The cyclin-dependent kinase inhibitor p21 WAF1/Cip1 and Survivin enhance granulocyte macrophage colony-forming unit (CFU-GM) cell cycle and proliferation and have been implicated as antiapoptotic proteins. We investigated the relationships between p21 and Survivin in primary CFU-GM and c-kit ؉ , lineage-negative (Lin ؊ ) cells and demonstrate p21-dependent and -independent pathways whereby Survivin regulates progenitor cell proliferation. Ectopic Survivin enhanced p21 ؉/؉ CFU-GM formation and expansion of ckit ؉ , Lin ؊ cells, whereas p21 gene loss abrogated these effects, indicating a p21 requirement. A dominant-negative form of Survivin and p21 gene deletion accelerated the loss of CFU-GM upon growth factor deprivation, and wild-type Survivin overexpression inhibited apoptosis of p21 ؉/؉ CFU-GM and c-kit ؉ , Lin ؊ cells but not p21 ؊/؊ cells, suggesting that both Survivin and p21 block apoptosis of progenitors and that Survivin-mediated antiapoptosis requires p21. In contrast to the p21-dependent antiapoptotic effects, Survivin increased the proportion of CFU-GM in S-phase in both p21 ؉/؉ and p21 ؊/؊ cells.
IntroductionSurvivin is a member of the inhibitor of apoptosis protein (IAP) family and has been implicated in antiapoptosis, cell division, and cell-cycle control. [1][2][3][4][5] Survivin blocks apoptosis in cancer cells treated with various apoptotic stimuli, 2,4,[6][7][8] and Survivin disruption induces apoptosis in tumor models in vivo. [9][10][11] Survivin also plays a role in regulating cell division, 1,12-15 serving as a kinetochore-associated passenger protein. 16 Disruption of Survivin in HeLa cells prolongs metaphase and induces polyploidy, whereas overexpression changes microtubule dynamics. 15 Survivin is barely detectable in most differentiated normal adult cells but is aberrantly enhanced in most cancers. 2 We recently reported that Survivin is expressed in normal adult bone marrow and umbilical cord blood CD34 ϩ cells and that its expression can be up-regulated by hematopoietic growth factors. 17 Survivin expression increases with CD34 ϩ cell-cycle progression and reaches maximum during the G 2 /M phase; however, unlike cancer cells, normal CD34 ϩ cells express Survivin in all phases of the cell cycle. 17 Detailed analyses of Survivin expression in quiescent CD34 ϩ cells revealed that its expression is up-regulated before Ki67 Ϫ G 0 cells enter G 1 , 18,19 suggesting cell-cycle-phaseindependent regulation. Overexpression of Survivin in primary mouse bone marrow cells increases total granulocyte macrophage colony-forming unit (CFU-GM) and the proportion of CFU-GM in S-phase, whereas an antisense Survivin construct has the opposite effect, suggesting that Survivin can regulate hematopoietic progenitor cell proliferation through cell cycle control. 18 Consistent with our observations, Survivin enhances cell-cycle progression in hepatoma cells through effects on cdk2/cyclin E activation and retinoblastoma protein (Rb) phosphorylation. 5,20,21 Survivin also increases the proliferation of primary...