E2F-binding factors and their effects on its activity to activate tumor suppressor genes.
Abstract
E2F, the principal target of the tumor suppressor pRB, plays crucial roles in tumor suppression. Upon dysfunction of pRB, E2F activates tumor suppressor genes such as ARF, an upstream activator of the tumor suppressor p53, resulting in the induction of apoptosis and tumor suppression. The E2F activity that activates the tumor suppressor genes is detected only in cancer cells and not in normal growing cells. The E2F activity can drive selective suicide gene expression and induce apoptosis specifically in cancer cells. Thus, the E2F activity provides a beneficial tool to specifically target cancer cells in cancer treatment.
Keywords
- E2F
- RB
- ARF
- apoptosis
- cancer specific gene expression
1. Introduction
A human body consists of 37 trillion cells and the cell number is maintained by a balance of cell death and cell proliferation. As aged cells are eliminated by cell death, new cells are supplied by cell proliferation to retain appropriate cell numbers. To maintain homeostasis, cell proliferation is strictly regulated by growth signals. Cell proliferation is also induced by abnormal growth stimulation such as overexpression or constitutive activation of oncogenes, which leads to tumorigenesis [1]. To protect cells from tumorigenesis, mammalian cells harbor tumor suppressor pathways, principally mediated by pRB and p53 [2, 3]. The RB pathway consists of pRB and upstream regulators such as cyclin-dependent kinases (CDKs) and CDK inhibitors. The p53 pathway consists of p53 and upstream regulators such as HDM2 and ARF. The RB pathway and the p53 pathway suppress tumor formation by the induction of cell cycle arrest or apoptosis. The forced inactivation of both pathways in normal cells renders cells tumorigenic and both pathways are disabled in most cancers, indicating that these two pathways play pivotal roles in tumor suppression in normal cells.
The transcription factor E2F, the principal target of the RB pathway, plays central roles in cell proliferation by activating a repertoire of growth-related genes. Consistent with this, overexpression of E2F1, an activator type of E2F family members, in quiescent cells induces progression into S phase [4]. Since E2F plays central roles in cell proliferation, it has generally been thought that defects in the RB pathway upregulate E2F and promote hyperplasia, contributing to tumorigenesis. However, it has also been reported that E2F plays a pivotal role in tumor suppression. E2F1 knockout mice showed increased incidence of tumor formation [5], suggesting a role of E2F1 in tumor suppression. Overexpression of E2F1 also activates p53, the main effector of the p53 pathway, and promotes apoptosis [6], rather than cell proliferation. Knocking out p53 attenuates E2F1-induced apoptosis [7], supporting that the induction of apoptosis is mediated through activation of p53. Of note, the overexpression of E2F1 activates the tumor suppressor gene
2. E2F plays central roles in cell proliferation
The proliferation of mammalian cells is dependent on growth stimulation, which promotes cell cycle progression. Once a cell passes through the restriction (R) point, located in late G1 phase, it is programmed to automatically proceed to the end of M phase. Thus, the regulation of the R point is a critical determinant of cell cycle progression and cell proliferation. Key regulators of the R point are the transcription factor E2F, which activates a repertoire of growth-related genes, and the tumor suppressor pRB, which inhibits E2F.
E2F consists of eight family members (E2F1-8), which, based on their function, are divided into transcriptional activators (E2F1–E2F3a) and transcriptional repressors (E2F3b–E2F8). E2F regulates thousands of genes important for cell cycle progression, DNA replication, DNA damage checkpoint, and DNA repair, and plays central roles in cell proliferation [10]. E2F-modulated cell cycle regulatory genes include

Figure 1.
Role of E2F targets in DNA replication. E2F plays central roles in DNA replication by activating genes coding for factors involved in initiation of DNA replication, DNA synthesis, DNA damage checkpoint, and DNA repair.
3. The RB pathway in the control of cell proliferation
pRB is the product of the first identified tumor suppressor gene
In quiescence, RB family members (pRB and p130) bind to E2F3b-E2F5 on its target promoters and repress their expression (
Figure 2
). The interaction of RB with the transactivation domain of E2F inhibits E2F’s transcriptional activity. Furthermore, RB actively represses the expression of E2F target genes by changing chromatin structure through recruitment of histone deacetylase (HDAC) [30], histone methyltransferase (Suv39H1) [31], components of the chromatin remodeling complex (hBrm and BRG1) [32], and DNA methyltransferase (DNMT1) [33] onto their promoters. Upon growth stimulation, D-type cyclin-dependent kinases (CDK4 and 6) are activated, and inactivate p130 and pRB through phosphorylation inhibit binding of RB to E2F3b-5 and its target promoters. This leads to the release of E2F from suppression by RB and induces its target genes including

Figure 2.
Regulatory mechanism of E2F target genes by E2F and RB. In quiescence, RB family members bind to E2Fs on its target promoters and repress their expression. In response to growth stimulation, Cyclin/CDK inactivates RB family through phosphorylation, activating E2F and its target gene expression.
Consistent with the critical role of RB in restraining cell proliferation, mutation or deletion of the
In cancer cells, regulation of G1-S phase transition is lost by the disruption of the RB pathway, which is regarded as a hallmark of cancer [2, 42] (
Figure 3
). Defects in the RB pathway such as deletion or mutation of

Figure 3.
Defects in the RB pathway. pRB, CDKs, or CDK inhibitors are mutated in cancers, resulting in upregulation of E2F activity and its target gene expression.
4. The p53 pathway in the control of cell cycle arrest and apoptosis
p53 plays crucial roles in tumor suppression through the induction of cell cycle arrest or apoptosis (programmed cell death).

Figure 4.
Induction of cell cycle arrest or apoptosis by p53. p53 contributes to cell cycle arrest through the induction of
The transcriptional activity of p53 is strictly regulated by its binding factors. The oncogene product HDM2, an E3 ubiquitin ligase, induces proteolysis of p53 through ubiquitination and inhibits its activity (
Figure 5
). Under nonstressed conditions, expression of p53 is kept at low levels by binding of HDM2. In response to DNA damage, Chk2 and ATM phosphorylate and activate p53 by inhibiting binding of HDM2 [65]. The tumor suppressor ARF stabilizes p53 by inhibiting HDM2 activity though its sequestration into the nucleolus [66]. Importantly, the expression of ARF is induced by oncogenic changes such as defects in the RB pathway including overexpression of c-myc and Ras [67], and expression of ARF is upregulated in various cancer cells [68]. Based on these observations, ARF is described as a “sensor of oncogenic stresses” and is thought to play crucial roles in tumor suppression, through up-regulation of p53, in response to oncogenic changes. Supporting the importance of its function, mutation, and deletion of

Figure 5.
The mechanism of ARF activation of p53. In response to oncogenic changes, ARF stabilizes p53 by inhibiting HDM2 activity.
5. Pivotal roles of E2F in tumor suppression
E2F plays crucial roles not only in cell proliferation but also in tumor suppression.

Figure 6.
The pathway of E2F-induced apoptosis. In response to oncogenic changes, E2F induces apoptosis through upregulation of p53, TAp73, and their downstream effectors.
6. Regulation of E2F activity to induce apoptosis
Among E2F family members, activator-type E2Fs (E2F1-3) induce tumor suppressor genes such as
Gene name | Function | Monitoring promoter | Effect on E2F activity |
---|---|---|---|
|
Transcription cofactor of c-jun | ARF | Upregulation |
|
Sentrin-specific protease | TAp73 | Upregulation |
|
Inhibitor of HDM2, transcription cofactor of c-myc | ARF | Repression |
|
Methylase | TAp73 | Repression |
|
Transcription cofactor of estrogen receptor | ARF | Repression |
|
Histone deacetylase | TAp73 | Repression |
|
Transcription cofactor of Miz | ARF | Repression |
|
E3 ubiquitin ligase, transcription cofactor of p53 | ARF | Repression |
Table 1.
7. Utility of deregulated E2F activity in cancer cell-specific gene expression
In cancer treatment, specifically targeting cancer cells is important for optimal therapeutic efficacy. One strategy is to utilize a cancer-specific promoter to express a cytotoxic gene or a viral gene required for the replication. By regulating a suicide gene such as
For a promoter to be cancer specific, it should have two important characteristics. First, the promoter should have low activity in normal cells to avoid side effects. Second, it should exhibit high activity in a wide variety of cancer cells for maximum therapeutic effects. As promoters thought to exemplify these parameters, hTERT and E2F1 promoters have been utilized. hTERT is a catalytic component of telomerase, which is not expressed in most somatic cells but is present in many types of cancers [94]. Thus, the hTERT promoter exhibits strong promoter activity in many types of cancer cells. However, given that normal stem cells also express hTERT, the hTERT promoter may exhibit strong promoter activity in these cells [95]. The E2F1 promoter is activated by E2F, whose activity is upregulated in cancer cells due to defects in the RB pathway. Thus, E2F1 promoter also exhibits strong promoter activity in many types of cancer cells. However, the E2F1 promoter is also stimulated by physiological E2F activity induced by growth stimulation and thus has a strong promoter activity in normal growing cells [34].
In contrast to the hTERT and E2F1 promoters, which may exhibit strong promoter activity in normal cells, the tumor suppressor ARF promoter, which specifically responds to deregulated E2F activity, is thought to be a better candidate. E2F activity stimulating the ARF promoter, is detected only in cancer cells and not in normal cells [8]. ARF is expressed at high levels in various cancer cells, but not in normally growing cells [68]. Furthermore, the activity of the ARF promoter is detected specifically in tumor tissues and not in normal tissues
We showed that the ARF promoter exhibited greater cancer cell specificity than the E2F1 promoter [97]. Adenovirus expressing

Figure 7.
Application of deregulated E2F activity for cancer-specific treatment. Application 1: ARF promoter, which responds to deregulated E2F activity in cancer cells but not to physiological E2F activity in normal cells, drives suicide gene expression, and induces apoptosis specifically in cancer cells. Application 2: Upregulation of deregulated E2F activity by CDK inhibitors activates endogenous tumor suppressor genes and induces apoptosis specifically in cancer cells.
8. Conclusion
E2F is the principal target of the tumor suppressor pRB and defects in the RB pathway are observed in almost all cancers. Upon oncogenic changes, E2F activates
Evidence supporting the potential availability of deregulated E2F activity in cancer therapy is accumulating. The regulation of suicide genes by the ARF promoter has more selective cytotoxicity in cancer cells than the analogous E2F1 promoter construct. Moreover, overexpression of p21Cip upregulates deregulated E2F activity and augments cancer-specific cytotoxicity of the ARF promoter construct. Furthermore, overexpression p21Cip alone can induce E2F-dependent apoptosis specifically in cancer cells. Therefore, deregulated E2F activity can drive selective gene expression and induce apoptosis specifically in cancer cells, supporting its therapeutic potential in a variety of cancers. The development of cancer therapies based upon deregulated E2F activity will require detailed characterization of the components and molecular mechanisms underlying its functional role in oncogenesis and tumor suppression and merits further investigation.
Abbreviations
ARF | Alternative reading frame |
ASK | Activator of S-phase kinase |
ATM | Ataxia telangiectasia mutated |
Bax | Bcl-2-associated X protein |
Bak | Bcl-2 homologs antagonist/killer |
BIM | BCL-2 interacting mediator of cell death |
BRCA1 | Breast cancer susceptibility genes 1 |
BRG1 | Brahma-related gene-1 |
Cdc | Cell division cycle |
CDK | Cyclin-dependent kinase |
Cdt1 | Chromatin licensing and DNA replication factor 1 |
Chk1 | Checkpoint kinase 1 |
Chk2 | Checkpoint kinase 2 |
DNMT1 | DNA methyltransferase 1 |
E2F | E2 transcription factor |
GADD45 | Growth arrest and DNA-damage-inducible gene 45 |
GFP | Green fluorescent protein |
hBrm | human Brahma |
HDAC | histone deacetylase |
HDM2 | Human double minute 2 |
HSV-TK | Herpes simplex virus-1 thymidine kinase |
hTERT | Human telomerase reverse transcriptase |
Jab1 | Jun activation domain-binding protein 1 |
JMY | Junction-mediating and regulatory protein |
MCM | Minichromosome maintenance |
MOAP1 | Modulator of apoptosis 1 |
NSCLC | nonsmall cell lung cancer |
ORC | Origin recognition complex |
PKB | protein kinase B |
PPP1R13B | Protein phosphatase 1 regulatory subunit 13B |
PRMT5 | Protein arginine methyltransferase 5 |
Puma | p53 upregulated modulator of apoptosis |
RASSF1 | Ras association domain family member 1 |
RB | Retinoblastoma |
RIP140 | Receptor-interacting protein 140 |
SCLC | Small cell lung cancer |
SENP8 | Sentrin specific protease family member |
Suv39H1 | suppressor of variegation 3–9 homolog 1 |
TopBP1 | DNA topoisomerase II-binding protein 1 |
VHL | Von Hippel–Lindau |
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