Mycophenolate mofetil (MMF), a prodrug of mycophenolic acid (MPA), is widely used as an immunosuppressive agent. MPA selectively inhibits inosine monophosphate dehydrogenase (IMPDH), a rate-limiting enzyme for the de novo synthesis of guanine nucleotides, leading to depletion of the guanine nucleotide pool. Its chemotherapeutic effects have been attributed to its ability to induce cell cycle arrest and apoptosis. MPA treatment has also been shown to induce and activate p53. However, the mechanism underlying the p53 activation pathway is still unclear. Here, we show that MPA treatment results in inhibition of pre-rRNA synthesis and disruption of the nucleolus. This treatment enhances the interaction of MDM2 with L5 and L11. Interestingly, knockdown of endogenous L5 or L11 markedly impairs the induction of p53 and G 1 cell cycle arrest induced by MPA. These results suggest that MPA may trigger a nucleolar stress that induces p53 activation via inhibition of MDM2 by ribosomal proteins L5 and L11.
Inosine monophosphate dehydrogenase (IMPDH)3 is an essential, rate-limiting enzyme for the de novo synthesis of guanine nucleotides. It catalyzes the nicotinamide adenine dinucleotide (NAD)-dependent oxidation of inosine-5Ј-monophosphate (IMP) to xanthosine-5Ј-monophosphate (XMP), which is the committed step in de novo guanine nucleotide biosynthesis (1). This reaction is particularly important to B and T lymphocytes, which are singularly dependent on the de novo pathway, rather than the salvage pathway, for purine biosynthesis (2). There are two separate, but very closely related IMPDH isoenzymes, termed type I and type II, that share 84% amino acid identity (3). Expression of IMPDH, particularly the type II enzyme, is significantly up-regulated in many tumor cells, including leukemia cells (1, 4 -7); thus, IMPDH is a target for cancer as well as immunosuppressive chemotherapy. Inhibitors of IMPDH such as mycophenolate mofetil (MMF, Cellcept), a prodrug of mycophenolic acid (MPA), have been used in organ and stem cell transplantation and in autoimmune diseases as highly effective immunosuppressive agents (8).MPA, the active metabolite of MMF, is a selective inhibitor of IMPDH (8). It can effectively induce cell-cycle arrest in late G 1 phase in lymphocytes (9 -11), and results in differentiation (12-14) or apoptosis (15-18) in cultured cell lines depending on cell type. It has been shown that MPA treatment inhibits the induction of cyclin D3, a major component of cyclin-dependent kinase (CDK), and degradation of p27 kip1 , a CDK inhibitor, resulting in G 1 cell cycle arrest (9). MPA causes apoptosis in interleukin-3-dependent murine hematopoietic cell lines through inhibiting both the Ras-MAPK and mTOR pathways (15). Also, the induction of apoptosis in multiple myeloma cell lines occurs through both caspase-dependent (18) and caspaseindependent (19) mechanisms. However, these signaling pathways are only the potential downstream targets; the upstream mechanisms that sense the depletion of guanine nucleotide and trigger the...