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(American Journal of Pathology. 2006;168:1838-1847.)
© 2006 American Society for Investigative Pathology
DOI: 10.2353/ajpath.2006.051162

p21Cip1 Protection against Hyperoxia Requires Bcl-XL and Is Uncoupled from Its Ability to Suppress Growth

Peter F. Vitiello*, Rhonda J. Staversky{dagger}, Sean C. Gehen*, Carl J. Johnston{dagger}, Jacob N. Finkelstein{dagger}, Terry W. Wright{dagger} and Michael A. O’Reilly{dagger}

From the Departments of Environmental Medicine* and Pediatrics,{dagger} The University of Rochester, Rochester, New York

The cyclin-dependent kinase inhibitor p21Cip1/Waf1/Sdi1 protects the lung against hyperoxia, but the mechanism of protection remains unclear because loss of p21 does not lead to aberrant cell proliferation. Because some members of the Bcl-2 gene family have been implicated in hyperoxia-induced cell death, the current study investigated their expression as well as p21-dependent growth suppression and cytoprotection. Conditional overexpression of full-length p21, its amino-terminal cyclin-binding (p211–82NLS) domain or its carboxy-terminal PCNA-binding (p2176–164) domain inhibited growth of human lung adenocarcinoma H1299 cells, but only the full-length protein was cytoprotective. Low levels of p21 inhibited cell proliferation, whereas higher levels were required for protection. Expression of the anti-apoptotic protein Bcl-XL declined during hyperoxia but was maintained in cells expressing p21. RNA interference (RNAi) knockdown of Bcl-XL enhanced hyperoxic death of cells expressing p21, whereas overexpression of Bcl-XL increased cell survival. Consistent with growth suppression and cytopro-tection requiring different levels of p21, hyperoxia inhibited PCNA expression in p21+/+ and p21+/– mice but not in p21–/– mice. In contrast, p21 was haplo-insufficient for maintaining expression of Bcl-XL and protection against hyperoxia. Taken together, these data show that p21-mediated cytoprotection against hyperoxia involves regulation of Bcl-XL and is uncoupled from its ability to inhibit proliferation.








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