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regardless of p53 status. 186 However, a detailed mecha-
nism was not fully elucidated for the role of p73 in
apoptosis. 187 Prior data revealed that p73 a was induced
and stabilized during MMR-dependent apoptosis after
cisplatin exposure. 101 Furthermore, studies from other
groups defined a physical interaction between hPMS2
(a binding partner of hMLH1) and p73 a . 188,189 Since
MMR-dependent p73- a and - b stabilization was noted
in response to MNNG treatment, shRNA silencing of
p73 a was used to elucidate the function of p73 a in
MMR-dependent cellular death responses. 90,91 Interest-
ingly, while p73 a knockdown partially abrogated
MMR-dependent apoptosis and spared long-term
survival, MMR-dependent G 2 cell cycle arrest responses
were not altered in response to MNNG. 90,91 Further
elucidation of the signaling responses demonstrated
that MMR/c-Abl-dependent activation of Inhibitor of
growth 2 (ING2)/p73 a signaling regulated cell death
triggered by MNNG. 190 Taken together, these data
strongly suggest that p73 a was a key mediator of
MMR-dependent apoptosis (see Figure 9.2 ).
was the first to demonstrate MMR-dependent induc-
tion/stabilization of p53 protein levels after 6-TG, IR,
FdUrd, or MNNG exposures. 90,92 e 94,97,106 We noted
that p53 stabilization was the result of MMR-dependent
ser-15 phosphorylation of this tumor suppressor
protein. We also noted MMR-dependent elevation of
Bax, a known downstream gene regulated by p53 in
response to MNNG treatment. 90 Although other labora-
tories have reported that MMR-dependent apoptosis in
human colon cancer cells following treatment with
MNNG or MNU was dependent on p53, studies using
isogenic cells varying in p53 function were not
explored. 177 e 179 In addition, TMZ-induced apoptotic
responses were reported to be dependent on p53, 180
although responses were not examined for MMR-
dependency. Collectively, these data highly suggested
that p53 was an important candidate mediating MMR-
dependent apoptosis, in processes similar to non-
MMR-dependent cell death responses after other
chemotherapeutic agents.
However, our data strongly suggest that p53 does not
play a role in MMR-dependent apoptotic responses. We
utilized several different approaches to abrogate p53
expression and function in MMR-competent RKO7 or
HCT116 3-6 cells. These alterations in p53 function did
not affect MMR-dependent apoptotic responses in
response to various agents that specifically stimulate
MMR-dependent lethality, including 5-FU, 6-TG,
and MNNG. 90 e 93,181 Similarly, Topping et al., 95 also
found that functional p53 was not a mediator of MMR-
dependent apoptotic signaling pathways in response to
cisplatin exposures, even though the same MMR-depen-
dent stabilization of p53 was noted. Thus, all data to date
strongly suggest that p53 is not a mediator of MMR-
dependent G 2 arrest or apoptotic signaling. Although
ATR and ATM are typical kinases that stabilize p53 after
DNA damage and appear activated after MNNG, 6-TG
or other agents known to stimulate MMR, activation of
these kinases does not play a functional role in G 2 arrest
responses or apoptotic cell death signaling.
Role of c-Abl in MMR-Dependent Apoptosis
It was previously reported that p73 ( a and b both)
was phosphorylated and stabilized in a c-Abl-depen-
dent manner in response to various DNA damaging
agents. 101,184,185 Numerous studies have attempted to
clarify the role of c-Abl in MMR-dependent cellular
responses. 101,191,192 Although it has not been fully
defined, direct physical interaction between c-Abl and
MMR has been reported. 101,184,185 Yi et al., 193 defined
a physical and functional interaction between hMSH5
and c-Abl in response to IR-induced DNA damage.
Kim et al., 152 further clarified the enhanced physical
interaction between hMLH1 or hPMS2 and c-Abl. Our
laboratory was able to abrogate MMR-dependent
apoptosis, as well as G 2 cell cycle arrest and lethality,
after MNNG exposures by pre-treating cells with the c-
Abl inhibitor, STI571, or by introducing an shRNA
specific for c-Abl knockdown 90,91 (see Figure 9.2 ). A
recent study from Wang et al., 194 suggested that c-Abl
was bound to chromatin and their data suggest an
enhanced interaction with ATM and ATR in response
to DNA damage. They demonstrated that c-Abl can
phosphorylate ATR at tyrosines Y291 and Y310, and
have suggested that these phosphorylation events may
play a positive role in ATR activation under genotoxic
stress. Taken together, c-Abl is a key player in genotoxic
stress-induced apoptosis, cell cycle progression, and
DNA repair.
Role of p73 in MMR-Dependent Apoptosis
After excluding a role for p53 in MMR-dependent
apoptotic responses, we examined the role(s) of other
p53 family members in the apoptotic responses. The
p53 homologue, p73 a has previously shown to be acti-
vated in response to a variety of genotoxic
agents. 101,182 e 185 Three seminal articles have demon-
strated the key role of c-Abl in the activation and stabi-
lization of p73 a . 101,184,185 Blocking p73 a function using
various methods, such as expression of a dominant-
negative p73 a mutant form, siRNA-mediated knock-
down of p73 a levels, or knockout by homologous
recombination, led to chemoresistance of tumor cells
Role of GADD45 a in MMR-Dependent Apoptosis
Numerous studies have shown that GADD45 gene
family members play a major role in the regulation of
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