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(Journal of Nutrition. 1999;129:581-586.)
© 1999 The American Society for Nutritional Sciences


Supplement

Transcriptional Targets of the Vitamin D3 Receptor–Mediating Cell Cycle Arrest and Differentiation

Leonard P. Freedman

Cell Biology & Molecular Biology Programs, Memorial Sloan-Kettering Cancer Center and Sloan-Kettering Division, Graduate School of Medical Sciences, Cornell University, New York, NY 10021


    ABSTRACT
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 ABSTRACT
 FUNCTIONAL AND STRUCTURAL...
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We are exploring the mechanism of action of the hormonal form of the nutrient vitamin D, 1,25(OH)2D3, and its cognate nuclear receptor at the level of gene control. In doing so, we have focused on a dual track as follows: 1) to define the vitamin D3 receptor (VDR) function and structure by examining its various actions at the molecular level; and 2) to isolate and characterize VDR target genes that might be playing key roles in mediating vitamin D growth suppression and differentiation in responsive cells, specifically, the elucidation of vitamin D target genes as they relate to myeloid differentiation. Here, we will summarize some of our recent results from both tracks because a detailed understanding of how VDR functions as a ligand-regulated transcription factor will allow us to study its actions on these newly discovered genes more effectively.


KEY WORDS: • vitamin D receptor • dimerization • myeloid cell differentiation • target genes


    FUNCTIONAL AND STRUCTURAL ASPECTS OF VDR ACTION
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Role of the ligand.

Several studiesindicate that ligand binding induces a conformational change in receptor structure, and several putative transcriptional cofactors associate with nuclear receptors in a ligand-dependent fashion. Structural studies in fact indicate that major conformation changes occur within the nuclear receptor ligand-binding domain (LBD)3that permit interactions with coactivators at specific sites within the LBD. Several groups have also reported that ligands have a profound influence on nuclear receptor dimerization. This also appears to be the case for the vitamin D-3 receptor (VDR). We showed that 1,25(OH)2D3 destabilizes a DNA-bound VDR homodimer, and at the same time favors the formation of a retinoid-X receptor (RXR)-VDR heterodimer (Cheskis and Freedman 1994Citation ). The ligand for RXR, 9-cis retinoic acid (RA), in turn destabilizes the RXR-VDR heterodimer and induces RXR homodimerization. Further, we have used a sensitive kinetic assay, surface plasmon resonance (SPR), to expand on these findings and have found that receptor interactions also take place off DNA in solution (Cheskis and Freedman 1996Citation ). These results, summarized in model form in Figure 1 ,may have important implications in explaining the role of ligands in nuclear receptor action in vivo, in that target gene selectivity can be highly influenced by ligands, i.e., RXR-VDR heterodimers will activate some genes, and RXR homodimers will activate others, and the ligands clearly affect the equilibrium between the dimer species.



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Figure 1. Ligands modulate the dimerization state of vitamin D-3 receptor (VDR) and retinoid-X receptor (RXR) complexes. See text for details. RA, retinoic acid.

 
We have demonstrated the validity of this model in vivo through a series of transient transfection experiments in which we simultaneously introduced VDR-responsive and RXR-responsive reporters into cells in the presence or absence of 1,25(OH)2D3 and 9-cis RA alone or together (Lemon and Freedman 1996Citation ). Overexpression of RXR enhances 1,25(OH)2D3 induction in the presence of VDR, and 9-cis RA and other RXR-specific ligands attenuate this effect. Conversely, when VDR is overexpressed, 1,25(OH)2D3 attenuates 9-cis RA induction from an RXR-responsive element (RXRE). These effects, however, appear to be very sensitive to both the relative ratios of the two receptors as well as their respective target elements; at high RXR levels, 9-cis RA attenuation is lost, and the ligand can actually confer costimulation with 1,25(OH)2D3. When VDR and RXR were overexpressed with both VDR response element (VDRE) and RXR-response element (RXRE) reporters, the enhancement of transcription from the VDRE by 1,25(OH)2D3 was actually reduced relative to that with VDR overexpressed alone, the opposite of what is observed with the VDRE reporter alone. In effect, the RXRE may be sequestering RXR.

Although VDR can bind as a homodimer to the osteopontin gene (OPN) VDRE (Freedman et al. 1994Citation ), our in vivo results strongly argue against a role for VDR homodimers as transactivators because 9-cis RA would not be expected to affect VDR if RXR were not part of the dimer complex, and the net effect of 1,25(OH)2D3 in vitro is to drive the equilibrium towards the RXR-VDR heterodimer. Nevertheless, a chimeric version of VDR can induce transcription in response to 1,25(OH)2D3 in the absence of RXR (Lemon and Freedman 1996Citation ), demonstrating that VDR does have intrinsic transactivation properties. However, in cell-free transcription assays recently established in our laboratory that are responsive to the addition of purified VDR, RXR and 1,25(OH)2D3, transcriptional activation from the OPN VDRE is absolutely dependent on the addition of both VDR and RXR to the in vitro system; no activation is observed when either receptor alone is added (Lemon et al. 1997Citation ). We believe this result definitively establishes the RXR-VDR heterodimer as the tranactivating complex.

Vitamin D analogues.

We are also studying how potentially important vitamin D analogues that strongly induce differentiation of myeloid leukemic cells but are not hypercalcemic may affect the RXR-VDR dimerization status. Using surface plasmon resonance (BIAcore) in vitro as well as transient transfection in vivo, we have found that analogues of potential clinical interest have distinct effects on dimerization, DNA binding, and ultimately, transactivation relative to 1,25(OH)2D3(Cheskis et al. 1995Citation ). A drawback of this and other analogue studies has been the use of VDRE from genes that do not respond during induced differentiation, such as the bone-encoding genes osteopontin and osteocalcin. The isolation of vitamin D–responsive genes regulated during myeloid differentiation and subsequent delineation of their corresponding VDRE, as described below, may provide much more relevant targets for the assays typically employed for these analogues (i.e., DNA binding and transcriptional regulation), as well as shed light on how they may function.

Vitamin D receptor coactivators.

We have used the VDR ligand binding domain (VDRLBD) as an affinity matrix to identify components of a transcriptionally active nuclear extract that interact with VDR in response to ligand. We have purified a complex of at least 10 VDR interacting proteins (DRIPs) ranging from 65 to 250 kDa that associate with the receptor in a strictly 1,25-dihydroxyvitamin D3–dependent manner (Fig. 2 )(Rachez et al. 1998Citation ). These proteins also appear to interact with other, but not all nuclear receptors such as the thyroid hormone receptor. The DRIP are distinct from known nuclear receptor coactivators, although like these coactivators, their interaction also requires the AF-2 transactivation motif of VDR. In addition, the DRIP complex contains histone acetyltransferase activity, indicating that at least one or more of the DRIPs may function at the level of nucleosomal modification. However, we found that the DRIP selectively enhance the transcriptional activity of VDR on a naked DNA template utilizing a cell-free, ligand-dependent transcription assay. Moreover, this activity can be specifically depleted from the extract by liganded, but not unliganded, VDRLBD. Overexpression of DRIP100 in vivo resulted in a strong squelching of VDR transactivation, suggesting the sequestration of other limiting factors, including components of the DRIP complex. These results demonstrate the existence of a new complex of novel functional nuclear receptor coactivators.



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Figure 2. The vitamin D3 receptor (VDR) ligand-binding domain (LBD) interacts with a complex of nuclear proteins in a strictly hormone-dependent manner. Immobilized glutathione-S-transferase (GST)-VDRLBD was incubated with a nuclear extract (input, lane 1) in the absence (ethanol, lane 3) or presence of 1 µmol/L 1,25(OH)2D3 (lane 4). Immobilized GST (lane 2) was used as a control protein in the presence of ligand. The approximate, apparent molecular weights of each interacting protein are shown to the right of the gel. The asterisk denotes a nonspecific binding protein.

 

    CLONING AND CHARACTERIZATION OF VITAMIN D–INDUCIBLE TARGET GENES
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Vitamin D and its role in myeloid cell differentiation.

1,25(OH)2D3 is a major regulator of mineral homeostasis and bone formation/remodeling. This ligand can also elicit potent growth inhibitory and differentiation effects on a variety of cell types. For example, 1,25(OH)2D3 can induce normal and leukemic hematopoietic cells to differentiate into cells displaying characteristics consistent with a more mature monocyte/macrophage phenotype, including a decrease or cessation in their proliferation (Abe et al. 1983Citation , Bar-Shavit et al. 1983Citation ). It is the mechanism of this induced differentiation that is under consideration.

An examination of the role of 1,25(OH)2D3 during hematopoiesis was prompted by the following two observations: first, hematopoietic cells contain the vitamin D3 receptor (VDR) (Mangelsdorf et al. 1984Citation ); and second, osteoclasts arise from the fusion of circulating mononuclear precursor cells and therefore represent a terminal stage of mononuclear phagocyte differentiation. Indeed, Abe and colleagues showed that nanomolar concentrations of 1,25(OH)2D3 were sufficient to induce fusion of mouse alveolar macrophages. This same group first demonstrated that a myeloid leukemic cell line, mouse M1, could be induced to differentiate along the macrophage lineage by 1,25(OH)2D3 (Abe et al. 1981Citation ). Subsequently, they and others showed that the human promyelocytic leukemia cell line HL60 and the human myelomonocytic cell line U937 can also be induced to terminally differentiate by 1,25(OH)2D3 (Collins et al. 1978Citation , Ollson et al. 1983Citation ). A variety of other compounds such as phorbol esters, dimethyl sulfoxide (DMSO) and retinoic acid also induce the differentiation of these cell lines (reviewed in Collins et al. 1987Citation ); however, HL-60 cells differentiate into granulocytes upon exposure to DMSO or retinoic acid (Collins et al. 1978Citation , Breitman et al. 1981Citation ), whereas they differentiate into cells exhibiting distinct monocyte/macrophage characteristics when treated with 1,25(OH)2D3 (McCarty et al. 1983Citation ).

Putative target genes of the vitamin D3 receptor.

Vitamin D-3–inducible effects on cell growth and differentiation ought to be initiated through the direct activation or repression of target genes by VDR. The identities of such genes, however, have remained elusive. Several investigators have reported that a variety of genes are either up-regulated or down-regulated in myeloid cells in response to the hormone. Such genes include the cellular oncogenes c-myc (Grosso and Pitot 1985Citation , Reistma et al. 1983Citation ), N-ras, p53, c-fms (Sariban et al. 1985Citation ) , protein kinase C (Obeid et al. 1990Citation ), and c-jun and junB (Datta et al. 1991Citation ). None of these genes, however, have been shown to be direct targets for VDR regulation; more likely, they represent intermediate or end products of the differentiation process. We recently reported that the human interleukin-2 gene is transcriptionally repressed by VDR (Alroy et al. 1995Citation ) and have preliminary data that the GM-CSF gene is also down-regulated by the receptor (see below). A recent report describes c-Fos as a vitamin D3–inducible gene (Candeliere et al. 1996Citation ).

Attempts at directly isolating regulated early genes from HL60 and U937 cells during induced differentiation have been met with limited success. By applying cDNA subtraction cloning techniques to an HL60 cloned variant cell line called IF10, Bories et al. (1989)Citation reported the identification of a serine protease called myeloblastin, whose down-regulation by phorbal esters resulted in growth arrest of promyelocytic leukemia cells. The same group was also able to clone by subtraction two related cDNAs encoding fructose 1,6 bisphosphatase (Solomon et al. 1988Citation ). One is activated by 1,25(OH)2D3 early in HL60 differentiation; the second is activated by the hormone in peripheral blood monocytes. It was never established, however, whether induction of fructose 1,6 bisphosphatase is a direct effect of VDR at the level of transcription initiation or an indirect, downstream effect. Thus, the number of genes shown to be regulated directly by VDR and the number of characterized vitamin D response elements remains quite small, making it difficult to propose accurate models for how VDR recognizes and regulates target genes, and how those genes induce a biological switch that results in monocytic-macrophage differentiation.

Differential screening strategy.

Our own strategy has been to isolate and characterize target genes of VDR that might act as key regulators of differentiation of the myelomonoblastic U937 cell line. We hypothesized that differentiation as induced by 1,25(OH)2D3 is mediated by the combined action of several gene products whose expression is directly activated transcriptionally by VDR. To isolate putative vitamin D-3–inducible target genes during myeloid cell differentiation, we established a differential screen whereby we enriched for genes that would be among the earliest regulated after addition of ligand. To do so, we prepared probes by isolating RNA from U937 cells untreated or treated with 1 x 10-7 mol/L 1,25(OH)2D3 for 4 h. A 4-h pulse of the ligand was sufficient to commit U937 cells to differentiate along the monocyte/macrophage pathway. In both the presence (+) and absence (-) of 1,25(OH)2D3, cycloheximide was included to prevent further protein synthesis, and 4-thiouridine was added to enrich for nascent mRNA transcripts using organomercury chromatography; both strategies were employed to increase the likelihood of an immediate early transcript induced by 1,25(OH)2D3represented in the probes. In addition, a plasmid cDNA library was generated from the induced cells (also treated for 4 h with ligand, cycloheximide, and 4-thiouridine). Approximately 100,000 colonies were replica plated and screened with (-) and (+) probes. An outline of the differential screening strategy is shown in Figure 3 and described in detail in Rots et al. (1998)Citation .



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Figure 3. A differential screening strategy for the isolation of vitamin D-3 receptor (VDR) target genes up-regulated during the induced differentiation of U937 cells. CHX, cycloheximide; Vit D, vitamin D-3.

 
Several colonies were identified from the differential screen that failed to hybridize to the (-) probe, but gave strong signals with the (+) probe. The first cDNA sequenced was identical to p21Cip1/Waf1 (Liu et al. 1996Citation ) and, as described below, this gene constitutes a newly identified transcriptional target of VDR. The product of this gene inhibits the cell cycle by blocking key kinases necessary for progression through G1. Transitions of the cell cycle are controlled by both positive and negative regulators. Cyclin-dependent kinases (CDK) and their cyclin partners are the positive factors required for cell cycle progression. A group of recently characterized small proteins that interact with and inhibit the activity of cyclin-CDK complexes, called CDK inhibitors (CKI), act as negative regulators, causing cells to arrest in G1 and withdraw from the cell cycle (Sherr and Roberts 1995Citation ). Two families of CKI have thus far been identified: the Cip/Kip family members, p21Cip1/Waf1, p27Kip1 and p57Kip2, share homology at their N-termini, which defines a CDK-interacting domain, and the Ink4 family, comprised of p15Ink4b, p16Ink4a, p18Ink4c and p19Ink4d. The Ink4 family members contain four tandemly repeated ankyrin repeats and are structurally unrelated to the Cip/Kip family. Evidence is accumulating that CKI are targets of extra- and intracellular signals that regulate cell growth, differentiation and apoptosis. For example, radiation-induced DNA damage elevates p53 levels, and this protein in turn transcriptionally induces p21 expression, resulting in cell cycle arrest (El-Diery et al. 1993Citation , Harper et al. 1993Citation ). Transforming growth factor-ß acts as an antimitogenic factor by inducing p15 and/or p27 expression (Polyak et al. 1994Citation ). MyoD up-regulates p21 expression, which is correlated to muscle cell differentiation (Halevy et al. 1995Citation ). Finally, several agents that induce myeloid cell differentiation, including phorbol esters, sodium butyrate, DMSO, and retinoids, as well as 1,25(OH)2D3, have been shown to up-regulate p21 and/or p27 expression at the mRNA or protein level (Sherr and Roberts 1995Citation ).

Although we established a strong correlation between vitamin D-3 activation of p21 gene expression and an induction of differentiation, direct causality was demonstrated by transient overexpression of p21 and/or the related CDK inhibitor p27 in U937 cells in the absence of 1,25(OH)2D3. Ectopic overexpression of these cell cycle inhibitors resulted in the cell surface appearance of monocyte/macrophage-specific markers CD11b and CD14 (Liu et al. 1996Citation ), indicating that ligand-modulated transcriptional activation of a gene encoding a CDK inhibitor directly results in the induced differentiation of this monoblastic cell line. However, the extent of U937 differentiation, as assessed by the induction of CD11b and CD14, was not as great as when 1,25(OH)2D3 was used, suggesting that additional target genes, encoding other factors that act on terminal differentiation, are also involved in facilitating the effect.

In fact, other induced candidate target genes identified by our screen, such as those listed in Table 1 ,might also play key roles in carrying out the differentiation program, separately or in conjunction with p21. Such genes include those encoding transcription factors involved in growth control and differentiation, such as the b-zip-HLH protein Mad-1 (Ayer et al. 1993Citation ), and the homeobox protein HoxA10 (Lawrence et al. 1995Citation , Rots et al. 1998Citation ). HoxA10 protein may act as general regulator of cell growth because overexpression of HoxA10 facilitated the differentiation of U937 cells to monocyte/macrophages independently of 1,25(OH)2D3and acted to strongly inhibit the growth of the breast cancer cell line MCF-7 by arresting these cells in G1. We hypothesize that 1,25(OH)2D3 causes a coordinate induction of CDK inhibitors and a number of target gene products such as HoxA10 and others found in our differential screen. The induction of this entire set of genes would lead to full cell cycle arrest and subsequent monocyte/macrophage differentiation. We are currently defining the roles of these newly identified VDR target genes during 1,25(OH)2D3-induced growth inhibition and differentiation, as well as examining a possible cooperative action of CDK inhibitors and the other target genes in mediating these effects.


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Table 1. 1, 25(OH)2D3-induced clones from U937 differential screen1

 
Regulation of the p21 promoter.

Induction of p21 mRNA occurs within 2 h of 1,25(OH)2D3 addition; this induction is cycloheximide resistant, suggesting that it is a direct effect of liganded VDR (i.e., a transcriptional response). The expression of other CDK inhibitors, such as p27Kip1 and the Ink4 family members p15, p16 and p18, were also found to be induced by the ligand. Using a p21 promoter-reporter construct, we demonstrated that the p21 gene is transcriptionally activated by 1,25(OH)2D3 in a VDR-dependent, but p53-independent manner, and we found a functional vitamin D response element within the p21 promoter at -770 that mediates this induction (Liu et al. 1996Citation ). Upon DNaseI footprint analysis of the p21 promoter with purified VDR and RXR, we recently observed at least four protected regions spanning from -565 to -822, including the original VDRE we reported at -770. Gel shift analysis with the footprinting probe is consistent with the notion that there are multiple VDR-RXR binding sites within the p21 promoter because it confers four or five shifted complexes. Deletion of any one of these sites abolishes responsiveness of the promoter to 1,25(OH)2D3 (Fig. 4 ),suggesting a complex, cooperative set of interactions by VDR-RXR, in which all of the receptor binding sites are required intact for transcriptional activation to occur.



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Figure 4. Deletion of either of two putative p21 vitamin D receptor responsive element (VDRE) abolishes responsiveness to vitamin D-3. The p53-/- keratinocyte cell line HaCaT was transfected with a 2.4-kb p21 promoter fragment carrying the indicated deletions fused to the luciferase reporter gene (2.4p21), together with cytomegalovirus ß-galactosidase, in the presence or absence of 10-8 mol/L 1,25-dihydroxyvitamin D-3. Shown is a representative experiment done in triplicate; luciferase expression is indicated in arbitrary units normalized to ß-galactosidase activity.

 


    FOOTNOTES
 
1 Presented at the symposium "Steroid Hormone Receptor and Nutrient Interactions: Implications for Cancer Prevention" as part of Experimental Biology 98, April 18–22, 1998, San Francisco, CA. The symposium was sponsored by the American Society for Nutritional Sciences and was supported in part by educational grants from Loders Croklaan, Inc. and Slimfast Nutrition Institute. Published as a supplement to The Journal of Nutrition. Guest editors for the symposium publication were Diane F. Birt, Iowa State University and Martha Belury, Purdue University. Back

2 Supported by grants from the National Institutes of Health and the Human Frontiers Science Program. L.P.F. is a Scholar of the Leukemia Society of America. Back

3 Abbreviations used: CDK, cyclin-dependent kinases; CKI, CDK inhibitors; DMSO, dimethyl sulfoxide; DRIP, vitamin D receptor interacting proteins; LBD, ligand-binding domain; OPN, osteopontin gene; RA, retinoic acid; RXR, retinoid-X receptor; RXRE, RXR-response element; SPR, surface plasmon resonance; VDR, vitamin D3 receptor; VDRE, VDR-response element; VDRLBD, VDR ligand binding domain. Back


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Expression of Vitamin D Receptor and 25-Hydroxyvitamin D3-1{alpha}-Hydroxylase in Normal and Malignant Human Colon
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Cancer Res.Home page
J. Moreno, A. V. Krishnan, S. Swami, L. Nonn, D. M. Peehl, and D. Feldman
Regulation of Prostaglandin Metabolism by Calcitriol Attenuates Growth Stimulation in Prostate Cancer Cells
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Endocr. Rev.Home page
S. Nagpal, S. Na, and R. Rathnachalam
Noncalcemic Actions of Vitamin D Receptor Ligands
Endocr. Rev., August 1, 2005; 26(5): 662 - 687.
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Mol. Endocrinol.Home page
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Genes Dev.Home page
J. W. Rooney and K. L. Calame
TIF1beta functions as a coactivator for C/EBPbeta and is required for induced differentiation in the myelomonocytic cell line U937
Genes & Dev., November 15, 2001; 15(22): 3023 - 3038.
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