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The ubiquitin-mediated proteolytic pathway as a therapeutic area

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&p.1:Abstract Ubiquitin-mediated proteolysis is involved in the turnover of many short-lived regulatory proteins. This pathway leads to the covalent attachment of one or more multiubiquitin chains to target substrates which are then degraded by the 26S multicatalytic proteasome complex. Multiple classes of regulatory enzymes have been identified that mediate either ubiquitin conjugation or ubiquitin deconjugation from target substrates. Timed destruction of cellular regulators by the ubiquitin-protea- some pathway plays a critical role in ensuring normal cellular processes. This review provides multiple exam- ples of key growth regulatory proteins whose levels are regulated by ubiquitin-mediated proteolysis. Pharmaco- logical intervention which alters the half-lives of these cellular proteins may have wide therapeutic potential. Specifically, prevention of p53 ubiquitination (and sub- sequent degradation) in human papilloma virus positive tumors, and perhaps all tumors retaining wild-type p53 but lacking the retinoblastoma gene function, should lead to programmed cell death. Specific inhibitors of p27 and cyclin B ubiquitination are predicted to be potent anti- proliferative agents. Inhibitors of Iκ B ubiquitination should prevent NFκ B activation and may have utility in a variety of autoimmune and inflammatory conditions. Fi- nally, we present a case for deubiquitination enzymes as novel, potential drug targets. &kwd:Key words Cancer · Inflammation · Autoimmunity · Cancer therapy · Antiproliferative agents · Ubiquitination Abbreviations Cdk Cyclin-dependent kinase · Cki Cdk inhibitor · HPV Human papilloma virus · PEST Proline, glutamic acid, serine, threonine · Ubc Ubiquitin- conjugating enzyme · Ubp Ubiquitin-specific protease · Uch Ubiquitin C-terminal hydrolase&bdy: Introduction Aims of this review The depth of current knowledge about the molecular mechanisms regulating cellular proteolysis, combined with the understanding of how impairment of such pro- cesses underlies certain pathological conditions, has opened the way for a mechanism-based approach for the development of new drugs. We outline sequentially a va- riety of proteins whose intracellular levels have been demonstrated to be controlled at least in part by the ubiquitin-dependent proteolytic pathway, and where in- tervention in the ubiquitin transfer process could be ex- pected to have some therapeutic value in different clini- cal settings. Additionally we discuss the possibility of in- tervening in the ubiquitin transfer process by inhibiting specific ubiquitin proteases that have been implicated as dominant oncogenes: in such cases knowledge of the rel- evant target proteins is lacking. Finally we briefly dis- cuss the possibility of exploiting enzymes in this path- way for the development of novel antifungal agents. The multiubiquitinated proteins generated by this ubiquitin transfer cascade are degraded by the multicata- lytic 26S proteasome (see [105] for a recent review). This step in the pathway affords little molecular specificity as all ubiquitinated proteins are degraded here. We feel that pharmacological targeting of the proteasome is a less at- tractive strategy than targeting of the conjugating and de- ubiquitinating enzymes for this reason. However, there are proteasome specific pharmacological agents, such as pep- tide aldehydes [91, 102] and the antibiotic lactacystin [27] which are proving invaluable as research tools for defining novel targets of the ubiquitin-proteasome pathway. The ubiquitin pathway Selective degradation of intracellular proteins is now rec- ognized as a major pathway for controlling the activity M. Rolfe · M.I. Chiu · M. Pagano ( ) 1 Mitotix Inc., One Kendall Square, Bldg. 600 Cambridge, MA 02139, USA Present address: 1 Department of Pathology, MSB 563, New York University, Medical Center, 560 First Ave., New York, NY 10016, USA&/fn-block: J Mol Med (1997) 75:5–17 © Springer-Verlag 1997 REVIEW &roles:Mark Rolfe · M. Isabel Chiu · Michele Pagano The ubiquitin-mediated proteolytic pathway as a therapeutic area &misc:Received: 14 May 1996 / Accepted: 11 July 1996
Transcript

&p.1:Abstract Ubiquitin-mediated proteolysis is involved inthe turnover of many short-lived regulatory proteins.This pathway leads to the covalent attachment of one ormore multiubiquitin chains to target substrates which arethen degraded by the 26S multicatalytic proteasomecomplex. Multiple classes of regulatory enzymes havebeen identified that mediate either ubiquitin conjugationor ubiquitin deconjugation from target substrates. Timeddestruction of cellular regulators by the ubiquitin-protea-some pathway plays a critical role in ensuring normalcellular processes. This review provides multiple exam-ples of key growth regulatory proteins whose levels areregulated by ubiquitin-mediated proteolysis. Pharmaco-logical intervention which alters the half-lives of thesecellular proteins may have wide therapeutic potential.Specifically, prevention of p53 ubiquitination (and sub-sequent degradation) in human papilloma virus positivetumors, and perhaps all tumors retaining wild-type p53but lacking the retinoblastoma gene function, should leadto programmed cell death. Specific inhibitors of p27 andcyclin B ubiquitination are predicted to be potent anti-proliferative agents. Inhibitors of IκB ubiquitinationshould prevent NFκB activation and may have utility in avariety of autoimmune and inflammatory conditions. Fi-nally, we present a case for deubiquitination enzymes asnovel, potential drug targets.

&kwd:Key words Cancer · Inflammation · Autoimmunity ·Cancer therapy · Antiproliferative agents · Ubiquitination

Abbreviations CdkCyclin-dependent kinase · CkiCdk inhibitor · HPV Human papilloma virus · PESTProline, glutamic acid, serine, threonine · Ubc Ubiquitin-conjugating enzyme · Ubp Ubiquitin-specific protease ·Uch Ubiquitin C-terminal hydrolase&bdy:

Introduction

Aims of this review

The depth of current knowledge about the molecularmechanisms regulating cellular proteolysis, combinedwith the understanding of how impairment of such pro-cesses underlies certain pathological conditions, hasopened the way for a mechanism-based approach for thedevelopment of new drugs. We outline sequentially a va-riety of proteins whose intracellular levels have beendemonstrated to be controlled at least in part by theubiquitin-dependent proteolytic pathway, and where in-tervention in the ubiquitin transfer process could be ex-pected to have some therapeutic value in different clini-cal settings. Additionally we discuss the possibility of in-tervening in the ubiquitin transfer process by inhibitingspecific ubiquitin proteases that have been implicated asdominant oncogenes: in such cases knowledge of the rel-evant target proteins is lacking. Finally we briefly dis-cuss the possibility of exploiting enzymes in this path-way for the development of novel antifungal agents.

The multiubiquitinated proteins generated by thisubiquitin transfer cascade are degraded by the multicata-lytic 26S proteasome (see [105] for a recent review). Thisstep in the pathway affords little molecular specificity asall ubiquitinated proteins are degraded here. We feel thatpharmacological targeting of the proteasome is a less at-tractive strategy than targeting of the conjugating and de-ubiquitinating enzymes for this reason. However, there areproteasome specific pharmacological agents, such as pep-tide aldehydes [91, 102] and the antibiotic lactacystin [27]which are proving invaluable as research tools for definingnovel targets of the ubiquitin-proteasome pathway.

The ubiquitin pathway

Selective degradation of intracellular proteins is now rec-ognized as a major pathway for controlling the activity

M. Rolfe · M.I. Chiu · M. Pagano (✉)1

Mitotix Inc., One Kendall Square, Bldg. 600 Cambridge,MA 02139, USA

Present address:1 Department of Pathology, MSB 563, New York University,Medical Center, 560 First Ave., New York, NY 10016, USA&/fn-block:

J Mol Med (1997) 75:5–17 © Springer-Verlag 1997

R E V I E W

&roles:Mark Rolfe · M. Isabel Chiu · Michele Pagano

The ubiquitin-mediated proteolytic pathway as a therapeutic area

&misc:Received: 14 May 1996 / Accepted: 11 July 1996

of a variety of cellular regulatory proteins (see [13, 18,46, 52, 55] for recent reviews). Because of the topic ofthis review we discuss specifically the ubiquitin pathwayof higher eukaryotes.

Within the past several years compelling evidence hasbeen presented that implicates ubiquitination in the turn-over of the tumor suppressor protein, p53 [49, 104,108–111], the cell cycle regulators cyclin A, cyclin B [34,45, 59, 121, 128], and p27 [90], the kinase c-Mos [86],the cystic fibrosis transmembrane conductance regulator[54, 130], the DNA repair protein O6-metthylguanine-DNA methyltransferase [116], the transcriptional coacti-vator p300 [3], the transcription factors c-jun, [126] c-fos[117, 127], and IκB/NFκB [89, 91, 112] (see also Ta-ble 1). Preliminary data suggest that ubiquitination mayalso be involved in the turnover of mammalian G1 regula-tory cyclins (J. Roberts, personal communication), thetranscription factors c-myc [14], DP1 [75], and E2F (R.Bernards and D. Livingston, personal communication),the regulatory subunit of cAMP-dependent protein kinase[41], the receptors for peptide growth factors [31, 82], theestradiol receptor [85], and the oncoprotein E1A ([14]and R. Bernards, personal communication).

The conjugation of ubiquitin to protein substrates is amultistep process (Fig. 1). In an initial ATP-requiring

step a thioester is formed between the C-terminus ofubiquitin and an internal cysteine residue in a ubiquitinactivating enzyme, E1. The activated ubiquitin is thentransferred to a specific cysteine on one of severalubiquitin-conjugating enzymes – known as Ubcs or E2s,with 11 so far identified in humans: Ubc2/Rad6 [60],Ubc3/Cdc34 [97], Ubc4/Ubc5B [53, 104], Ubc5/Ubc5A[53, 110], Ubc5C [53], Ubc6 [88], Ubc7 [88, 101], Ubc8[56], Ubc9 [61, 131], Ubc-epi [69], and Ubc-bendless(accession no. D83004). Ubcs share a common cysteineresidue used in the thioester bond formation with ubiqui-tin. Figure 2 shows the alignment of the human Ubc cat-alytic domains spanning the active cysteine. Finally,these Ubcs donate ubiquitin to protein substrates direct-ing their degradation by the multisubunit protease com-plex called the proteasome (see [105] for a review). Sub-strates are recognized either directly by a Ubc or by as-sociated recognition proteins, also known as the E3 pro-teins or ubiquitin ligases. Ubiquitin ligases are relativelypoorly characterized, but some of them have been shownto act enzymatically as the last member in the cascade ofthioester containing enzymes, ultimately donatingubiquitin to the protein that is destined for degradation.

It should be mentioned that ubiquitination not only di-rects protein degradation but in some cases seems to

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Table 1 Cellular regulators that are substrates of the ubiquitin pathway in higher eukaryotes&/tbl.c:&tbl.b:

Substrate Function Ubiquitinating enzymes References

Cyclin A Kinase subunit/positive cell cycle regulator UbcX/E2-C, (Cdc16/23/27?) [2, 44, 121](proto-oncogene?)

Cyclin B Kinase subunit/positive cell cycle regulator Ubc4, UbcX/E2-C, Cdc16/23/27 [2, 34, 59, 121, 138]Cyclin E Kinase subunit/positive cell cycle regulator Unknown J. Roberts, pers. comm.

(proto-oncogene?)p21 Kinase subunit/negative cell cycle regulator Unknown S. Tam, M.P. unpublishedp27 Kinase subunit/negative cell cycle regulator Ubc2/Rad6, Ubc3/Cdc34 ,(Cdc53/4?) [90]c-Mos Ser, Thr kinase/proto-oncogene Unknown [83]RPKA Regulatory subunit of cAMP-dependent Unknown [39]

protein kinasep53 Transcription factor/tumor suppressor Ubc4/5, E6AP/E6 in HPV-infected cells [76, 104, 108, 111]c-Jun Transcription factor/proto-oncogene E2-14 KD, E2-20 [43, 126]c-Fos Transcription factor/proto-oncogene Ubc5, E2-14 KD, E2-20, E3-p280 [43, 117, 127]Dp1 Transcription factor Unknown [75]E2F/Dp1 Transcription factor Unknown R. Bernards, N. Heintz,

D. Livingston, pers. comm.c-Myc Transcription factor/proto-oncogene Unknown [14]NF-κB/IκB Transcription factor Ubc4/5/7, 320 KD [1, 11, 89, 91]EGF R Growth factor receptor Unknown [31]PDGF R Growth factor receptor Unknown [82]E2 R Steroid hormone receptor Unknown [82]IgE R Immune system surface receptor Unknown [9, 92]CFTR Cystis fibrosis transmembrane Unknown [54, 130]

conductance regulatorE1A Viral oncoprotein Unknown [14], R. Bernards, pers. comm.]MGMT O6-Metthylguanine-DNA methyltransferase Unknown [116]

(DNA repair protein)p300 Transcriptional coactivator Unknown [3]

&/tbl.b:

have a regulatory function. For example, ubiquitinationof IκBα kinase is a requirement for its activity [11].

Recently another class of enzymes in the ubiquitinpathway has begun to command attention. These en-zymes are known as ubiquitin C-terminal hydrolases(Uchs), deubiquitinating enzymes, isopeptidases orubiquitin-specific proteases. They are thiol proteases thatrecognize and hydrolyze the isopeptide bond betweenthe α-carboxy terminal glycine (G76) of ubiquitin andthe ε-amino group of a lysine residue in the attached pro-tein substrate, thereby removing the ubiquitin moietyfrom the protein. In the most simplistic sense their func-tions oppose the combined action of the conjugation cas-cade of E1, E2, and E3. Eukaryotic thiol proteases con-tain an active site cysteine. Generally catalysis of thiolproteases proceeds through a thioester intermediate andis facilitated by a nearby histidine side chain. In the caseof Uchs the thioester intermediate is formed with ubiqui-tin. Although there are two distinct families of Uchswhose members share no sequence similarity with oneanother, within each family there are conserved signaturesequences that include an active site cysteine and con-served histidine residues. The first family, Uch class I[134], comprises a small number of enzymes and areabout 30 kDa in size. The second family, Uch class II,more commonly known as Ubps (ubiquitin-specific pro-teases; see [46] for a review), has already added an in-triguing dimension to the field of ubiquitin-mediatedproteolysis. As a group the Ubps are larger than Uch

class I enzymes (about 60–120 kDa) and are postulatedto fulfill multiple physiological roles (Table 1). In princi-ple, depending on the specific substrate of the particularUbp enzyme, its activity may have stimulatory or inhibi-tory effects on ubiquitin-mediated proteolysis. For in-stance, the Ubps that cleave ubiquitin from either shortpeptides generated in the proteasome or branched poly-ubiquitin chains are contributing to the intracellular poolof free ubiquitin, thereby increasing the rate of ubiquitin-mediated proteolysis in general. On the other hand, Ubpenzymes that cleave ubiquitin chains from specific targetsubstrates are theoretically lowering the rate of proteoly-sis for such substrates.

The question of specificity

There is a high degree of specificity in the ubiquitintransfer cascade the molecular details of which are cur-rently being worked out. Using primary sequence infor-mation from yeast, plants, flies, worms, and humans onecan align all the known Ubcs to identify important con-served domains. Additionally, the X-ray crystal struc-tures of two Ubcs have been published [15, 16]. If onesuperimposes the conserved residues onto the surface ofthe known structure (e.g., of yeast Ubc4), one finds ahighly conserved surface patch which presumably inter-acts with ubiquitin in the context of an E1-thioester (thisis an interaction which all Ubcs need to perform). Non-

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Fig. 1 Schematic view of theubiquitin-proteasome pathway.In an ATP-dependent reaction,a molecule of ubiquitin isactivated at its C-terminus viaa thioester formation with E1.The ubiquitin is then trans-ferred to an E2 enzyme, againvia a thioester bond. Finally,the ubiquitin is transferred ontoa substrate, with or withoutthe help of an E3, via an iso-peptide bond. Substrates withpolyubiquitin chains are target-ed for degradation to the 26Sproteasome complex. Ubpscounteract the action of E2sand E3s. See text for details&/fig.c:

conserved surface patches on the Ubc are presumed tointeract with distinct ubiquitin ligases or directly withsubstrates.

Ubiquitin ligases are much less well characterizedthan Ubcs. However, one molecularly characterized E3has been extensively studied: the complex of human pap-illoma virus (HPV) E6 and E6AP (see later) involved inthe ubiquitination of p53 in virally infected cells [104,111]. E6AP is the archetypal member of a new family ofE3s [50] which appear to act catalytically in the ubiqui-tin transfer cascade; these enzymes are large (usually>100 kDa) and share limited homology with each otherat their C-termini. They have been named “hect” proteins(for homology to E6AP c-terminus). There are at least 12new human genes in currently available databases whichwould qualify as encoding hect proteins. Figure 3 showsthe alignment of the catalytic domain of human Hect

proteins. The fact that E6AP is specifically ubiquitinatedby Ubc4 and Ubc5 [104, 111] lends support to the notionthat different hect proteins may be ubiquitinated by dis-tinct Ubcs. On the other hand, Ubc4 is also involved inthe ubiquitination of cyclin B but for this substrate an-other E3, the complex of Cdc16/Cdc23/Cdc27, has beenimplicated (see below). There are therefore numerouspotential combinations of Ubc and E3 which furnish ahigh degree of specificity to these ubiquitination reac-tions.

The recent explosion of sequence information fromthe various organism-based genome efforts indicates thatthe class II Uch enzyme family, more commonly knownas Ubps, is remarkably large. A search in the combineddatabases readily identified upwards of 40 fully se-quenced family members, of which at least 9 are human,and at least 15 from the yeast Saccharomyces cerevisiae

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Fig. 2 Alignment of catalyticdomain of human Ubcs.Sequences from ten humanUbcs from amino acid approx.30 to approx. 100 including thecatalytic cysteine residue areshown. Black, residues presentin at least four entries. Thealignment was performed usingthe Clustal method from Meg-Align software (DNASTAR).Ubc2 (M74525); Ubc3(L22005); Ubc4/Ubc5B(L40146); Ubc5/Ubc5A(X78140); Ubc6 (X92962);Ubc7 (X92963); Ubc8(Z29331); Ubc9 (D45050);Ubc-epi (M91670);Ubc-bendless (D83004)&/fig.c:

alone. At least twice as many are estimated from the ex-pressed sequence tag databases of human sequences.These high numbers raise the exciting possibility that, aswith E3s, Ubps may possess a considerable degree ofsubstrate specificity. As with other components of theubiquitin-proteolysis machinery, genes encoding Ubpsare found in yeasts, plants, flies, worms, and mammals.Accordingly, all family members share catalytic domainsencompassing an active site cysteine, and a conservedcarboxy-terminal His box sequence. Figure 4 shows thealignment of these conserved domains of human Ubps.

Another degree of control and specificity can be exer-cised at the level of phosphorylation. Indeed, there is ac-cumulating evidence that phosphorylation events are of-ten the trigger that leads to recognition by the ubiquitintransfer machinery and subsequent degradation (re-viewed by [17]). In addition to phosphorylation, there isan accumulating body of evidence suggesting that dis-crete degradation signals exist which may target a pro-

tein for degradation both in cis and, somewhat surpris-ingly, in trans. For instance, a stretch of nine amino ac-ids (RxxLxxIxN) followed by a lysine-rich domain in theN-terminal of cyclin B defines a “destruction box”whose deletion or mutation substantially stabilizes cyclinB [34, 44, 71]. Overexpression of the destruction box do-main can also inhibit cyclin B proteolysis [47]. Similarly,in c-Jun a 27 amino acid element named δ-domain hasbeen shown to be important for its ubiquitin-mediateddegradation [126]. Recently yet another novel signal hasbeen identified: a glycine-rich region which serves as a“stop signal” in the processing of NF-κB p105 leading tolimited proteolysis and release of p50 [66]. Stretches ofamino acids with high proline, glutamic acid, serine, andthreonine content (PEST sequences) have also been pos-tulated as signals which identify short lived proteins[103]. In addition to these cis-acting elements encodedwithin the target proteins themselves, there are examplesof one protein in a heterodimer pair targeting the second

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Fig. 3 Alignment of catalyticdomain of human Hect pro-teins. A region of 70 aminoacids surrounding the catalyticcysteine was aligned using theClustal method from MegAlignsoftware (DNASTAR). Black,residues present in at least fourentries. E6AP (L07557); KG1C(D28476); ORFK (D25215);RSC (13635); 100 K (D45459);H23082 (H23082); URE-B1(R18042); RSP5 (T93069);NEDD4 (T74302); K1AAN(D42055); R20250 (R20250)&/fig.c:

protein of the heterodimer, in trans, for degradation. Thebest studied example of this is fos/jun where phosphory-lation of c-Jun subunit targets c-Fos for degradation [94].

p53

The p53 protein was discovered by virtue of its tight as-sociation with SV-40 large T antigen in SV-40 trans-formed cells [62, 68]. The normal cellular role of p53appears to be either in imposing a block in cell cycleprogression at G1 or in inducing apoptosis following ra-diation or chemically induced DNA damage (see [63,100] for recent reviews). The G1 arrest is thought to bemodulated in large part by p53 inducing expression ofthe cyclin-dependent kinase inhibitor p21 [22, 24]. Ap-optosis may be mediated by induction of the pro-apo-ptotic gene Bax [79, 80] and coincident repression of theanti-apoptotic gene Bcl2 [12]. Most of the effects of p53are thought to be mediated by this ability to modulatetranscription both positively and negatively. The geneproduct is completely dispensable for normal mouse de-velopment but does play a role in tumor suppressionsince p53 knockout mice succumb to a variety of tumorsearly in life [20]. The gene for p53 is mutated or deleted

in approx. 40% of a wide variety of human tumors, im-plicating p53 as the most significant tumor suppressorgene to date [6, 40].

Other DNA tumor viruses (in addition to SV-40) en-code proteins whose function appears to be abrogation ofp53 activity. Adenoviruses encode two E1b proteins, a55-kDa species which binds to and inactivates p53 [107]and a 19-kDa species which does not contact p53 direct-ly but can repress p53-mediated apoptosis in infectedcells [39, 106]. SV40 and adenovirus infection lead tohigh levels of inactivated p53 in infected cells. HPVs en-code a protein, E6, whose function is to abrogate p53 ac-tivity [132] and HPV-infected cells have vanishingly lowlevels of p53 protein [78].

That p53 is degraded in a ubiquitin-dependent reac-tion was demonstrated in studies on the mode of actionof the E6 viral oncoprotein encoded by the high-riskHPVs 16 and 18. These high-risk types of HPV arethought to be causally involved in the pathogenesis ofanogenital cancer, particularly in cancer of the cervix(reviewed by [26, 81]). The evidence includes the fol-lowing: (a) viral DNA is found in close to 90% of suchtumors; (b) most of the virus-positive tumors contain in-tegrated viral DNA; (c) the majority, if not all, of HPV-positive cancer biopsies and all HPV-containing celllines derived from individuals with cervical cancer revealspecific transcripts originating uniformly from two spe-cific open reading frames (E6 and E7) of the persistingHPV DNA. Furthermore, the E6 and E7 genes of high-risk types of HPV (but not of low-risk types) immortal-ize human foreskin, cervical keratinocytes, or epithelialbreast cells after in vitro transfection in tissue culture.Specific cellular proteins bind efficiently to the HPV E6and E7 oncoproteins of high-risk types of HPV. The E7

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Fig. 4 Alignment of conserved domains of human Ubps. Align-ment of nine human Ubps showing the conserved cysteine (Cys)and histidine (His) domains. The name and position of each se-quence are also shown. Black, residues present in at least four en-tries. The alignment was performed using the Clustal method fromMegAlign software (DNASTAR). Tre213, orf2 (P35125); Unph(U20657); UnpX (P40818); TGT (U30888); Dub1 (A. D’Andrea,personal commun); Hsan (D38378); KIAA0190 (D80012); Iso-peptidase T (U47924), Uhx1 (GenPept U448839)

oncoprotein binds the protein product of the retinoblasto-ma gene, Rb [23], whereas the E6 protein binds to thep53 protein, promoting its ubiquitin-dependent degrada-tion [108].

We and others have identified human Ubc4 and Ubc5(93% identical at the protein level) as the ubiquitin con-jugating enzymes involved in the HPV E6-mediated ubi-quitination of p53 [104, 111]. However, Ubc4 and Ubc5do not directly ubiquitinate p53; rather, they are the cen-tral enzyme in a cascade of three thioester-forming en-zymes that begins with E1 and ends with E6AP. Thecomplex of ubiquitinated E6AP and E6 specifically me-diates transfer of ubiquitin onto p53. We have demon-strated using microinjection technology that the enzymesinvolved in ubiquitin transfer in vitro can be inhibited invivo to reverse E6-mediated p53 degradation.

In noninfected cells p53 seems to be ubiquitinatedand degraded by the proteasome [76]. It is not clear yetwhether E6AP is involved in the turnover of wild-typep53 in noninfected cells.

If a specific small-molecule inhibitor of Ubc-mediat-ed conjugation of ubiquitin to p53 could be identified,p53 proteolysis should be halted and intracellular levelsof p53 should be elevated. Such increased levels of p53should halt cellular growth and might also lead to pro-grammed cell death or apoptosis in cells with the appro-priate genetic background. It is clear now from severalpublished studies that increased levels of p53 can lead toapoptosis in many transformed cells if the Rb pathway isinactivated (see [133] for a review). This inactivation canbe a direct result of Rb gene inactivation or may involveother entities in the Rb pathway such as p16, cyclin D1,or E2F. Thus, inhibition of p53 degradation by a small-molecule inhibitor is expected to induce apoptosis, notonly in HPV16/18 infected tumors but in all tumors lack-ing Rb function and retaining wild-type p53.

p27

The eukaryotic cell cycle is regulated by a family of ser-ine/threonine protein kinases called cyclin-dependentkinases (Cdks) because their activity requires the associ-ation with regulatory subunits named cyclins (reviewedin [64, 74]). Cdks can also associate with inhibitory sub-units. So far, based on their sequence homology, twofamilies of these Cdk inhibitors (Ckis) have been identi-fied in mammalian cells: the Cip/Kip family, which in-cludes p21, p27, and p57, and the Ink family, which in-cludes p15, p16, p18, and p20 (see [115] for a review).

p27 is a powerful in vitro inhibitor of both Cdk4 andCdk2, two Cdks involved in the regulation of the G1phase of the cell cycle. As predicted, overexpression ofp27 arrests the cell division cycle in G1 [98, 125]. Com-pared to growing cells, human p27 levels are elevated inquiescent fibroblasts [42] and in resting primary T-lym-phocytes [29, 87]. In contrast, the levels of p27 mRNAare not different between quiescent and growing cells[42]. Indeed, p27 accumulation in quiescent cells is at

least partially due to a dramatic increase in the p27 half-life, which is six to eight times longer in quiescent cellsthan in growing cell [42, 90]. This difference can ac-count for the different p27 abundance in quiescent versusproliferating cells [29, 87, 90]. Finally, p27 containsPEST-like sequences in its carboxyl terminus (PEST-FIND score +10).

Based on these data we investigated the mechanismsthat control p27 degradation [90]. We found that in vivoinhibition of the chymotryptic active site of the protea-some with carbobenzoxyl-leucinyl-leucinyl-leucinal-H(z-LLL) induces an accumulation of p27 protein in bothtransformed and normal human cells and that, because oflack of proteasome activity, ubiquitinated forms of p27accumulate. Using cellular extracts as a source of ubiqui-tinating enzymes and proteasome subunits, we showedthat p27 is polyubiquitinated and degraded by the protea-some in vitro, and that human Ubc2 and Ubc3, the ho-mologs of S. cerevisiaeRad6 and Cdc34 gene products,respectively, are specifically involved in the in vitro ubi-quitination of p27.

Recombinant purified Ubc2 and Ubc3 can mono-ubiquitinate p27 in the presence of ATP and E1, theubiquitin-activating enzyme [90]. In contrast, p27 ispolyubiquitinated by incubation with human cellular ly-sates. The single ubiquitination of p27 in a purified invitro system is probably due to the lack of an E3, theubiquitin ligase, and/or of posttranslation modifications.Pertinent to the latter, it has been shown that two S. cere-visiae cyclins, Cln2 [19] and Cln3 [137], are substratesof Ubc3, and that phosphorylation of these cyclins by theyeast cdk, Cdc28, promotes their ubiquitination. Degra-dation of other proteins including c-fos [94], IκBα [91],and Rag2 [65] was also found to be stimulated by theirphosphorylation. It is possible that a protein kinase par-ticipates, in concert with Ubc2, Ubc3, and possibly a yetto be discovered E3, in the ubiquitination of p27 in hu-man cells.

Finally, we found that, compared to proliferatingcells, quiescent cells contain a far lower amount of p27ubiquitinating activity [90], despite the fact that the twosubpopulations contain similar amounts of Ubc2 andUbc3 (S. Tam and M.P., unpublished results), indicatingthat Ubc2 and Ubc3 abundance is not the limiting factorin p27 ubiquitination. We are currently exploring thepossibility that the abundance of a third component, theputative E3 enzyme, and/or posttranslational modifica-tions of p27 and of the ubiquitinating enzymes may beimportant in controlling p27 ubiquitination.

Cki functions are often inactivated during transforma-tion. Indeed, p15 and p16 genes are often deleted, mutat-ed, or inactivated by methylation in a large series of hu-man tumors (reviewed by [114]). In tumors where p53activity is missing, p21 levels are low, and p21 is notfound in association with Cdks [136]. p27 is also a targetof oncogenic events since the adenoviral E1A [77] onco-protein inactivates p27, dissociating it from cyclin-Cdkcomplexes. However, the p27 gene has never been foundaltered in tumors [58, 95, 99, 118]. We looked at the p27

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protein expression by immunohistochemistry in colorec-tal carcinomas and found that p27 is prognostic in thesetumors [70]. In fact, absent/low p27 expression corre-lates with approximately three- and sixfold increase inrisk of death, respectively. Tumors expressing low p27levels contain more p27 specific degradation activity,suggesting that p27 protein is eliminated because of anenhancement of its degradation.

A specific small molecule inhibitor of p27 ubiquitina-tion would be expected to raise the intracellular levels ofp27 and should lead to a block in proliferation and hencea reversal in disease progression, especially in those tu-mors that have low to undetectable p27 protein levels asa result of an “activated” ubiquitination pathway.

Cyclin B

Cyclins are required for the timed activation of Cdks.They are also thought to determine the interaction withupstream regulatory enzymes, the subcellular localiza-tion, and the substrate specificity of Cdks. In mammaliancells at least eight different cyclin types have been iden-tified, acting at specific stages of the cell cycle (see [64]for a review). Human cyclin B was identified as the acti-vating regulatory subunit of Cdc2 (Cdk1), whose activitypeaks in mitosis [33, 96]. Cyclin B destruction is re-quired for exit from mitosis and entry into interphase ofthe next cell cycle [21, 72, 73, 83]. Deletion mutants ofcyclin B, lacking the destruction box (see above), arrestthe cell cycle in mitosis and maintain both cyclinB–Cdc2 kinase and protease in their active states [32, 34,73, 83]. In Xenopus, destruction of cyclin B2 but not B1requires binding to Cdc2 [120, 129]. Degradation of cy-clin B is regulated by the ubiquitin pathway [34, 71].The activity of the Ubcs (Ubc4 and Ubcx/E2-C) involvedin cyclin B degradation is cell cycle independent [2, 34,45, 59, 121, 138]. In contrast, the cyclin B specific E3 (amultiprotein complex including Cdc16, Cdc23, andCdc27) is only active during mitosis [59, 121].

A specific low molecular weight inhibitor of ubiquitintransfer onto cyclin B targeting the Ubc or the E3 in-volved in this process would prevent cyclin B destructionand would be expected to be a very strong cytostaticagent.

IκB

The signal transduction pathways involved in B- and T-cell activation in numerous immune and inflammatoryresponses are well characterized. One central transcrip-tion factor in these pathways is NFκB (for recent re-views, see [4, 123]) which is synthesized as a 105-kDaprecursor that is processed to a 50-kDa mature form(p50) in an ATP-, ubiquitin-, proteasome-dependent re-action [89, 91]. The C-terminal part of the molecule isdegraded during this process, leaving the N-terminal ac-tive region intact. p50 can associate with several related

regulators, such as p65, RelB and c-Rel to generate dis-tinct heterodimeric transcriptional activators. The tran-scriptional inhibitor IκBα can associate with each ofthese heterodimers and in so doing forms an inactive het-erotrimeric complex which is cytosolic. A variety of in-flammatory agents (mitogens, cytokines, viral proteins,antigens, UV light, etc.) activate a signal transductionpathway that ultimately leads to a tightly coupled phos-phorylation and ubiquitin-dependent degradation ofIκBα [1, 7, 8, 10, 11, 28, 67, 91, 112] which unmasks anuclear localization signal on NFκB. Now the active het-erodimer can be translocated to the nucleus to activatepro-inflammatory genes. Interestingly, the IκBα kinaserequires the presence of E1, Ubc4 or Ubc5, and ubiquitinfor its activity [11]. This is the first example of ubiquiti-nation-dependent protein kinase activity. Thus, threeubiquitin-dependent proteolytic processes, the activationof IκBα kinase, the complete destruction of IκBα, andthe limited posttranslational processing of p105 to p50are involved in the activation of NFκB. The identities ofthe E3 molecule/s involved in IκBα ubiquitination aswell as the kinase responsible for signal induced phos-phorylation are currently unknown but are undoubtedlythe subject of intense investigation in many laboratories.

Intervention in this signal induced ubiquitination anddegradation pathway with low molecular weight pharma-ceutical agents promises to provide novel agents with ahigh degree of specificity (and hopefully fewer adverseside effects) which could be used in several pathologicalconditions, such as inflammation, autoimmune disease,and viral infection.

Targeting ubiquitin-specific proteasesto inhibit proliferation

As the above examples illustrate, manipulating or inhib-iting members of the enzymatic cascade responsible forconjugating ubiquitin to target substrates is a promisingnew strategy for therapeutic intervention. It is increas-ingly apparent that inhibition of enzymes that remove,rather than add, ubiquitin from protein substrates mayalso become a valuable therapeutic approach.

The most intriguing possibility for the large numbersof Ubps whose functions are unknown lies in their poten-tial role as key regulators of stability for individual sub-strates. Ubiquitin chains that assemble on various pro-teins are highly dynamic, with rapid addition and remov-al of ubiquitin units. With certain well-known excep-tions, for example histone 2A [57], the general rule hasbeen that attachment of ubiquitin to a susceptible sub-strate commits it to degradation, whereas removal ofubiquitin has a stabilizing effect. Ubps that act at thisstep in a substrate-specific manner should play a key rolein controlling the stability of that substrate, but wouldnot affect proteolysis in general. The in vivo half-life ofa given substrate would be determined by the balance be-tween the rate of ubiquitin conjugation on the one hand,and that of ubiquitin removal on the other.

12

Several lines of evidence suggest that such regulatoryUbps exist. The first, mentioned above, is their largenumbers, suggestive of a range of catalytic specificities.Second, the sequence similarity of the various Ubpsfrom a given species is confined to a few conserved mo-tifs including the active site cysteine and the histidinebox [93, 135]. Outside of these motifs the sequences aredissimilar, except of course among members of a sub-family, consistent with the notion that these enzymes arenonoverlapping both in their substrate specificities andin their physiological functions. Third, the fact that iso-peptidase T (see Table 2) is exquisitely sensitive to thechemical nature of the carboxyl-terminus of the ubiqui-tin chain (i.e., that it be free and unanchored [135]) atthe same end that is used in substrate attachment sug-gests that other members of this family may have built-in specificities for different substrates as well. Last, al-though the physiological substrates of these Ubps havenot yet been identified, it seems reasonable to assumethat Ubps effect their biological function as a conse-quence of their enzymatic activity on their cognate sub-strates (see Table 2). Mutation analyses of the firsthandful of Ubps suggest that Ubp substrates likely com-prise a diverse group, ranging from putative cellularproto-oncogenes (Unp [36, 37]) to tumor suppressors(Tre [84]), to extracellular factors that are essential forembryogenesis and cell fate (Faf, [30, 48]) and cyto-kine-inducible proteins with growth-suppressing activity(Dub1 [139]).

Most importantly, perturbation of different Ubps inhigher eukaryotes can lead to distinct and profoundphysiological alterations, consistent with the notion thatregulatory Ubps likely control the stability of proteinswhich themselves play pivotal regulatory roles in the cell

and could therefore offer the possibility of target-specifictherapeutic intervention.

In summary, we anticipate that unlike those Ubpswhich play a general role in ubiquitin-mediated proteoly-sis, the subset of Ubps which regulate the stability ofspecific substrates provide an ideal avenue for therapeu-tic intervention that conceptually complements manipu-lation of the E2 and E3 pathway. For a given target pro-tein that is subject to ubiquitin-mediated regulation, de-pending on its cellular function, one could choose to in-crease (e.g., tumor suppressor) or decrease (e.g., onco-gene) the cellular levels of the protein by designing smallmolecules that inhibit either the ubiquitinating or the de-ubiquitinating enzyme for that particular substrate. Al-though much remains to be discovered, the future for thisexciting area of research in pharmaceutical developmentseems promising indeed.

Antifungals

The emerging picture is that E2s, E3s, and Ubps com-prise three superfamilies whose members are found ineukaryotes as diverse as yeasts, plants, insects and mam-mals. The diverse members of each family, particularlythe E3s and Ubps, suggest that both the addition ofubiquitin to and the removal from target substrates areregulated by a certain degree of catalytic specificity.How much of this specificity is conserved across species,and how many family members encode redundant func-tions, remain to be seen. As more is known about the de-tails in each organism, it might be possible to targetmembers of the ubiquitin-mediated proteolysis pathwayfor antifungal therapy. The putative range of biological

13

Table 2 Examples of Ubps and their physiological functions&/tbl.c:&tbl.b:

Ubp References Biological functions

hs Tre [84] Originally cloned from genome of Ewing’s sarcoma cells as a fusion of sequences derived from chromo-somes 5-18-17, where Tre is truncated; expression of truncated version transforms nude mice, but it has nodeubiquitinating activity and is thought to act in a dominant negative manner over full length version.

hs Unp [35–37] Originally found during a survey of mouse genes near the Mpv 20 retroviral insertion site. Mouse Unpoverexpression transforms nude mice; human Unp maps to chromosome 3p21.3, a locus often rearrangedin lung cancers; human Unp mRNA overexpressed in small cell lung carcinoma; Unp protein has deubiquiti-nating activity; mutant version with active site cysteine mutated to alanine no longer transforms cells(R. Baker, pers. comm.).

hs Dub1 [139] Clone isolated as an interleukin-3 inducible immediate-early gene, by differential display; has deubiquiti-nating activity which is abolished when active site cysteine is changed to serine. Overexpression of Dub1induced growth arrest in G1 phase of the cell cycle in interleukin-3 responsive cells, but not in 3T3 cells.

hs Isopeptidase T [25, 38, First purified as a ubiquitin-binding protein from bovine reticulocytes by adsorption to a ubiquitin affinity119, 135] column; human version cloned by homology; disassembles branched polyubiquitin chains (glycine 76–lysine

48 linked) by a sequential exo mechanism, starting a the proximal end, which contains a free carboxyl-terminus. Enzyme has exquisite substrate specificity; activity is greatly reduced if the carboxyl-end of theubiquitin chain is modified or attached to another protein.

hs Uhx1 [122] cDNA clone isolated from a retina library. The 3.3-kb transcript is expressed in all tissues tested, but is aboutfivefold more abundant in the retina. UHX1 maps to human chromosome Xp21.2-p11.2, the site of severalinherited X-linked retinal disorders.

dm Faf [30, 48] Gene identified in a screen for mutations that affect eye development. Regulator of cell fate in eyedevelopment and o ogenesis; flies bearing mutant faf develop extra photoreceptors in their ocular facets;Faf is required outside of the photoreceptor cell. Mutations in the active site cysteine affect Faf function.

&/tbl.b:

specificity accorded to E3s and Ubps because of their di-verse structures outside of the catalytic domains couldlikewise be exploited in the design of small moleculesthat can subtly differentiate enzyme homologs from dif-ferent species. A compound that differentially (or exclu-sively) affects the function of a given E3 or Ubp inpathogenic organisms such as Candida albicansoverthat of its human homolog could be a potent and specificantifungal agent which is also not toxic to host cells.

As with other superfamilies, one concern in the de-sign of drugs that target one member of the family is thepossibility of redundancy. In the pathogenic fungus ofinterest, can other enzymes of the family functionally re-place the targeted enzyme? The specific biology proba-bly varies from case to case, but there is good evidencefrom both budding and fission yeasts that although someenzymes in the ubiquitin-mediated proteolysis pathwayhave overlapping functions (Ubp1, 2, 3 [5, 124]), certainothers are functionally irreplaceable. Temperature-sensi-tive mutations in Ubc9 (a member of the E2 family) leadto growth arrest at the nonpermissive temperature [113],while deletion or mutations in Doa4 (a Ubp) result inmultiple defects [93], ranging from slow growth to a de-fect in DNA repair in response to UV irradiation. Tem-perature-sensitive mutations in Cdc16, 23, or 27 (compo-nents of the E3 for cyclin B degradation) each lead to le-thality at the restrictive temperature [51], while muta-tions in certain proteasome subunits lead to cell-cycle ar-rest at the G2/M phase. It seems reasonable therefore thatjudicious selection of components in this pathway couldlead to identification of effective antifungal candidatetargets and subsequent pharmaceutical development.

Conclusions

Although still partially speculative, the recent discoveriesin the area of ubiquitination have opened new possibilitiesin the treatment of some proliferative and autoimmunediseases and of inflammation. In fact, the high specificityof the ubiquitin pathway might allow the development ofnew classes of highly potent and selective low molecularweight enzyme inhibitors targeting particular members ofthe ubiquitin pathway that control the intracellular levelsof a wide range of important regulatory proteins.

&p.2:Acknowledgments We thank R. Baker, R. Bernards, D. Boh-oman, A. Ciechanover, A. D’Andrea, D. Finley, N. Heintz, P.Howley, E. Kipreos, D. Livingston, J. Magae, C. Maki, A. Musti,and J. Roberts for communicating data before publication; J. Eck-stein for discussion on the three-dimensional structure of Ubcs;and A. Ciechanover, A. D’Andrea, A. Hershko, and P. Worland forcritically reading the manuscript.

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