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physiological doses of MNNG compared to MMR-
proficient cells. 91
levels completely abrogated MMR-dependent G 2 arrest,
as well as long-term survival responses. Further studies
demonstrated that GADD45 a -mediated MMR-depen-
dent G 2 arrest regulation after MNNG exposure, was
a downstream mediator of MMR-c-Abl signaling (see
Figure 9.1 ). Importantly, experiments in these papers
also examined whether ATM/Chk2 or ATR/Chk1
played roles in MNNG-induced, MMR-dependent G 2
arrest. Even though these kinases were activated, no
specific functional roles for these activated kinases
were found. Others have found physical interactions
between c-Abl and hMLH1 and hMLH1-dependent
mitogen-activated protein kinase (MAPK)s (c-Jun,
JNK, MKK4) kinase activation after MNNG exposure. 152
Thus, based on doses of agents used and functional data
noted to date, we concluded that the MMR-c-Abl-
GADD45 a pathway controls G 2 arrest and lethality
responses in cells under clinically relevant exposure of
DNA damaging agents.
c-Abl and MMR-dependent G 2 arrest
Data from Dr Jean Wang's lab, 101 as well as from our
group demonstrated that c-Abl was a key mediator that
regulated MMR-dependent G 2 arrest and cell death after
physiological exposures to cisplatin or MNNG. 90,91
c-Abl is a non-receptor tyrosine kinase that interacts
with a large variety of cellular proteins, including
signaling adaptors, kinases, phosphatases, cell-cycle
regulators, transcription factors and cytoskeletal
proteins. 143 e 146 It may function in a wide range of
cellular processes, including regulation of cell growth
and survival, as well as oxidative cell stress and DNA-
damage responses. 147 e 150 Although initial studies by
theWang laboratory 101,151 indicated that c-Abl was a crit-
ical mediator for MMR-dependent cellular lethality
through p73 a after exposure to cisplatin, the role of
c-Abl was not well established. In a series of follow-up
studies, our laboratory demonstrated that inhibition of
c-Abl by the c-Abl-directed inhibitor, STI571 (Gleevec
GADD45 a and MMR-Dependent G 2 Arrest
Although phosphorylation and stabilization of p73 a
were noted in response to MNNG exposures, a role for
this p53 family member in MMR-dependent G 2 cell
cycle arrest responses was not noted. Instead, we found
that MMR-dependent signaling led to elevated expres-
sion of GADD45 a after FdUrd or MNNG treat-
ments. 90,91,94 Accumulated evidence suggest that the
GADD45 protein family function as cell stress sensors,
mediating their activities through a complex interplay
of physical interactions with other cellular proteins
that are implicated in cell cycle regulation and lethality
responses. 153,154 Studies using shRNA knockdown of
GADD45 a in MMR-competent cells, as well as
complete knockout of GADD45 a in MEF cells, further
demonstrated the role of this protein in MMR-depen-
dent G 2 cell cycle checkpoint and lethality responses
after MNNG exposures, since abrogation of GADD45 a
function resulted in loss of G 2 arrest, apoptosis and
lethality to this monofunctional alkylating agent (see
Figure 9.1 ). Although downregulation of GADD45 a in
shRNA-c-Abl knockdown clones after MNNG expo-
sure suggested that GADD45 a was downstream of c-
Abl, direct physical interaction between c-Abl and
GADD45 a was required to demonstrate a direct link.
A direct link between p73 a and GADD45 a was not
noted, suggesting two separate signaling pathways
for apoptosis and G 2 arrest responses, respectively.
Early studies from other laboratories showed that
over-expression of GADD45 a can mediate a G 2 check-
point arrest by direct binding and inhibiting of Cdc2,
while suppression of GADD45 a abrogated G 2 check-
pointarrestinresponsetoDNAdamageagentexpo-
sure. 137 Data from Hirose et al., 155 suggested that p38 a
MAPK may be activated by MMR to trigger G 2 cell
),
or short hairpin RNA (shRNA) knockdown of c-Abl
FIGURE 9.3 Signaling from MMR damage recognition and repair
to cell cycle checkpoints and apoptosis primarily involves c-Abl
activation. Recent data strongly suggest that MMR-dependent c-Abl
signaling controls cell cycle checkpoint activation at the G 2 phase of
the cell cycle, and simultaneously stimulates apoptosis in severely
damaged cells. ATM/ATR activation, on the other hand, appears to (i)
be a consequential effect of repair, possibly a result of repeated repair
cycles that are not necessarily due to MMR; and (ii) are exclusively
activated by extremely high doses of most alkylating agents, doses
that signal various repair processes beyond the low dose-sensitive
MMR activity.
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