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Journal of Virology, June 2006, p. 5349-5360, Vol. 80, No. 11
0022-538X/06/$08.00+0 doi:10.1128/JVI.02016-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Crystal Van Peursem,1,
David A. Ornelles,2
Jerome Schaack,3 and
James DeGregori1*
Department of Biochemistry and Molecular Genetics, Department of Pediatrics, Integrated Department of Immunology, Program in Molecular Biology, University of Colorado at Denver and Health Sciences Center, Aurora, Colorado 80045,1 Department of Microbiology and Immunology, School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27157,2 Department of Microbiology, Program in Molecular Biology, University of Colorado at Denver and Health Sciences Center, Aurora, Colorado 800453
Received 21 September 2005/ Accepted 6 March 2006
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The adenoviral genome is a 36-kb double-stranded DNA chromosome that exists as an episome in the infected cell. Adenoviral genes are arranged bidirectionally, and alternative splicing creates many distinct gene products. The study of adenovirus has dramatically enhanced our understanding of fundamental cellular processes. For example, investigations seeking to understand the control of the adenoviral E2A promoter led to the discovery of the E2F transcription factors and the pivotal role that the retinoblastoma protein (pRb) plays in controlling E2F transactivation and entry into the cell cycle (2). Studies also revealed that the adenoviral E1A protein regulates E2F activity by inhibiting pRb's sequestration of E2F factors and that E4-orf6/7 aids in the dimerization and subsequent binding of E2F to a subset of E2F-responsive viral and cellular promoters (2).
Human adenoviral infections typically result in minimal inflammation due to a complex interaction of viral gene products that modulate the host's immune response and may create conditions that favor a persistent infection (27, 38). Replication-defective first-generation adenoviral vectors, which have the E1A, E1B, and usually the E3 gene deleted, induce very strong innate and adaptive immune responses that limit the utility of the vector. Second-generation adenoviral vectors, which have one or more of the E2 genes essential for viral DNA replication deleted and are therefore replication incompetent or have the E4 gene deleted and are replication defective, exhibit improved performance as gene therapy vectors but still generate strong innate and adaptive immune responses (10). These findings highlight the possibility that expression of viral genes retained in first- and second-generation vectors reduces therapeutic utility via negative effects on the host cell and/or the promotion of immune responses.
The p73 transcription factor is a member of the p53 family that is upregulated and posttranslationally activated following DNA damage (34). Together with a third member of the p53 family, p63, the proapoptotic isoform TAp73 contributes to apoptosis. In fact, p53-dependent apoptosis and transcription are dependent on p63/p73, and vice versa (11). The TAp73 promoter is directly regulated by E2F, with preferential regulation by the E2F1 family member following DNA damage (34). A second p73 isoform,
Np73, possesses an alternative 5' exon transcribed from an internal promoter.
Np73 is thought to oligomerize with TAp73 and TAp63 and directly compete with p53 for binding to promoters, thus antagonizing their proapoptotic functions (20, 35, 51). Adding to this complexity, the p73 gene encodes at least six C-terminal splice variants (20).
Chemotherapeutic agents that induce apoptosis depend in part upon the induction and transactivation potential of TAp73. However, some tumor-associated variants of p53 bind and inactivate p73, thus lowering the rate of clinical response to certain proapoptotic therapies (3, 21, 25, 32). Therefore, treatments that elevate expression of TAp73 and enable it to overcome dominant-negative mutant p53 may prove efficacious for cancer therapy.
While using recombinant adenoviruses to study the transcriptional regulation of TAp73, we consistently found that adenoviral vectors using particular foreign promoters increased TAp73 transcript levels in fibroblasts. Because of the proapoptotic role of TAp73 and the current difficulties of attaining long-term expression in clinical trials that use adenoviral vectors, we investigated the link between adenoviral transduction and TAp73 expression.
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Adenoviral and retroviral constructions.
The construction of Ad CMV-GFP (26), Ad ubiquitin C (UbC)-GFP (49), Ad CMV-nil (formerly named MbAd2) (39), and Ad CMV-p16 (22) was described previously. Ad CMV-GFP-dpTP was constructed by electroporation of Escherichia coli strain BJ5183 carrying the plasmid pAdEasy-1 modified to contain the majority of the chromosome of Ad5dl300
pTP (38) with PmeI-digested pAdTrack (18). A recombinant plasmid containing the CMV-GFP cassette from pAdTrack was grown and digested with PacI to release the viral chromosome. The DNA was used to transfect HEK293-pTP cells to generate virus. The virus was plaque purified prior to large-scale growth. Ad CMV-GFP-dE4 was constructed by electroporation of E. coli strain BJ5183 carrying the plasmid pAdEasy-2 with PmeI-digested pAdTrack (18). A recombinant plasmid containing the CMV-GFP cassette from pAdTrack was grown and digested with PacI to release the viral chromosome. The DNA was used to cotransfect HEK293T cells with pCMV-E4-orf6 to generate virus. After incubation for 7 days, the cells were frozen and thawed to release the virus and used to infect HEK293 cells that had been transfected with pCMV-E4-orf6 to increase the virus titer. After incubation for 7 days, the cells were frozen and thawed to release the virus, and a large volume of cell lysate was used to infect a small number of HEK293 cells to promote virus growth in the absence of complementation for E4 (52). The virus was grown on a large scale by high-multiplicity infection of HEK293 cells.
To construct Ad CMV-GFP-dE4-orf6/7, Ad5dl356 (15) DNA (which does not encode E4-orf6/7) prepared from purified virions was digested with ClaI, which cleaves uniquely within the E1A gene. The large DNA fragment was purified by centrifugation on a 10 to 40% sucrose gradient and used along with PmeI-digested pAdTrack (22) to cotransfect HEK293 cells. The virus was plaque purified, and a GFP-positive plaque was selected, grown on a large scale, and purified.
The protein IX (pIX) coding region was amplified from pAdEasy-1 (18) with Pfu Turbo (Stratagene, Inc.) and the primers GCGTAGATCTATGAGCACCAACTCGTTTGATGG and ATCTAAGCTTTTAAACCGCATTGGGAGGGGAGG and ligated into MSCV2.2+IRESGFP (47) using BglII and PmeI. E4-orf6/7 cDNA was inserted as a BamHI/SalI fragment into the BglII/ClaI sites of MSCViresGFP. Sequencing confirmed the nucleotide sequences of all amplified products.
Viral transduction of cells. MEFs or HFFs suspended at 10 million per ml of serum-free Dulbecco's modified Eagle's medium (DMEM) were transduced with adenovirus for 60 min with frequent agitation and then plated in DMEM supplemented with 10% fetal bovine serum (FBS). Following overnight culture, the cells were washed once with phosphate-buffered saline and incubated for 2 days in DMEM plus 0.2% FBS. The cells were harvested 22 h after the medium was replaced with DMEM plus 10% FBS. For retroviral transductions, the ecotropic Phoenix packaging line (45) was transiently transfected with the mouse stem cell virus (MSCV) vector, along with pCLEco (31), using Fermentas ExGen500; 24 h after the medium was replaced, the retroviral supernatant was filtered using a 0.2-µm syringe filter, diluted 1:3 with fresh DMEM plus 10% FBS plus 4 µg/ml Polybrene, and added to adherent MEFs. Fresh retroviral supernatant was added three times over a 12-hour period, and the MEFs were transduced with adenovirus the following day.
Reverse transcription (RT)-PCR. RNA was isolated using TRIzol (Invitrogen Corp.), denatured (95°C for 3 min), DNase treated (Ambion; 37°C for 30 min), and further purified using the RNeasy Mini Kit (QIAGEN Inc.). TaqMan Universal PCR Master Mix, No AmpErase UNG, and 6-6-carboxyfluorescein/6-carboxytetramethylrhodamine-labeled probes (Applied Biosystems) were used for the detection of 18S rRNA (48), cyclin A2, DHFR, cdc6, and Ets2 (9). SYBR Green Master Mix (Applied Biosystems) was used for the detection of p21 (48) and pIX.
The primers and probes utilized were as follows: cycA2 (TCAAGACTCGACGGGTTGC, TCCATGAAGGACCAGCAGTG, and probe CCTCTTAAGGACCTTCCTATAAACGATGAGCATG), DHFR (CGGAGGCAGTTCTGTTTACCA, CCTGCATGATCCTTGTCACAA, and probe AAGCCATGAATCAACCAGGCCACCTTAG), cdc6 (GTTCTGTGCCCGCAAAGTG, AGCTCGCCTGCAAACATCC, and probe CTGCTGTTTCAGGAGACATCCGTAAAGCG), and pIX (GCGTAGATCTATGAGCACCAACTCGTTTGATGG and AGGAAGCCTTCAGGGCAGAAACC). Real-time RT-PCR was performed with Moloney murine leukemia virus-RT (Invitrogen Corp.) in a model 7700 thermocycler (Perkin-Elmer) as described earlier (9): 48°C for 30 min (1 cycle), 95°C for 10 min (1 cycle), 95°C for 15 s, and 60°C for 1 min (40 cycles). A 1-min 72°C extension step was added for PCR for pIX RNA. Reverse transcriptions of murine TAp73 and
Np73 were done independently from the real-time PCR using GGCACTGCTGAGCAAATTGAACTG with incubation for 50 min at 45°C, followed by 5 min at 85°C. Nineteen microliters of the RT reaction mixture was added to a 6-µl mixture containing AmpliTaq GOLD (Applied Biosystems), the reverse primer GGCACTGCTGAGCAAATTGA, and a gene-specific forward primer and probe (TA, GCGAGGAGTCCAACATGGAT and probe CTTCCACCTGCAAGGCATGGCC;
Np73, CCACGAGCCTACCATGCTTTAC and probe CGGTGACCCCATGAGACACCTCG). Oligo(dT) was used for the reverse transcription of human TAp73, followed by the TAp73-specific primer and probe set from Applied Biosystems (assay identifier, Hs00232088_m1).
Western blotting.
Protein was prepared from cells using RIPA buffer. The antibodies used were
-p73 (NeoMarkers; GC15),
-E4-orf6/7 (which recognizes both E4-orf6 and E4-orf6/7) (28),
-DNA binding protein (36) (a gift from A. J. Levine), and
-ß-actin (sc-1616). Secondary antibodies used were
-mouse horseradish peroxidase (HRP),
-rabbit HRP, and
-goat HRP (Bio-Rad), and the blots were developed using Pierce SuperSignal Pico or Femto chemiluminescence detection. Western blotting was performed with 0.2% Tween 20 in the antibody solutions and washes.
Flow cytometry and chemotherapeutics. Flow cytometry and GFP quantification were performed on single-cell suspensions with an XL cytometer (Coulter). For relative cell counts (chemotherapeutic drug assays), all wells were harvested in the same manner, and immediately following mixing, were analyzed for 30 seconds using the cytometer's automatic collection system. Etoposide (Sigma) (in DMSO) and 5-fluorouracil (5-FU) (Sigma) (in phosphate-buffered saline) were added to MEFs after the 2-day incubation in DMEM plus 0.2% FBS and incubated for 4 days prior to analysis. DMSO served as the carrier control.
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protein (Fig. 2B) and, to a lesser extent,
Np73 mRNA levels (Fig. 3A). To establish that the effective viral titers of the two adenoviruses were comparable, mouse EL4 thymoma cells expressing the coxsackievirus and adenovirus receptors were transduced over a wide range of MOIs. Very similar percentages of GFP-expressing cells were measured at all MOIs, confirming consistent viral titers (Fig. 3B). Additionally, the mean fluorescence intensities of EL4 cells transduced by the two viruses were equivalent, and thus, differences in promoter strength did not affect the titer calculations.
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FIG. 1. Adenoviral vectors used in these studies are presented schematically, with modifications of the E1 and E4 regions indicated, along with the location of the pIX gene (Ptn IX). Note that all vectors have the E1A and E1B genes deleted. Not drawn to scale.
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FIG. 2. Adenoviral vectors expressing GFP from the CMV promoter, but not the UbC promoter, induce TAp73 expression. MEFs suspended in serum-free medium were transduced with adenovirus at the indicated MOI, plated at subconfluency for 16 h in complete medium, changed to starvation medium (0.2% serum) for 2 days to synchronize their cell cycles, and then fed for 22 h in complete medium prior to harvest. (A) The transcript levels of TAp73 relative to 18S rRNA were determined by real-time RT-PCR. Indistinguishable results were obtained by normalization to ß-actin. Parallel samples were used for GFP analysis (gray diamonds). The standard error of the mean is included (obscured when the error is very small). (B) TAp73 protein was detected by immunoblotting. A nonspecific band served as the loading control (lower blots).
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FIG. 3. Adenoviral vectors expressing GFP from the CMV promoter, but not the UbC promoter, induce Np73 expression. (A) MEFs were transduced with adenovirus at the indicated MOI, serum starved, and then restimulated with serum-containing medium as described in the legend to Fig. 2. The transcript levels of Np73 relative to 18S rRNA were determined by real-time RT-PCR. Parallel samples were used for GFP analysis (gray diamonds). The standard error of the mean is included (obscured when the error is very small). (B) EL4 thymoma cells expressing the coxsackievirus/adenovirus receptor required for adenoviral entry (26) were transduced over a wide range of MOIs, and the percentage that expressed GFP was quantified via flow cytometry 16 h later.
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FIG. 4. Neither GFP expression nor adenoviral DNA replication is responsible for induction of TAp73 and adenoviral pIX RNA. MEFs were transduced as before with adenoviral vectors that (A) possess the CMV promoter but do not encode GFP (or any foreign gene) or (B) express GFP from the CMV promoter but cannot replicate due to deletion of the pTP gene. TAp73 mRNA (black bars, left y axis) and adenoviral pIX RNA (gray bars, right y axis) relative to 18S rRNA were quantified by real-time RT-PCR (ND, not determined; "DEAD" indicates that cell killing at these MOIs prevented mRNA analyses). (C) Adenoviral pIX is not responsible for increased transcript levels of TAp73. Prior to adenoviral transductions (MOI, 10), MEFs were transduced with an MSCV-based retrovirus expressing GFP alone or in conjunction with adenoviral pIX. TAp73 mRNA relative to 18S rRNA was quantified by real-time RT-PCR. The expression of pIX mRNA was confirmed by RT-PCR and found to be substantially higher than levels observed in cells transduced with Ad CMV-GFP (data not shown). The standard error of the mean is included (obscured when the error is very small).
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Adenoviral vectors containing the CMV promoter induce adenoviral protein IX. Ad CMV-GFP induces TAp73 less efficiently than Ad CMV-GFP-dpTP. The CMV promoter in CMV-GFP-dpTP directs transcription toward the left end of the viral chromosome. This orientation differs from that found in Ad CMV-GFP (Fig. 1) and could place enhancer elements closer to downstream adenoviral promoters. The possibility that enhancer elements within the CMV promoter affected the transcription of downstream adenoviral genes was tested by measuring the transcript levels of the most proximal adenoviral gene, encoding pIX. Although all adenovirus-transduced MEFs expressed RNAs that included the pIX sequence, Ad CMV-GFP and Ad CMV-nil induced more pIX-bearing RNAs than Ad UbC-GFP (Fig. 4A). Moreover, Ad CMV-GFP-dpTP induced pIX RNA more efficiently than Ad CMV-GFP (Fig. 4B). Levels of TAp73 and pIX transcripts exhibited a strong linear correlation over various amounts of infecting virus (correlation coefficient, 0.98). We have confirmed that transcription of the coding DNA strand of the pIX gene is induced by performing reverse transcription in the presence of a single oligonucleotide that primes the sense mRNA (data not shown).
Because of the strong correlation between TAp73 and pIX-related RNAs, we tested the possibility that pIX is sufficient to alter the expression of TAp73. MEFs were transduced with an MSCV-based retrovirus expressing GFP alone or in conjunction with pIX. After transducing over 90% of the control and experimental MEFs with retrovirus and confirming pIX mRNA expression, we transduced them with adenovirus as described above. As shown in Fig. 4C, retrovirus-expressed pIX alone, or in conjunction with Ad UbC-GFP or Ad CMV-GFP, had no effect on TAp73 expression. Therefore, pIX is not sufficient to alter TAp73 transcript levels.
TAp73 transcripts are induced via the cyclin-dependent kinase (CDK)-pRb-E2F pathway. Three transcription factors have been shown to increase TAp73 transcription: TAp73, p53, and E2F1 (6, 19, 34, 43). We transduced p73/, p53/, and E2F1/ MEFs with adenovirus, and in each case, Ad CMV-GFP induced TAp73 transcripts equally well in the presence or absence of p73, p53, or E2F1 protein, thus indicating that these transcription factors are not individually required for TAp73 induction by Ad CMV-GFP (data not shown). To further assess the role of p53, we measured the induction of one of its well-established targets, p21, and found that Ad CMV-GFP transduction did not alter p21 transcript levels in wild-type MEFs (data not shown).
TAp73 transcription is thought to be controlled primarily by E2F via well-established sites in the TAp73 promoter (20). Since the adenoviral protein E1A inhibits the ability of the pocket proteins pRb, p130, and p107 to sequester E2F transcription factors, contamination of our adenoviral stocks with E1A-expressing viruses could result in TAp73 induction. However, despite Ad CMV-GFP inducing the transcript levels of TAp73, the levels of three other well-established E2F targets, DHFR, Cdc6, and CycA2, remained unchanged (Fig. 5A). We confirmed our ability to quantify regulated mRNA expression of these E2F targets by using roscovitine, a pharmacological agent that preferentially inhibits CDK2 and CDK1 activity (30), to inhibit CDK activity and, thus, E2F-driven transcription (Fig. 5B). These results demonstrate that the upregulation of TAp73 does not reflect a general enhancement of the expression of all E2F target genes and is not a result of contaminating E1A protein.
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FIG. 5. CDK-pRb-E2F pathway is required for adenoviral induction of TAp73. (A) MEFs were transduced as before (MOI, 10), and TAp73, CycA2, DHFR, and Cdc6 RNAs relative to 18S rRNA were quantified by real-time RT-PCR. (B) MEFs were incubated in 30 µM roscovitine or dimethyl sulfoxide (DMSO) control, and CycA2, DHFR, and Cdc6 RNAs relative to 18S rRNA were quantified by real-time RT-PCR. (C) MEFs were transduced as before (MOI, 10), except the 0.2% starvation medium was not replaced or (D) roscovitine or DMSO control was added when the starvation medium was replaced with 10% FBS-DMEM. (E) MEFs were transduced with the indicated adenoviral vectors at the indicated MOIs. Additional Ad CMV-GFP was added to equalize the MOIs when Ad CMV-p16 was used. TAp73 mRNA (black bars, left y axis) and adenoviral pIX RNA (gray bars, right y axis) relative to 18S rRNA were quantified by real-time RT-PCR. The standard error of the mean is included (obscured when the error is very small).
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Finally, the role of the CDK-pRb-E2F pathway in TAp73 induction by Ad CMV-GFP was tested by overexpressing p16Ink4a (14), a CDK4 and CDK6 inhibitor that prevents pRb family protein phosphorylation and thus E2F activation. MEFs were transduced as before in the presence or absence of Ad CMV-p16 at various MOIs. The quantity of CMV promoter-containing adenoviral vector was kept constant by adjusting the Ad CMV-GFP MOI. As shown in Fig. 5E, Ad CMV-p16 inhibited TAp73 induction in a dose-dependent fashion. Ad CMV-p16 did not alter the mRNA of a non-E2F target (Ets2) (data not shown). In addition, Ad CMV-p16 transduction increased pIX transcript levels while decreasing TAp73 induction (Fig. 5E). In total, these experiments strongly suggest that CDK activation, and thus presumably E2F, is required for the TAp73 induction observed after Ad CMV-GFP transduction.
Adenoviral E4-orf6/7 induces TAp73. These findings led us to hypothesize that enhancer elements within the CMV promoter stimulate the expression of downstream adenoviral proteins. These adenoviral products could then directly or indirectly increase TAp73 transcript levels via the CDK-pRb-E2F pathway. To identify candidate adenoviral proteins that upregulate TAp73 transcript levels, we assessed whether an adenoviral vector possessing the CMV promoter but lacking the E4 gene induces TAp73. Remarkably, the adenovirus with E4 deleted failed to induce TAp73 transcripts but did increase the quantities of adenoviral pIX RNA and caused death at higher MOIs (Fig. 6A).
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FIG. 6. Adenoviral protein E4-orf6/7 is necessary and sufficient to induce p73. (A and B) MEFs were transduced with the indicated viruses or (C) prior to adenoviral transductions, MEFs were transduced with an MSCV-based retrovirus expressing GFP alone or in conjunction with E4-orf6/7. TAp73 RNA (black bars, left y axis) and adenoviral pIX RNA (gray bars, right y axis) relative to 18S rRNA were quantified by real-time RT-PCR. The standard error of the mean is included (obscured when the error is very small). "DEAD" indicates that cell killing at these MOIs prevented mRNA analyses. (D) Adenoviral DNA DBP and E4 proteins were detected by immunoblotting. ß-Actin detection served as the loading control. (E) Adenoviral DBP and E4-orf6/7 protein were detected by immunoblotting. ß-Actin served as the loading control.
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In order to test whether expression of E4-orf6/7 is sufficient to induce TAp73 transcript levels, MEFs were transduced with an MSCV-based retrovirus expressing GFP alone or in conjunction with E4-orf6/7. Retrovirus-expressed E4-orf6/7 was sufficient to induce TAp73 transcript levels, and transduction with Ad CMV-GFP, but not Ad CMV-GFP-dE4, further increased TAp73 mRNA (Fig. 6C). Anti-E4 Western blots from MEFs transduced with Ad CMV-GFP, but not Ad CMV-GFP-dE4, revealed a unique protein species corresponding to the appropriate size of E4-orf6/7 (Fig. 6D). The retrovirus engineered to expresses E4-orf6/7 produced a similar-size protein at levels comparable to cells transduced by Ad CMV-GFP. For unknown reasons, the anti-E4 antibody revealed both higher- and lower-molecular-weight species following transduction with Ad CMV-GFP-dE4. Note that retroviral expression of E4-orf6/7 in MEFs induced TAp73 to a greater extent in the presence of Ad CMV-GFP, though the amount of E4-orf6/7 was not noticeably altered (Fig. 6C and D). This result suggests that Ad CMV-GFP transduction may promote TAp73 expression through additional viral gene products in addition to E4-orf6/7, although these mechanisms must also be dependent on E4-orf6/7. A second adenoviral product, the DBP encoded by the E2A gene, was induced by both Ad CMV-GFP and Ad CMV-GFP-dE4 (Fig. 6D). By contrast, transduction with Ad UbC-GFP did not lead to detectable expression of either the DBP or the E4 protein in MEFs (Fig. 6E). In total, these experiments demonstrate that the expression of E4-orf6/7 following adenoviral transduction is necessary and sufficient to induce the expression of TAp73.
Adenoviral vectors lacking exogenous promoters induce TAp73. We have demonstrated that adenoviral vectors containing a CMV promoter induce adenoviral pIX, DBP, and E4-orf6/7, as well as cellular TAp73. We next explored whether an adenovirus that contains no foreign promoter or foreign enhancer elements would do the same. Ad E1A+polyA possesses the E1A promoter in its endogenous orientation but with the intervening sequence between the E1A and pIX promoters replaced with the poly(A) signal of simian virus 40 (SV40) (and with the E1 coding regions deleted [Fig. 1 shows schema]). Our previous studies using a similar adenovirus expressing GFP from the E1A promoter indicated that the strength of this promoter is at least 10-fold weaker than the CMV promoter in fibroblasts (26). Although this virus induces pIX less efficiently than Ad CMV-GFP, it induces TAp73 much more efficiently (Fig. 7). In addition, an adenovirus identical to Ad E1A+polyA, except lacking the SV40 poly(A) signal just prior to the pIX promoter, induces TAp73 with similar efficiency but increases the levels of pIX-containing RNAs to a much greater extent (Fig. 7). Thus, neither the strength of the promoter at the 5' end of the adenoviral genome nor the extent of pIX induction can predict the magnitude of TAp73 expression. Furthermore, an adenoviral vector lacking exogenous promoter sequences can induce the expression of TAp73.
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FIG. 7. Adenoviral vectors possessing only endogenous elements induce adenoviral pIX and TAp73 expression. MEFs were transduced as before with adenoviral vectors that maintain the natural E1A promoter but lack foreign promoter sequences. As indicated in Fig. 1, the two adenoviral vectors used differed in that only the first possessed an SV40 polyadenylation sequence between the E1A promoter and the pIX coding sequence. TAp73 mRNA (black bars, left y axis) and adenoviral pIX RNA (gray bars, right y axis) relative to 18S rRNA were quantified by real-time RT-PCR. "DEAD" indicates that cell killing at these MOIs prevented mRNA analyses. For both viruses, a linear correlation (correlation coefficient, 0.99) exists between pIX RNA and TAp73 induction as a function of the MOI used for transduction being decreased. The standard error of the mean is included (obscured when the error is very small).
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FIG. 8. Chemotherapeutics and Ad CMV-GFP cooperatively decrease cellularity. MEFs were transduced with adenovirus (MOI, 30) as before, except 0.2% FBS starvation medium was replaced with 10% FBS-DMEM containing DMSO, etoposide (10 µM), or 5-FU (100 µM). Four days following the addition of chemotherapeutics, triplicate wells were harvested and the quantity of live cells was assessed by forward and side scatter as described in Materials and Methods. The standard error of the mean is included. *, P < 0.005; **, P < 0.0005 using Student's two-sample homoscedastic t test.
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FIG. 9. Adenoviral vectors expressing GFP from the UbC promoter, but not the CMV promoter, induce E4-orf6/7 and TAp73 expression in human foreskin fibroblasts. HFFs were transduced with adenovirus (MOI, 10) as previously described. (A) The transcript levels of TAp73 relative to 18S rRNA were determined by real-time RT-PCR. The standard error of the mean is included (obscured when the error is very small). To rule out a "virus-switching" mistake, these experiments were repeated several times, the virus stocks used were the same as those used for the experiments above with MEFs, and PCR amplification of the promoters followed by sequencing was used to confirm the identities of the viral stocks. (B) E4-orf6/7 protein was detected by immunoblotting. ß-Actin served as the loading control (lower blots).
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FIG. 10. Alignment of E2F-responsive sites in the TAp73, Ad5 E2A, and E2F1 promoters. (A) Model for adenoviral-vector-mediated deregulation of cellular gene expression dependent on both the choice of promoter driving ectopic gene expression and E4-orf6/7. The CMV promoter is used in this example, but the extent of E4-orf6/7-dependent deregulation of cellular gene expression mediated by a particular ectopic promoter depends on the cellular context. (B) Alignment of human and mouse TAp73, Ad5 E2A, and human E2F1 promoter sequences with predicted (for p73) or demonstrated (E2A and E2F1) E2F binding sequences (arrows).
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High-efficiency transduction of a wide range of cell types has allowed many investigators, including ourselves, to use adenovirus vectors to deliver and express nonviral genes. In light of our findings, results that solely depend on the use of an adenovirus vector should be interpreted cautiously. Although such experiments can be judiciously controlled by transduction with appropriate control viruses, the possibility that a particular effect is due to synergy between the gene being investigated and adenoviral products that are being expressed due to the presence of the exogenous promoter must always be considered.
There have been previous indications that recombinant adenoviruses can induce unintended consequences via E4 that are independent of the foreign gene expressed. An adenovirus with E1 deleted modulates endothelial cell survival and angiogenic potential in a manner that correlates with E4-mediated induction of connexin 40 and inhibition of connexin 43 expression through PKA (55). The vectors used contain the CMV promoter driving expression of LacZ or no foreign gene, although a possible role for the CMV promoter and contributions of specific E4 proteins in altering connexin expression were not tested. Furthermore, prolongation of adenoviral survival and reduced adaptive immune response occurred after deletion of the E4 gene from an adenovirus with E1 deleted using a hybrid promoter containing the CMV immediate-early enhancer and chicken ß-actin promoter to direct LacZ expression, suggesting that E4 gene expression in the absence of the E1 and E3 genes is deleterious in certain cell types (12). Finally, E1B 55K and E4 orf 3 and 6 proteins have been shown to inhibit cellular pathways that recognize and repair double-stranded DNA breaks (4, 5, 44, 50). While these pathways prevent recognition of adenoviral genome ends as DNA breaks, thus preventing concatemerization of viral genomes, they can also sensitize cells to agents that cause DNA damage, such as radiation therapies (16).
Adenoviruses have had a checkered history of clinical success in gene therapy trials. Despite continued complications, adenoviral strategies for gene addition, vaccination, and cancer treatment continue to hold promise. A series of well-publicized gene therapy trials utilized adenoviral vectors to delivery the cystic fibrosis transmembrane conductance regulator (CFTR) gene to the lung epithelia of cystic fibrosis patients. Although such treatments have sometimes resulted in clinically relevant improvements, they have often been inconsistent and transient (17, 23, 53, 54). A lack of long-term CFTR expression due to inflammation and loss of transduced cells was a primary obstacle. The choice of promoter used and the presence or absence of adenoviral sequences, such as E4, clearly could affect the success of future gene replacement studies using adenoviral vectors, in part by influencing viral effects on the expression of cellular genes, such as TAp73 (although effects on p73 are probably less relevant when the target cells are quiescent).
Genetically modified adenoviral vectors have shown promise in the treatment of head and neck squamous cell carcinomas, as well as other tumors. In fact, chemotherapy has increased efficacy when used in conjunction with Onyx-015, an E1B 55K mutant adenovirus that preferentially replicates in tumor cells with disrupted p53 pathways (37). Furthermore, the only currently approved gene therapy protocol effectively utilizes Ad CMV-p53 in combination with radiotherapy for the treatment of head and neck squamous cell carcinoma (33). These findings parallel our results, which demonstrate decreased numbers of Ad CMV-GFP-transduced MEFs grown in the presence of chemotherapeutics and suggest that human clinical-oncology studies may benefit by utilizing adenoviral vectors containing promoters shown to enhance TAp73 expression in the target cell type. In fact, given the dependence of recombinant adenovirus-mediated upregulation of p73 on CDK activity, ectopic promoter- and E4-orf6/7-mediated effects on cellular gene expression may be most relevant for gene therapy protocols for cancers, which inevitably exhibit deregulation of the CDK pathway. Perhaps the insights gained in our work can be used to optimize TAp73 induction and thus increase the therapeutic efficacy of these approaches.
In conclusion, our results demonstrate that adenoviral vectors containing the CMV promoter in MEFs or the UbC promoter in HFFs efficiently induce TAp73 expression via Ad E4-orf6/7. Based in part on our results presented here, manipulation of therapeutic adenoviral vectors to either limit or enhance their cytopathic effects should impact their clinical utility.
Present address: Howard Hughes Medical Institute and Department of Cellular and Molecular Medicine, University of California San Diego School of Medicine, La Jolla, CA 92093. ![]()
Present address: Phosphosolutions, Colorado Bioscience Park, Aurora, CO 80010. ![]()
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B-mediated inhibition of p73 expression. Immunity 18:331-342.[CrossRef][Medline]
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