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Hiten Madhani, MD, PhD 25 Cell Proliferation and Its Regulation (Lecture) OBJECTIVES List the key properties of stem cells. Describe the two key functions of the cell cycle with respect to DNA. List the four phases of the cell cycle and describe what happens in each phase. Name the four cyclin-Cdk complexes that drive the human cell cycle. Diagram the pathway by which the G1 Cdk activates the G1/S Cdk. Describe the molecular events that take place at each step of the pathway. Name the two classes of Cdk inhibitors and the cyclin-Cdk complexes they inhibit. Diagram the pathway leading from epidermal growth factor (EGF) to the activation of the cyclin D gene. Describe the molecular events that take place at each step of the pathway. Describe the Wnt signaling pathway and its effect on cell proliferation. Describe how variation in the expressioin of the APC gene controls cellular responsiveness to Wnt signaling. Describe in molecular terms how TGFß inhibits cell division. Describe how apoptosis can be triggered by either extracellular or intracellular signals. List the members of the Bcl-2 protein family and describe how they either promote or inhibit apoptosis. List the two major caspases involved in initiating apoptosis, and contrast their differences in mechanism of activation. Describe how p53 is activated in response to DNA damage. Describe how p53 causes cell cycle arrest and apoptosis. Describe the spindle assembly checkpoint and the molecular function of the Mad2 protein. KEY WORDS anaphase mitogen activated protein kinased (MAPK) antimitogen mitotic spindle APC (adenomatous polyposis coli) MYC apoptosis p16 ß-catenin p21 Bcl-2 p27 caspase p53 cell cycle progenitor cell centrosome PUMA checkpoint Raf chromosome segregation Ras cyclin Rb cyclin-dependent kinase (Cdk) receptor tyrosine kinase Cdk inhibitor SH2 domain

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Hiten Madhani, MD, PhD

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Cell Proliferation and Its Regulation(Lecture)

OBJECTIVES• Listthekeypropertiesofstemcells.• DescribethetwokeyfunctionsofthecellcyclewithrespecttoDNA.• Listthefourphasesofthecellcycleanddescribewhathappensineach

phase.• Namethefourcyclin-Cdkcomplexesthatdrivethehumancellcycle.• DiagramthepathwaybywhichtheG1CdkactivatestheG1/SCdk.Describe

themoleculareventsthattakeplaceateachstepofthepathway.• NamethetwoclassesofCdkinhibitorsandthecyclin-Cdkcomplexesthey

inhibit.• Diagramthepathwayleadingfromepidermalgrowthfactor(EGF)tothe

activationofthecyclinDgene.Describethemoleculareventsthattakeplaceateachstepofthepathway.

• DescribetheWntsignalingpathwayanditseffectoncellproliferation.• DescribehowvariationintheexpressioinoftheAPCgenecontrolscellular

responsivenesstoWntsignaling.• DescribeinmoleculartermshowTGFßinhibitscelldivision.• Describehowapoptosiscanbetriggeredbyeitherextracellularor

intracellularsignals.• ListthemembersoftheBcl-2proteinfamilyanddescribehowtheyeither

promoteorinhibitapoptosis.• Listthetwomajorcaspasesinvolvedininitiatingapoptosis,andcontrast

theirdifferencesinmechanismofactivation.• Describehowp53isactivatedinresponsetoDNAdamage.• Describehowp53causescellcyclearrestandapoptosis.• Describethespindleassemblycheckpointandthemolecularfunctionofthe

Mad2protein.

KEY WORDSanaphase mitogenactivatedproteinkinased(MAPK)antimitogen mitoticspindleAPC(adenomatouspolyposiscoli) MYCapoptosis p16ß-catenin p21Bcl-2 p27caspase p53cellcycle progenitorcellcentrosome PUMAcheckpoint Rafchromosomesegregation Rascyclin Rbcyclin-dependentkinase(Cdk) receptortyrosinekinaseCdkinhibitor SH2domain

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KEY WORDS,continuedcytochromeC mitogencytokinesis sisterchromatidE2F sisterchromatidcohesionepidermalgrowthfactor(EGF) SosGrb2 stemcellgrowthfactor survivalfactorkinetochore terminaldifferentiationMad2 transforminggrowthfactorß(TGFß)MEK Wnt

I. INTRODUCTIONUncontrolledcellproliferationisahallmarkofcancer.Asdescribedintheoverviewlectureofthisblock,multiplemutationscausecancercellstodivideunchecked.Inthislecturewewillfocusonthenormalmechanismsofcelldivision,withanemphasisonthosedirectlyrelevanttocancer.

Innormaltissues,cellproliferationisgenerallyrestrictedtocellsthatreplenishthetissue.Most,ifnotall,tissuesarethoughttocontainstem cells thathavethisreplenishmentfunction(Figure1).Stemcellsareself-renewingcellsthatcandivideasymmetricallytoyieldanewstemcellandaprogenitor cell.Progenitorcellsmayormaynotundergofurtherdivisions,ultimatelyleadingtoterminal differentiation.Oncecellshaveterminallydifferentiated,theyhaveaspecializedfunctionandarenolongerdividing.Mosttissuesaremadeupofsuchnon-dividingcells.Thusproliferationisnormallytightlycontrolledsothatonlyparticularcellsinthebodyaredividing.

Programmedcelldeathorapoptosis,istheprocessbywhichexcessordamagaedcellsinthebodyareremoved.Thebalancebetweentheproductionofnewcellsandcelldeathmaintainstheappropriatenumberofcellsinatissue,whichisreferredtoashomeostasis.Apoptosisisalsoakeymechanismbywhichcancer-pronecellsareeliminated.

Figure 1. StemCells.Stemcellsareself-renewingcells.Theycandivideasymmetricallytoproduceanewstemcell(indicatedbyacircle)andaprogenitorcell.Progenitorcellsdividetoproducecellsthatundergoterminaldifferentiationtoproducethematurecellsthatmakeupatissueororgan.

Stem Cell (self-renewing)

Progenitor (Dividing)

Terminally DifferentiatedCells (Non-Dividing)

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II. ThE CELL CYCLECell division occurs in defined stages, which together comprise the cell cycle.Intermsofthegeneticmaterial,cellsmustreplicatetheirchromosomalDNAonceeverycellcycleandsegregatethesister chromatidsproducedbyDNAreplicationtoyieldtwogeneticallyidenticaldaughtercells(Figure2).Recallthathumancellsarediploid,containingtwocopiesofeachchromosome(homologs).DuringDNAreplication,cohesionproteinsattachthereplicatedsisterchromatidstoeachother,holdingthemtogether.Thissisterchromatidcohesioniscriticalforthesubsequentsegregationofchromatidsintothedaughtercells.

Thecelldivisioncycleisbrokenupintofourstages:G1,S1,G2andM(Figure3).DNAreplicationoccursduringS(“synthesis”)phase.Chromosomesegregationandcelldivision(cytokinesis)occursinM(mitosis).G1isthegapbetweenMandS.CellgrowthisoneoftheimportanteventsofG1.ThetransitionfromG1toSrepresentsacriticalcontrolpointinthecellcycle.G2isthegapbetweenSandM.Mitosisitselfhasseveralsteps.Threekeystepsaredescribedbelow.

A. Assembly of the mitotic spindle (Figure 4). AtthebeginningofMphase,themicrotubulesarereorganizedtobuildamitotic spindle.Itspurposeistoaccuratelysegregatethetwosisterchromatidstooppositepolesofthecell.Sisterchromatids,whichareattachedtoeachotherthroughsisterchromatidcohesion,becomelinkedtomicrotubulesviaattachmentsitesoneachchromatidcalledkinetochores.Kinetochoresareprotein-DNAcomplexesin which proteins that can capture microtubules are complexed with specific DNAsequencesatthecentromeres.Theotherendofeachmicrotubuleis

Figure 2. Thechromosomecycle.Akeypurposeofcelldivisionistheduplicationofthegeneticmaterialcarriedonchromosomesanditsaccuratesegregationsuchthateachdaughtercellacquiresonecopyofeachchromatid.

SisterChromatids

Chromosome

Replication

Segregation

Figure 3. Thecellcycle.ReproducedwithpermissionfromAlbertsetal.Molecular Biology of the Cell.GarlandPublishing,2002.

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Figure 5.Anaphase.Onlyonepairofsisterchromatidsisshown;however,thisoccurssimultaneouslyforall23pairsofhumanchromosomes.

Figure 6.Cytokinesis.Afterthetwosisterchromatidsaresegregatedtooppositepoles,cellsundergocytokinesis.

Figure 4.Themitoticspindle.

attachedtothecentrosome(alsocalledthespindlepolebodyormicrotubuleorganizingcenter).Thetwokinetochoresofeachpairofsisterchromatidsareattachedtooppositecentrosomes,andthereforewillbepulledtooppositepoles.

B. Anaphase is the step in mitosis when sister chromatid cohesion is rapidly dissolved. Asaresult,thepullingforcesofthemicrotubulescausethetwosisterchromatidstomovetotheoppositepoles(Figure5).

C. Cytokinesis is the step in which cells physically divide into two daughter cells (Figure 6). Forareviewofmitosis,seethemitosisandmeiosisonlinemoduleoniROCKET.

Figure 4

Figure 5

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III. CELL CYCLE CONTROL: TWO ISSUESHowisthecellcyclecontrolled?Theproblemcanbebrokendownintotwoparts:First,howisthecellcycleregulatedsothatthedifferentphasesoccurinthecorrectorder?Second,howdoextracellularsignalsactivateorinhibitthecellcycle?

A. Cyclin Dependent Kinases: The core of the cell cycle control systemThe events that occur in each part of the cell cycle are carried out by specific proteins,andtheseproteinsmustbesynthesizedoractivatedatthecorrecttimeinthecycle.Forexample,beforeDNAsynthesiscanbegin,theenzymesthatproducethenucleotidesusedinDNAsynthesismustbeactivated.ThisoccurslateinG1phase.(RememberNucleotideMetabolism?SeelecturefromM&N.)

Thecellturnsproteinactivityonandoffatappropriatetimesinthecellcycleusingcyclin-dependent kinases(Cdks).Likeotherproteinkinases,cdksturnproteinsonoroffbyphosphorylatingthem.Eachcyclin-dependentkinasehastwosubunits-akinasesubunitandacyclinsubunit(Figure7).

Cyclins were first identified as key cell-cycle regulators when it was observed thattheyundergoacycleofsynthesisanddestructionduringeachcellcycle.ThereareseveraldifferentCdksandanumberofcyclins.Thekinasesubunitsarepresentthroughoutthecellcycle,whilethecyclinsubunitsare produced at specific times in the cell cycle, thus providing temporal regulationofthecyclin-CdKcomplex.Asthecyclinsubunitisproduced,itbindstothekinasesubunitandactivatesit.Thecyclinsubunitalso

Figure 7.Cyclin-dependentkinases(Cdks).Cdksarethekeyregulatorsofthecelldivisioncycleinorganismsasdiverseasbaker’syeastandhumans.Cyclin-dependentkinaseshavetwosubunits,thekinase(oftensimplycalledtheCdk)andaregulatoryproteincalledacyclin.

TableI.Thefourkeycyclin-Cdkstatdrivethecell

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targets its kinase partner to specific protein substrates. The key cyclin-Cdk complexesthatdrivethecellcyclearelistedinTableI.

ThecellcyclecanbeviewedasaCdkcycle(Figure8).AsthecellentersG1phaseattheendofmitosis,cyclinDisproducedandbindstoitstwopartnercdks–cdk4andcdk6.Thesecyclin-cdkcomplexesarebothreferredtoasG1-Cdks.ActivationoftheG1-CdksturnsontheeventsthatoccurintheearlyphaseofG1.OneoftheeventsthatoccursinearlyG1issynthesisofcyclinE.Asitismade,itbindstoCdk2,formingG1/S-Cdk.AstheG1/S-Cdkactivityaccumulatestoacriticalthreshold,ittriggersthetransitionfromlateG1intoSphase.CyclinAismadeinSphase.Italsobindstocdk2,formingS-Cdk.ThelatterisrequiredforDNAsynthesis.CyclinBismadeduringSphaseandG2.Asitismade,itbindstoCdk1formingM-Cdk.WhenM-Cdkreachesathresholdactivity,ittriggersthetransitionfromG2intomitosis.

B. how the G1-Cdk turns on the G1/S CdkThetransitionbetweenearlyG1andlateG1illustratesonewaythatcyclin-dependentkinasesregulatetheprogressionofthecellaroundthecellcycle.Thisisacrucialcontrolpointwhichisoftenderegulatedincancer.

InordertomovefromearlyG1tolateG1,thecellmustsynthesizecyclinE.TranscriptionofthecyclinEgenerequiresatranscriptionfactorcalledE2F.IncellsthatarenotproliferatingandincellsthatareinearlyG1,theE2FtranscriptionfactorisboundtothepromoterforthecyclinEgene,butitisinhibitedbyaproteincalledRb. (RbstandsforRetinoblastoma,achildhoodtumoroftheretina–moreonthisinthetumorsuppressorandoncogenelecture!).WhenG1-CdkactivityincreasesnearthemiddleofG1,G1-CdkphosphorylatestheRbprotein(Figure9).ThisreleasesRbfromE2FandallowstranscriptionofthecyclinEgenetotakeplace.ThecyclinEproteinbindstotheCdk2kinasetoformtheG1/S-Cdk.E2Falsotranscribes

Figure 8.ThecellcycleasaCdkcycle.Differentphasesofthecellcyclearedrivenbydifferentcyclin-Cdkcomplexes.Inthissimplified view, there exists aG1-Cdk,aG1/S-Cdk,aS-CdkandaM-CdkthatactinsequencetoprogramtheeventsofG1,theG1-Stransition,Sphase,andMphase.

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anumberofothergenesimportantforSphase,includingthegenesforDNApolymeraseandthymidylatesynthase.

C. Brakes on the cell cycle: Cdk inhibitors.TheRbproteincanbeviewedasa“brake”onthecellcyclebecauseitpreventsthetranscriptionofthegeneforcyclinEbyinhibitingE2F.Threeotherproteinsthatactas“brakes”onthecellcyclearetheCdkinhibitorsp21,p16,andp27.Whyisthecellcyclecontrolledbybothactivators(e.g.cyclins)andinhibitors?Aswewillsee,itissothatcellscanrespondtobothgrowthactivatingandgrowthinhibitingsignals.

Cdk inhibitors fall into two classes: general and specific (Figure 10). General Cdkinhibitors,suchasp21andp27,bindtomultipleCdk-cyclincomplexes,shutting off the cell cycle at multiple points. p16 is a specific Cdk inhibitor whichtargetsCdk4-cyclinD(G1Cdk).

Aswillbediscussedintheoncogeneandtumorsuppressorlecture,theseinhibitorproteinsplayanimportantroleincancer.

IV. CONTROLLING PROLIFERATION: ThE ROLE OF MITOGENS AND ANTI-MITOGENSNon-dividingcellsexistinphasecalledG0(Gzero).G0cellscanre-enterthecellcycleinG1whenstimulatedbymitogens,whichareextracellularproteinsthatstimulatecellproliferation.Mitogensarealsocalled growth factors. Conversely,cellscanbearrestedinG1viatheactionofanti-mitogens (proteinsthatinhibittheactivityofmitogens).Manygrowthfactorsandinhibitorsare

Figure 9.HowtheG1-CdkactivatestheG1/S-Cdk.TheG1-Cdk(Cdk4-cyclinD)phosphorylatestheRb(Retinoblastoma)proteinreleasingitfromtranscriptionfactorE2F.E2FcannowactivatetranscriptionofcyclinE,whichinturnresultsintheproductionofcyclinEproteinandformationoftheG1/SCdk.

Cdk4-cyclin D (G1-Cdk)

Rb

E2F

cyclin E

Cdk2

Cdk2-cyclin E (G1/S-Cdk)

promoter

cyclin E gene

OFF

E2F

Rb

cyclin E gene

ON

E2F

RbP

G1-Cdk OFF

G1-Cdk ON

A. B. Control RelationshipsMolecular Events

promoter

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known.Wewilldiscussoneexampleofeach:themitogenepidermal growth factor(EGF)andtheanti-mitogentransforming growth factor ß(TGFß).

Whatarethenormalfunctionsofthesefactors?EGFfunctionstopromotewoundhealing. After a wound is formed, epidermal and inflammatory cells secrete EGFandothergrowthfactors.Itsignalscellsatthemarginsofthewoundtoproliferatesothatthewoundmaybehealed.TGFßactsasabraketothisprocesssothattheproliferationoccursataratethatisnottoofasttocoordinatewithotheraspectsofwoundhealing.

A. The EGF Signaling PathwayThispathwayallowsEGFontheoutsideofthecelltoultimatelycontrolthecellcycleontheinsideofthecell.Itinvolvesmanystepsandcomponents.Thiscomplexityisthoughttoexistfortworeasons.First,evolutionoftenproceedsbyadaptingexistingpathwaysandcombiningpathwaystocarryoutnewfunctions.Theresulting“newpathway”maybequitecomplexbecauseofitshistory.Second,thereisevidencethathavingapathwaywithmultiplesteps filters noise and allows many opportunities for regulatory control. Such apropertymakessenseinthecontextofthecellcyclewherecellsareeitherproliferatingorarrestedinG0.

EGFfunctionsbybindingtotheextracellulardomainofEGFreceptor,acellsurfaceproteinwithasingletransmembranedomain(Figure11).ThecytoplasmicdomainofthereceptorisaproteintyrosinekinasethustheEGFreceptoriscalledareceptor tyrosine kinase.WhenEGFbindstoitsreceptor,thereceptorformsadimerinwhichonesubunitphosphorylatestheother(transphosphorylation)onparticulartyrosineresiduesinthecytoplasmicpartofthereceptor.Thesephosphorylatedtyrosinesserveasbindingsitesforothercytoplasmicproteinsthatcontainspecialdomains,calledSh2 domains. SH2 domains specifically recognize phosphorylated tyrosinesandtheadjacentaminoacids.OneproteinthatbindstophosphotyrosineresiduesintheEGFreceptorisanadaptorproteincalledGrb2.Grb2,inturn,recruitsaproteincalledSos.ThusbindingofEGFto

Figure 10.CdkinhibitorsbindtoandinactivateCdks.

Cdk2/4-cyclin D (G1-Cdk)Cdk2-cyclin E (G1/S-Cdk)

Cdk2-cyclin A (S-Cdk)

Cdk2-cyclin E (G1/S-Cdk)

p21 p27

p16

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theEGFreceptorrecruitsbothGrb2andSostotheintracellularportionofthereceptor.

Sos,inturn,actsonasmallGTPbindingprotein,Ras.TheRasproteinisboundtotheinnersurfaceoftheplasmamembrane.LiketheG-proteinsdiscussedbyDr.FultoninthePrologue,Rascanexistintwostates:aninactivestateinwhichGDPisboundandanactivestateinwhichGTPisbound.SosactivatesRasbypromotingthereleaseofitsGDPandbindingofGTP.Thus,SosisaguaninenucleotideexchangefactorforRas(Figure12).RecruitmentofSostotheplasmamembranewhereRasislocatedresultsintheactivationofRas.

Figure 11.ActivationoftheEpidermalGrowthFactor(EGF)receptortyrosinekinase.EGFbindstotheEGFreceptorthroughanextracellularligandbindingdomain,leadingtodimerizationofthereceptor.Dimerizationcausesonesubunittophosphorylatetheother(transphosphorylation)on specific tyrosine residues. TheSH2domainoftheGrb2adaptorproteinbindsthephosphorylatedtyrosines.Grb2inturn,bindsaanotherproteincalledSos.

EGFLigand

Binding Domain

KinaseDomain

P SH2 SH3

Grb2(adaptor protein)

Sos

Figure 12.SosactivatesRasandaGTPase-activatingproteininactivatesit.InitsGDPboundform,Rasisinactive.WhenSosisboundtoGrb2attheEGFreceptor,itcausesRastoreleaseitsGDPandbindaGTPinitsplace.AGTPase-activatingproteincauseshydrolysisofGTPtoGDP.

Sos

Ras-GDP Ras-GTP

GTP

GDP

inactive active

GAP

GTPase-activating protein

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RascanbereturnedtoitsinactiveformthroughthehydrolysisofGTPtoGDP.ThisstepoccurswhenaGTPase-activating proteinbindsRas andinducesthehydrolysisofitsGTP(seeFigure12).

InitsGTP-bound(active)state,Rasturnsonaproteinkinasecascade,inwhichproteinkinasessequentiallyactivateeachotherthroughphosphorylation(Figure13).ActiveRasbindstoandactivatesaproteinkinasecalledRaf.Inturn,RafphosphorylatesandactivatesanotherkinasecalledMEK.MEKinturnphosphorylatesandactivatesmitogen-activatedproteinkinase(MAP kinase).Thischainofphosphorylationeventsiscalled the MAP kinase cascade. MAP kinase phosphorylates gene-specific transcriptionfactorsinthecellnucleusthatbindtothepromotersofgenesandpromotecellproliferation.OneimportanttranscriptionfactorthatisupregulatedbytheMAPkinasecascadeisMYC,whichistheproductoftheC-MYCgene.

OneofthetargetsofthesetranscriptionfactorsisthecyclinDgene.Thus,amulti-tieredpathwayconnectsthepresenceofamitogen(EGF)outside

Figure 13.RasactivatestheRaf-MEK-MAPKcascade.RasbindsdirectlytoRaf,whichactivatesitskinaseactivity.RafphosphorylatesakinasecalledMEK(alsocalledMAPkinasekinase).AfterithasbeenphosphorylatedbyRaf,MEKphosphorylatesMAPkinase(mitogenactivatedproteinkinase,MAPK).ActiveMAPKthenphosphorylatesitstargetproteins,leadingtotheactivationofcelldivision.

Ras-Raf

MEK MEK-P

MAPK MAPK-P

Target Target-P

inactive

inactive

inactive

active

active

active

Figure 14.ActivationofMAPKleadstothetranscriptionofcyclinD.MAPKphosphorylatestranscriptionfactors.Thisinturnleadstothetranscriptionofthemycgene,whichitselfencodesatranscriptionfactorforthecyclinDgene.

TranscriptionFactorsMAPK cyclin D

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thecelltoincreasedexpressionofakeycomponentofthecellcyclecontrolmachinery(thecyclinDgene)inthenucleus.IncreasedexpressionofthecyclinDgeneleadstotheactivationofG1-Cdk(Figure14).

B. Wnt signalingWnt proteinsaregrowthfactorsanalogoustoEGF.Theyfunctioninasignalingpathwaythatactivatescellproliferation(Figure15).NotonlyistheWntsignalingpathwayimportantforthedevelopmentoftheorganism,italsoservesimportantfunctionsinadults.Forexample,Wntsignalingisnecessaryfortheproliferationofstemcellsintheproliferativezonesinthegutepithelium(thecryptsthatliebetweenthemicrovillioftheepithelium)(Figure16).Hyperactivationofthispathwayisassociatedwithcoloncancer.

Figure 15. TheWntsignalingpathway.

GSK-3

Wnt

Frizzled

β-catenin β-cateninAPC APC

P P

degradation

APCTCF

β-catenin

TCF

cyclin D

microvillus microvillus

crypt(proliferatingstem cells)

Expressionof APC

low

high

Figure 16.Shownisaschematicofamicrovillusinthegutepitheliumshowingthezoneofproliferation(crypts)andthegradientofexpressionoftheAPCgene,whoseproteinproductinhibitsWntsignaling.

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WntproteinsbindtoacellsurfacereceptorcalledFrizzled.Frizzledcontrolsthestabilityofaproteincalled ß-catenin,whichfunctionstogetherwithaproteincalledTCFtoformatranscriptionfactorthatactivatesthecyclinDpromoter.

OnceboundtoWnt,FrizzledturnsoffaproteinkinasecalledGSK-3.GSK-3normallyfunctionstopromotethedegradationß-catenin,thuspreventingitfromactivatingthecyclinDpromoter.Phosphorylationofß-cateninbytheproteinkinaseGSK-3resultsinitsdegradation.However,GSK-3canonlyphosphorylateß-cateninwhenß-cateninisboundtoaproteincalledAPC (adenomatous polyposis coli).Thus,APCisnecessarytoholdß-cateninincheck.

OnceGSK-3isinhibitedbyFrizzled,ß-cateninisnolongerdegraded,allowingittoassociatewithTCFandactivatethecyclinDpromoterandpromotecellproliferation.Thus,Wntsignalingpromotescellproliferationthroughtheactionofb-cateninoncyclinD.

WhileWntproteinsaretheextracellulargrowthfactorsthatactivatethispathway,cellsalsocontrolthepathwayfromwithinthecellbyvaryingthetranscriptionoftheAPCgene,whoseproteinproductinhibitstheWntsignalingpathway.Forexample,intheepitheliumofthecolon,thereexistsagradientofAPCexpressionwhichishighestintheterminallydifferentiatednondividingcellsinthemicrovilliandlowestintheproliferatingstemcellsin

Figure 17.HowTGFbßarrestscelldivision.TGFßbindstotheTGFßreceptor.BindingofTGFßactivatesthereceptor’sintracellularproteinkinasedomain,leadingtophosphorylationofSmadproteins.PhosphorylatedSmadsenterthenucleusandbindtopromotersofgenestocontroltranscription.Akeytargetisthep21gene.

plasmamembrane

nucleus

TGFβ

kinasedomain

Smad

Smad-P

p27 gene

promoter

Smad-P

TGFβ receptor

p21

Cdk4-cyclin DCdk2-cyclin ECdk2-cyclin A

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thecrypts(Figure16).(MoreabouttheroleofAPCincoloncancertocomeinlecturesonColonCancerandFamilialandHereditaryCancerSyndromes.)

C. An anti-mitogenic pathway: the TGFß-Smad pathwayLikeEGF,TGFßisanextracellularproteinthatbindsacellsurfacereceptor.However,insteadofcausingcellproliferation,thismoleculecausescellstoarresttheircellcycleandenterG0.Howdoesthisoccur?TheTGFßreceptorisatransmembraneserine-threoninekinase.UponbindingtoTGFß,thereceptorphosphorylatesproteinsinthecytoplasmcalledSmads (Figure17).Oncephosphorylated,Smadproteinsthenenterthenucleusandfunctionastranscription factors to turn on specific target genes. A key gene turned on byTGFßistheG1/S-Cdkinhibitorp21discussedabove.Theactivationofp21leadstothearrestofthecellcycle.Thus,TGFßarrestscelldivisionbyactivatingthegeneforaCdkinhibitor.

V. APOPTOSISThenumberofcellsinatissueisnotonlycontrolledbycellproliferationbutalsobyprogrammedcelldeath,orapoptosis.Foratissuetostaythesamesize,cellproliferationandcelldeathmustbeperfectlybalanced.Apoptosisplaysimportantrolesbothduringdevelopmentandinmaturetissues(Figure18).Duringdevelopmentofalimb,tissuepresentbetweenthedigitsmustberemoved.Thisoccursthroughlocalizedapoptosis.Intheimmunesystem,onemechanismbywhichTcellskilltargetcellsistoproduceaproteincalledFasligand.Fasligandbindsitsreceptor,Fas,ontargetcells.BindingofFasligandtoFasinducesapoptosis.Therealsoexistextracellularproteins,calledsurvival factors,whichpreventapoptosisbybindingtotheirreceptorsonthesurfaceofthecell.

AsdescribedinthePrologueblock,activationofapoptosisfromoutsidethecelliscausedbytheassociationofprocaspase-8withthecytoplasmicdomainof“deathreceptors”suchasFas(Figure19a).Thisassociationismediatedbyadaptor

Figure 18.Programmedcelldeath.Duringdevelopmentoflimb,tissuepresentbetweenthedigitsisremovedbyapoptosis.KillerTcellstriggerapoptosisbyproducingFasligand.

Apoptosis

Killer T-cell Target Cell

Fas ligandFas

Apoptosis

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Figure 19.Inductionofapoptosisbyeitherextracellularorintracellularsignals.(A)Extracellularactivation.AdaptorproteinsbindtheintracellularregionofaggregatedFasproteins,causingtheaggregationofprocaspase-8molecules.Thesethencleaveoneanothertoinitiatethecaspasecascade.(B)Intracellularactivation.Mitochondriareleasecytochromec,whichbindsandcausestheaggregationoftheadaptorproteinApaf-1.Apaf-1bindsandaggregatesprocaspase-9molecuels,whicharetherebyactivated(withoutcleavage)totriggeracaspasecascade.FromAlbertsetal.,MolecularBiologyoftheCell,2002.

proteinsthatbindbothFasandprocaspase-8.Theaggregatedprocaspase-8moleculescleaveeachother,initiatingthecaspase cascadethatleadstoapoptosis.

Whencellsarestressed(e.g.,hypoxia)ordamaged(e.g.,unrepairedDNAdamage)theycanalsoactivateapoptosisfrominsidethecellbytriggeringprocaspaseaggregationandactivation.Inresponsetostressordamagen,pro-apoptoticsignalsinducemitrochondriatoreleatecytochrome cintothecytosol,whereitbindsandactivatesanadaptorproteincalledApaf-1.Thiscomplexactivatesacaspasecalledprocaspase-9,whichleadstotriggeringofthecaspacecascade(Figure19-b).

ThereleaseofcytochromecfromthemitochondriaistightlycontrolledbymembersoftheBcl-2 familyofproteins.Withinthisfamilyofproteins,therearetwosub-classes:proteinsthatpromoteapoptosis(“proapoptotic”)suchasBad,BaxandPUMA,andproteinsthatantagonizeapoptosis(“antiapoptotic”)suchasBcl-2andBcl-xL.Theantiapoptoticfamilymemberscandirectlybindto

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Figure 20.HowproteinsoftheBcl-2familycontrolapoptosis.ProapoptoticmembersoftheBcl-2familysuchasBadformchannelsinthemitochondrialmembranewhichpermitthereleaseofcytochromecintothecytoplasm.CytochromecbindstoApaf-1whichinturnactivatesprocaspase-9.AntiapoptoticmembersoftheBcl-2familypreventtheBadchannelfromforming.

Bad channel

cytochrome C apoptosis

Bad Bcl-2family

member

theproapoptoticfamilymembersandinhibitthem(Figure20).Intheabsenceoftheantiapoptoticfamilymembers,theproapoptoticfamilymembers,suchasBadandBax,formchannelsinthemitochondrialmembranethatresultsinthereleaseofcytochromecintothecytoplasmwhereitcanactivateprocaspase-9viaApaf-1.PUMAfunctionsinadifferentmannerasdescrbedbelow.

VI. P53, ThE CELL CYCLE, AND APOPTOSISThecellcycleiscontrolledatcertainstagesbycheckpoints.Thesearebiochemicalmechanismsthatstopthecellcycleifcertainconditionsarenotmet.

OnecheckpointistheG1DNAdamagecheckpoint.IfcellscontainunrepaireddamagetotheirDNA,thecellcycleisarrestedinG1.Thisarrestrequiresakeytranscriptionfactor,p53,whichisactivatedbyDNAdamage.Therearethreecomponentstothesystem:1)aDNAdamagesensor,2)theMdm2proteinwhichnormallycausesp53tobedegraded,3)andp53itself(Figure21).DNAdamagecausesphosphorylationofp53andblocksthebindingofMdm2.Thisleadstothestabilizationandaccumulationofp53.p53canthenbindtothepromoterofthep21CDKinhibitordescribedearlierandactivateitstranscription.InhibitionofCdksleadstocellcyclearrest.

Ifp53activationcontinuesforaprolongedperiodoftime,apoptosisensues(Figure22).ThisprocesskillscellswithdamagedDNAthatremainunrepaired,andservestoremovecellsfromtissuesthatmayotherwiseaccumulatemutationsthatwouldbepassedontotheirdaughtercells.p53probablyactivatesapoptosisbyincreasingthetranscriptionofseveralgenes.OnetargetgeneistheproapoptoticBcl-2familymemberBax,whosegeneisdirectlyactivatedbyp53.

Recentresearchindicatesthatp53ismorethanatranscriptionfactor.Unexpectedly,somep53associateswithmitochondriatodirectlypromotethereleaseofcytochromeCfrommitochondria.Thiscytoplasmicpopulationofp53

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40

Figure 21.HowDNAdamageactivatesp53andcausescell-cyclearrest.DNAdamageactivatesaproteinkinasewhichphosphorylatesp53.

Figure 22.DNAdamagecanleadtoapoptosis.Prolongedactivationofp53inresponsetoDNAdamageresultsinapoptosis.p53activatesthetranscriptionofseveralgenesinvolvedinapoptosisincludingthatfortheproapoptoticBcl-2familymemberBaxshownhere.

BAX gene

promoter

p53

Prolonged p53

Activation

Bax channel

cytochrome C apoptosis

Hiten Madhani, MD, PhD

41

isinhibitedbytheanti-apoptoticBcl-2familymemberBcl-xL,whichdirecltybindstop53.Oneofthetranscriptiontargetsofp53,PUMA(theproapoptoticBcl2familymemberdescribedabove),releasesp53fromBcl-xLThisinturnallowsp53tobindtoBaxwhichactivatescytochromeCrelease,andapoptosisensues.

Inlightoftheimportantrolep53playsinpreventingunrepairedDNAdamagetobepassedontodaughtercells,itisnotsurprisingthatp53isfoundtopayaroleincancerdevelopment.Infact,p53ismutatedinmanytypesofcancer,thusallowingdamagedDNAtoremainincellsastheyproliferate(moreinthelectureontumorsuppressorgenesandoncogenes).

VII. ThE SPINDLE ASSEMBLY ChECKPOINTInadditiontomonitoringthestateofDNA,cellsalsomonitorthestateofthemitoticspindleatthespindle assembly checkpoint(Figure24).Thespindleassemblycheckpointensuresthatmitosisdoesnotproceedunlessthespindleisproperlyassembled.ThischeckpointmonitorstheattachmentofspindlemicrotubulestoeachkinetochorethoughtheactionoftheMad2 protein.Therearetwokeyfeaturesofthecheckpoint:1)Mad2associateswithkinetochoresonlywhentheyarenotattachedtomicrotubules.and2)Mad2isactiveinarrestingmitosisonlywhenitisboundtokinetochores.Thuswhenthespindleisproperlyassembledandallofthekinetochoresareboundtomicrotubules,Mad2isinactiveallowingmitosistoproceed.Ifthereisaproblemwithspindleassembly,Mad2isactivatedandarreststhecellcycle.Notsurprisingly,cellsdefectiveinthespindleassemblycheckpointshowhighratesofaneuploidybecauseoferrorsinchromosomesegregationduringmitosis.Defectsinthespindle-assemblycheckpoint, and specifically in Mad2, have been associated with tumorigenesis.

p53 stabilization

accumulation innucleus

activation of Bax andPUMA transcription

accumulation incytoplasm

Bcl-XL sequestersp53

PUMA liberates p53

p53 activates BaxApoptosis

Figure 23. p53functionsbothinthenucleusandthecytoplasmtopromoteapoptosis

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SisterChromatids

microtubules

kinetochore

centrosome Mad2

cell cycle arrest

Mad2

inactive

Figure 24.Spindleassemblycheckpoint.ThisisaccomplishedthroughtheactionoftheMad2protein,whichbindstokinetochoresthathavenotattachedtomicrotubules.Whenboundtokinetochores,Mad2triggerscellcyclearrest.Oncemicrotubulesareattachedtoallofthekinetichores,Mad2isnolongeractiveandthecellcycleproceeds.