INTRODUCTION

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Human T-cell leukemia virus type 1 (HTLV-1) is the causative agent of adult T-cell leukemia/lymphoma (ATLL), a highly aggressive and fatal CD4⁺ T-lymphoproliferative malignancy that occurs in approximately 1 to 5% of HTLV-1-infected individuals after a long latency period (33). The HTLV-1 Tax protein is a potent transcriptional transactivator of both viral and cellular gene expression. Tax normally exerts its effects on viral gene expression by activating cellular transcription factors which, in turn, bind Tax responsive elements located in the viral long terminal repeat (4). Tax has also been shown to transactivate cellular gene transcription by acting on several structurally unrelated cellular proteins, including cyclic AMP (cAMP) response element/activating transcription factor (CREB/ATF) members, NF-B/Rel proteins, and serum response factors (1, 10, 11, 13).

It has been suggested that Tax mediates cellular transformation by stimulating proliferation and/or inhibiting apoptosis. Tax upregulates cyclin D2 expression and stimulates G₁-to-S-phase transition through upregulated CDK4 and CDK6 activity (37, 39). Tax has also been shown to directly bind and affect the activity of a number of cell cycle regulatory proteins, such as p15, p16, and cyclin D3 (27, 29, 41, 42). In transient-transfection experiments, Tax transactivates the proliferating cell nuclear antigen promoter and transrepresses expression of p18 and p56^lck, as well as the apoptosis-inducing gene bax, through E-box elements (3, 23, 35, 42). Other reports indicate that Tax expression induces interleukin 2 (IL-2)-independent proliferation and resistance to apoptosis in IL-2-dependent cutaneous T-cell leukemia/lymphoma type 2 (CTLL-2) cells (17). This resistance is not associated with repression of bax but with transactivation of the antiapoptotic bcl-xl protein through NF-B elements located in the promoter region (44).

The tumor suppressor protein p53 plays a critical role in cell cycle regulation, DNA repair, and apoptosis. In response to DNA damage, p53 activates a number of genes involved in cell cycle arrest or apoptosis, such as p21 (WAF1) and bax (12, 24). p53 mutations occur in >50% of all human cancers and in leukemic cells of >30% of ATLL patients. These mutations are associated with the accumulation of additional genetic alterations and chromosomal abnormalities, resulting ultimately in immortalization (6, 30). Certain hot spots of p53 mutations occur more frequently in particular types of tumors; however, most involve exons 5 through 8, a highly conserved DNA binding domain critical for p53 function (8). Although p53 is not usually mutated in cells transformed by HTLV-1 in vitro, recent reports have suggested that wild-type p53 protein is stabilized and functionally impaired in these cells, resulting in reduced induction of p53-responsive genes (5, 31, 34). Unlike adenovirus EIB 55K, simian virus 40 large T antigen, and human papillomavirus (HPV) E6 viral proteins, which all bind p53 and inhibit its function, HTLV-1 Tax does not appear to directly interact with p53 (38, 47). Instead, HTLV-1 is thought to alter posttranslational modification of p53, abrogating its function (32).

We have previously demonstrated that expression of HTLV-1 Tax in the mature lymphoid compartment in mice is sufficient for lymphoma development. These mice express Tax from the human granzyme B promoter, limiting its production to cytotoxic T-lymphocyte (CTL) and natural killer (NK) cells. The mice develop primary, peripheral lymphomas at 6 to 9 months of age which infiltrate the lymph nodes, bone marrow, spleen, liver, and lungs (14). Tumor cells demonstrate elevated production of IL-1, IL-1, gamma interferon, granulocyte-macrophage colony-stimulating factor (IL-15, IL-10, and IL-6), and constitutive cell surface expression of ICAM-1, LFA-1, and VLA-4 (15; T. Portis and L. Ratner, unpublished data). In this study, we utilized Tax transgenic mice to determine the contribution of p53 inactivation to Tax-induced tumorigenesis. Accumulation of specific mutations in the DNA binding domain of p53 was associated with tumor dissemination. Three of four mutations analyzed were shown to inhibit p53-specific transactivation and apoptosis in vitro. Interestingly, fresh tumors and tumor-derived cell lines from Tax transgenic mice were resistant to irradiation-induced apoptosis; however, transcriptional activation of downstream p53 responsive genes appeared normal. In vivo, we found that tumor formation was not accelerated in p53^+/ Tax⁺ mice compared to that in p53^+/+ Tax⁺ mice; however, p53 heterozygosity was associated with formation of multiple tumors and accelerated mortality. This, together with the correlation between frequency of p53 mutation and tumor dissemination, suggests that p53 inactivation is a late event in Tax-mediated tumorigenesis, possibly accounting for rapid dissemination and disease progression. Furthermore, Tax-induced events early in tumorigenesis likely involve inhibition of apoptosis, possibly through downstream effectors in the p53 pathway.

	MATERIALS AND METHODS

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Mice. Granzyme B-Tax transgenic mice (Tax⁺) were generated as previously described (14). Mice containing a homozygous deletion in p53 (p53^/) were purchased from Jackson Laboratories (18). Tax⁺ mice were mated with p53^/ mice, and the resulting p53^+/ Tax⁺ progeny were mated for production of F₂ progeny. F₂ mice were monitored weekly for rates of tumor formation, morbidity, and mortality. Pathological characteristics of tumors were compared among p53^+/+ Tax⁺, p53^+/ Tax⁺, p53^/ Tax⁺, p53^+/+, p53^+/, and p53^/ transgenic littermates. All genotyping was performed as described previously (14; Jackson Laboratories protocol). Tissues were fixed in 10% neutral-buffered formalin, embedded in paraffin for sectioning, and stained with hematoxylin and eosin as described previously (14). All mice were bred and maintained under pathogen-free conditions in accordance with Washington University animal care guidelines. Kaplan-Meier analysis and statistical calculations were carried out using the SPSS statistical analysis program (SPSS, Inc.).

Tissues and cell lines. Fresh tumors and tissues removed from mice were released into medium supplemented with 10% fetal bovine serum, 1% L-glutamine, 1% sodium pyruvate, and 1% penicillin-streptomycin (RPMI medium; Life Technologies). Erythrocytes in splenocyte preparations were lysed with 155 mM ammonium chloride and washed prior to culture. The tumor-derived F8 and SC large granular lymphocytic (LGL) cell lines have been described elsewhere and were maintained in RPMI medium (14, 15). Abelson murine leukemia virus (MLV)-transformed pre-B-cell lines containing wild-type (204-3-1) and mutant (143-2M) p53 were provided by Naomi Rosenberg (Tufts University, Boston, Mass.) (43) and maintained in RPMI medium. The human H1299 non-small-cell lung carcinoma cell line was provided by Rainer Brachmann (Washington University, St. Louis, Mo.) and maintained in Dulbecco modified Eagle medium (DMEM) (Life Technologies) supplemented with 10% fetal bovine serum, 1% L-glutamine, and 1% sodium pyruvate plus 1% penicillin-streptomycin (called DMEM). The SAOS-2 osteosarcoma cell line was provided by Doug Dean (Washington University) and maintained in DMEM.

PCR-single strand conformation polymorphism (PCR-SSCP) analysis. Genomic DNA was extracted from tumor cells in buffer containing 100 mM NaCl, 10 mM EDTA (pH 8), 50 mM Tris-Cl (pH 7.6), 1% sodium dodecyl sulfate (SDS), and 0.5 mg of proteinase K/ml. Following an overnight incubation at 50°C, genomic DNA was phenol-chloroform extracted and precipitated with a 1/10 volume 3 M sodium acetate (pH 5.5) and 2 volumes of ethanol. DNA from nontransgenic mice and cells containing known p53 mutations were used as controls when available (2).

RT-PCR and plasmid construct generation. Total RNA was extracted from wild-type (204-3-1) and mutant (143-2M) p53-containing cell lines using TRI reagent (Sigma). Reverse transcriptase (RT) reactions were performed according to the Superscript II RT protocol (Life Technologies). A portion of the RT product was used in standard PCRs, including 0.5 µg each of p53 sense (S) (5'-GGAATTCAGGCCCTCATCCT-3') and antisense (AS) (5'-GGAATTCAGCCCTGAAGTCATAAGA-3') primers containing EcoRI linkers to amplify nucleotides 101 to 1399. Site-directed mutagenesis was performed by using PCRs to independently amplify 5' and 3' regions of p53. Primer sets consisted of either sense or antisense primers (above) combined with primers containing single-point mutations. Diluted aliquots (1:100) of the modified 5' and 3' p53 sequences were then combined and reamplified by PCR using p53 sense and antisense primers.

Transfections, transactivation analysis, and apoptosis studies. H1299 cells were transfected with 1 µg of p53 expression plasmid and 0.2 µg of reporter plasmid in serum-free medium (Optimem) using Lipofectamine reagent (Life Technologies). pcDNA 3-CAT plasmids (0.2 µg) were cotransfected to measure transfection efficiency by chloramphenicol acetyltransferase (CAT) assay (26). Lipofectamine-DNA precipitates were left in culture medium for 16 h. Cells were then re-fed with DMEM, and 24 h later, cell lysates were analyzed for luciferase activity using a luminometer (MGM Instruments).

Western blottings. Total cellular protein was prepared by lysing cells in a mixture containing 50 mM Tris-Cl (pH 7.5), 5 mM EDTA, 150 mM NaCl, 1% Triton X-100, 10 µg of aprotinin/ml, 0.5 mM phenylmethylsulfonyl fluoride, and 5 µg of pepstatin/ml. Five micrograms of protein was immunoprecipitated with monoclonal antibodies specific for mutant p53 (Ab-3) and wild-type p53 (Ab-11) (both from Oncogene Sciences) or pooled anti-Tax monoclonal antibodies (no. 168A51-2, 168A51-42, and 168B17-46-34; AIDS Reagent Program, Rockville, Md.). Immunoprecipitated proteins were fractionated on SDS-10% acrylamide denaturing gels and electroblotted to nitrocellulose membranes by standard techniques (MSI). Immunoblotting was performed using antibodies to p53 or Tax diluted 1:500, followed by treatment with goat anti-mouse alkaline phosphatase-conjugated secondary antibody (1:3,000; Sigma) and visualization by enhanced chemiluminescence (Amersham).

	RESULTS

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p53 mutations are present in tumors from Tax transgenic mice. Since p53 mutations have been documented in tumors from ATLL patients, we utilized PCR-SSCP analysis to determine whether similar mutations are present in tumors from HTLV-1 Tax transgenic mice. Genomic DNA from a panel of tumors and tumor-derived cell lines was used for this PCR-based assay, which detects conformational intrastrand differences in DNA with a different sequence. The primers used were specific for exon 1 and exons 5 to 8 of murine p53. Exons 5 to 8 comprise the p53 core domain, which contains sequence-specific DNA binding activity and is necessary for transactivation of genes involved in cell cycle arrest and apoptosis. Studies have shown that most p53 point mutations occur in this region and result in the loss of functional p53 due to destabilization of the three-dimensional protein structure (8).

View larger version (74K): [in this window] [in a new window]   FIG. 1.   Identification of mutated p53 alleles in tumors from Tax transgenic mice. PCR-SSCP analysis was performed on tumors and IL-2-independent tumor-derived cell lines from Tax transgenic mice using primers specific for exons 1, 5, 6, 7, and 8 of murine p53. This representative PCR-SSCP gel of exon 6 shows the migration of wild-type p53 (wt) from nontransgenic tail DNA (lane 1) and mutated p53 (mu) in tumors (lanes 4 to 9) and tumor-derived cell lines (lanes 2 and 3) from Tax transgenic mice.

Individual mutations inhibit p53 function in vitro. In order to examine the effects of the individual mutations on p53 transactivation and induction of apoptosis, we recreated each mutation separately by PCR-based site-directed mutagenesis. The resulting mutant p53, as well as wild-type p53, DNA sequences were cloned into pcDNA3 expression plasmids. A functionally inactive p53 mutant (C170W) from the 143-2M cell line was cloned in parallel (43). The p53 expression plasmids were cotransfected into p53 null H1299 cells along with constructs expressing the luciferase gene under the p53 responsive p21 promoter (p21p) (9). Identical luciferase constructs lacking the p53-specific response element (p21p1.1) (9) were used as controls for specificity of p53 transactivation. Equivalent levels of p53 expression and transfection efficiency were verified by Western blot analysis and CAT assay, respectively (data not shown). As shown in Fig. 2A, wild-type p53-specific transactivation of p21p was fivefold over that of the deletion construct, p21p1.1, whereas the control mutant (C170W) transactivated both promoters equally well. The N239S mutant displayed transactivation levels similar to that of the control mutant. The E203A and G244R mutants displayed lower (1.8- to 3-fold) levels than wild-type p53, while the E228G mutation did not appear to be defective in transactivation activity.

View larger version (37K): [in this window] [in a new window]   FIG. 2.   Individual p53 mutants demonstrate variable levels of p53 specific transactivation and apoptosis. (A) Mutant and wild-type p53 expression vectors were cotransfected into H1299 cells with luciferase constructs containing (p21p) or lacking (p21p1.1) p53-responsive elements. PCR amplification of a known mutant p53 species (143-2M) containing a C170W mutation in exon 5 was performed in parallel. Background transactivation of constructs lacking p53 response elements was set to a value of 1. (B) Mutant and wild-type p53 expression vectors and RFP-expressing plasmids were cotransfected into SAOS-2 cells by calcium phosphate precipitation (7). At 36 h posttransfection, apoptosis was measured by labeling the ends of fragmented DNA with FITC. RFP-positive cells were gated the percentage of cells dual positive for RFP and FITC are shown.

Wild-type and mutant p53 protein is expressed in tumors from Tax transgenic mice. We analyzed protein levels of p53 in tumors and tumor-derived LGL cell lines from Tax transgenic mice by Western blot analysis (Fig. 3). Cell lysates were immunoprecipitated and immunoblotted with conformation-dependent monoclonal antibodies which recognize either wild-type p53 (upper panel) or mutant p53 (middle panel) or monoclonal antibodies against HTLV-1 Tax (lower panel). Most point mutations in p53 dramatically disrupt its secondary structure, allowing for recognition by conformation-dependent antibodies (8). As shown in Fig. 3, both wild-type and mutant p53 are expressed in tumors from Tax transgenic mice. Tax expression appears to be restricted to primary tail and ear tumors and absent in spleens (lanes 6 to 8). We have previously shown that the F8 and SC tumor-derived cell lines expressed Tax upon initial isolation; however, Tax expression was undetectable once cells acquired IL-2 independence (15; Fig. 3, lanes 4 and 5). These data suggest an inverse correlation between frequency of p53 mutation or tumor progression and Tax expression.

View larger version (61K): [in this window] [in a new window]   FIG. 3.   Expression of wild-type and mutant p53 in tumors from Tax transgenic mice. Cell lysates from tumor-derived cell lines (lanes 4 and 5) and fresh tumors from Tax transgenic mice (lanes 6 to 8) were immunoprecipitated (IP) and immunoblotted with conformation-dependent antibodies specific for wild-type p53 (top), mutant p53 (middle), or HTLV-1 Tax (bottom). Wild-type p53-containing, HTLV-1-transformed T cells (MT2), mutant p53-containing cells (143-2M), and normal mouse splenic tissue (NMS) were utilized as controls. The upper band in each panel represents mouse heavy-chain immunoglobulin (Ig) in each sample.

Tax-induced tumors are resistant to apoptosis. To determine the functional status of p53 in fresh tumors and tumor-derived cell lines, we measured their sensitivity to irradiation-induced apoptosis (Fig. 4). The levels of annexin V, an early marker of apoptosis, were measured 5 h after mock or -irradiation treatment. Nonirradiated and irradiated controls exhibited between 6 and 25% and 89 and 72% annexin V-positive cells, respectively. As shown in Fig. 4A, the F8 and SC tumor-derived cell lines are completely resistant to apoptosis, similar to HTLV-1-transformed MT2 cells, which are known to contain inactive p53 (34). Similarly, spleen and tail tumor cells from Tax transgenic mice are also resistant to irradiation-induced apoptosis (Fig. 4B), suggesting that p53 is functionally inhibited, whether by mutation or an alternative mechanism. It was determined by scatter plot analysis of tumor cells that the apoptosis-resistant cells consist primarily of the larger, more numerous cells that are present in spleen and tumor tissue from Tax transgenic mice and absent in normal mouse spleens (Fig. 4B, left column). These cells are FcIIIR positive, a marker for the LGL cells that make up tumors in Tax transgenic mice (reference 15 and data not shown).

View larger version (49K): [in this window] [in a new window]   FIG. 4.   Tumors from Tax transgenic mice are resistant to irradiation-induced apoptosis. Tumor-derived cell lines (F8 and SC) (A) and fresh tumor cells from Tax transgenic mice (B) were either mock treated (middle column) or exposed to 2,000 rads of -irradiation (right column). Five hours later, cells were stained with FITC-conjugated antibodies to annexin V to measure apoptosis. A wild-type p53-containing cell line (204-3-1) and normal mouse splenocytes (Ctrl Spleen) were used as positive controls. The apoptosis-resistant cells consist of the larger, more numerous cells present in spleen and tumor tissue from Tax transgenic mice and absent in normal mouse spleens (compare scatter plots; left).

p53 is transcriptionally active in Tax-induced tumors. To test the ability of p53 to transactivate downstream genes, total cellular RNA was also isolated from nonirradiated and irradiated tumor cells at 2 h postirradiation. RT-PCRs were carried out to detect levels of p21, bax, mdm2, and p53 mRNA (Fig. 5). Levels of GAPDH were normalized in order to quantitate the fold activations of p21, bax, mdm2, and p53 transcripts following irradiation (Table 2). As expected, upregulation of all transcripts ranged from 3- to 10-fold in cells containing wild-type p53 (Fig. 5, lanes 1 and 2 and 11 and 12; Table 2) and was not observed in cells which express either no p53 or mutant p53 (Fig. 5, lanes 3 to 6; Table 2) following -irradiation. Upregulation of all transcripts was also observed in the tumor-derived F8 and SC cell lines (Fig. 5, lanes 7 to 10; Table 2) as well as tumors (Fig. 5, lanes 13 to 16; Table 2) from Tax transgenic mice. It is difficult to accurately assess transcriptional activation in Tax spleen cells due to the presence of normal, nonmalignant cells; however, p53-mediated transactivation did not appear to be lower than that in control spleen cells (three- to fourfold) except in the case of p21 (Table 2). These results were surprising, given the fact that tumors were resistant to apoptosis, and suggest that the presence of p53 mutations in tumors does not affect the normal transactivation function of p53 following -irradiation.

View larger version (102K): [in this window] [in a new window]   FIG. 5.   p53 transactivation activity is functional in Tax-induced tumors and tumor-derived cell lines. Total cellular RNA was isolated from nonirradiated () and irradiated (IR) (+) cells at 2 h postirradiation. RT-PCRs were performed using primers specific for p21, bax, mdm2, and p53 mRNA. Levels of GAPDH were measured in parallel to demonstrate that equivalent amounts of RT product were used in each reaction. Cells containing wild-type p53 (204-3-1), mutant p53 (143-2M), and no p53 (L1-2) were utilized as controls to measure p53 transactivation activity.

Tumorigenesis in p53^+/ Tax⁺ mice progeny. To determine if the loss of functional p53 contributes to tumor formation in vivo, we bred Tax transgenic mice with homozygous p53 mutant mice (18). F₁ progeny (p53^+/ Tax⁺) were then mated for production of F₂ progeny. Mice with homozygous p53 mutations develop a variety of malignancies and die as early as 6 months of age. Tumors arising in p53^/ mice include sarcomas and CD4+ CD8+ lymphomas, which can be distinguished from Tax transgenic LGL tumors (18).

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View larger version (16K): [in this window] [in a new window]   FIG. 6.   Tumor initiation and progression in progeny from p53+/ Tax+ transgenic mice. Tax transgenic mice (solid lines) were mated with p53/ mice, and F1 progeny (p53+/ Tax+) were mated for production of F2 progeny. (A) The percent tumor-free survival is plotted as a function of age. Animals were monitored weekly for tumor formation, morbidity, or spontaneous death over a period of 9 months. Except for p53/ Tax+ (n = 14) and p53/ (n = 5) mice, at least 20 mice were used for each comparison. The percent morbidity-free (development of fewer than four visible tumors; n < 3) survival (B) and the percentage of mortality-free mice (C) were measured from the time of initial tumor formation.

	DISCUSSION

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There are considerable data suggesting that the HTLV-1 Tax protein induces tumorigenesis by deregulation and functional inhibition of cellular proteins, including components of the p53/Rb pathway. We have utilized a Tax transgenic mouse model to determine the contribution of p53 inactivation to Tax-induced tumorigenesis. Our results suggest that Tax expression in an in vivo mouse model of tumorigenesis does not affect the transactivation function of p53 and that p53 inactivation, whether by mutation or other method, does not contribute to accelerated tumor formation. These findings differ from those of Pise-Masison et al., which demonstrate inhibition of p53-mediated transcriptional activation and apoptosis in HTLV-1-immortalized cell lines (31, 32). The differences may reflect the two distinct model systems used: one utilizes a mouse model of Tax expression and the other utilizes HTLV-1-immortalized human cells. We have not looked at altered phosphorylation of p53 as a mechanism of Tax inhibition in our system, given the fact that p53 appears to function normally when activated by -irradiation. Thus, we cannot rule out this possibility, especially since -irradiation induces a series of downstream phosphorylation events which may override any inhibition induced by Tax (12).

By PCR-SSCP analysis, we identified specific mutations in the critical DNA binding domain of p53 in tumors from Tax transgenic mice. We initially identified p53 mutations in 43% of primary, peripheral tumors and 91% of sites of organ infiltration. Four specific mutations in exons 6 and 7 of p53 were further characterized since their high frequency of occurrence indicated that they were not PCR artifacts. These mutations were confirmed by restriction enzyme digestion of genomic DNA; moreover, mutant p53 protein expression in tumors and tumor-derived cell lines was identified by Western blot analysis. Three of these mutations, although inhibitory in an in vitro transfection system, apparently are not predominant enough in tumors to abrogate p53 transactivation of downstream p53 responsive genes following -irradiation. However, it is possible that these mutations may be inhibitory under more physiologic conditions of stress.

Our results are similar to those utilizing Abelson MLV-transformed pre-B cells, in which inhibitory mutations clustered within the p53 core domain were generated late in transformation and appeared not to be required for initial transformation. However, unlike the Tax-induced tumors in our system, MLV-transformed cells predominantly expressed mutant p53, which is unable to activate p21 transcription or induce apoptosis following irradiation (43). In our system, tissues containing disseminated tumor cells also harbored large numbers of nonmalignant cells, which made it difficult to measure the percentage of tumor cells containing specific p53 mutations. The presence of p53 mutations in the IL-2-independent tumor-derived cell lines from Tax transgenic mice supports the idea that late-stage genetic mutations in p53 may allow cells to grow without exogenous cytokines. However, if these mutations provide a growth advantage for tumor cells, it is expected that organ-infiltrating tumor cells would be clonal and contain predominantly mutant p53. This was not observed when biological clones were cultured from tumors, suggesting that these mutations do not need to be selected for tumor outgrowth in vitro. An alternative explanation is supported by the finding that Tax inhibits nucleotide excision repair, presumably through increased proliferating cell nuclear antigen expression (21, 35). This may predispose cells to accumulation of DNA damage and spontaneous mutation, an event that has been attributed to Tax expression (28).

Despite the fact that p53 transactivation activity is normal, the apoptotic pathway appears to be inactive in tumors and tumor-derived cell lines from Tax transgenic mice, based upon their resistance to -irradiation. Additionally, only the larger tumor cells present in spleen and tail tumors were resistant to apoptosis. The smaller lymphoid cells were sensitive to apoptosis, similar to cells present in normal control mouse spleens. In support of our findings, resistance to Fas-mediated apoptosis in spleen cells has also been associated with escape of autoreactive T cells and development of autoimmune disease in HTLV-1 transgenic mice (22).

In addition to transcription-dependent p53-mediated apoptosis, a transcription independent pathway of apoptosis has been described. This pathway is thought to involve the proline-rich region of p53, located between the central DNA binding domain and the 5' transactivation domain. This region mediates binding of p53 to proteins containing SH3 domains and is thought to be involved in induction of apoptosis, yet dispensable for p53-mediated transactivation (24, 36). This pathway, largely bax independent, is suggested to involve additional signals or cofactors necessary for apoptosis or suppression of a survival factor needed to inhibit the actions of bax (36). We have not ruled out the possibility that mutations in this region of p53 may be present in Tax-induced tumors or that Tax disrupts protein-protein interactions involving this region, independent of mutation.

Another possibility is that Tax inhibits downstream effectors of p53 necessary for apoptosis. For instance, resistance to apoptosis induced by the Epstein-Barr virus LMP-1 protein is associated with expression of the anti-apoptotic bcl-2 and A20 proteins, which are regulated by NF-B activation. In fact, it has been suggested that a critical balance between pro- and antiapoptotic bcl-2 family members regulates apoptosis (40). Along these lines, studies have shown that Tax can transrepress expression of the apoptosis-promoting protein bax and can transactivate expression of the antiapoptotic protein bcl-xl, most likely through the NF-B elements in the bcl-xl promoter. This action is associated with development of IL-2 independence in CTLL-2 cells (3, 17, 44). To our knowledge, Tax-mediated inhibition of other essential downstream components of p53-mediated apoptosis has not been researched. Herpes simplex virus-1, for example, has been shown to specifically inhibit both caspase-8 and caspase-3 activity following induction of apoptosis (19).

The finding that tumor formation in p53^+/ Tax⁺ mice was not significantly accelerated compared to that of p53^+/+ Tax⁺ mice supports our in vitro p53 transactivation data. p53 functions primarily as a tetramer, and it has been shown that a mere reduction in p53 levels may promote tumorigenesis; therefore, an increased rate of Tax-induced tumor formation in p53 heterozygous mice would have been observed if p53 inactivation contributed to tumor formation (46). In fact, a recent study by Li et al. demonstrates that p53^+/ mice transgenic for HPV E6 and E7 develop a novel lymphomagenesis, which is not observed in p53^+/+ E6 and E7 or p53^+/ mice, at 3 to 6 months of age. This suggests that p53 inactivation from degradation by HPV E6 and E7 is important for tumor development in these animals (25). Tumors developing in p53^/ Tax⁺ mice are identical to those of p53^/ mice and arise earlier than tumors induced by Tax alone (3 to 5 months versus 6 to 9 months). Again, we would expect to see development of Tax-induced peripheral tumors sometime before death of the mice if p53 inactivation was an obstacle to overcome for tumor formation. This is in contrast to studies involving infection of p53-deficient mice with Abelson MLV. These mice demonstrated a shortened latency period before tumor formation, suggesting that p53 inactivation is important for tumor development induced by this virus (45). Similarly, using a Wnt-1 mouse mammary tumor model, Jones et al. have shown that p53 deficiency contributes to accelerated tumor development (20).

When we then monitored tumor progression in p53^+/ Tax⁺ and p53^+/+ Tax⁺ mice, beginning from the time of initial tumor formation, we observed formation of multiple tumors (n > 3) and accelerated mortality in Tax transgenic mice heterozygous for p53. The tumors were identical to those induced by Tax alone and distinct from late-stage tumors described for p53^+/ mice (18). This suggests that, once tumors are established, p53 inactivation allows for a more aggressive disease course, resulting in rapid dissemination and death. Our results are supported by the observation that, since p53 can be induced by hypoxia, the presence of a rich blood supply early in tumor development (i.e., leukemia/lymphoma) results in late selection for p53 inactivation in tumors (24). Additionally, a study of erythroleukemias induced by Friend MLV suggests that p53 inactivation does not directly immortalize cells but promotes accumulation of mutations that lead to accelerated tumor progression in vivo (48). Taken together, these results suggests that p53 inactivation by Tax, whether by mutation or another mechanism of inhibition, is not critical for initial tumor formation. Rather, p53 inactivation likely occurs late in tumorigenesis and may be responsible for rapid dissemination and the extremely aggressive and fatal course of ATLL.

We propose that Tax expression in our mouse model induces uncontrolled entry into the cell cycle (29, 37, 39, 42) and inhibits apoptosis induced by DNA damage (32, 44) while disrupting DNA repair systems (21, 35). Our RT-PCR results suggest that this occurs either independent of or downstream of p53. After cells enter a transformed state, p53 is likely inactivated, either by genetic damage or a more direct mechanism, leading to rapid tumor dissemination and death as demonstrated in p53^+/ Tax⁺ mice. Future studies will utilize this transgenic-mouse model to identify the initial events in HTLV-1 Tax-mediated tumorigenesis, specifically with regard to inhibition of the apoptotic pathway.