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<art>
   <ui>1476-4598-3-8</ui>
   <ji>1476-4598</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>The proteosome inhibitor MG132 attenuates Retinoic Acid Receptor trans-activation and enhances trans-repression of Nuclear Factor &#954;B. Potential relevance to chemo-preventive interventions with retinoids</p>
         </title>
         <aug>
            <au id="A1" ca="yes">
               <snm>Andela</snm>
               <mi>B</mi>
               <fnm>Valentine</fnm>
               <insr iid="I1"/>
               <email>Valentine_Andela@urmc.rochester.edu</email>
            </au>
            <au id="A2">
               <snm>Rosier</snm>
               <mi>N</mi>
               <fnm>Randy</fnm>
               <insr iid="I2"/>
               <email>Randy_Rosier@urmc.rochester.edu</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Department of Orthopaedics &amp; The James P. Wilmot Cancer Center, University of Rochester Medical Center, 601 Elmwood Avenue Box 665, Rochester, New York, 14642, USA</p>
            </ins>
            <ins id="I2">
               <p>Department of Orthopaedics, University of Rochester Medical Center, 601 Elmwood Avenue Box 665, Rochester, New York, 14642, USA</p>
            </ins>
         </insg>
         <source>Molecular Cancer</source>
         <issn>1476-4598</issn>
         <pubdate>2004</pubdate>
         <volume>3</volume>
         <issue>1</issue>
         <fpage>8</fpage>
         <url>http://www.molecular-cancer.com/content/3/1/8</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">15035668</pubid>
               <pubid idtype="doi">10.1186/1476-4598-3-8</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>05</day>
               <month>1</month>
               <year>2004</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>22</day>
               <month>3</month>
               <year>2004</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>22</day>
               <month>3</month>
               <year>2004</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2004</year>
         <collab>Andela and Rosier; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.</collab>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>Nuclear factor kappa B (NF&#954;B) is a pro-malignant transcription factor with reciprocal effects on pro-metastatic and anti-metastatic gene expression. Interestingly, NF&#954;B blockade results in the reciprocal induction of retinoic acid receptors (RARs). Given the established property of RARs as negative regulators of malignant progression, we postulated that reciprocal interactions between NF&#954;B and RARs constitute a signaling module in metastatic gene expression and malignant progression. Using Line 1 tumor cells as a model for signal regulation of metastatic gene expression, we investigated the reciprocal interactions between NF&#954;B and RARs in response to the pan-RAR agonist, all-trans retinoic acid (at-RA) and the pan-RAR antagonist, AGN193109.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>At-RA [0.1&#8211;1 &#956;M] dose-dependently activated RAR and coordinately trans-repressed NF&#954;B, while AGN193109 [1&#8211;10 &#956;M] dose-dependently antagonized the effects of at-RA. At-RA and AGN193109 reciprocally regulate pro-metastatic matrix metalloprotease 9 (MMP 9) and its endogenous inhibitor, the tissue inhibitor of metalloprotease 1 (TIMP 1), in a manner consistent with the putative roles of NF&#954;B and RAR in malignant progression. Activation of RAR concurs with its ubiquitination and proteosomal degradation. Accordingly, the proteosome inhibitor, MG132 [5 &#956;M], blocked RAR degradation, quelled RAR trans-activation and enhanced RAR trans-repression of NF&#954;B.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusion</p>
               </st>
               <p>We conclude that reciprocal interactions between NF&#954;B and RARs constitute a signaling module in metastatic gene expression and malignant progression and propose that the dissociative effect of proteosome inhibitors could be harnessed towards enhancing the anticancer activity of retinoids.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>NF&#954;B (p50/p65 heterodimer) is a ubiquitous transcription factor that binds to promoter sequences (&#954;B sites), to modulate the expression of a wide array of genes implicated in diverse cellular processes. NF&#954;B activity is primarily regulated by cytosolic retention through interactions with I&#954;B&#945; that mask its nuclear localization sequence. Activation (nuclear translocation) of NF&#954;B proceeds through activation of the serine-specific multi-component I&#954;B kinase (IKK), which phosphorylates I&#954;B&#945; at two conserved N-terminal serine residues and signals for the ubiquitination and proteosomal degradation of I&#954;B&#945; <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr></abbrgrp>. Oncogenic kinases <abbrgrp><abbr bid="B3">3</abbr><abbr bid="B4">4</abbr></abbrgrp> and physico-chemical stressors such as the hypoxic conditions and pro-inflammatory content of the tumor microenvironment <abbrgrp><abbr bid="B5">5</abbr><abbr bid="B6">6</abbr></abbrgrp> contribute to the hyperactivated state of NF&#954;B in cancer, and its fundamental implications in cellular de-differentiation and proliferation <abbrgrp><abbr bid="B7">7</abbr><abbr bid="B8">8</abbr></abbrgrp>, the subversion of apoptosis <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr></abbrgrp>, the induction of neo-angiogenesis, invasive growth and metastasis <abbrgrp><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr></abbrgrp>.</p>
         <p>Using a genetically engineered I&#954;B&#945; with critical serine substitutions that hinder signal-induced degradation, we <abbrgrp><abbr bid="B9">9</abbr></abbrgrp>, and others <abbrgrp><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr></abbrgrp> have demonstrated that suppression of NF&#954;B activity decreases malignant progression. Interestingly, NF&#954;B reciprocally regulates putative pro-metastatic and anti-metastatic factors <abbrgrp><abbr bid="B9">9</abbr></abbrgrp>. While the induction of pro-metastatic gene expression is consistent with the transcription activating function of NF&#954;B, anti-metastatic gene repression is a mechanistic caveat. Through microarray profiling and differential gene expression analyses of a murine lung alveolar carcinoma cell line (WT-Line1) and its non-malignant counterpart transduced with a dominant negative inhibitor of NF&#954;B (mI&#954;B-Line1), we identified the reciprocal induction of retinoic acid receptors (RARs). Based on the mutually antagonistic interactions between NF&#954;B (p65) and multiple members of nuclear receptor superfamily <abbrgrp><abbr bid="B14">14</abbr><abbr bid="B15">15</abbr></abbrgrp>, and given the auto-inductive property of nuclear receptors <abbrgrp><abbr bid="B16">16</abbr></abbrgrp>, we postulated that dominant negative inhibition of NF&#954;B allowed for RAR signaling and the induction RAR and anti-metastatic gene expression.</p>
         <p>Conversely, RAR ligands, the retinoids, have established anticancer properties <abbrgrp><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr></abbrgrp>, although clinical use is limited by drug toxicity that is ascribed to non-specific gene trans-activation <abbrgrp><abbr bid="B20">20</abbr><abbr bid="B21">21</abbr></abbrgrp>. Mechanistically, RARs in obligate heterodimeric partnership with retinoid X receptors (RXRs), bind to gene regulatory sequences (retinoic acid response elements) where they function as transcriptional switches ("on-off") in response to ligand receptor occupancy ("agonist-antagonist") <abbrgrp><abbr bid="B22">22</abbr><abbr bid="B23">23</abbr></abbrgrp>. In the "off" state, receptors recruit transcriptional co-repressors with intrinsic histone deacetylase activity to the DNA template. The functional result is the deacetylation of core histones, chromatin condensation and active gene repression. The "on" state is initiated by agonist binding and proceeds through structural receptor trans-conformations that dislodge co-repressors and recruit co-activators with intrinsic histone acetylase activity. The functional result is the acetylation of core histones and chromatin relaxation, which permits the assembly of a multi-protein transcription initiating apparatus, the enhanceosome <abbrgrp><abbr bid="B24">24</abbr></abbrgrp>. As an inbuilt resetting mechanism and to accommodate for transcription elongation, RAR trans-activation concurs with its sequential phosphorylation, ubiquitination and proteosomal degradation <abbrgrp><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr></abbrgrp>.</p>
         <p>Repression of NF&#954;B by ligand activated RARs has not been formally explored as a putative mechanism for the anticancer properties of retinoids. Furthermore, the distinct role that proteosome degradation plays in NF&#954;B (activation) and RAR (repression) signaling schemes is compelling as a strategy for limiting retinoid toxicity while potentiating its anticancer activity. Using WT-Line1 and mI&#954;B-Line1 cells as models for signal regulation of metastatic gene expression, we investigate the ligand dependent interactions between NF&#954;B and RARs and explore the potential role of proteosome inhibitors in enhancing NF&#954;B antagonism while moderating RAR gene trans-activation and possibly retinoid toxicity.</p>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Reciprocal induction of Retinoic Acid Receptors (RARs) by NF&#954;B blockade</p>
            </st>
            <p>Contrasting RAR transcript levels in WT and mI&#954;B-Line 1 tumor cells by RT-PCR, we demonstrate the induction of all RAR subtypes in mI&#954;B-Line 1 tumor cells (Fig <figr fid="F1">1A</figr>). Although all RAR subtype transcripts are detected, only RAR&#946; protein is detectable and demonstrably enhanced in mI&#954;B-Line 1 tumor cells (Fig <figr fid="F1">1B</figr>). Accordingly, basal RAR reporter activity is five fold induced in mI&#954;B-Line 1 tumor cells, relative to their WT counterparts (Fig <figr fid="F1">1C</figr>).</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Suppression of NF&#954;B signaling activity allows for the induction of retinoic acid receptor (RAR) message and protein levels and an increase in RAR signaling activity</p>
               </caption>
               <text>
                  <p><b>Suppression of NF&#954;B signaling activity allows for the induction of retinoic acid receptor (RAR) message and protein levels and an increase in RAR signaling activity</b>. WT-Line 1 tumor cells and their non-malignant counterparts (mI&#954;B-Line 1) transduced with a dominant negative inhibitor of NF&#954;B were assessed for the expression of RAR transcripts by RT-PCR, using primers specific for RAR subtypes. Exponential amplification of &#946;-actin was utilized as a loading control (A). Western blot analysis for RAR expression in WT and mI&#954;B-Line 1 tumor cells, using a pan-RAR antibody, demonstrates increased RAR protein levels in mI&#954;B-Line 1 tumor cells (B) and correspondingly increased RAR reporter activity (C).</p>
               </text>
               <graphic file="1476-4598-3-8-1"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Ligand modulation of RAR trans-activity reciprocates NF&#954;B trans-activity</p>
            </st>
            <p>In WT-Line1 cells, the pan-RAR agonist, at-RA dose dependently activates RAR trans-activation. Using 1 &#956;M at-RA as the optimal dose for induction of RAR reporter activity, co-incubation with the pan-RAR antagonist AGN193109 (1&#8211;10 &#956;M), results in a dose-dependent decrease in RAR reporter activity (Fig <figr fid="F2">2A</figr>). Consistent with the inverse antagonistic property of AGN193109 <abbrgrp><abbr bid="B27">27</abbr></abbrgrp>, 1&#8211;10 &#956;M concentrations of AGN193109 alone suppress RAR reporter activity below basal levels (data not shown). However, in the presence of 1 &#956;M at-RA, 10 &#956;M AGN193109 has an agonistic tendency.</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Ligand modulation of RAR activity with the pan-RAR agonist, at-RA and the pan-RAR antagonist AGN193109, induces reciprocal effects on NF&#954;B signaling activity</p>
               </caption>
               <text>
                  <p><b>Ligand modulation of RAR activity with the pan-RAR agonist, at-RA and the pan-RAR antagonist AGN193109, induces reciprocal effects on NF&#954;B signaling activity</b>. WT-Line 1 tumor cells, transiently transfected with RAR or NF&#954;B reporter constructs were exposed to at-RA +/- AGN193109 for 24 h at the indicated concentrations. The dose dependent induction of RAR reporter activity (A) and reciprocal repression of NF&#954;B reporter activity (B) by at-RA is reversed by AGN193109. The results represent the average (+/- SEM) of 3 independent experiments. A consistent observation is the agonistic tendency of 10 &#956;M AGN193109, in both RAR and NF&#954;B reporter assays.</p>
               </text>
               <graphic file="1476-4598-3-8-2"/>
            </fig>
            <p>The dose-dependent repression of NF&#954;B reporter activity by at-RA and its reversal by AGN193109 (Fig <figr fid="F2">2B</figr>) again verifies the mutually antagonistic interactions between RAR and NF&#954;B. In the presence of 1 &#956;M at-RA, 10 &#956;M AGN193109 is again observed to have an agonistic tendency. To appreciate the basis for these reciprocal signaling schemes, we assessed for RAR and NF&#954;B (p65) interactions on artificial promoter-enhancer elements.</p>
         </sec>
         <sec>
            <st>
               <p>Activation (nuclear translocation) of NF&#954;B precludes RAR-DNA binding activity while RAR reversibly interacts with NF&#954;B-DNA complexes in a ligand dependent manner</p>
            </st>
            <p>WT-Line1 cells, with high basal NF&#954;B-DNA binding activity, demonstrate considerably lower RAR-DNA binding activity in contrast to mI&#954;B-Line1 tumor cells, with lower basal NF&#954;B-DNA binding activity <abbrgrp><abbr bid="B9">9</abbr></abbrgrp>. Activation of NF&#954;B with phorbol myristate acetate <abbrgrp><abbr bid="B9">9</abbr></abbrgrp> results in a decrease in RAR-DNA binding activity in both WT and mI&#954;B-Line1 cells (Fig <figr fid="F3">3A</figr>). These data suggest that NF&#954;B activation (nuclear translocation) precludes RAR-DNA binding. Identical experiments performed in the presence of an RXR DR-1 type oligonucleotide sequence demonstrate no appreciable change in RXR-DNA binding (Fig <figr fid="F3">3A</figr>), although an increase in the expression of RXR subtypes was documented in the mI&#954;B-Line1 cells (data not shown). Furthermore, there is no change in RXR-DNA binding, following induction of NF&#954;B translocation by PMA. Given that RXR is a heterodimeric partner for multiple members of the nuclear hormone receptor superfamily <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>, it is conceivable that this assay system is overwhelmed by mass effect.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Activation (nuclear translocation) of NF&#954;B precludes RAR-DNA interactions while RAR reversibly interacts with NF&#954;B-DNA complexes in a ligand dependent manner</p>
               </caption>
               <text>
                  <p><b>Activation (nuclear translocation) of NF&#954;B precludes RAR-DNA interactions while RAR reversibly interacts with NF&#954;B-DNA complexes in a ligand dependent manner</b>. (A) RAR and RXR gelshift oligonucleotides were employed to contrast RAR and RXR-DNA binding activity in WT and mI&#954;B-Line 1 tumor cells under basal and PMA (NF&#954;B) induced conditions. Under basal conditions, we observe increased RAR-DNA binding activity in mI&#954;B cells contrasted to their WT counterparts (1, 3), and a decrease in RAR-DNA binding activity upon activation of NF&#954;B with PMA in both cell types (2, 4). No appreciable differences in RXR-DNA binding activity were observed under all experimental conditions. (B) NF&#954;B gelshift oligonucleotides conjugated to agarose beads were used to pull down NF&#954;B and NF&#954;B associated proteins, from the total protein lysate of cells exposed to at-RA +/- AGN193109 for 24-h. We consistently pulled down comparable amounts of RelA-NF&#954;B and observed a dose dependent increase in the association of RAR with NF&#954;B-DNA complexes with increasing concentrations of at-RA, and its reversal by increasing concentration of AGN193109.</p>
               </text>
               <graphic file="1476-4598-3-8-3"/>
            </fig>
            <p>In our hands, at-RA did not affect NF&#954;B-DNA binding in standard gelshift assays. We note however that ligand activated RXR has been reported to preclude NF&#954;B-DNA binding activity in a cell free system that implicates higher ligand-receptor ratios than otherwise achievable <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>. To overcome the limitations of the standard gelshift assay, we utilized a gelshift oligonucleotide pull-down assay (see methods) that allows for the assessment of native protein-DNA interactions at a concentration three orders of magnitude higher than a standard gelshift assay. Using this technique, we demonstrate a dose dependent increase in RAR binding to NF&#954;B-DNA complexes in response to at-RA (Fig <figr fid="F3">3B</figr>), and its reversal by increasing concentrations of AGN193109 (Fig <figr fid="F3">3B</figr>). These results taken together with the reporter experiments, suggest that in the "on" state (the holo receptor conformation), RARs bind to NF&#954;B-DNA complexes and trans-repress NF&#954;B activity while the "off" state (apo receptor conformation) is non-associative, and allows for NF&#954;B trans-activity.</p>
         </sec>
         <sec>
            <st>
               <p>RAR reciprocally regulates pro-metastatic matrix metalloprotease 9 (MMP 9) and the anti-metastatic tissue inhibitor of metalloprotease 1 (TIMP 1)</p>
            </st>
            <p>NF&#954;B reciprocally regulates putative pro-metastatic and anti-metastic factors <abbrgrp><abbr bid="B9">9</abbr></abbrgrp>. To assess the regulation of pro-metastatic and anti-metastatic gene expression by at-RA and AGN193109, we examined for changes in pro-metastatic MMP 9 and anti-metastic TIMP 1 gene expression. We demonstrate a dose-dependent induction of TIMP 1 and reciprocal repression of MMP 9 gene expression in response to increasing concentrations of at-RA. The effects of at-RA are again mitigated by AGN193109 (Fig <figr fid="F4">4</figr>). We have previously shown, in the same model system, that the net result of the reciprocal regulation of MMP 9 and TIMP 1 gene expression by at-RA is the suppression of MMP 9 activity, tumor cell invasiveness <it>in vitro </it>and spontaneous metastasis <it>in vivo </it><abbrgrp><abbr bid="B28">28</abbr></abbrgrp>. We however exercise caution in speculating on the in vivo effects of AGN193109, given low doses are antagonistic while higher doses have agonistic tendency albeit not intrinsic. A fortiori, high doses of retinoid antagonists have antiproliferative ("agonist-like") activities <abbrgrp><abbr bid="B29">29</abbr></abbrgrp>. This underscores the notion of ligand-receptor interactions as "rheostatic" (modulators) and not "static" (agonist/on &#8211; antagonist/off) switches.</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>RAR reciprocally regulates anti-metastatic TIMP 1 and pro-metastatic MMP 9 in a ligand dependent and reversible manner</p>
               </caption>
               <text>
                  <p><b>RAR reciprocally regulates anti-metastatic TIMP 1 and pro-metastatic MMP 9 in a ligand dependent and reversible manner</b>. MMP 9 and TIMP 1 gene expression in WT-Line 1 tumor cells exposed to at-RA +/- AGN193109 for 24 hours at the indicated concentrations was assessed by real time PCR. The results represent the average of 3 independent experiments, normalized to &#946;-actin loading controls.</p>
               </text>
               <graphic file="1476-4598-3-8-4"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>The Proteosome inhibitor MG132 dissociates Retinoic Acid Receptor trans-activation from trans-repression of NF&#954;B</p>
            </st>
            <p>In keeping with the rheostatic nature of RAR signaling function, at-RA dose-dependently activates RAR signaling while inducing a dose-dependent decrease in RAR protein expression. This pattern is reversed by co-incubation with AGN193109 (Fig <figr fid="F5">5A</figr>). Ligand induced ubiquitination and proteosomal degradation of RARs <abbrgrp><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr></abbrgrp>, is a permissive event and resetting mechanism for RAR trans-activation. Accordingly, RAR trans-activity and degradation is blocked by the proteosome inhibitor MG132 (5 &#956;M) (5B). Although proteosome inhibitors independently inhibit NF&#954;B activity by maintaining inhibitory I&#954;B&#945; protein levels, trans-repression of NF&#954;B by ligand activated RAR is enhanced by MG132, potentially by maintaining RAR protein expression (Fig <figr fid="F5">5B</figr>). The significance of the latter mechanism is asserted by the compound repression of NF&#954;B activity by MG132, on mI&#954;B-Line1 cells expressing a genetically engineered I&#954;B&#945;, not susceptible to proteosomal degradation (Fig <figr fid="F5">5C</figr>).</p>
            <fig id="F5">
               <title>
                  <p>Figure 5</p>
               </title>
               <caption>
                  <p>The proteosome inhibitor, MG132, quells RAR trans-activation a potentiates RAR trans-repression of NF&#954;B</p>
               </caption>
               <text>
                  <p><b>The proteosome inhibitor, MG132, quells RAR trans-activation a potentiates RAR trans-repression of NF&#954;B</b>. (A) at-RA induces a dose dependent decrease in RAR protein levels while increasing concentrations of AGN193109 have a restorative effect. The expression of RelA and &#946;-actin is however not affected by at-RA +/- AGN193109. (B) at-RA (1 &#956;M) induced degradation of RAR is blocked by the proteosome inhibitor MG132 (5 &#956;M). Correspondingly, induction of RAR reporter activity by at-RA (1 &#956;M) is quelled by MG132 (5 &#956;M). (C) Basal NF&#954;B reporter activity in mI&#954;B-Line 1 cells is further repressed by MG132 (5 &#956;M) by mechanism independent of the I&#954;B-NF&#954;B signaling axis (* P value &lt; 0.05).</p>
               </text>
               <graphic file="1476-4598-3-8-5"/>
            </fig>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>Cellular transformation and malignant progression result from an imbalance in critical positive and negative growth regulatory signals, as well as cellular factors that maintain tissue homoestasis <abbrgrp><abbr bid="B33">33</abbr></abbrgrp>. A fundamental dynamic interplay between the mitogenic transcription factor complex, AP-1, and nuclear receptors, the arbiters of cellular differention, has for long been recognized and characterized as a pivotal module in the homeostatic control of cellular phenotype <abbrgrp><abbr bid="B34">34</abbr><abbr bid="B35">35</abbr></abbrgrp>. With remarkable fidelity to this model, we demonstrate a fundamental interplay between NF&#954;B and RARs, by a mechanism that involves cross-coupling (mutually antagonistic interactions) off and on gene promoter-enhancer elements. Furthermore, we demonstrate the resulting imbalance in the expression of an extracellular protease, MMP 9 and its endogenous inhibitor TIMP 1.</p>
         <p>Our data supports the comprehensive model that hyper-activation of NF&#954;B in cancer results in the hyper-repression of RARs. This is consistent with the progressive decrease in RAR expression in animal models of carcinogenesis and human clinical cancer specimens <abbrgrp><abbr bid="B36">36</abbr></abbrgrp>. Conversely, ligand activation of RAR mitigates malignant progression by repressing NF&#954;B. Illustrative of the rheostatic nature of RAR signaling function, low doses of the pan-RAR inverse antagonist, AGN193109, de-repress NF&#954;B activity, while higher doses are relatively agonistic in the presence of at-RA. We propose that this agonistic tendency results from decreasing the threshold for RAR activation by maintaining RAR protein levels. On the other hand, at-RA coordinately activates and induces the ubiquitination and proteosomal degradation of RAR <abbrgrp><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr></abbrgrp>. These events are preceded by the sequential phosphorylation of RARs by proline-dependent protein kinases, notably cyclin dependent kinases (CDKs) and mitogen activated proteins kinases (MAPKs) <abbrgrp><abbr bid="B37">37</abbr></abbrgrp>. The latter suggests an inbuilt mechanism for the integration of mitogenic and differentiation-inducing signals in the homeostatic control of cellular phenotype.</p>
         <p>At the system level understanding of cancer biology, "overly" simplistic models are confounded by redundancies, feed-back loops and multiple signal integration, characteristic of robust regulatory systems. With better understanding of molecular circuits and signaling schemes, we are better skilled at manipulating biological systems to desired ends. Case in point, we demonstrate that the proteosome inhibitor MG132 blocks RAR degradation and quells RAR trans-activity while enhancing RAR trans-repression of NF&#954;B (Fig <figr fid="F6">6</figr>). This repression is independent of the effect of proteosome inhibitors on the I&#954;B-NF&#954;B signaling cascade, given the compounded suppression NF&#954;B responsiveness in mI&#954;B-Line 1 cells expressing a dominant negative I&#954;B&#945;, not susceptible to proteosomal degradation. These results resound the promise of proteosome inhibitors in the anticancer arsenal <abbrgrp><abbr bid="B38">38</abbr><abbr bid="B39">39</abbr><abbr bid="B40">40</abbr></abbrgrp>. We propose the combinatorial use of proteosome inhibitors and retinoids, as a strategy for enhancing chemo-preventive activity and possibly limiting retinoid toxicity.</p>
         <fig id="F6">
            <title>
               <p>Figure 6</p>
            </title>
            <caption>
               <p>A reductionist model for optimizing the anticancer property of retinoids</p>
            </caption>
            <text>
               <p><b>A reductionist model for optimizing the anticancer property of retinoids</b>. The classical I&#954;B-NF&#954;B signaling cascade proceeds through the sequential phosphorylation, ubiquitination (ub) and proteosomal degradation of I&#954;B&#945; and the coordinate release and nuclear translocation of NF&#954;B. Hyper-activation of NF&#954;B in cancer can be overridden by hyper-activating RAR with retinoids. As such retinoid therapy induces malignant reversion but is associated with retinoid toxicity. Proteosome inhibitors quell RAR trans-activation and enhance RAR trans-repression of NF&#954;B.</p>
            </text>
            <graphic file="1476-4598-3-8-6"/>
         </fig>
      </sec>
      <sec>
         <st>
            <p>Conclusions</p>
         </st>
         <p>Identifying NF&#954;B as a target in the anticancer activity of retinoids provides a critical endpoint in chemo-preventive interventions. This validation yields an essential template for the assessment of intermediate endpoints of chemo-preventive interventions, by establishing discernable biochemical and metabolic differences between malignant cell lines and their non-malignant counterparts with diminished NF&#954;B activity.</p>
      </sec>
      <sec>
         <st>
            <p>Methods</p>
         </st>
         <p>The pan-RAR agonist all-trans retinoic acid (Sigma) was dissolved in 70% ethanol, to obtain a 1 mM stock solution, while the pan-RAR antagonist AGN193109 (Allergen pharmaceuticals) and MG132 (Calbiochem) were reconstituted in DMSO to obtain a 10 mM stock solution.</p>
         <sec>
            <st>
               <p>Cell lines and cell culture</p>
            </st>
            <p>Wild type Line 1 tumor cells (WT) and their non-malignant counterparts (mI&#954;B), transduced with a dominant negative inhibitor of NF&#954;B were cultured in DMEM supplemented with 10% FBS and 1% penicillin/streptomycin, and maintained at 37&#176;C in a 95% humid atmosphere, with 5% CO<sub>2</sub>.</p>
         </sec>
         <sec>
            <st>
               <p>Expression profiling of retinoid acid receptors (RARs)</p>
            </st>
            <p>RT-PCR was used to assess the expression levels of retinoid receptor subtypes in WT and mI&#954;B-Line1 tumor cells. 1 &#956;g of total RNA obtained from cell lines was reversed transcribed and amplified for RAR subtypes using the Advantage rapid RT-PCR kit (Promega<sup>&#174;</sup>), under the following conditions: reverse transcription at 48&#176;C for 60 min, initial denaturation at 95&#176;C for 5 min, followed by 30 cycles of denaturing at 95&#176;C for 45 s, annealing at 55&#176;C for 45 s, and extension at 72&#176;C for 1 min; followed by a final extension of 72&#176;C for 7 min, in a Stratagene RoboCycler&#8482; Gradient 96 thermal cycler (Stratagene, La Jolla, CA) RAR subtype specific primers used were &#8211; RAR&#945; (5-ATGTAAGGGCTTCTTCCG-3 &amp; 3-AGTCTTAATGATGCACTT-5), RAR&#946;(5-CTGGCTTGTCTGTCATAATTCA-3 &amp; 3-GGTACTCTGTGTCTCGATGGAT-5), RAR&#947; (5-GTGGAGACCGAATGGACC-3 &amp; 3-GACAGGGATGAACACAGG-5), The expression levels of &#946;-actin (5-GAGCTATGAGCTGCCTGACG-3 &amp; 3-AGCACTTGCGGTGCACGATG-5) and RelA (5-GAAGAAGCGAGACCTGGAGCAA-3 &amp; 3-GTTGATGGTGCTGAGGGATGCT-5) were assessed under identical conditions.</p>
         </sec>
         <sec>
            <st>
               <p>Assessment of differential DNA binding and transcriptional activity of RARs in WT and mI&#954;B-Line 1 tumor cells</p>
            </st>
            <p>Electromobility shift assay was used to contrast RAR-DNA binding activity in WT and mI&#954;B-Line1 cells. Briefly, 5 &#956;g of nuclear extracts were admixed with 2 &#956;g of poly (di-dc) and DNA binding buffer (50 mM NaCl, 5 mM HEPES (pH 7.5), 5 mM EDTA, 10% EGTA, 30% glycerol and 1.25 &#956;g BSA) in a total volume of 10 &#956;l and incubated on ice for 20 min. RAR and RXR oligonucleotides (Santa Cruz Biotech) were end labeled by use of T4 polynucleotide kinase and [<sup>32</sup>P] cytosine triphosphate (DuPont NEN) and 20,000 cpm of the <sup>32</sup>P labeled oligonucleotides added to the binding reaction and incubated for 30 min at room temperature. The complexes were subsequently separated on a 6% polyacrylamide gel under non-denaturing conditions at 125 Volts for 3 h. Gels were dried on 3 M Whatman papers and the DNA-protein complexes visualized by autoradiography.</p>
            <p>RAR and NF&#954;B transcriptional activity was assessed by transient transfection of 0.8 &#956;g of pRAR-firefly luciferase construct (trimerized retinoic acid receptor-beta 2 response element, generously provided by Dr M.T Underhill) or pNF&#954;B-firefly luciferase construct (Promega) plus 2 ng of pRL-SV40 (Promega) renilla luciferase to normalize and control for tranfection efficiencies. Plasmids were incubated with 3 &#956;l of Lipofectamine 2000 (Gibco) in serum free DMEM for 15 min, and the complex added to 70% confluent well of a 6 well plate. Experiments were performed in triplicates, and the transfection reagents scaled up accordingly.</p>
         </sec>
         <sec>
            <st>
               <p>Physical association of RARs to NF&#954;B-DNA complexes and the ligand responsiveness of these interactions</p>
            </st>
            <p>WT-Line1 tumor cells were exposed to increasing concentrations of at-RA (0.1&#8211;1 &#956;M) or increasing concentrations of AGN193109 (1&#8211;10 &#956;M) in the presence of 1 &#956;M at-RA for 24 h. Cells thus treated were re-suspended in 1 ml of ice cold RIPA buffer (50 mM HEPES pH 7.6, 150 mM NaCl, 1 mM EDTA, 0.5% NP40, 1 &#956;M PMSF and 1 &#956;M DTT), incubated on ice for 30 min and resulting suspension pelleted by centrifugation at 14000 rpms for 10 minutes. 200 &#956;ls of the supernatant thus obtained was added to 100 &#956;ls of NF&#954;B-oligonucleotide agarose conjugate slurry (Santa Cruz), plus 300 &#956;ls of binding buffer (10 mM Tris, pH 7.5; 50 mM NaCl; 1 mM DTT; 1 mM EDTA; 5% glycerol; 1 &#956;g/ml poly dI-dC), and incubated overnight at 4&#176;C with constant rocking. After the overnight incubation, agarose beads were washed thrice in binding buffer, re-suspended in 30 &#956;l of protein loading dye, boiled for 5 min and analyzed by western blot analysis. RAR or NF&#954;B&#8211;RelA antibodies (Santa Cruz) were used in conjunction with protein A-peroxidase conjugate and immunoreactive bands were detected using the enhanced chemiluminescence system (Amersham) after exposure to Hyperfilm ECL (Amersham). 5 &#956;g of cell lysates were equally analyzed by western blot, for changes in the expression level of RAR and p-65 NF&#954;B following the 24 h drug exposure.</p>
         </sec>
         <sec>
            <st>
               <p>Analysis of pro-metastastic MMP 9 and anti-metastatic TIMP 1 gene expression in response to at-RA and AGN193109 by real-time PCR</p>
            </st>
            <p>Total RNA was extracted from control and drug exposed cells using Quaigen RNAeasy miniprep columns following the manufacturers recommendations. Total RNA thus obtained was quantified by UV absorption at 260/280 &#955; (Genequant), and subjected to Northern blot analysis for the expression of MMP9 and TIMP1 as previously described. To enhance sensitivity, we utilized real time PCR analysis to appreciate changes in RAR, RelA, MMP9 and TIMP1 message levels. Briefly, 1 &#956;g of RNA was reversed transcribed and diluted 5 fold in RNAse free water. 2 &#956;l of the cDNA thus obtained was PCR amplified in a mix of 18 &#956;l PCR supermix (GibcoBrl) plus the 2 &#956;l of fluorescent DNA intercalating dye SYBR green (1:3000) using the real time PCR machine (Rotor-Gene 2000 Robocycler, Phenix research).</p>
            <p>PCR primer pairs for MMP 9 were: 5'-TGAAACCAGACCCCAGACTC-3' and 5'-TGA ACC ATA ACG CAC AGA CC-3' and for TIMP 1 were: 5'-ATG CCC ACA AGT CCC AGA AC-3' and 5'-TACGCCAGGGAACCAAGAAG-3' and the PCR conditions were: Initial denaturing at 95&#176;C for 2 min, followed by 40 cycles of 95&#176;C denaturing for 45 s, 60&#176;C annealing for 1 min and 72&#176;C extension for 1 min.</p>
         </sec>
         <sec>
            <st>
               <p>Statistical analyses</p>
            </st>
            <p>Experiments were performed in triplicates and results are expressed as a standard error of the mean. Statistical analyses were done using the student t-test and ANOVA.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>VBA was responsible for the study design, laboratory experiments and manuscript preparation. RNR initiated these studies and provided guidance and mentorship. Both authors read and approved the final version of the manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>VBA is supported by the Wilmot foundation through the Wilmot Fellowship Program of the J.P Wilmot Cancer Center. The authors acknowledge the generous contribution of faculty and staff members of the Center for Musculoskeletal Research of the University of Rochester Medical Center.</p>
         </sec>
      </ack>
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