorylation by cyclin D1-4 is different from that for phosphorylation by cyclin A/E-Cdk2. EMBO J 1996;15:7060–9.[Medline]
  27. Hattori T, Kitagawa K, Uchida C, Oda T, Kitagawa M. Cks1 is degraded via the ubiquitin-proteasome pathway in a cell cycle-dependent manner. Genes Cells 2003;8:889–96.[Abstract]
  28. Uchida C, Miwa S, Kitagawa K, et al. Enhanced Mdm2 activity inhibits pRB function via ubiquitin-dependent degradation. EMBO J 2005;24:160–9.[CrossRef][Medline]
  29. Beitel LK, Elhaji YA, Lumbroso R, et al. Cloning and characterization of an androgen receptor N-terminal-interacting protein with ubiquitin-protein ligase activity. J Mol Endocrinol 2002;29:41–60.[Abstract]
  30. Logan IR, Gaughan L, McCracken SR, Sapountzi V, Leung HY, Robson CN. Human PIRH2 enhances androgen receptor signaling through inhibition of histone deacetylase 1 and is overexpressed in prostate cancer. Mol Cell Biol 2006;26:6502–10.[Abstract/Free Full Text]
  31. Jia LQ, Osada M, Ishioka C, et al. Screening the p53 status of human cell lines using a yeast functional assay. Mol Carcinog 1997;19:243–53.[CrossRef][Medline]
  32. Tedesco D, Lukas J, Reed SI. The pRb-related protein p130 is regulated by phosphorylation-dependent proteolysis via the protein-ubiquitin ligase SCF(Skp2). Genes Dev 2002;16:2946–57.[Abstract/Free Full Text]
  33. Van Meir EG, Kikuchi T, Tada M, et al. Analysis of the p53 gene and its expression in human glioblastoma cells. Cancer Res 1994;54:649–52.[Abstract/Free Full Text]
  34. Pagano M, Tam SW, Theodoras AM, et al. Role of the ubiquitin-proteasome pathway in regulating abundance of the cyclin-dependent kinase inhibitor p27. Science 1995;269:682–5.[Abstract/Free Full Text]
  35. Polyak K, Lee MH, Erdjument-Bromage H, et al. Cloning of p27Kip1, a cyclin-dependent kinase inhibitor and a potential mediator of extracellular antimitogenic signals. Cell 1994;78:59–66.[CrossRef][Medline]
  36. Hengst L, Reed SI. Translational control of p27Kip1 accumulation during the cell cycle. Science 1996;271:1861–4.[Abstract]
  37. Logan IR, Sapountzi V, Gaughan L, Neal DE, Robson CN. Control of human PIRH2 protein stability: involvement of TIP60 and the proteosome. J Biol Chem 2004;279:11696–704.[Abstract/Free Full Text]
  38. Levkau B, Koyama H, Raines EW, et al. Cleavage of p21Cip1/Waf1 and p27Kip1 mediates apoptosis in endothelial cells through activation of Cdk2: role of a caspase cascade. Mol Cell 1998;1:553–63.[CrossRef][Medline]
  39. Shi L, Nishioka WK, Th'ng J, Bradbury EM, Litchfield DW, Greenberg AH. Premature p34cdc2 activation required for apoptosis. Science 1994;263:1143–5.[Abstract/Free Full Text]
  40. Chen G, Shi L, Litchfield DW, Greenberg AH. Rescue from granzyme B-induced apoptosis by Wee1 kinase. J Exp Med 1995;181:2295–300.[Abstract/Free Full Text]
  41. Meikrantz W, Schlegel R. Suppression of apoptosis by dominant negative mutants of cyclin-dependent protein kinases. J Biol Chem 1996;271:10205–9.[Abstract/Free Full Text]
  42. Wang Q, Worland PJ, Clark JL, Carlson BA, Sausville EA. Apoptosis in 7-hydroxystaurosporine-treated T lymphoblasts correlates with activation of cyclin-dependent kinases 1 and 2. Cell Growth Differ 1995;6:927–36.[Abstract]
  43. Duan W, Gao L, Druhan LJ, et al. Expression of Pirh2, a newly identified ubiquitin protein ligase, in lung cancer. J Natl Cancer Inst 2004;96:1718–21.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
Proc. Natl. Acad. Sci. USAHome page
E. Susaki, K. Nakayama, L. Yamasaki, and K. I. Nakayama
Common and specific roles of the related CDK inhibitors p27 and p57 revealed by a knock-in mouse model
PNAS, March 31, 2009; 106(13): 5192 - 5197.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
M. M. Bertagnolli, R. S. Warren, D. Niedzwiecki, E. Mueller, C. C. Compton, M. Redston, M. Hall, H. P. Hahn, S. D. Jewell, R. J. Mayer, et al.
p27Kip1 in Stage III Colon Cancer: Implications for Outcome following Adjuvant Chemotherapy in Cancer and Leukemia Group B Protocol 89803
Clin. Cancer Res., March 15, 2009; 15(6): 2116 - 2122.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Supplementary Data
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hattori, T.
Right arrow Articles by Kitagawa, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hattori, T.
Right arrow Articles by Kitagawa, M.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online