Poldip2 Knockout Results in Perinatal Lethality, Reduced Cellular Growth and Increased Autophagy of Mouse Embryonic Fibroblasts

Polymerase-δ interacting protein 2 (Poldip2) is an understudied protein, originally described as a binding partner of polymerase delta and proliferating cell nuclear antigen (PCNA). Numerous roles for Poldip2 have been proposed, including mitochondrial elongation, DNA replication/repair and ROS production via Nox4. In this study, we have identified a novel role for Poldip2 in regulating the cell cycle. We used a Poldip2 gene-trap mouse and found that homozygous animals die around the time of birth. Poldip2−/− embryos are significantly smaller than wild type or heterozygous embryos. We found that Poldip2−/− mouse embryonic fibroblasts (MEFs) exhibit reduced growth as measured by population doubling and growth curves. This effect is not due to apoptosis or senescence; however, Poldip2−/− MEFs have higher levels of the autophagy marker LC3b. Measurement of DNA content by flow cytometry revealed an increase in the percentage of Poldip2−/− cells in the G1 and G2/M phases of the cell cycle, accompanied by a decrease in the percentage of S-phase cells. Increases in p53 S20 and Sirt1 were observed in passage 2 Poldip2−/− MEFs. In passage 4/5 MEFs, Cdk1 and CyclinA2 are downregulated in Poldip2−/− cells, and these changes are reversed by transfection with SV40 large T-antigen, suggesting that Poldip2 may target the E2F pathway. In contrast, p21CIP1 is increased in passage 4/5 Poldip2−/− MEFs and its expression is unaffected by SV40 transfection. Overall, these results reveal that Poldip2 is an essential protein in development, and underline its importance in cell viability and proliferation. Because it affects the cell cycle, Poldip2 is a potential novel target for treating proliferative conditions such as cancer, atherosclerosis and restenosis.


Introduction
Polymerase delta interacting protein 2 (Poldip2, PDIP38, Mitogenin 1) is a ubiquitously expressed, 368 amino acid protein consisting of an N-terminal mitochondrial localization sequence and two main highly conserved functional domains: a ApaG/F box A domain and a hemimethylated DNA binding domain called YccV. It was originally identified as a binding partner of polymerase-d and Proliferating Cell Nuclear Antigen (PCNA) [1]. Subsequent research has implicated Poldip2 in DNA replication and repair [2,3], mitochondrial function and elongation [4,5], and downstream signaling of a cell adhesion receptor [6], as well as cytoskeletal reorganization and regulation of reactive oxygen species production [7]. Our group reported that mice heterozygous for Poldip2 exhibit increased arterial stiffness and reduced aortic dilatation compared to wild type mice and exhibit increased collagen and disrupted elastic lamellae in arterial tissue [8], while homozygous deletion of Poldip2 results in perinatal lethality of unknown cause.
Several papers describe a possible role for Poldip2 in DNA replication/repair [1,3,9] or mitosis [2] that occurs during S-phase and M-phase, respectively. Poldip2 has been demonstrated to reduce polymerase d activity in vitro [9]. Recent studies have implicated Poldip2 in the activity of translesional polymerases Polg, Rev1 and Rev7 [3]. Depletion of Poldip2 resulted in increased Polg foci in normal conditions and reduced cell survival after UV treatment. However, another study found that Poldip2 does not associate with PCNA or Polg foci after UV treatment of cells [10]. The authors instead propose that Poldip2 is involved in the processing of the DNA damage response protein MDM2, which may explain the reduced cell survival after UV treatment in Poldip2 depleted cells. However, there has been no study directly testing the role of Poldip2 in regulating the proteins involved in cell cycle progression, nor has its role in apoptosis, senescence and autophagy been investigated.
To better understand the functions of Poldip2, we used a mouse deficient in Poldip2. As previously described by our group, homozygous deletion of Poldip2 induces embryonic lethality [11]. Based on this observation, as well as the close relationship of Poldip2 to mechanisms regulating DNA synthesis and repair, we hypothesized that Poldip2 has multiple roles in cell division. We report here impaired growth in Poldip2 depleted cells, due in part to increased autophagy as well as altered expression of key cell cycle proteins such as Cyclin dependent kinase 1 (Cdk1), CyclinA2, Sirt1 and p21 CIP1 , suggesting that Poldip2 targets a common regulator such as E2F or p53.

Ethics statement
All animal protocols were approved by Institutional Animal Care and Use Committee of the Emory University School of Medicine.

Animals
Poldip2 gene trap mice in C57BL/6 background were produced by the Texas A&M Institute for Genomic Medicine (College Station, TX). A gene trap construct was inserted into the first intron of Poldip2 in mouse embryonic stem cells. The location of the gene trap was verified by polymerase chain reaction and sequencing. Mice were genotyped using a standard 3-primer PCR method. Phenotypic characterization of these mice has been published previously [8].

Preparation of mouse embryonic fibroblasts (MEFs)
MEFs were prepared from E13.5 embryos. Briefly, female mice were euthanized by CO 2 asphyxiation at day 13.5 post-conception. Using scissors, the abdomen was opened and the uterine horn was immediately removed intact and placed in PBS for dissection. Embryos were isolated with their yolk sacs intact. The yolk sac was removed and retained for genotyping. The head and internal organs of each embryo were removed and discarded. The dissected embryo was passed through an 18G needle to disperse the cells. The cells were plated on gelatin-coated 100-mm cell culture dishes in 15% FBS DMEM and passaged as described below.

Cell culture
MEFs were grown in Dulbecco's Modified Eagle's Medium containing 15% fetal bovine serum (FBS). The cells were cultured using a 3T3 method; they were passed every 3 days and seeded at a density of 3610 5 cells per 20 cm 2 dish. The cells were used for experiments between passages 2 and 7, at which point they became senescent.

Cell cycle analysis
MEFs were trypsinized 24 h after passage and fixed in 60% ethanol overnight. The cells were pelleted and washed with PBS. Cells were then resuspended in staining solution (1X PBS, 0.1% Triton-X, 0.2 mg/ml RNase A, 20 mg/ml propidium iodide (Sigma). Fluorescence signal was assessed using an LSRII (Becton, Dickinson) flow cytometer. Cell cycle analysis was performed using the Dean-Jett-Fox method in Flowjo (Treestar, Inc.).

Apoptosis
MEFs were trypsinized 24 h after passage and fixed with 3% paraformaldehyde in PBS. Cells were stained with the apoptosis marker Annexin V, using the Annexin V:FITC Apoptosis Detection Kit I (Becton, Dickinson). Fluorescence signal was assessed using a LSRII flow cytometer (BD). Data was analyzed using Flowjo (Treestar, Inc.).

MEF immortalization
Poldip2+/+ or Poldip22/2 primary MEFs at passage 2 were seeded in 6-well plates (Corning). The cells were transfected with SV40 large T-antigen (Addgene plasmid 13970) using fugene HD (Promega). Cells were grown to confluence and transferred to 10-cm plates. Cells were then passaged at a ratio of 1:10 for 9 additional passages upon reaching confluence.

LC3I/II conversion assay for autophagy
MEFs were treated for 24 h with the protease inhibitors Pepstatin A (10 mg/ml) and E64d (10 mg/ml). Western blot was performed for LC3b as described above.

Phosphoprotein purification and pRb detection
Phosphoproteins from MEFs in passages 2, 4, and 5 were purified using the Phosphoprotein Purification Kit (37101; Qiagen). Briefly, cells were rinsed with PBS and lysed in PhosphoProtein Lysis Buffer containing 10% CHAPS (Buffer 1) with added protease inhibitors and benzonase nuclease. Lysate was sonicated on ice and debris were pelleted by 10,000xg centrifugation for 30 minutes. Total protein concentration of the supernatant was quantified with a Bradford assay. The purification column was then equilibrated with Buffer 1. Protein was diluted to 0.1 mg/ml with Buffer 1 and added to the binding columns. The columns were washed with Buffer 1 and phosphoproteins were eluted with PhosphoProtein Elution Buffer containing 10% CHAPS. Eluate was concentrated with nanosep ultrafiltration columns and concentration was determined by Bradford. Protein was loaded on a 7.5% polyacrylamide gel and a western blot was performed as described above. Antibodies against Rb (10048-2-Ig; Proteintech) and pAkt (#9271S; Cell Signaling) were used for detection.

RNA extraction and RT-qPCR
Total RNA was extracted with the RNeasy Plus kit (Qiagen). Reverse transcription was performed using Superscript II reverse transcriptase (Invitrogen) using random primers. cDNA was amplified with primers against Poldip2

Chromatin immunoprecipitation
MEFs in passages 2 and 5 were treated with 1% formaldehyde to crosslink proteins with DNA. ChIP was performed using the SimpleChIP kit (Cell Signaling). Briefly, cell were washed twice with PBS and harvested in PBS with PMSF. Cells were pelleted by centrifugation and lysed with buffer A containing DTT, PMSF, and protease inhibitors. After a 10-minute incubation on ice, the nuclei were pelleted and resuspended in buffer B with DTT. The resuspended nuclei were treated with 5 ml of micrococcal nuclease and incubated for 6 min at 37uC. The mixture was then centrifuged at 10,000xg and resuspended in 1 ml of ChIP buffer. The nuclei were lysed by sonication using a Microson Ultrasonic Cell Disruptor XL (Misonix, Inc) (2 cycles of 10, 1 second pulses at 4 watts). 10 mg of DNA-protein complexes were immunoprecipitated overnight at 4 uC using either p53 (sc-6243x; Santa Cruz), Histone H3 (#4620S; Cell Signaling) or IgG control (#2729P; Cell Signaling) antibodies. Immunocomplexes were precipitated by incubation for 2 h at 4 uC with ChIP-grade Protein G magnetic beads. Reversal of DNA-protein complex cross-linking was performed by incubation with ChIP elution buffer for 30 minutes at 65 uC. The samples were digested with proteinase K for 2 h at 65 uC. DNA was purified using the provided DNA binding columns. The DNA was used for qPCR amplification using the following primers surrounding the p53 binding site (21971 to 21941) in the p21 promoter, (59-CCAAGCCCTTCCCAGACTTCCA -39 and 59-GAGTTCTGACATCTGCTCTCCGAT-39, Ta-63uC). Each sample was normalized to 5% input DNA, quantified by qRT-PCR.

Statistics
MEFs were prepared from unique embryos for each experiment. Data are presented as mean6SEM from a minimum of 3 independent experiments. Significance was determined using 2way ANOVA followed by Bonferroni's post hoc test for multiple comparisons. A threshold of P,0.05 was considered significant.

Poldip2 knockout results in reduced fetal weight and perinatal lethality
To clarify the role of Poldip2 in vivo, we used mice that have a gene trap construct inserted into the first intron of Poldip2, disrupting gene expression [11]. Expected Mendelian ratios would dictate that a cross of two heterozygotes should produce 25% wild type, 50% heterozygous and 25% homozygous animals; however, we observed 33% wild type, 64% heterozygous and 3% Poldip22/2 animals at birth ( Figure 1A). To confirm the genotypes, mRNA ( Figure 1B) and protein ( Figure 1C) expression were measured in primary MEFs. As expected, Poldip2 mRNA and protein levels were about half that of wild type animals in heterozygotes, while Poldip22/2 animals had nearly undetectable levels of Poldip2.

Poldip2 knockdown causes reduced cell growth in MEFs
Given the reduced weight of Poldip22/2 embryos, we sought to investigate the contribution of Poldip2 to cell growth. We prepared MEFs from E13.5 Poldip2 +/+, +/2, and 2/2 embryos. Since the rate of growth of cells in culture can depend on inoculation density, we chose to maintain a common seeding density for the duration of the experiment. Cells were plated and passed according to the 3T3 method [12]. We compared the population doublings of cells of different genotypes (Figure 2A). The doubling of the wild type cells follows a predictable pattern of high growth in early passages, and slower growth at passage 5 or 6, which precedes the replicative senescence that naturally occurs in MEFs [13]. The Poldip2+/2 cells show a pattern similar to the wild type, exhibiting slightly reduced growth that amounts to a difference of less than one doubling over seven passages. Strikingly, the Poldip22/2 MEFs have markedly reduced growth, which becomes obvious as early as passage 2. Over seven passages, the Poldip2+/+ cells undergo three more doublings than the Poldip22/ 2 cells.
The growth of MEFs has been reported to be passage dependent, due to their propensity to senesce after 5-6 passages [14]. We chose to measure the difference in growth rate between Poldip2+/+ and Poldip22/2 cells during several passages to investigate possible passage-dependent growth differences. Pol-dip22/2 cells grew significantly slower, which is most obvious in passage 2 ( Figure 2B). By passages 4 ( Figure 2C) and 5 ( Figure 2D), cell growth has markedly slowed in all genetic groups. Wild type and heterozygous cells in later passages show reduced growth compared to early passage cells; however, the Poldip22/2 cells exhibit almost no growth in passage 4 or 5. We chose to concentrate on Poldip2+/+ and Poldip22/2 cells for the remainder of the study. The early growth impairment in Poldip22/2 cells compared to Poldip2+/+ led us to hypothesize that the lack of Poldip2 was leading to premature senescence, apoptosis and autophagy, or a block/delay in a cell cycle phase.

Poldip2 knockout increases autophagy, but does not affect apoptosis or expression of senescence markers
In order to determine whether Poldip22/2 cells enter senescence early, we measured the expression of senescence markers p16 INK4a ( Figure 3A) and p19 ARF ( Figure 3B) in passages 2-5. As expected, we observed an increase in the expression of  p16 INK4a and p19 ARF as the passage number increased; however, there was no difference in the expression of senescence markers between genotypes. Because the gene trap construct in these mice includes a lacZ reporter, we were unable to use the b-galactosidase assay to confirm these findings. Nonetheless, it appears that lack of Poldip2 does not cause early senescence in MEFs. We additionally assessed the levels of Sirt1 in passages 2-5 and observed an increase in passage 2 ( Figure 3C). There was no difference in Sirt1 in passage 4, but a significant decrease in passage 5.
Previous studies revealed interactions between Poldip2 and the p50 subunit of polymerase d [1], polymerase g [3], and PCNA [1], which are involved in DNA replication and damage repair. A recent study also found Poldip2 interacts with polymerase c, and reduction of Poldip2 by silencing can cause sensitivity to stress [15]. We therefore tested whether reduced growth in Poldip2 knockout cells could be caused by increased apoptosis due to DNA damage. In passage 5 MEFs, there was a 9.161.3% basal level of Annexin V staining in wild type cells and 8.760.9% Poldip22/2 cells were Annexin V positive (n = 3, P = NS). The difference in growth between Poldip2+/+ and Poldip22/2 cells thus does not appear to be due to increased apoptosis.
To determine whether enhanced autophagy contributes to the decrease in cell number observed in Poldip22/2 cells, we assessed the conversion of the autophagy marker LC3b-I to LC3b-II in p2-5 and observed increased LC3b-II in passage 4 ( Figure 3D). This suggests that enhanced autophagy contributes to the observed reduction in growth at later passages.

Poldip2 knockout arrests growth in G1 and G2/M
We next investigated the cell cycle distribution of Poldip2+/+ and Poldip22/2 MEFs. We found that passage 2 Poldip22/2 MEFs are arrested or delayed in both G1 ( Figure 4B) and G2/M ( Figure 4D) phases of the cell cycle, resulting in a reduction of the number of cells in S-phase ( Figure 4C). The genotype-related difference in the number of cells in G2/M, however, becomes greater in passages 4 and 5 compared to passage 2 cells.
To begin to investigate the mechanism underlying these changes in the cell cycle, we assessed protein levels of key cell cycle regulators ( Figure 4E). Of the Cyclin proteins, only the expression of Cyclins A2 and D1 was significantly altered in Poldip2 null cells. CyclinA2 expression in passage 5 was significantly lower in Poldip22/2 cells than in Poldip2+/+ cells ( Figure 4F). Cyclin D1 was surprisingly higher in passage 2 Poldip22/2 cells than in Poldip2+/+ cells, but was unchanged in later passages ( Figure 4G). Taken together, these data demonstrate that there is differential regulation of the cell cycle associated with reductions of Cyclin A2 in Poldip22/2 cells.

p53 phosphorylation and downstream targets are altered in Poldip22/2 MEFs
Because previous studies indicate that the p53 pathway can cause a delay in G1 and G2/M [16], we measured expression of p53 and p21 CIP1 , a p53 transcription target, by western blot. Total p53 was unchanged ( Figure 5A, C), but phospho-p53 (S20), an indicator of p53 activity, was markedly increased in Poldip22/2 cells compared to wild type cells at passage 2, but not at later passages ( Figure 5B). As noted above, the deacetylase Sirt1, which is also activated by p53, was increased in passage 2 as well ( Figure 3C). In contrast, p21 CIP1 , a cell cycle inhibitor positively regulated by p53, is significantly increased only at later passages at both the protein ( Figure 5E) and mRNA levels ( Figure 5D). In order to determine whether p53 binding to the p21 CIP1 promoter is altered with Poldip2 depletion, we performed a ChIP assay in passages 2 and 5 ( Figure 5F). There was no observed change in p53 binding at either passage. Together with the observation that Sirt1, which in addition to being activated by p53 acts as a negative regulator of p53 activity, these data can be interpreted as activated p53 having a delayed effect upon p21 CIP1 transcription, or that another transcription factor or epigenenetic change is responsible for the observed changes in p21 CIP1 . Nevertheless, p53/Sirt1 may play a role in the growth response at passage 2.

E2F target genes exhibit reduced expression in Poldip22/2 cells
The data in Figure 4 indicate a significant decrease in CyclinA2 levels in p4 and p5 after Poldip2 deletion. CyclinA2 expression is positively regulated in part through the E2F transcriptional activators and their binding partner, Rb, which prevents E2Fdependent transcriptional activity. Total protein levels of Rb, the main regulator of E2F, were unchanged ( Figure 6A, B). However, Rb binding with E2F is regulated by its phosphorylation state. Two of the kinases responsible for phosphorylating Rb in G1 are Cdk2 and Cdk4. Whereas Cdk2 was unchanged ( Figure 6F), Cdk4 was significantly increased in p2 Poldip22/2 cells compared to control cells ( Figure 6G). Interestingly, the cyclin binding partner of Cdk4, CyclinD1 was similarly increased in p2 Poldip22/2 cells ( Figure 4E). Unexpectedly, we did not see increased phosphorylation of Rb sites that would indicate elevated Cdk2 (T821) and Cdk4 (S780, S807/811) activity [17]. In fact, none of the sites measured, pRb S780 ( Figure 6C), pRb S807/811 ( Figure 6D), or pRb T821 ( Figure 6E) showed a significant difference in phosphorylation between Poldip2+/+ and Poldip22/2 cells. To confirm these results, we performed a phosphoprotein purification to identify whether untested Rb phosphorylation sites were altered by loss of Poldip2. There was no change in Rb phosphorylation levels at any passage ( Figure 6H).
Total E2F1 levels were also unchanged ( Figure 7B). However, another E2F target, Cdk1 ( Figure 7C), was downregulated in p5 in Poldip22/2 compared to wild type cells. mRNA of Cdk1 was measured to verify that the change in protein was a result of changes in mRNA expression ( Figure 7E), and indeed Cdk1 mRNA was reduced at passage 5 in Poldip22/2 cells compared to controls. Moreover, the E2F target protein and Poldip2 binding partner PCNA was significantly reduced in p4 ( Figure 7D). These data suggest that Poldip2 positively regulates canonical E2F targets, including Cdk1, in a direct or indirect fashion. SV40 immortalization restores Poldip2 growth to wild type levels Due to the effects on p53 and Rb/E2F downstream targets, we hypothesized that inactivating Rb and p53 by expressing SV40 large T-antigen in Poldip22/2 cells would rescue the deficiency in proliferation. SV40 LTA has been previously demonstrated to bind and sequester Rb, which allows E2F to bind DNA in its active state [18]. Wild type and Poldip22/2 MEFs were transfected with SV40 large T-antigen at passage 2. Cell cycle distribution analysis of the cells by flow cytometry ( Figure 8A) showed that expression of SV40 large T-antigen in Poldip22/2 cells restored cell cycle distribution to the wild type pattern ( Figure 8B). Immortalization with SV40 also prevented the impairment of growth induced by loss of Poldip2 ( Figure 8E). Protein levels of the E2F target genes CyclinA2, Cdk1 and PCNA were restored to wild type levels ( Figure 8C and 8D). Phosphorylation of p53 S20 was not readily detectable, but p21 Cip1 levels showed a trend towards being elevated in SV40 immortalized Poldip22/2 MEFs, similar to untransformed Poldip22/2 MEFs (Figure 8D and 5D). These The blots were probed with antibodies against Rb, pRb S780, pRb S807/811, pRb T821, Cdk2, and Cdk4. Densitometry was performed and corrected to b-actin run in parallel (shown in Figure 7A)

Discussion
In this study, we uncovered a novel role of Poldip2 in cell cycle regulation (Figure 9). We demonstrated that mice lacking Poldip2 are smaller during embryonic development and suffer perinatal lethality. The loss of Poldip2 reduces growth of MEFs, increases autophagy and changes the cell cycle distribution of asynchronous cells. Poldip2 depletion increases p53 S20 phosphorylation and Sirt1 protein expression in passage 2 and increases expression of p21 CIP1 in passages 4 and 5. Additionally, E2F/Rb-dependent gene expression is repressed in Poldip22/2 cells as evidenced by the loss of PCNA, CyclinA2 and Cdk1 in passages 4 and 5. Finally, we showed that the cell cycle delays and expression of cell cycle regulators resulting from the loss of Poldip2 can be rescued by inhibiting p53 and Rb with SV40 LTA expression. This is the first time that Poldip2 has been reported to be implicated in cell cycle checkpoint regulation.
These results at first seem to contradict flow cytometry analysis performed in a previous study of Poldip2, which found no difference in the cell cycle after treatment with siRNA against Poldip2 [3]. However, that study was performed in SV40transformed human fibroblasts. Our data clearly show that SV40 transformation eliminates cell cycle alterations that are readily apparent in primary MEFs. In fact, many experiments in earlier publications describing Poldip2 function and localization were performed in immortal or cancer cell lines such as HEK293 [1,9], HeLa [1,4,6,9], and C2C12 [5]. These results may need to be reexamined in primary cells to verify that localization and function of Poldip2 were not altered by the immortalization or transformation. Interestingly, one of the few Poldip2 studies performed in primary cells (rat brain endothelium) finds alterations in mitosis related to chromosome segregation defects [2]. In that study, Poldip2 antibody injections and siRNA were demonstrated to cause disorganized spindles, disrupted chromosomal segregation and multinucleated cells. Consistent with our results, the authors suggest that Poldip2 likely has multiple interacting partners and might be involved in the control of a cell cycle checkpoint, which could explain the observed defect; however they did not assess cells outside of mitosis. The present work provides direct evidence that Poldip2 does in fact regulate cell cycle progression.
In this study, we focused on key cell cycle regulatory pathways in early (p2) or late (p4/p5) passage MEFs. Growth curves indicate that Poldip22/2 MEFs grow slower than Poldip2+/+ MEFs during passages 2-5. We also observed an accumulation of Poldip22/2 cells in G1 and increased Cdk4/CyclinD1 protein expression in passage 2. Cdk4 and CyclinD1 typically accumulate at the G1/S transition to promote the initiation of DNA synthesis. In this case, their increased expression could be due to the increased number of Poldip22/2 cells in G1 in passage 2. Given recent publications describing Poldip2's potential involvement in DNA damage repair, we investigated the tumor suppressor p53, which is often activated in cases of DNA damage and other stress. Although we do not observe a change in overall p53 expression, it has been established that expression alone is not the determinant of transcription activity [19]. Posttranslational modifications such as phosphorylation, ubiquitination and acetylation influence the expression and activity of p53 [20]. In passage 2 Poldip22/2 MEFs, we observed an increase in p53 phosphorylation at serine 20 and increased protein expression of Sirt1, a p53 transcriptional target. Sirt1 has also been shown to act as a negative regulator of p53 activity by deacetylating it [21]. Although it is controversial whether or not Sirt1 is an oncogene, a study of a Sirt1 knockout mouse supports a role as a tumor suppressor [22]. Additionally, resveratrol, an activator or Sirt1, has been demonstrated to be effective as a therapy for some cancers [23]. Elevated Sirt1 expression in passage 2 Poldip22/2 MEFs could explain why increased p53 S20 phosphorylation does not increase p53 binding or p21 CIP1 expression in passage 2. Although we found increased p21 CIP1 expression in passages 4 and 5, we did not observe increased binding of p53 to the p21 CIP1 promoter in p2 or p5 by ChIP assay. The observed increase in p21 CIP1 in Poldip22/2 cells is likely mediated by another transcription factor such as C/EBP, Sp1, STAT, Smad, BRCA1 or AP2 [24]. One possible scenario is that Poldip2 induces an increase in autophagy, which has been demonstrated to cause an increase in p21 CIP1 via p38 MAPK activation of STAT [25]. Indeed, in passage 4 we observed an increase in LC3b-II, a marker of autophagy, when the elevation in p21 CIP1 was first identified.
The influence of Poldip2 on CyclinA2 and Cdk1 was not observed until passage 4. There is a precedent for Cdk1 reduction only in later passages of knockout MEFs: in a Cdk2/Cdk4 double knockout study, Berthet et al. [26] observed a similar late decrease in Cdk1 protein and Cyclin A2. This was found to be due to a hypophosphorylation of Rb. Hypophosphorylation of Rb results in its increased binding to E2F, reducing the transcription of cell cycle regulators, including Cdk1 and CyclinA. We did not observe a change in Rb phosphorylation in Poldip22/2 MEFs. However, Rb binding to E2Fs could be altered in other ways. If Poldip2 directly binds Rb, it could prevent Rb mediated inhibition of E2Fs independent of Rb phosphorylation, acting as a redundant mechanism to Rb phosphorylation. Both HPV E7 and SV40 large T-antigen sequester Rb in this manner, resulting in immortalization of many cell types [18]. Another possibility is that Poldip2 binds directly to E2Fs, preventing Rb from binding even in a hypophosphorylated state. Poldip2 could also aid E2Fs in binding DNA; indeed, one of Poldip2's domains (YccV) is a DNA binding domain in bacteria [27]. At this time the mechanism of Poldip2's effect on E2F activity is unclear; further study is necessary to elucidate the effect of Poldip2 on E2F target gene expression.
The E2F/Rb transcriptional pathway has been of much interest in cancer biology, due to its complex regulation of the cell cycle and apoptosis. One of the desirable methods of targeting cancer has been to overcome tumor cell resistance to senescence and apoptosis, while leaving normal cells untouched. The Cyclin dependent kinases have been the targets of drug and genetic therapies because Cdks play such a key role in cell cycle regulation [28]. The role of Poldip2 in tumor formation is not well known yet, although a study of the sense-antisense gene pair of TNFAIP1/POLDIP2 found poor prognosis in breast cancer patients with upregulated Poldip2 expression [29]. A second key area where antiproliferative research can make an impact on is the prevention of post-angioplasty restenosis. A recent trial found that bare stents have a 21% restenosis rate within 24 months [30]. Antiproliferative drugs in a drug eluting stent could lower recurrence rates by limiting vascular smooth muscle cell growth after angioplasty. We recently found that depletion of Poldip2 in vascular smooth muscle cells also results in impaired proliferation (unpublished observations), supporting a potential role of Poldip2 in restenosis.
Our current understanding of Poldip2 is far from complete. Future studies are necessary to uncover exactly how Poldip2 influences the cell cycle and E2F target proteins. However, this study and others highlight the importance of Poldip2 in growth, including the cell cycle and DNA duplication/repair [1][2][3]9]. Perinatal lethality in the absence of Poldip2, as well as the reduced growth in Poldip22/2 primary cells, indicates that Poldip2 is essential for normal cell growth and proliferation. A further understanding of Poldip2 signaling may uncover novel targets for antiproliferative drugs, and provide a better understanding of the mechanism of current therapies. Figure 9. Proposed mechanism by which Poldip2 promotes cell cycle progression. Left: Passage 2. Poldip2 promotes progression though G1/S by preventing the accumulation of Cdk4/Cyclin D1 that occurs in Poldip22/2 cells. Poldip2 also limits the activation of p53 by phosphorylation at S20, which results in reduced Sirt1 expression. Reduced Sirt1 negatively regulates p53 by de-acetylation and reduces cell cycle progression. Right: Passage 4/5. Poldip2 activates the transcription of E2F target genes such as Cyclin A, Cdk1 and PCNA. These act to promote cell cycle progression. Poldip2 also reduces expression of the cell cycle inhibitor p21 CIP1 . Reduced p21 CIP1 promotes cell cycle progression by relieving inhibition of the activity of Cyclin/Cdk complexes. We propose that Poldip2, like SV40 immortalization, inhibits p53 activity and sequesters Rb away from E2F, promoting cell cycle progression. Finally, Poldip2 inhibits autophagy, which results in increased growth. doi:10.1371/journal.pone.0096657.g009