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Point Mutation at Single Tyrosine Residue of Novel Oncogene NOK Abrogates Tumorigenesis in Nude Mice Yue Chen, 1 Ying-Hua Li, 2 Xi-Ping Chen, 4 Li-Min Gong, 5 Shu-Ping Zhang, 1 Zhi-Jie Chang, 2 Xiu-Fang Zhang, 1 Xin-Yuan Fu, 2,6 and Li Liu 2,3 1 Department of Biological Sciences and Biotechnology, State Key Laboratory of Biomembrane and Membrane Biotechnology, 2 Tsinghua Institute of Genome Research, Institute of Biomedicine, Tsinghua University; Departments of 3 Microbiology and Etiology and 4 Pathology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; 5 Department of Cardiology, the University of Texas M.D. Anderson Cancer Center, Houston, Texas; and 6 Department of Microbiology and Immunology, Walther Oncology Center, Indiana University School of Medicine, Indianapolis, Indiana Abstract Receptor protein-tyrosine kinases (RPTKs) are tightly regulated during normal cellular processes including cell growth, differentiation, and metabolism. Recently, a RPTK-like mole- cule named novel oncogene with kinase-domain (NOK) has been cloned and characterized. Overexpression of NOK caused severe cellular transformation as well as tumorigenesis and metastasis in nude mice. In the current study, we generated two tyrosine!phenylalanine (Y!F) point mutations (Y327F and Y356F) within the endodomain of NOK that are well conserved in many RPTK subfamilies and are the potential tyrosine phosphorylation sites important for major intracellular signal- ing. Using BaF3 cells stably expressing the ectodomain of mouse erythropoietin receptor, and the transmembrane and endodo- main of NOK (BaF3-E/N), we were able to show that point mutations at either Y327 or Y356 dramatically blocked cellular transformation by NOK as examined by colony formation and cellular DNA synthesis. In addition, tumorigenesis induced by BaF3-E/N was completely abrogated upon the introduction of either single mutation. Importantly, signaling studies revealed that the activation of extracellular signal-regulated kinase was inhibited by Y356F and was significantly reduced by Y327F. Both mutations significantly impaired Akt phosphorylation. Interestingly, both mutations did not affect the kinase activity of NOK. Moreover, apoptotic analysis revealed that both mutations accelerated cell death by activating caspase-3– mediated pathways. Thus, our study shows that these potential tyrosine phosphorylation sites may play critical roles in NOK- mediated tumorigenesis both in vitro and in vivo. (Cancer Res 2005; 65(23): 10838-46) Introduction Receptor protein-tyrosine kinases (RPTKs) are composed of a large group of receptor subfamilies that mediate diverse cellular processes such as cell growth, cell differentiation, embryogenesis, angiogenesis, and metabolisms through specific ligand-receptor interactions (1–3). Mutagenesis studies indicate that tyrosine autophosphorylation sites of RPTK may play redundant roles in mediating downstream signaling cascades (2, 4–6). For example, a single mutation at the Tyr 766 residue of fibroblast growth factor receptor-1 (FGFR1; corresponding to Tyr 760 in FGFR3), although preventing the activation of phospholipase C-g–mediated phospha- tidylinositol hydrolysis and receptor internalization, still induces cellular mitogenesis and differentiation (7, 8). Single tyrosine residues (Tyr 463 , Tyr 583 , Tyr 585 , Tyr 653 , Tyr 654 or Tyr 730 ) of FGFR1 are dispensable not only for kinase activity, but for mitogenesis and cellular differentiation as well (4). In contrast, double mutations at the tyrosine residues (Tyr 653 and Tyr 654 ) of the activation loop completely abolish the FGFR1 kinase activity (4). However, only the combined mutations at multiple tyrosine autophosphorylation sites were able to eliminate the FGFR1-mediated mitogenesis and cellular differentiation (5). A similar situation has been observed for the autophosphorylation sites of other RPTKs, such as epidermal growth factor receptor (9). In contrast, an exceptional case has been found in the endodomain of FGFR3, in which a single Tyr 724 residue (corresponding to Tyr 730 in FGFR1) seemed to be responsible for the activation of multiple intracellular cascades (10). The NOK is a newly identified RPTK-like molecule that possesses strong oncogenic potential and induces tumorigenesis and metas- tasis in nude mice (11). The NOK gene encodes a putative single transmembrane protein, but almost completely lacking ectodomain, is mainly distributed in the cytoplasmic compartment of the cell. NOK protein shares only 20% to 30% identity with FGFR/platelet- derived growth factor receptor (PDGFR) and belongs to a distinct subfamily of RPTK. In this study, we found that two tyrosine phosphorylation sites (Tyr 327 and Tyr 356 ) are well conserved in many RPTK molecules. In order to elucidate the potential functions of these tyrosine phosphorylation sites, we generated two tyrosine!- phenylalanine (Y!F) mutations at the Tyr 327 and Tyr 356 sites of NOK. Interestingly, using BaF3 stable cells, we were able to show that single point mutations at either site were sufficient to abolish cellular transformation as well as tumorigenesis in nude mice. Mechanistic studies indicate that both mutations significantly impaired multi- intracellular mitogenic signals that are likely critical for NOK- induced tumor growth. However, both mutations did not prohibit the kinase activity of NOK. Therefore, Tyr 327 and Tyr 356 residues of NOK might serve as potential multisubstrate docking sites for the activation of downstream signal cascades. Materials and Methods Plasmid construction and site-directed mutagenesis. The construc- tion of pcDNA3-NOK and pcDNA3-EPOR /NOK has been described Requests for reprints: Li Liu, Department of Biological Sciences and Biotechnology, Institute of Biomedicine, Tsinghua Institute of Genome Research, Tsinghua University, Beijing 100084, China. Phone: 86-10-6277-3624; Fax: 86-10-6277- 3624; E-mail: [email protected]; or Xin-Yuan Fu, Department of Microbiology and Immunology, Indiana University School of Medicine, Indianapolis, IN 46202-5120. E-mail: [email protected]; or Xiu-Fang Zhang, Department of Biological Sciences and Biotechnology, Tsinghua University, Beijing 100084, China. E-mail: zxf-dbs@ mail.tsinghua.edu.cn. I2005 American Association for Cancer Research. doi:10.1158/0008-5472.CAN-05-1091 Cancer Res 2005; 65: (23). December 1, 2005 10838 www.aacrjournals.org Research Article Research. on August 10, 2019. © 2005 American Association for Cancer cancerres.aacrjournals.org Downloaded from
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Page 1: Point Mutation at Single Tyrosine Residue of Novel ...cancerres.aacrjournals.org/content/canres/65/23/10838.full.pdf · intracellular mitogenic signals that are likely critical for

Point Mutation at Single Tyrosine Residue of Novel Oncogene

NOK Abrogates Tumorigenesis in Nude Mice

Yue Chen,1Ying-Hua Li,

2Xi-Ping Chen,

4Li-Min Gong,

5Shu-Ping Zhang,

1

Zhi-Jie Chang,2Xiu-Fang Zhang,

1Xin-Yuan Fu,

2,6and Li Liu

2,3

1Department of Biological Sciences and Biotechnology, State Key Laboratory of Biomembrane and Membrane Biotechnology,2Tsinghua Institute of Genome Research, Institute of Biomedicine, Tsinghua University; Departments of 3Microbiology andEtiology and 4Pathology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and Peking UnionMedical College, Beijing, China; 5Department of Cardiology, the University of Texas M.D. Anderson Cancer Center,Houston, Texas; and 6Department of Microbiology and Immunology, Walther Oncology Center, Indiana UniversitySchool of Medicine, Indianapolis, Indiana

Abstract

Receptor protein-tyrosine kinases (RPTKs) are tightly regulatedduring normal cellular processes including cell growth,differentiation, and metabolism. Recently, a RPTK-like mole-cule named novel oncogene with kinase-domain (NOK) hasbeen cloned and characterized. Overexpression of NOK causedsevere cellular transformation as well as tumorigenesis andmetastasis in nude mice. In the current study, we generated twotyrosine!phenylalanine (Y!F) point mutations (Y327F andY356F) within the endodomain of NOK that are well conservedin many RPTK subfamilies and are the potential tyrosinephosphorylation sites important for major intracellular signal-ing. Using BaF3 cells stably expressing the ectodomain of mouseerythropoietin receptor, and the transmembrane and endodo-main of NOK (BaF3-E/N), we were able to show that pointmutations at either Y327 or Y356 dramatically blocked cellulartransformation by NOK as examined by colony formation andcellular DNA synthesis. In addition, tumorigenesis induced byBaF3-E/N was completely abrogated upon the introduction ofeither single mutation. Importantly, signaling studies revealedthat the activation of extracellular signal-regulated kinase wasinhibited by Y356F and was significantly reduced by Y327F.Both mutations significantly impaired Akt phosphorylation.Interestingly, both mutations did not affect the kinase activityof NOK. Moreover, apoptotic analysis revealed that bothmutations accelerated cell death by activating caspase-3–mediated pathways. Thus, our study shows that these potentialtyrosine phosphorylation sites may play critical roles in NOK-mediated tumorigenesis both in vitro and in vivo. (Cancer Res2005; 65(23): 10838-46)

Introduction

Receptor protein-tyrosine kinases (RPTKs) are composed of alarge group of receptor subfamilies that mediate diverse cellularprocesses such as cell growth, cell differentiation, embryogenesis,angiogenesis, and metabolisms through specific ligand-receptor

interactions (1–3). Mutagenesis studies indicate that tyrosineautophosphorylation sites of RPTK may play redundant roles inmediating downstream signaling cascades (2, 4–6). For example, asingle mutation at the Tyr766 residue of fibroblast growth factorreceptor-1 (FGFR1; corresponding to Tyr760 in FGFR3), althoughpreventing the activation of phospholipase C-g–mediated phospha-tidylinositol hydrolysis and receptor internalization, still inducescellular mitogenesis and differentiation (7, 8). Single tyrosineresidues (Tyr463, Tyr583, Tyr585, Tyr653, Tyr654 or Tyr730) of FGFR1are dispensable not only for kinase activity, but for mitogenesis andcellular differentiation as well (4). In contrast, double mutations atthe tyrosine residues (Tyr653 and Tyr654) of the activation loopcompletely abolish the FGFR1 kinase activity (4). However, only thecombined mutations at multiple tyrosine autophosphorylation siteswere able to eliminate the FGFR1-mediated mitogenesis and cellulardifferentiation (5). A similar situation has been observed for theautophosphorylation sites of other RPTKs, such as epidermal growthfactor receptor (9). In contrast, an exceptional case has been foundin the endodomain of FGFR3, in which a single Tyr724 residue(corresponding to Tyr730 in FGFR1) seemed to be responsible for theactivation of multiple intracellular cascades (10).The NOK is a newly identified RPTK-like molecule that possesses

strong oncogenic potential and induces tumorigenesis and metas-tasis in nude mice (11). The NOK gene encodes a putative singletransmembrane protein, but almost completely lacking ectodomain,is mainly distributed in the cytoplasmic compartment of the cell.NOK protein shares only 20% to 30% identity with FGFR/platelet-derived growth factor receptor (PDGFR) and belongs to a distinctsubfamily of RPTK. In this study, we found that two tyrosinephosphorylation sites (Tyr327 and Tyr356) are well conserved in manyRPTK molecules. In order to elucidate the potential functions ofthese tyrosine phosphorylation sites, we generated two tyrosine!-phenylalanine (Y!F) mutations at the Tyr327 and Tyr356 sites ofNOK. Interestingly, using BaF3 stable cells, we were able to show thatsingle point mutations at either site were sufficient to abolish cellulartransformation as well as tumorigenesis in nude mice. Mechanisticstudies indicate that both mutations significantly impaired multi-intracellular mitogenic signals that are likely critical for NOK-induced tumor growth. However, both mutations did not prohibitthe kinase activity of NOK. Therefore, Tyr327 and Tyr356 residues ofNOK might serve as potential multisubstrate docking sites for theactivation of downstream signal cascades.

Materials and Methods

Plasmid construction and site-directed mutagenesis. The construc-

tion of pcDNA3-NOK and pcDNA3-EPOR/NOK has been described

Requests for reprints: Li Liu, Department of Biological Sciences andBiotechnology, Institute of Biomedicine, Tsinghua Institute of Genome Research,Tsinghua University, Beijing 100084, China. Phone: 86-10-6277-3624; Fax: 86-10-6277-3624; E-mail: [email protected]; or Xin-Yuan Fu, Department of Microbiologyand Immunology, Indiana University School of Medicine, Indianapolis, IN 46202-5120.E-mail: [email protected]; or Xiu-Fang Zhang, Department of Biological Sciences andBiotechnology, Tsinghua University, Beijing 100084, China. E-mail: [email protected].

I2005 American Association for Cancer Research.doi:10.1158/0008-5472.CAN-05-1091

Cancer Res 2005; 65: (23). December 1, 2005 10838 www.aacrjournals.org

Research Article

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previously (11). The mutant constructs of pcDNA3-NOK , pcDNA3-NOK(Y356F), pcDNA3-EPOR/NOK(Y327F), and pcDNA3-EPOR/NOK(Y356F)

were generated by Takara MutantBEST Kit (Takara Biotechnology, Co., Ltd.,

Dalian, Liaoning, China) following the manufacturer’s instructions. The

mutant primers for Y327F and Y356F are 5V-cctcctaccagcatcctagagc-3Vand 5V-gcacacataccatgttcagtatcat-3V, respectively. The antisense PCR primers for

Y327F and Y356F are 5V-gacttcaggaaacggtggtgct-3Vand 5V-agctactgggtctcttcat-gatttt-3V, respectively. The reaction mixture was amplified by 30 cycles of PCR

at 94jC for 30 seconds, 55jC for 30 seconds, and 72jC for 5 minutes. The PCRproducts were blunted at both ends and self-ligated with T4 DNA ligase. The

mutant constructs were subsequently confirmed by sequencing analysis.

Cell culture, transfection, and generation of BaF3 stable cells.Human embryonic kidney cells (293T) were grown in DMEM (HyClone Co.,South Logan, UT) supplemented with 10% calf serum, 100 units/mL

penicillin, 100 Ag/mL streptomycin, and 2 mmol/L glutamine. Murine pre–B

cells (BaF3) were cultured in RPMI 1640 (HyClone) containing 10% fetalbovine serum (FBS), 2 mmol/L glutamine, 50 Amol/L mercaptoethanol, 100

units/mL penicillin, 100 Ag/mL streptomycin, and 10% WEHI-3B condi-

tional medium. For transfection, f1 � 106 cells/mL of 293T were plated

onto each well of a six-well plate and were grown for an additional 2 days.Approximately 4 Ag of plasmid DNA were delivered into 293T monolayer at

f80% confluency by using LipofectAMINE 2000 kit (Life Technologies, Inc.,

Rockville, MD). For generation of BaF3 stable cells,f20 Ag of plasmid DNAs

[pcDNA3, pcDNA3-EPOR/NOK(Y327F) or pcDNA3-EPOR/NOK(Y356F)] waselectroporated into 5 � 106 cells of BaF3 by using the electroporation

system ECM399 (BTX, Inc., San Diego, CA) at 1,500 AF and 235 to 240 V with

a pulse time of 35 to 40 ms. Cells were first plated on 96-well dishes andselected in the presence of 1,000 Ag/mL of G418 for 10 days. The resistant

cells were then further expanded in 10-cm culture dishes and subsequently

confirmed by Western blot analysis.

Cell proliferation assay, colony formation assay, and animaltumorigenesis. Cellular DNA proliferation was monitored by [3H]thymi-

dine incorporation assay. After overnight starvation (without serum and

WEHI-3B conditional medium), f1 � 105 BaF3 stable cells [BaF3-P3, BaF3-

E/N, BaF3-E/N(Y327F) or BaF3-E/N(Y356F)] were added into each well of a

96-well culture plate. [3H]thymidine (1 ACi) was added into each well at 1, 2,

and 3 days postinoculation just 6 hours before harvesting. Then, cells were

washed with 1� PBS and resuspended into 150 AL of 5% trichloroacetic

acid. Cell pellets were lysed in 150 AL of 0.5 N NaOH/0.5% SDS, collected

into 96-well scintillation plate, and counted. The experiments were done in

triplicate for each time point.For colony formation assay, f1 � 105 stable BaF3 cells [BaF3-P3, BaF3-

E/N, BaF3-E/N(Y327F) or BaF3-E/N(Y356F)] were resuspended into 5 mL of

0.4% top agar dissolved in RPMI 1640 without serum and WEHI-3B. Then,

the suspension was layered over 5 mL of 0.7% bottom agar containingRPMI1640 plus 400 Ag/mL in a 60 mm culture dish. After incubation for

2 weeks, the anchorage-independent colonies were stained with RPMI1640

containing 0.25 mg/mL of iodonitrotetrazonium for additional 2 days.

In order to test the oncogenic potentials of chimeric EPOR/NOK and its

mutant derivatives in vivo , f1 � 107 stable BaF3 cells [BaF3-P3, BaF3-E/

N(Y327F), or BaF3-E/N(Y356F)] were injected s.c. into six BALB/c nude

mice aged 4 to 6 weeks. After 4 weeks of postinoculation, the animals were

sacrificed, and their body weights were recorded. In addition, the weights of

tumor, spleen, and liver from each animal were also determined.Histologic examination and immunohistochemical analysis. After

sacrifice, the major organs of each animal such as liver, spleen, brain, lung,

stomach, kidney, intestine, colon, and skeletal muscles were isolated and

analyzed for the presence of tumor cell infiltration. The tissues were first fixed

in 10% formalin, then dehydrated gradiently in ethanol, followed by embed-

ding in paraffin, and finally sectioned into 4 Am thickness. After overstaining

with hematoxylin followed by differentiation and destaining in acidic alcohol,

the sections were blued in bicarbonate, before being finally stained with eosin.

Also, the paraffin-embedded specimens were sectioned and fixed on a glass

slide for immunohistochemical analysis. The slides were first incubated with

rabbit anti-NOK antibody at a dilution of 1:4,000 at room temperature for

1 hour. Subsequently, NOK expression was detected with an immunohisto-

chemical polymer detection kit (Zymed, South San Francisco, CA).

Flow cytometry. Approximately 1 � 106 cells of BaF3-E/N or its mutantderivatives were harvested and fixed in cold 95% ethanol. Cell suspension was

stainedwith two drops of 50 Ag/mL propidium iodide and excited by a laser at

488 nm. A FACScan model flow cytometer was used to examine the collected

cells. The WinMDI v2.9 program was used to analyze the processed data.Western blot analysis. Cells were lysed in a reaction buffer containing

20 mmol/L Tris-Cl (pH 7.4), 150 mmol/L NaCl, 1 mmol/L EDTA, 1% Triton-

100, 1 mmol/L Na3VO4, 2.5 mmol/L sodium pyrophosphate, 1 mmol/L

h-glycerolphosphate, 1 mmol/L phenylmethylsulfonyl fluoride, 5 Ag/mLaprotinin, and 5 Ag/mL leupeptin (pH 7.5). Equal amounts of cell lysates

were first separated onto 10% SDS-PAGE. The reaction products were

then electrotransferred to a nitrocellulose membrane (Hybond enhanced

chemiluminescence, Amersham Biosciences, Piscataway, NJ) at 100 V for 1.5hours. After blocking with 10% nonfat milk, the transferred membrane was

first probed with primary antibody, followed by horseradish peroxidase–

conjugated secondary antibody. Finally, the reaction products weredeveloped by enhanced chemiluminescence kit (Amersham Biosciences)

and visualized with a Molecular Dynamic PhosphorImage (Molecular

Dynamics, Sunnyvale, CA).

Results

Sequence alignment revealed two conserved tyrosinephosphorylation residues between NOK and the selectedmembers of the receptor protein-tyrosine kinase subfamily.A previous study indicated that 10 potential tyrosine phosphory-lation sites are conserved in human versus mouse NOK (11). Tofurther dissect which tyrosine residue of NOK is conserved amongother RPTK subfamilies, we did ClustalW alignment analysis usingtransmembrane plus endodomain isolated from FGFR1, FGFR2,FGFR3, FGFR4, PDGFRa, PDGFRh, Met, Tie1, Tek, and NOK withGenbank accession numbers NP_000595, CAA96492, P22607,AAB59389, P16234, P09619, AAA59591, P35590, NP_000450, andAAT01226, respectively, using the DAS program.7 Except for Metkinase (12), the listed RPTKs, including NOK, belong to the splittyrosine kinase family with two conserved kinase subdomains(subdomains 1 and 2) separated by an insert ranging in size from12 amino acids in NOK to 100 amino acids in PDGFRh (Fig. 1).Interestingly, two tyrosine residues (Tyr327 and Tyr356) from NOKlocated at subdomain 2 were found to be well conserved in allRPTKs examined (Fig. 1). These conserved sites have been shownto be important in FGFR1 and FGFR3 signaling (5, 10). Forexample, the Tyr701 residue of FGFR1 (corresponding to Tyr327 inNOK) is required for FRS2-mediated extracellular signal-regulatedkinase (ERK) activation, whereas The Tyr724 residue of FGFR1(corresponding to Tyr356 in NOK) is responsible for the activationof multiple signaling pathways (5, 10). Therefore, Tyr327 and Tyr356

residues may be important for the bioactivity of NOK.Tyrosine!phenylalanine (Y!F) mutation at either Tyr327 or

Tyr356 site was sufficient to block cell proliferation andtransformation. To facilitate the study of NOK signaling, a chimericreceptor E/N was constructed by fusing the ectodomain of EPOR (E)and transmembrane and endodomain of NOK (N). Site-directedmutagenesis was done to convert Tyr327 or Tyr356 into phenylalanineto generate the chimeric mutant receptor E/N(Y327) or E/N(Y356) asshown in Fig. 2A . Stable BaF3 cells expressing E/N, E/N(Y327), orE/N(Y356) were obtained after G418 selection (Fig. 2B). Theproliferation potentials of these stable cells were evaluated by[3H]thymidine incorporation assay at starvation conditions (withoutWEHI-3B and serum). Figure 2C shows that the replication of

7 http://www.sbc.su.se/~miklos/DAS/

Mutagenic Study of NOK Tumorigenesis

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BaF3-E/N cells doubled after 1 day of incubation and then remainedat the platform level for at least 2 additional days. Single mutation ateither Tyr327 or Tyr356 sites significantly reduced cellular proliferationas compared with BaF3-E/N, but maintained cellular proliferation atbasal levels as compared with either wild-type BaF3 or BaF3-P3,indicating that mutation at either tyrosine site could severely impairNOK-induced mitogenesis. To further consolidate this result, acolony assay was employed. After overnight starvation, an equalnumber of wild-type chimeric and mutated chimeric BaF3 stablecells were plated onto soft agar supplemented with starved culture

medium (minus serum and IL-3) for about 10 days. After stainingwith iodonitrotetrazonium for 2 additional days, colony diameters>0.1 mm were counted as positive. Figure 2D shows that a singlemutation at either Tyr327 or Tyr356 dramatically inhibited anchorage-independent growth of mutated BaF3 stable cells. The number ofpositive colonies grown by BaF3-E/N(Y327F) and BaF3-E/N(Y327F)were reduced to 9.6 and 10, respectively, as compared with 450.5 forthe BaF3-E/N cells (Fig. 2E). Overall, the data indicates that Tyr327

and Tyr356 sites likely play critical roles in NOK-mediated cellulartransformation and mitogenesis in vivo .

Figure 1. Multiple sequence alignment on the transmembranes and endodomains of NOK and the selected RPTKs. The transmembranes and endodomains (TI) ofhuman FGFR1-4, PDGFRa, PDGFRh, Met, Tie1, Tek, and NOK were predicted with DAS program. The isolated TI sequences were aligned with ClustalW.Shaded regions, identical amino acids; dashed lines, sequences that do not have homology. Arrows, positions of two conserved tyrosine residues in NOK that areshared by other selected RPTKs. Except for Met, FGFR1-4, PDGFRa, PDGFRh, Tie1, Tek, and NOK are the members of a split tyrosine kinase family of PRTKs with asmall subdomain 1 (striped line ) and a large subdomain 2 (solid line ).

Cancer Research

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Tyrosine!phenylalanine (Y!F) mutation at either Tyr327 orTyr356 site was sufficient to block NOK-induced tumorigenesisin nude mice. Previously, we have shown that the chimeric BaF3-E/N stable cells were able to induce tumorigenesis and metastasis innude mice (11). In this study, we tried to address how potent thesemutations are to influence tumorigenesis within a whole bodyenvironment. Stable cells (f1 � 107) from BaF3-P3, BaF3-E/N,BaF3-E/N(Y327F), or BaF3-E/N(Y356F) were injected s.c into theright flank of each nude mouse. Consistent with the previous report,BaF3-E/N–injected mice showed tumor growth at the injection sitesafter 4 weeks of inoculation. However, BaF3-E/N(Y327F) and BaF3-E/N(Y356F) mutant cells were completely unable to support tumorgrowth in nude mice (Table 1). The number of BaF3-E/N mice thatsurvived were dramatically reduced from 10 to 3 by the 8th week ofpostinoculation (Fig. 3A). The majority of BaF3-E/N mice weredeceased between 7 and 8 weeks of postinoculation. In contrast, allmice receiving either BaF3-E/N(Y327F) or BaF3-E/N(Y356F) mutantcells still had good survival rates 6 months after inoculation (datanot shown), indicating that the Tyr327 or Tyr356 site may be crucialfor NOK-induced tumorigenesis in nude mice. For the deceasedanimals, anatomic analyses revealed that the sizes of spleens andlivers in BaF3-E/N mice were significantly enlarged (Fig. 3B). SomeBaF3-E/N mice also presented prevalent penetration of metastaticfoci in lung tissues (data not shown). Thus, BaF3-E/N mice deathswere mainly due to multiple organ failure induced by tumor invasionand metastasis.In order to determine the mutation effect on E/N-induced

pathogenesis, groups of mice injected with BaF3-P3, BaF3-E/N,

BaF3-E/N(Y327F), and BaF3-E/N(Y356F) were sacrificed 7 to8 weeks postinoculation. The animal weights as well as the weightsof tumors, spleens, and livers were recorded. To make a bettercomparison, the ratio of the weight of tumor or isolated organ tothe whole body weight was determined as shown in Table 1. Thespleen and liver were significantly enlarged in animals receivingBaF3-E/N inoculation with a mean value of 2.02% versus 0.58%(BaF3-P3 control) and 12.1% versus 5.7% (BaF3-P3 control),respectively. However, no significant difference could be seen inthe spleens and livers isolated from the animals injected witheither BaF3-E/N(Y327F) or BaF3-E/N(Y356F) as compared withBaF3-P3 control (Table 1), indicating that either mutation wassufficient to block EPOR/NOK-induced tumorigenesis and subse-quent pathogenesis. To further consolidate the results, variousorgans such as brain, lung, heart, liver, stomach, intestine, skeletalmuscle, spleen, and colon from each injected mouse were preparedand stained with H&E. Similar to the effect of BaF3-NOK cells (11),histologic analysis confirmed that BaF3-E/N cells were also able topromote tumor metastasis at various distant organs such as liver,lung, spleen, kidney, skeletal muscle, and intestine that could bedirectly responsible for the fatal death of BaF3-E/N–injectedanimals (Fig. 3C). For the liver section of BaF3-E/N-injected mice,immunohistochemical analysis indicated that the invaded tumorcells were positive for the NOK expression (Fig. 4B). Examinationsof the tissue sections of either BaF3-E/N(Y327F) (Fig. 4A) or BaF3-E/N(Y356F) mice (data not shown) did not reveal any apparenttissue abnormalities. Thus, the results indicate that Tyr327 andTyr356 residues indeed play critical roles in NOK-mediated

Figure 2. The effect of point mutation at the conserved tyrosine residue on NOK-mediated cellular proliferation and transformation. A, construction of a chimericreceptor by fusing the ectodomain of mouse EPOR with the transmembrane and endodomain of NOK. Solid boxes, ectodomain of mouse EPOR and thetransmembrane (TM); open boxes, endodomain of NOK. Arrow, position that tyrosine (Y) has been mutated to phenylalanine (F ). B, Western blot analysis on BaF3stable cells. BaF3 cells were stably transfected with pcDNA3.0-E/N, pcDNA3.0-E/N(Y327F), or pcDNA3.0-E/N(Y356F) which were tagged with FLAG epitope underG418 selection. After separation, the reaction products were resolved onto 10% SDS-PAGE. The transferred membrane was probed with either anti-FLAG oranti-h-actin antibody. C, [3H]thymidine-incorporation assay. After starvation, f1 � 105 BaF3 stable cells [BaF3, BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), orBaF3-E/N(Y356F)] were plated onto a 96-well plate and cultured for 1, 2, or 3 days under the stimulation of 1 ACi of [3H]thymidine. Points, mean from three independentexperiments; bars, F SD. D, colony formation assay. BaF3 stable cells [BaF3-P3 (control), BaF3-E/N, BaF3-E/N(Y327F), or BaF3-E/N(Y356F)] were grown in0.4% soft agar in starvation conditions for about 10 days. After staining with 0.25 mg/mL iodonitrotetrazonium for 2 additional days, the colony formation wasphotographed under �150 magnification. E, quantitation of colony numbers to BaF3 stable cells. Colony diameters >0.1 mm were counted as positive.

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tumorigenesis in vivo . Abrogation at either residue was sufficient toinactivate the biological functions of NOK.Mutation at either Tyr327 or Tyr356 site inactivated NOK-

mediated antiapoptosis and promotes cellular apoptosisthrough caspase-3 pathway. Previous results indicate that atstarvation conditions, BaF3-E/N cells reached a platform level ofcellular proliferation after the first day of incubation (Fig. 2C),indicating that NOK may have an antiapoptotic effect. To directlytest whether Y327F or Y356F mutation could sufficiently eliminatethe antiapoptotic effect,f1� 106 of wild-type or mutant cells werecollected, stained with propidium iodide, and analyzed by flowcytometry. Figure 4A shows that after 36 hours of starvation, only10% of the BaF3-E/N cells were in the sub-G1 phase, whereas the restof the cells remained at a normal cell cycle distribution with a high Sphase population (f35%). In contrast, the apoptotic rates of BaF3-P3, BaF3-E/N(Y327F), and BaF3-E/N(Y356F) cells significantlyincreased to z43%, indicating that mutation at either Tyr327 orTyr356 site sufficiently induced apoptosis.However, the extent of apoptosis induced by these two mutant

cell lines were different. The sub-G1 populations were significantlyreduced in BaF3-E/N(Y327F) as compared with the BaF3-P3control regardless of erythropoietin stimulation (42.7% versus67.2-69.4%). However, in the absence of erythropoietin, both BaF3-P3 and BaF3-E/N(Y356F) underwent increased apoptotic processeswith sub-G1 populations of 69.4% and 60%, respectively, whereasthe addition of erythropoietin significantly reduced the sub-G1

population of BaF3-E/N(Y356F) to 43.6% (Fig. 4A).A time course analysis shown in Fig. 4B revealed that, in the

absence of erythropoietin, the apoptotic patterns of both BaF3-P3and BaF3-E/N(Y356F) were parallel, whereas BaF3-E/N(Y327F) cellsunderwent a decreased apoptotic processes as compared with theother two. To further elucidate the possible apoptotic pathwayinvolved, equal amounts of cell lysate prepared from each time pointwere loaded onto 10% SDS-PAGE (Fig. 4C). Western blot analysis wasdone to determine the total caspase-3 level in each cell line atstarvation condition. Activation of apoptosis is represented by thedecreased level of caspase-3. Figure 4C shows that the activation ofcaspase-3 in both BaF3-E/N(Y327F) and BaF3-E/N(Y356F) cells wereaccelerated after 3 hours of incubation, which was comparable tocaspase-3 activation in BaF3-P3 cells (f2 hours). In contrast, BaF3-E/N remained at a constant level of caspase-3 for at least 3 hours.In addition, using the pan-caspase inhibitor Z-VAD-fmk to blockintracellular caspase-mediated apoptosis, we observed a significantreduction (f3-fold) in the sub-G1 cell population of the each stablecell examined (Fig. 4D). Overall, the data indicates that, although the

extent of apoptosis varied among different BaF3-stable cells, singlemutations at either Tyr327 or Tyr356 sites were sufficient to eliminateE/N-induced antiapoptotic effects by activating caspase-3-mediatedcell death.Mutation at either Tyr327 or Tyr356 site did not impair the

intrinsic kinase activity of NOK. Sequence alignment shown inFig. 1 indicates that Tyr327 and Tyr356 sites may not fall into theactivation loop region that has been characterized in other kinasereceptors such as FGFR1 (13). To directly address the mutageneticeffect of these point mutations on NOK kinase activity, plasmidvectors carrying EPOR/NOK (E/N), or its mutant derivatives wereindividually transfected into 293T cells. Using an in vitro kinase assaysystem, we found that the kinase activity of the immunoprecipitatedNOK was biologically active, indicating that this molecule has anintrinsic kinase activity (Fig. 5A, lane 2). Interestingly, pointmutations at either Tyr327 or Tyr356 sites did not abolish theirrespective kinase activities, indicating that these two tyrosine sitesare not in the activation loop region of NOK (Fig. 5A, lanes 3 and 4).Molecular mechanisms that Tyr327/Tyr356 sites may poten-

tially control NOK-induced tumorigenesis. The next questionthat we tried to address is how Tyr327 and Tyr356 residues controltheir downstream signals which are potentially important in NOK-induced tumorigenesis. Both RAS/mitogen-activated protein ki-nase and phosphoinositide-3-kinase (PI3K) pathways have beenshown to be up-regulated by NOK (11). However, whether Tyr327/Tyr356 residues played stringent or redundant roles during thesesignaling activations are completely unknown. To address thisquestion directly, cell lysates prepared from BaF3-P3, BaF3-E/N,BaF3-E/N(Y327F), and BaF3-E/N(Y356F) cells at starvation con-ditions were resolved onto 10% SDS-PAGE and probed with eitheranti-ERK or antiphosphorylated-ERK antibody (Fig. 5B). Likewild-type NOK, the chimeric E/N also significantly enhancedERK phosphorylation. Mutation at Tyr327 (Y327F) severely reducedERK activity, whereas Tyr356 mutation (Y356F) completelyabolished ERK phosphorylation, indicating that the Tyr356 residueis critical for the full activation of the ERK pathway. In addition, toassay the mutation effect on the activation of PI3K pathway,the wild-type and mutant chimeric of the E/N expression cassettewere individually transfected into 293T cells. Western blot analysisshows that, in the absence or presence of erythropoietin, wild-typeE/N dramatically enhanced Akt phosphorylation, indicatingthat E/N might be constitutively active and might function in anerythropoietin-independent manner. However, both mutationssignificantly prevented Akt activation with a more severeinhibition being seen in E/N(Y356F) (Fig. 5C). Furthermore,

Table 1. Analysis of nude mice injected with BaF3 stable cells and its mutant derivatives

BaF3stable cells

Deceased/injected (no.)

Body weight(median), g

Tumor weight(median), %*

Liver weight(median), %

cSpleen weight(median), %

b

P3 0/8 22.2-29.2 (24.9) 0 (0) 5.4-6.5 (5.7) 0.43-0.72 (0.58)E/N 8/8 17.0-29.2 (23.0) 4.2-24.2 (12.5) 9.3-13.7 (12.1) 1.10-3.18 (2.02)

E/N(Y327F) 0/8 21.6-30.4 (25.6) 0 (0) 5.5-6.9 (6.2) 0.34-0.83 (0.55)

E/N(Y356F) 0/8 21.5-31.1 (24.7) 0 (0) 5.4-7.1 (6.0) 0.31-1.00 (0.58)

*Weight of tumor divided by body weight for each animal.cWeight of liver divided by body weight for each animal.bWeight of spleen divided by body weight for each animal.

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examination of the phosphorylated signal transducers andactivators of transcription 5 (STAT5) revealed that STAT5could be activated by E/N but not by E/N(Y327F) or E/N(Y356F)in the presence of 1% FBS, and this activation was independent oferythropoietin stimulation (Fig. 5D). Thus, a single mutation ateither the Tyr327 or the Tyr356 site was sufficient to affect multiple

downstream signaling pathways that might be critical for NOK-induced tumorigenesis.To search for the possible mechanism controlling NOK-mediated

tumor metastasis, we examined the expression level of endogenousE-cadherin. Studies have shown that E-cadherin plays an importantrole in controlling normal cell movement and proliferation (14).

Figure 3. Tumorigenic effect of BaF3-E/N and itsmutant derivatives in nude mice. A, the life span ofnude mice injected with either BaF3-E/N or its mutantderivatives. Approximately 1 � 107 cells of BaF3-P3,BaF3-E/N, BaF3-E/N(Y327F), or BaF3-E/N(Y356F)were s.c. injected into nude mice. A total of 10 animalswere injected for each cell line. The numbers ofanimals that survived over a 12-week period wererecorded. Single point mutations at either Tyr327 orTyr356 residue of NOK was sufficient to abolishtumorigenesis in nude mice. Arrow, time of tumorgrowth for BaF3-E/N–injected mice. B, the enlargedspleen and liver after s.c. injection of BaF3-E/N in nudemice. C, H&E staining on tissue sections preparedfrom nude mice injected with BaF3 stable cells. Nudemice injected with BaF3 stable cells [BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), or BaF3-E/N(Y356F)] weresacrificed 4 weeks after inoculation. Tissue sectionsprepared from liver, lung, spleen, and intestine weresubjected to H&E staining; T, tumor cells. Arrows,metastatic foci formed at specific organs (�150magnification). Left, an enlarged view (�300magnification). The staining patterns for BaF3-E/N andBaF3-E/N(Y356F) were exemplified. The stainingpatterns for BaF3-P3 and BaF3-E/N(Y327F) weresimilar to BaF3-E/N(Y356F) (data not shown). D,immunohistochemical analysis on liver section ofBaF3-E/N–injected animal (�150 magnification). Theliver section was probed with rabbit anti-NOK antibodyand subsequently developed with a one-stepimmunohistochemical polymer detection kit. Inset,enlarged view (�600 magnification).

Mutagenic Study of NOK Tumorigenesis

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Aberrant expression of E-cadherin causes tumor cell invasion andmetastasis (15, 16). To explore the possible role of E-cadherin inNOK-induced metastasis, 293T cells were transfected with the wild-type or mutants of NOK. Western blot shows that overexpression ofNOK reduced endogenous levels of E-cadherin as compared withthe P3 control (Fig. 5E). However, single mutation at either Tyr327

or Tyr356 site did not significantly affect intracellular E-cadherinexpression. Thus, the result indicates that the metastatic effect of

NOK could be at least partially induced by the down-regulation ofE-cadherin expression in tumor cells.

Discussion

Previously, it was shown that the novel RPTK-like molecule NOKcould function as an oncogene to promote tumorigenesis andmetastasis in nude mice (11). The NOK shares low homology with

Figure 4. The effect of Tyr327 and Try356 residues inE/N-mediated antiapoptosis. A, flow cytometric analysis onBaF3-E/N and its mutant derivatives. After overnight starvation,BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), and BaF3-E/N(Y356F)cells were continuously cultured in the absence or presenceof 20 units/mL of erythropoietin for about 24 hours.Approximately 1 � 106 cells were fixed in ethanol and stainedwith 50 Ag/mL of propidium iodide. Cell populations in G1, S,and G2 phases are indicated. Arrows, proportion of apoptoticcells in sub-G1 phase. B, time course analysis on the apoptoticrate of BaF3 stable cells. BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), and BaF3-E/N(Y356F) cells were grown atstarvation conditions for 0, 12, 24, and 36 hours before fixationwith ethanol. After staining with 50 Ag/mL of propidium iodide,f1 � 106 cells were analyzed by flow cytometry. Columns,mean of the proportion of apoptotic cells in sub-G1 phase;bars, F SD. C, time course analysis on caspase-3 activity.BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), and BaF3-E/N(Y356F)cells were grown at starvation conditions for 0, 15, 30, 60, 120,and 240 minutes before harvesting. Cell lysates wereresolved onto 10% SDS-PAGE. After transferring tonitrocellulose membrane, the reaction products were subjectedto immunoblot analysis by using anti–caspase-3 antibody.D, inhibition of apoptosis by using a pan-caspase inhibitor.BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), and BaF3-E/N(Y356F)cells were grown in starvation conditions in the presence orabsence of pan-caspase inhibitor Z-VAD-fmk (20 Amol/L).Approximately 1 � 106 cells were fixed with ethanol and stainedwith 50 Ag/mL of propidium iodide. Cell populations in G1, S,and G2 phases are indicated. Arrows, proportion of apoptoticcells in sub-G1 phase.

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the members of FGFR/PDGFR superfamily, and probably standsout as a new subfamily. In this report, we further characterized thepotential importance of NOK tyrosine phosphorylation sites usingboth biochemical and animal model approaches. We created twosingle mutations at Tyr327 (Y327F) and Tyr356 (Y356F) sites,respectively, which are proximal to the COOH terminus of NOKkinase domain. These two tyrosine sites are potentially phosphor-ylated and are well conserved in many RPTK subfamilies. BaF3cells stably expressing a chimeric construct by fusing theectodomain of EPOR with the endodomain of NOK (BaF3-E/N)had high levels of cellular DNA synthesis and transformationpotential, whereas mutations at either site completely inhibitedboth effects. Similar to the wild-type NOK, the fusion gene EPOR/NOK also promoted tumorigenesis and metastasis in nude micewhereas either single mutation abrogated the malignancy.Interestingly, neither point mutations affected the intrinsic kinaseactivity of NOK. Mechanistic studies indicate that multiplesignaling pathways can be influenced through both sites with amore potent effect exerted by Tyr356 residue.The whole picture of signaling specificity by RPTK is compli-

cated and remains largely elusive. Mutagenesis studies onnumerous RPTKs has pointed out that redundancy of signalingpathways might be involved in RPTK-mediated cellular processes.Mutation at a single tyrosine phosphorylation site is inert to

activate a specific cellular response, or the expression profile ofimmediate early gene expression upon RPTK activation (6, 17, 18).However, some RPTK molecules can signal multiple intracellularnetworks through a single tyrosine phosphorylation site that canserve as the multisubstrate docking site for the interaction of SH2-containing proteins. For example, The Tyr1100 residue of Tekreceptor tyrosine kinase can be the common targeted site for theinteraction by growth factor receptor binding proteins (Grb2, Grb7,Grb14), Shp2, and the p85 subunit of PI3K (19). More recently, theTyr724 residue of FGFR3 has been identified as a potentialmultisubstrate docking site responsible for cellular transformation,PI3K, and mitogen-activated protein kinase activation, as well asthe phosphorylation of Shp2, STAT1, and STAT3 (10).Interestingly, sequence alignment in Fig. 1 uncovered two

important NOK tyrosine residues (Tyr327 and Tyr356) that are wellconserved in many subfamilies of RPTK such as FGFR, PDGFR,vascular endothelial growth factor receptor, MET, and Tie1. Thekinase domain of RPTK is characterized by the disperseddistributions of two to three tyrosine residues along the receptor-intracellular domain and possesses an enzymatic activity that canhydrolyze ATP for autophosphorylation at these tyrosine sites(5, 20). Our study showed that a single mutation at either tyrosinesite did not affect the kinase activity of NOK, indicating that theactivation loop in NOK was not impaired. Because Tyr356 is directly

Figure 5. Single mutation at either Tyr327 or Try356 residue did not affect kinase activity, but significantly inhibited the activation of multiple mitogenic signals. A, kinaseactivities of E/N and its mutant derivatives. Approximately 15 Ag of FLAG-tagged pcDNA3.0, pcDNA3.0-E/N, pcDNA3.0-E/N(Y327F), or pcDNA3.0-E/N(Y356F)were individually transfected into 293T cells. Cell lysates were immunoprecipitated with anti-FLAG antibody. Approximately 100 ACi of g32P-ATP was added to thekinase reaction and resolved onto 10% SDS-PAGE. The reaction products were visualized with a Molecular Dynamics PhosphorImager. Arrows, immunoprecipitatedproducts of E/N and its derivatives. B, the effect of point mutations on the ERK pathway. After overnight starvation, f20 Ag of cell lysate prepared from BaF3-P3,BaF3-E/N, BaF3-E/N(Y327F), or BaF3-E/N(Y356F) stable cells were resolved onto 10% SDS-PAGE. The transferred membrane was probed with anti-ERK oranti-phosphorylated ERK antibodies. C, effects of point mutation on the Akt pathway. After overnight starvation, BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), or BaF3-E/N(Y356F) stable cells were stimulated with or without 20 units/mL erythropoietin for 30 minutes before harvesting. Cell lysates were then resolved and subjected toimmunoblot analysis by using anti-Akt or anti-phosphorylated Akt antibody. D, effect of point mutations on the activation of STAT5. After overnight starvation,BaF3-P3, BaF3-E/N, BaF3-E/N(Y327F), or BaF3-E/N(Y356F) stable cells were cultured in RPMI 1640 containing 1% FBS and stimulated with or without 20 units/mLerythropoietin for 30 minutes before harvesting. Cell lysates were then resolved and subjected to immunoblot analysis by using anti-STAT5 antibody. E, NOK reducedendogenous E-cadherin expression. The monolayer of 293T cells was transfected with an equal amount of pcDNA3.0, pcDNA3-NOK, pcDNA3-NOK(Y327F),or pcDNA3-NOK(Y356F). Afterwards, cell lysates were subjected to immunoblot analysis by using anti-E-cadherin, anti-HA, or anti-h-actin.

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corresponding to the Tyr724 phosphorylation site in FGFR3, it mightalso have a similar potential to serve as a multisubstrate dockingsite for NOK-mediated cellular processes. Indeed, our experimentalresults highlight the critical importance of Tyr356 phosphorylationsite for the induction of multiple mitogenic signals that mediatecellular transformation, tumorigenesis, and metastasis. A similareffect has also been found for the Tyr327 site of NOK thatcorresponds to Tyr701 of FGFR1 (or Tyr695 of FGFR3). Althoughthe effect of single mutation at Tyr701 to FGFR1 has not been directlyaddressed, systematical mutagenesis showed that both Tyr677 andTyr701 are required for FGFR1-induced neurite formation (5).Crystallographic analysis of FGFR1 provides some valuable hintsfor our understanding on the biological roles of Tyr327 and Tyr356 inNOK (13). Tyr701 (corresponding to Tyr327 in NOK and Tyr695 inFGFR3) is partially buried in the subdomain 2 of FGFR1 kinase,therefore, might not be directly phosphorylated. However, thistyrosine residue likely functions structurally through the hydrogenbond formation with the side chain of nearby residues such asHis717. On the other hand, Tyr730 (corresponding to Tyr356 in NOKand Tyr724 in FGFR3) closely parallels the Tyr701 residue and lies inan opened a-helix chain that is readily accessible to various cellularproteins. Based on this structural model, we propose that thearomatic ring of Tyr327 might be in a good spatial position to forma stable scaffold with its surrounding residues through H-bondformation. This scaffold will, in turn, serve as a supporting coreto push the Tyr356-containing a-helix chain open for signalingsubstrate access. Thus, mutation at Tyr327 could cause a structuralcollapse that leads to the burial of the Tyr356 site, whereasmutationsat the Tyr356 site may retain the correct structural conformation butprevent the docking signals for multisubstrate access.Our study showed that both the Tyr327 and Tyr356 sites are critical

in mediating NOK-induced cellular and tumoral effects. Similar to

the effect of wild-type NOK, a chimeric construct expressing theectodomain of EPOR and the endodomain of NOK is alsoconstitutively active, as shown in the colony assay at starvationconditions in Fig. 2D . Both Tyr327 and Tyr356 residues seem to berequired for the activation of multiple signal cascades such as ERK,Akt, and STAT5. Although the mutant BaF3 cells expressing E/N(Y327F) or E/N(Y356F) were unable to enhance the examinedmitogenic signals upon erythropoietin stimulation, we could notcompletely exclude the possibilities of alternative mitogenicpathways involved that may account for the reduced apoptosis inBaF3-E/N(Y356F) as shown in Fig. 4A . However, these mitogenicsignals may function in a minor and transient way and might notsupport cellular proliferation for a long period of time. In addition,the animal experiments further highlight the functional impor-tance of both Tyr327 and Tyr356 residues of NOK in a whole bodyenvironment. Overall, in this study, we identified and in vivocharacterized two conserved tyrosine residues located at the NOKkinase subdomain 2 (Fig. 1) which is shared by many RPTKsubfamilies. These conserved tyrosine sites may not only play acentral role in NOK functions, but may also be a common targetsite for the activation of other RPTKs.

Acknowledgments

Received 3/31/2005; revised 8/29/2005; accepted 9/22/2005.Grant support: The National Basic Research Program (also called 973 Program) of

China (2001CB510006, 2002CB513007), National High Technology Research andDevelopment Program of China (2002BA711A01), the National Natural ScienceFoundation of China (30370324), and the Tsinghua-Yue-Yuen Fund.

The costs of publication of this article were defrayed in part by the payment of pagecharges. This article must therefore be hereby marked advertisement in accordancewith 18 U.S.C. Section 1734 solely to indicate this fact.

We thank Profs. Lian Ding and Jiancun Hou for pathological analysis, and LianxiaSong for technical assistance.

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