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Article
Nature Medicine  8, 1145 - 1152 (2002)
Published online: 16 September 2002; | doi:10.1038/nm759

PKB/Akt mediates cell-cycle progression by phosphorylation of p27Kip1 at threonine 157 and modulation of its cellular localization

Incheol Shin1, 6, F Michael Yakes1, 6, Federico Rojo5, Nah-Young Shin2, Andrei V. Bakin1, Jose Baselga5 & Carlos L. Arteaga1, 3, 4

1 Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA

2 Department of Cell Biology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA

3 Department of Cancer Biology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA

4 Department of Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, Tennessee, USA

5 Oncology Service, Vall d'Hebron University Hospital, Barcelona, Spain

6 I.S. and F.M.Y. contributed equally to this study.

Correspondence should be addressed to Carlos L. Arteaga carlos.arteaga@vanderbilt.edu
We have shown a novel mechanism of Akt-mediated regulation of the CDK inhibitor p27kip1. Blockade of HER2/neu in tumor cells inhibits Akt kinase activity and upregulates nuclear levels of the CDK inhibitor p27Kip1. Recombinant Akt and Akt precipitated from tumor cells phosphorylated wild-type p27 in vitro. p27 contains an Akt consensus RXRXXT157D within its nuclear localization motif. Active (myristoylated) Akt phosphorylated wild-type p27 in vivo but was unable to phosphorylate a T157A-p27 mutant. Wild-type p27 localized in the cytosol and nucleus, whereas T157A-p27 localized exclusively in the nucleus and was resistant to nuclear exclusion by Akt. T157A-p27 was more effective than wild-type p27 in inhibiting cyclin E/CDK2 activity and cell proliferation; these effects were not rescued by active Akt. Expression of Ser473 phospho Akt in primary human breast cancers statistically correlated with expression of p27 in tumor cytosol. These data indicate that Akt may contribute to tumor-cell proliferation by phosphorylation and cytosolic retention of p27, thus relieving CDK2 from p27-induced inhibition.
The sequential activation of cyclin-dependent kinases (CDKs) regulates the eukaryotic cell cycle. CDK inhibitors (CKIs) negatively regulate CDKs, and CDK-bound G1 cyclins can activate CDKs1. The CKIs can be subdivided into two families: the Ink4 family, consisting of p16INK4a, p15INK4b, p18INK4c, p19INK4d, and the Cip/Kip family, including p21Cip1, p27Kip1 and p57Kip2 (ref. 1). p27Kip1, first identified in cells arrested by transforming growth factor-beta (TGF-beta), is a potent inhibitor of cyclin E/CDK2 and cyclin A/CDK2 (refs. 2,3 and references therein). Its expression is highest in quiescent cells, and decreases upon re-entry into the cell cycle4. Antiproliferative signals such as mitogen withdrawal, contact inhibition, TGF-beta, cyclin AMP and inhibitors of the erbB (HER) network lead to accumulation and stabilization of p27 (refs.1,2,5, 6, 7, 8). The intracellular levels of p27 are highly regulated by post-translational mechanisms3, 4. These include ubiquitin−proteasome-mediated degradation and proteolysis to remove the cyclin-binding domain9, 10. During the G1-to-S transition, p27 is phosphorylated at Thr187 by CDK2 (refs. 11, 12), resulting in its dissociation from cyclin E/CDK2 complexes and binding of SCFSkp2, a protein complex that targets p27 for ubiquitination and degradation13, 14.

The phosphatidylinositol-3 kinase (PI3K)-Akt pathway is centrally involved in cell proliferation, survival and motility15. The serine/threonine kinase Akt inactivates several pro-apoptotic molecules, including Bad, caspase-9, forkhead transcription factors, IkappaB kinase and p53 (through MDM2-mediated phosphorylation)16, 17, 18, 19, 20, 21, resulting in enhanced cell survival. Akt also participates in cell-cycle progression. By phosphorylating forkhead transcription factors, it inhibits AFX-mediated transcription of p27 (ref. 19). Akt has been shown to induce E2F activity22 and transcription of c-Myc23. Akt phosphorylates and inactivates GSK-3beta, relieving cyclin D1 from GSK-3beta-mediated nuclear exclusion and proteolysis24. Phosphorylation of the CKI p21Cip1 by Akt induces its retention in the cytoplasm, preventing CDK inhibition and growth arrest25. In this study, we present evidence that p27 is phosphorylated at Thr157 by Akt both in vitro and in vivo. This phosphorylation results in cytoplasmic retention of p27, abrogation of its CDK2 inhibitory activity and cell-cycle progression.

Cellular Akt phosphorylates p27 in vitro
Blockade of the HER2/neu receptor has been shown to inhibit PI3K and Akt and to upregulate p27 levels6, 7, 8. Because p27 contains a putative Akt consensus phosphorylation site (RXXRXXT157D) in its nuclear localization sequence (NLS; amino acids 151−166), we examined whether Akt from HER2-overexpressing cells can phosphorylate p27 and whether this effect can be modulated by inhibition of HER2. Treatment of BT-474 cells with Herceptin or the PI3K inhibitor LY294002 inhibited Akt, as measured by the ability of Akt precipitates to phosphorylate GSK-3beta in vitro as well as phospho-Ser473 (P-S473) Akt immunoblot (Fig. 1a). Akt from BT-474 cells was equally potent in phosphorylating wild-type p27 and T187A-p27, a mutant in which Thr187 of the CDK2 phosphorylation site is replaced by alanine (Fig. 1b). Similar results were obtained with recombinant Akt1 (data not shown), indicating that active Akt from HER2-overexpressing tumor cells may phosphorylate p27 in vitro in a HER2-dependent manner and that this phosphorylation occurred at a residue that is not part of the CDK2 site. To confirm that Akt is responsible for the in vitro phosphorylation of p27, we infected MCF-7 cells with adenovirus encoding either beta-galactosidase (beta-gal) or myristoylated Akt (Myr-Akt). Myr-Akt consists of Akt1 ligated to a myristoylation sequence, resulting in an enzyme approximately tenfold more active than the wild-type enzyme26. Akt1 precipitated from cells infected with Myr-Akt but not from control cells induced phosphorylation of both wild-type p27 and T187A-p27 in vitro (Fig. 1c).

Figure 1. Cellular Akt phosphorylates p27 in vitro.
Figure 1 thumbnail

a, BT-474 cells were treated with 10 mug/ml Herceptin or 40 muM LY294002 for 20 h, washed and lysed in NP-40 lysis buffer. Akt was precipitated with immobilized-Akt 1G1 IgG2a and used for in vitro kinase assays against GSK-3beta (top panel) or tested for P-S473 Akt and total Akt content by immunoblot (lower panels). b, Active Akt was precipitated from proliferating BT-474 cells with immobilized-Akt 1G1 IgG2a (as in a) or control IgG2 and used for in vitro kinase assays with GST-purified wild-type (WT) p27 or T187A-p27 as substrates. c, MCF-7 cells were infected with adenoviruses encoding beta-gal or Myr-Akt (multiplicity of infection (MOI) of 5). Akt was precipitated as in b above and assayed for kinase activity against His-tagged WT p27 or T187A-p27 (ref. 8).



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Akt phosphorylates p27 at Thr157in vitro and in vivo
To determine if Akt-mediated phosphorylation occurred at Thr157, we generated three mutants of p27 in which Thr157, Ser161 and Thr162 were replaced by alanine residues. In vitro kinase reactions using recombinant active Akt1 and GST-purified wild-type and mutant p27 variants showed no detectable phosphorylation in T157A-p27. Wild-type p27, S161A-p27 and T162A-p27, however, showed the same degree of phosphorylation by Akt (Fig. 2a). We investigated the phosphorylation of wild-type and mutant p27 in vivo by expressing FLAG-tagged forms of each one in 293T cells. We then labeled the cells with 32Pi and analyzed FLAG-p27 by immunoprecipitation and autoradiography. We detected moderately less phosphorylation of T157A-p27 than of wild-type p27 or the S161A and T162A mutants (Fig. 2a). To examine the association of the ectopic p27 proteins with endogenous Akt, we subjected FLAG precipitates to Akt and P-Akt immunoblot analyses. Similar levels of total Akt and P-Akt coprecipitated with antibodies against FLAG in cells transfected with each vector. In addition, Akt precipitates from all four transfectants contained equal levels of FLAG-tagged p27 (Fig. 2b). Control precipitates with IgG did not contain Akt or FLAG-p27 (data not shown). Endogenous Akt also associated with endogenous p27: Akt and p27 immunoprecipitates from proliferating BT-474 cells contained p27 and Akt, respectively, as measured by immunoblot (Fig. 2c). These results suggest that 293T cells contain constitutively active Akt, that Akt can associate with p27 and that phosphorylation of Thr157 in p27 is not required for the association with Akt.

Figure 2. Akt associates with and phosphorylates p27 on Thr157.
Figure 2 thumbnail

a, GST was cleaved off from bacterially-produced GST-p27 (5 mug) fusions. The resulting wild-type (WT) p27 and T157A-, S161A- and S162A-p27 mutants were used as substrates in an in vitro kinase assay using recombinant active Akt. Equal loading of p27 per reaction was confirmed by Coomassie brilliant blue staining. In vivo phosphorylation was assessed by labeling 293T cells transfected with FLAG-27 with [32P]orthophosphate. Labeled FLAG-p27 was precipitated with FLAG-M2 antibody and analyzed by SDS-PAGE and autoradiography. To normalize for transfection efficiency, FLAG-precipitates were subjected to p27 immunoblot (bottom panel). b, 293T cells were transfected with FLAG-tagged wild-type or mutant p27. 1 mug of 293T cell lysates was incubated with 2 mug of FLAG-M2 antibody. Co-precipitated Akt was detected by immunoblot analyses using antibodies specific for total Akt, P-S473 Akt and FLAG. Ectopic FLAG-p27 was detected in immunoblots of Akt precipitates. c, Endogenous total Akt and p27 were precipitated from BT-474 cell lysates. Both Akt and p27 were measured in the precipitates by immunoblot analysis.



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A previous report27 has indicated that Ser10 phosphorylation accounts for 70% of the total phosphorylation of p27 in vivo, possibly explaining the difference we observe in T157A-p27 phosphorylation in vitro and in vivo (Fig. 2a). Therefore, to confirm that Akt phosphorylates Thr157 in p27 in vivo, we generated and compared two-dimensional phosphopeptide maps of 32Pi-labeled cells transfected with wild-type p27 or T157A-p27. Transduction of Myr-Akt into wild-type p27 transfectants resulted in a 4.2-fold increase of a phosphopeptide spot that was absent in the phosphopeptide map of the T157A mutant (Fig. 3, arrow), indicating that Thr157 in p27 may be phosphorylated in vivo by Akt. By phosphoimager analysis (using a Bio-Rad 'Quantity One' instrument), the counts associated with phospho-Thr157 (P-T157) p27 in Myr-Akt transduced cells (Fig. 3, middle) were 45% of the total.

Figure 3. Akt phosphorylates p27 at Thr157in vivo.
Figure 3 thumbnail

293T cells transfected with FLAG-tagged wild-type (WT) or T157A-p27 were metabolically labeled with [32P]orthophosphate. FLAG-p27 was precipitated from cell lysates and analyzed by two-dimensional phosphopeptide mapping. To activate Akt, cells were infected with adenovirus encoding Myr-Akt (MOI of 20). Arrowheads indicate phosphopeptide spots induced by Myr-Akt that are absent in the T157A-p27 mutant. TLC, thin layer chromatography; TLE, thin layer electrophoresis.



Full FigureFull Figure and legend (36K)
Phosphorylation of Thr157 and cytosolic retention of p27
Because the putative Akt phosphorylation site in p27 is within its NLS, we next asked if Akt could affect the cellular localization of p27. We transfected 293T cells with either FLAG-tagged wild-type p27 or T157A-p27 (Fig. 4a) and carried out anti-FLAG immunofluorescence. In asynchronous 293T cells, FLAG-tagged p27 was distributed in both cytoplasm and nucleus. However, transduction of Myr-Akt adenovirus resulted in cytoplasmic localization of p27 whereas transfection with plasmid encoding AktK179M, a dominant-negative (dn) mutant of Akt26, resulted in exclusive nuclear localization of p27 (Fig. 4a). Immunostaining against hemagglutinin (HA) showed that dn-Akt was expressed in both cytosol and nucleus. T157A-p27 was localized exclusively in the nucleus and this localization was not altered by Myr-Akt or dn-Akt (Fig. 4a). Co-transfection with vectors expressing constitutive active (CA) or dominant-negative forms of MEK1 did not alter localization of p27 (Fig. 4a,b), implying that MAPK activity is not required for p27 localization in the cytosol. As D-type cyclins have been shown to modulate p27 localization28, 29, we examined cyclin D1 levels in 293T cellular fractions. In cells transfected with either wild-type or T157A-p27, infection with Myr-Akt adenovirus did not change cyclin D1 levels in the nucleus or the cytosol (Fig. 4c), suggesting that Akt-induced localization of p27 in the cytosol was not due to stabilization of cyclin D1 in this compartment.

Figure 4. Phosphorylation of Thr157 in p27 is required for Akt-induced cytosolic localization.
Figure 4 thumbnail

a, 293T cells were transfected with wild-type (WT) FLAG-p27 or T157A-FLAG-p27. Subcellular localization of FLAG-p27 was monitored by FLAG immunostaining. Where indicated, dn-Akt, CA-MEK1 or dn-MEK1 was co-transfected with FLAG-p27 (vector transfection efficiency on glass coverslips was approximately 30%). In other cases, cells were infected with Myr-Akt adenoviruses for 3 h after transfection with FLAG-p27. At 21 h later, fixed cells were stained with antibody against FLAG (FLAG-p27, green on merge), antibody against HA (HA dn-Akt, red on merge) or Hoechst dye for DNA (blue on merge). b, Total cell lysates (50 mug) were prepared from 293T cells transfected with WT-p27 or T157A-p27 with or without CA-MEK1 or dn-MEK1. The samples were resolved by SDS-PAGE and subjected to immunoblotting with total MAPK or P-MAPK antibodies. c, 293T cells transfected with WT-p27 or T157A-p27 were infected with Myr-Akt adenoviruses or beta-gal for 3 h after transfection. At 21 h later the cells were fractionated into nuclear and cytosol fraction and subjected to immunoblot analysis with cyclin D1 antibody or c-Jun (as nuclear marker) antibodies. d, BT474 cells on coverslips were treated with 40 muM LY294002 or 5 muM UO126 for 24 h, fixed and immunostained for total p27, P-T157 p27 or Hoechst dye. e, Total cell lysates were prepared from BT474 cells treated as in−or with 20 mug/ml Herceptin for 24 h and subjected to the indicated immunoblot procedures.



Full FigureFull Figure and legend (121K)
We obtained similar results with BT-474 human breast epithelial cells. Immunocytochemistry with a pan-p27 antibody showed cytoplasmic and nuclear staining in asynchronously proliferating BT-474 cells. Treatment with LY294002, but not with the MEK1/2 inhibitor UO126, at concentrations that inhibited P-Akt and P-MAPK, respectively (Fig. 4e), resulted in nuclear translocation of endogenous p27 (Fig. 4d, first column). In contrast, staining with a phospho-specific antibody against T157P p27 showed predominant cytoplasmic p27, which was eliminated by treatment with LY294002 but not UO126 (Fig. 4e, second column). These results were confirmed by immunoblot analysis with the anti-P-T157 P p27. Treatment with Herceptin and LY294002 but not UO126 modestly increased total p27 levels. However, both Herceptin and LY294002, but not UO126, markedly reduced P-T157 p27 levels (Fig. 4e). Similar results were obtained with MCF-10A non-tumorigenic human mammary epithelial cells transfected with a HER2 expression vector. Notably, in parental MCF-10A cells the levels of P-T157 p27 were very low and were also suppressed by LY294002 (data not shown), suggesting that phosphorylation of p27 in T157 also occurs in non-transformed cells.

T157A-p27 is resistant to Myr-Akt
We next examined whether the predominant nuclear localization of T157A-p27 altered its CDK inhibitory activity. 293T cells were transfected with Flag-tagged wild-type p27 and T157A-p27 for 16 h, followed by transduction with beta-gal or Myr-Akt adenoviruses for 3 h. We examined CDK2 activity against histone H1 (HH1) in vitro 21 h later. CDK2 activity was reduced to a larger degree in cells transfected with T157A-27 as compared to wild-type p27 (Fig. 5a, lanes 2 versus 4). Myr-Akt partially rescued the CDK2 inhibitory effect of wild-type p27 but did not alter the inhibitory effect of T157A-p27 (lanes 3 versus 5). Similar results were obtained by examining cyclin E−associated kinase activity. The changes in kinase activity were not due to the changes in cyclin E or CDK2 protein levels, as determined by immunoblot analyses (Fig. 5a). These data suggested an Akt-resistant effect of T157A-p27 on cell-cycle progression. Therefore, 293T cells were transfected with FLAG-tagged wild-type p27 or T157A-p27 followed by infection with beta-gal or Myr-Akt adenoviruses. Cells were permeabilized and then double-labeled with propidium iodide and antibody against FLAG. The transfection efficiency of each of the 27 plasmids was >75%. FLAG-expressing cells were gated and analyzed by flow cytometry. Both wild-type p27 and T157A-p27 increased the proportion of cells in G1 phase and reduced the S phase fraction. Myr-Akt rescued 293T cells from the cell-cycle delay induced by wild-type p27 but not by T157A-p27 (Fig. 5b and Table 1), further supporting a role for Akt-mediated phosphorylation of Thr157 of p27 in the derepression of CDK2.

Figure 5. Anti-proliferative effect of T157A-p27 is not rescued by active Akt.
Figure 5 thumbnail

a, CDK2 or cyclin E was precipitated from 293T cells transfected with FLAG-tagged wild-type (WT) or T157A-p27. Where indicated, cells were transduced with Myr-Akt or beta-gal adenoviruses. CDK2- or cyclin E-associated kinase activities were determined by using HH1 as a substrate. Reaction products were resolved by 12.5% SDS-PAGE and analyzed by autoradiography. Protein levels were determined by immunoblotting with antibodies against CDK2 or cyclin E. For each immunoprecipitation, the top panel is a kinase assay and the bottom panel is an immunoblot. b, FLAG-tagged WT- or T157A-p27 were expressed in 293T cells and then transduced with either beta-gal of Myr-Akt adenoviruses for 3 h (MOI of 20). At 21 h later, FLAG-positive cells were analyzed for cell-cycle distribution by flow cytometry. A representative DNA histogram and mean cell cycle distribution values from 4 independent experiments are shown. c, Top, 293T cells were mock-transfected (lane 1), or transfected with Flag-tagged WT-p27 (Lane 2) or T157A-p27 (lane 3). CDK2 was precipitated from whole cell lysates and subjected to FLAG immunoblot. Bottom, cytosolic and nuclear fractions of 293T cells transfected with WT- or T157A-p27 were prepared. Where indicated, cells were transduced with Myr-Akt or beta-gal adeno-viruses or co-transfected with CA-MEK1 or dn-MEK1. 50 mug of each fraction were subjected to immunoblot analyses for FLAG and c-Jun (nuclear marker). To determine the association of FLAG-p27 with CDK2, CDK2 was precipitated from 500 mug of each cytosolic or nuclear fraction and subjected to FLAG and CDK2 immunoblot analyses. T157A-p27 localized predominantly in the nucleus and, in contrast to WT-p27, was resistant to Myr-Akt induced exclusion from the nucleus.



Full FigureFull Figure and legend (112K)
Finally, we examined whether the more potent cyclin E/CDK2 inhibitory effect of T157A-p27 relative to wild-type p27 was due to an increased association with CDK2. A similar amount of FLAG-tagged wild-type and T157A-p27 coprecipitated with antibodies against CDK2 in cells transfected with each p27 plasmid (Fig. 5c, top). However, immunoblot analysis of cell fractions revealed some differences. Wild-type p27 was evenly distributed in the cytosol and nucleus of 293T cells, whereas the T157A mutant was found predominant in the nucleus (Fig. 5c, bottom). Infection with Myr-Akt increased the levels of wild-type p27 in the cytosol (lanes 3 versus 2), but reduced them in the nucleus (lanes 13 versus 12). Myr-Akt did not alter T157A-p27 in either compartment (lanes 8 versus 7 and 18 versus 17). CDK2 was distributed evenly in cytosolic and nuclear compartments. Coprecipitation studies with antibodies against CDK2 followed by FLAG immunoblotting suggested a greater association of cytosolic CDK2 with wild-type p27 than T157A-p27 (lanes 1 versus 6) and, conversely, of nuclear CDK2 with T157A-p27 than wild-type p27 (lanes 16 versus 11). Infection with Myr-Akt adenovirus reduced the amount of wild-type p27 bound to nuclear CDK2 (lanes 13 versus 12) but increased the amount of wild-type p27 bound to cytosolic CDK2 (lanes 3 versus 2). Myr-Akt did not change the association of T157A-p27 to CDK2 in either compartment (lanes 8 versus 7 and 18 versus 17). These data suggest that T157A-p27 per se does not associate better with CDK2 and that its greater CDK2-inhibitory activity might result from its Akt-resistant, predominantly nuclear localization. The subcellular localization of both wild-type p27 and T157A-p27 and their association with CDK2 were not affected by co-transfection with CA-MEK1 or dn-MEK1 (lanes 4, 5, 9, 10, 14, 15, 19 and 20).

P-S473 Akt and cytosolic p27 in breast cancers
The modulation of the cellular localization of p27 by Akt suggested that expression of active Akt in tumors would correlate with expression of p27 in tumor-cell cytosol. To confirm our findings in human tumor specimens, we subjected 100 primary breast cancers to immunohistochemistry with antibodies against p27 and against P-S473 Akt (Fig. 6a). Only 4 specimens did not stain for p27, leaving 96 tumors available for analysis. In these 96 tumors, the expression levels of p27 was variable: 61 (64%) had low expression of p27 (<50% of tumor cells positive) and the rest had higher expression levels. Sixty-three of 96 specimens (66%) contained P-Akt-positive tumor cells. P-Akt was predominantly detected in tumor-cell nuclei but was absent in stromal cells. A clear correlation was seen between P-Akt levels and cellular localization of p27. In 32 of 33 (97%) P-Akt-negative specimens, p27 was detected only in tumor-cell nuclei. In contrast, 19 of 27 (70%) of the tumors with the highest P-Akt expression (>25%, P-Akt-positive tumor cells) showed detectable expression of p27 in the tumor cytosol. Taking together all the tumors, specimens with a large percentage of P-Akt-positive tumor cells showed a large proportion of cells with cytosolic p27 (P < 0.0001 by Mann-Whitney non-parametric U-test; Fig. 6b). These differences were seen both in the high- and low-p27-expressing tumors (data not shown)

Figure 6. Expression of P-S473 Akt in invasive breast carcinomas correlates with cytosolic p27.
Figure 6 thumbnail

a, Sections from 100 breast cancers were subjected to immunohistochemistry to detect P-S473 Akt and p27. Tumor I, invasive ductal carcinoma with nuclear staining for P-S473 Akt and presence of p27 in both nucleus and cytosol (N/C). Tumor II, P-S473 Akt−negative invasive ductal carcinoma with expression of p27 detectable exclusively in tumor-cell nuclei (N). b, Percentage of primary breast cancers (n = 96) showing expression of cytoplasmic p27 as a function of the percentage of P-Akt-positive tumors cells. 0%, n = 33; 1−10%, n = 17; 11−25%, n = 19; >25%, n = 27 (P < 0.0001).



Full FigureFull Figure and legend (44K)
Discussion
The subcellular localization of p27 has been reported to regulate its function in cancer-cell proliferation. In thyroid cancers, cytosolic cyclin D3/CDK complexes sequester p27 from cyclin A-CDK2 and cyclin E-CDK2 and counteract p27-induced growth arrest28. Cytoplasmic redistribution of p27 has been reported in Barrett's-associated adenocarcinoma of the esophagus and linked to decreased patient survival30. Similar cytoplasmic displacement has been seen in colorectal tumors31. In differentiating myeloid cells, translocation of p27 from the nucleus to cyclin D/CDK4 complexes in the cytoplasm enables activation of nuclear CDK2 and cell proliferation32. In transformed fibroblasts and tumor cells, most p27 is localized in the cytosol, whereas in normal fibroblasts it is predominantly associated with cyclin E/CDK2 in the nucleus33. Loss of the tuberous sclerosis complex gene-2 (TSC2), which leads to aberrant growth of several tissues, causes cytoplasmic mislocalization of p27 with decreased protein stability34. Finally, overexpression of the HER2 proto-oncogene results in MAPK-mediated nuclear exclusion of p27 and cellular transformation7.

Here we have demonstrated Akt-induced phosphorylation of p27 at Thr157 in vitro and in vivo. This modification resulted in nuclear exclusion of p27 with derepression of cyclin E/CDK2. Notably, a T157A mutant of p27 still associated with Akt but was not phosphorylated by Akt in vitro, localized almost exclusively in the nucleus and potently inhibited cyclin E/CDK2 and cell-cycle progression. The cellular effects of this mutant were resistant to rescue by overexpression of active Akt. The presence of P-S473 Akt in tumor cells from primary breast cancers correlated with expression of p27 in the cytosol, suggesting a biologically relevant role for Akt in p27 localization. Finally, inactivation of HER2 and PI3K-Akt redirected p27 to tumor-cell nuclei and eliminated expression of endogenous P-T157-p27 (Fig. 4d,e).This result suggests that expression of P-T157-p27 in tumor cells can be a marker of HER2 and PI3K-Akt function whereas its inhibition can serve as a surrogate of the antitumor effect of HER2 and PI3K-Akt inhibitors.

Akt is known to interact with other cell-cycle regulators. For example, it has been shown to phosphorylate p21, induce its cytoplasmic redistribution25, and contribute to cell-cycle progression. Because neither cytoplasmic localization of p21 nor its association with the expression of active Akt have been reported, it is possible that both CDK inhibitors, p21 and p27, are in situ targets of Akt in human cancers.

Other kinases have been reported to phosphorylate p27. CDK2 can phosphorylate p27 in Thr187 and trigger its degradation12. CDC2 and MAPK have also been shown to phosphorylate p27 in vitro35, 36. Kawada et al.37 reported direct phosphorylation of p27 by MAPK transfected into fibroblasts. In our report, however, MAPK activity did not affect p27 localization, Thr157 phosphorylation or association of p27 with CDK2 (Figs. 4a and 5c). Ser10 has been reported as a principal phosphorylation site in p27 (ref. 27). A recent report indicated that the hKIS kinase induces this modification38. Ishida et al. 27 showed six major phosphopeptides after tryptic digestion of 32P-labeled p27, similar to our results (Fig. 3). Akt still phosphorylated p27 with a mutation in Thr187, the CDK2 site (Fig. 1). However, in contrast to CDK2-induced Thr187 phosphorylation, phosphorylation of Thr157 by Akt did not alter total levels of p27 (Figs. 2 and 5c) but rather modulated its cellular localization and, hence, its inhibition of CDK. We note that T157 is not present in mouse Akt, suggesting that Akt-dependent phosphorylation at this specific site is not generalized across species. Similiar inter-species differences have been reported for Akt-phosphorylation motifs in caspase-9, which are present in human but absent in rat, mouse, and donkey caspase-9 (ref. 39).

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Methods
Cell lines, kinase inhibitors and antibodies.
BT-474 and MCF-7 cells were from the American Type Culture Collection (Manassas, Virginia) and maintained in IMEM containing 10% FBS (Life Technologies, Grand Island, New York). The 293T cells were cultured in DMEM containing 10% FBS. LY294002 was from Biomol (Plymouth Meeting, Pennsylvania) and UO126 from Promega (Madison, Wisconsin). For immunoprecipitation and immunoblotting, the following antibodies were used: monoclonal antibody against FLAG-M2 from Sigma (St. Louis, Missouri); antibodies against Akt and P-S473 Akt from New England Biolabs (Beverly, Massachusetts); antibodies against p27, CDK2, cyclin D1, cyclin E, HA and c-Jun from Santa Cruz Biotechnology (Santa Cruz, California); and Texas Red−conjugated antibody against rabbit IgG and Oregon Green−conjugated antibody against mouse IgG from Molecular Probes (Eugene, Oregon). The antibody against phospho-T157 p27 was a gift from G. Viglietto (Centro di Endocrinologia ed Oncologia Sperimentale, Naples, Italy).

p27, Akt and MEK1 constructs.
The human p27 gene in pET vector (from M. Pagano, New York University) was subcloned into the FLAG-tagged vector pCMV-Tag2B (Stratagene, La Jolla, California). Site-directed mutagenesis was done according to the manufacturer's protocol (Promega). Thr157, Ser161 or Thr162 of p27 were replaced by alanine using the following primers: T157A, 5'-AAGCGACCTGCAGCCGACGATTCT-3'; S161A, 5'-ACCGACGATTCTGCTACTCAAAACAAAAGA-3'; T162A, 5'-GACGATTCTTCTGCTCAAAACAAAAGAGCC-3'. For expression, p27 fragments were subcloned into pGEX-2T (Amersham, Piscataway, New Jersey). GST-p27 fusions were produced in BL21 E. coli strain and purified by glutathione-Sepharose chromatography; the GST portion was cleaved off with thrombin (Amersham). The dn Akt plasmid40 was from P. Tsichlis (Fox Chase Cancer Center). Myr-Akt and beta-galactosidase adenoviruses were from W. Ogawa (Kobe University)26. Active MEK1 and dominant-negative MEK1 were described previously41.

In vitro kinase assays.
Akt was precipitated with Akt 1G1 monoclonal IgG2a (New England Biolabs). Immune complexes were incubated with 0.04 mug GSK3beta (Sigma) or 5 mug of GST-p27 with 10 muCi [gamma-32P]ATP (Amersham) as described8. In other cases, recombinant Akt1 (0.4 mug/reaction; Upstate Biotechnology, Waltham, Massachusetts) was tested for kinase activity against wild-type and mutant p27. CDK2 and cyclin E kinase reactions were done as previously described42.

Metabolic labeling and phosphopeptide mapping.
293T cells were transfected with 2 mug FLAG-p27 and labeled with 500 muCi/ml of [32P]orthophosphate for 18 h in phosphate-free DMEM containing 10% dialyzed FBS. FLAG-p27 was precipitated with antibody against FLAG and prepared for phosphopeptide mapping as described43. Dried samples were treated overnight at 37°C with 20 mug of TPCK-trypsin (Sigma). Digested peptides were applied to cellulose thin-layer chromatography plates (Sigma) and separated by electrophoresis at 1,000 V for 45 min in a buffer containing 2.2% formic acid and 7.8% acetic acid, pH 1.9. Chromatography was done with a buffer containing 38% n-butanol, 25% pyridine and 7.5% acetic acid.

Immunofluorescence staining.
293T cells were transfected with 2 mug of FLAG-p27 with or without dn-Akt (2 mug), CA-MEK1 (2 mug) or dn-MEK1 (2 mug). Where indicated, cells transfected with FLAG-p27 alone were infected 18 h later with Myr-Akt adenoviruses for 3 h (MOI of 20). Cells were washed with PBS, fixed with 4% paraformaldehyde (10 min) and permeabilized with 0.1% Triton X-100 (15 min). Localization of p27 was determined using anti-FLAG (1:500). Expression of HA-dn-Akt was monitored with polyclonal anti-HA (1:250). Endogenous p27 in BT474 cells was stained with monoclonal anti-p27 (1:250) and anti-Thr157 P-p27 (1:250). After washes, samples were treated with Texas Red−conjugated anti-rabbit IgG (1:250) or Oregon Green−conjugated anti-mouse IgG (1:250). For DNA staining, samples were incubated with Hoechst 33342 dye (1 mug/ml, 10 min). Immunofluorescence was recorded with a Princeton Instruments (Monmouth Junction, New Jersey) cooled digital CCD camera on a Zeiss Axiophot upright microscope.

Cell-cycle analysis.
293T cells transfected with FLAG-p27 were trypsinized, fixed with 2% paraformaldehyde, permeabilized with 0.1% Triton X-100 and then labeled with anti-FLAG-M2 (1:250). Cells were incubated with Oregon Green−conjugated anti-mouse IgG (1:250) and their nuclei were labeled with propidium iodide as described8. Ten thousand FLAG-p27-positive (Oregon Green−positive) cells were analyzed for cell-cycle distribution as described8.

Cell fractionation, immunoprecipitation and immunoblot analysis.
Nuclear and cytoplasmic fractions were prepared as described8. Whole cell lysates were prepared in NP-40 lysis buffer (0.5% Nonidet P-40, 20 mM Tris-HCl, pH 7.5, 150 mM NaCl, 5 mM EGTA, 200 muM Na3VO4, 1 mM PMSF and 2 mug/ml leupeptin/aprotinin). Lysates were centrifuged at 4°C for 10 min at 10,000g in Eppendorf microfuge (Hamburg, Germany) to remove cellular debris. Immunoblot analyses and immunoprecipitations were done as described previously8.

Immunohistochemistry of breast tumors.
Four-micron sections from paraffin blocks of 100 invasive breast cancers were deparaffinized in xylene and rehydrated in graded alcohols as described42. Epitope retrieval was achieved by pretreatment with sodium citrate buffer, pH 6.0, in a pressure cooker (3 min). Slides were incubated at room temperature for 2 h with a monoclonal antibody against P-S473 Akt (1:50) or 1 h with anti-p27 (1:100; Dako, Glostrup, Denmark). Peroxidase-labeled polymers conjugated to goat anti-rabbit (P-Akt) or anti-mouse (p27) IgG were used to detect the antigen (Dako EnVision+ System). Sections were visualized with 3,3'-diaminobenzidine and counterstained with Mayer's hematoxylin as described44. Tumors with p27 in both cytosol and nucleus were scored as 'cytosolic' p27, whereas exclusive nuclear staining was scored as 'nuclear'. Only tumor-cell staining was used for scoring. P-Akt positivity was expressed as the percentage of cancer cells staining with the P-Akt antibody in 10 high-power fields.

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Received 12 April 2002; Accepted 14 August 2002; Published online: 16 September 2002.

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