Originally published online as doi:10.1189/jlb.1003474 on December 23, 2003
Published online before print December 23, 2003
(Journal of Leukocyte Biology. 2004;75:569-578.)
© 2004
by Society for Leukocyte Biology
End-stage differentiation of neutrophil granulocytes in vivo is accompanied by up-regulation of p27kip1 and down-regulation of CDK2, CDK4, and CDK6
Pia Klausen1,
Malene Digmann Bjerregaard,
Niels Borregaard and
Jack Bernard Cowland
The Granulocyte Research Laboratory, Department of Hematology, Rigshospitalet, University of Copenhagen, Denmark
1 Correspondence: The Granulocyte Research Laboratory, Rigshospitalet, Department of Hematology 93.2.2, 20 Juliane Mariesvej, DK-2100 Copenhagen, Denmark. E-mail: pklausen{at}rh.dk

ABSTRACT
The in vivo expression profiles of cell-cycle proteins regulating
G1-to-S-phase transition were determined in three neutrophil
precursor populations from human bone marrow: myeloblasts (MBs)
and promyelocytes (PMs); myelocytes (MCs) and metamyelocytes
(MMs); and band cells (BCs) and segmented neutrophil cells (SCs)
and in mature polymorphonuclear neutrophils (PMNs) from peripheral
blood. Complete cell-cycle arrest was observed in BCs/SCs and
PMNs. Cyclins D1, D2, and D3 were found to be down-regulated
during granulopoiesis, whereas a slight increase of cyclin E
was seen. In contrast, cyclin-dependent kinase (CDK)2, -4, and
-6 were down-regulated from the MC/MM stages and onward. The
transcript levels of CDK2, -4, and -6 were concurrently down-regulated.
As the only CDK inhibitor, p27kip1 protein and mRNA expression
were up-regulated in MCs/MMs and reached peak levels in PMNs.
Protein expression of retinoblastoma protein and the related
pocket proteins p107 and p130 was down-regulated from the MC/MM
stages and onward. This is the first report to describe expression
levels of cell-cycle proteins during granulopoiesis in vivo,
and it strongly contrasts the observations made in cell-culture
systems in vitro.
Key Words: granulopoiesis cell cycle bone marrow

INTRODUCTION
Three fundamental processes are vital for development and maintenance
of all tissues: the ability to reproduce, to differentiate,
and to undergo apoptosis. This is also true during granulopoiesis,
where hematopoietic stem cells are able to provide a life-long
maintenance of circulating neutrophil granulocytes. Granulopoiesis
is the result of a strictly regulated process by which the myeloid
cell progenitor, the myeloblast (MB), divides and matures along
a well-known path where phenotypically distinct intermediates,
differing in their functional capacity and ability to divide,
can be recognized [
1
]. The intermediates can be divided into
six different stages: the MBs, promyelocytes (PMs), and myelocytes
(MCs), which all have maintained the ability to divide, and
the more mature metamyelocytes (MMs), band cells (BCs), and
segmented neutrophil cells (SCs), which are unable to divide
[
1
]. Thus, cell-cycle arrest is an intimate part of granulopoiesis.
It is well established that the cell-cycle machinery can only
be affected by extracellular signals in the G1 phase up to the
restriction point in late G1 [
2
]. Beyond the restriction point,
cells progress through the cell cycle in an autonomous manner
[
3
]. Thus, to understand how the irreversible cell cycle stops
during myeloid differentiation is exerted, examination of G1-phase
protein expression during granulopoiesis is necessary. The enzymes
that regulate G1-to-S-phase transition are the cyclin-dependent
kinases (CDK)2, -4, and -6 [
4
]. CDK4 and CDK6, complexed with
D-type cyclins, initially phosphorylate the retinoblastoma protein
(pRb). Later in G1, CDK2 complexed with cyclin E additionally
phosphorylates pRb [
4
5
]. This relieves the inhibitory binding
of pRb to transcription factors of the E2F family, and transcription
of genes necessary for S-phase progression is initiated [
4
].
The CDK inhibitors (CDKIs) [
6
], which can be divided into two
structurally distinct familiesthe INK4 and CIP/KIP familiesnegatively
regulate the activity of CDKs. Whereas the INK4 family (consisting
of p15ink4b, p16ink4a, p18ink4c, and p19ink4d) specifically
inhibits CDK4 and CDK6, the CIP/KIP family (consisting of p21cip1,
p27kip1, and p57kip2) inhibits a broad range of CDKs [
6
]. Expression
of cell-cycle proteins during differentiation of neutrophil
granulocytes has been studied extensively in cell lines. However,
a consistent pattern is not evident, as the regulation of cell-cycle
proteins during differentiation varies between the different
cell systems studied [
7
8
9
10
11
12
13
14
15
16
]. The most
commonly used human cell models are the acute promyelocytic
leukaemia (APL)-derived cell line NB4 and the acute myeloid
leukaemia-derived cell line HL60. However, a major problem with
these cell lines is that the cells are unable to faithfully
reproduce all stages of neutrophil differentiation, as exemplified
by their inability to express matrix proteins of peroxidase-negative
granules [
17
18
]. Furthermore, great care must be imposed
when interpreting cell-cycle regulation in these cell systems
as a result of the immortalized nature of cell lines. Thus,
to gain a true insight into the regulation of the cell cycle
during granulopoiesis, in vivo populations of neutrophil precursors
must be investigated.
In this work, we present a scan of cell-cycle proteins regulating G1-to-S transition in myeloid precursor populations and terminally differentiated neutrophils isolated from healthy individuals.

MATERIALS AND METHODS
Cells and isolation of neutrophil precursor populations and polymorphonuclear neutrophils (PMNs)
Isolation of neutrophil precursor populations and PMNs was performed
as described previously [
19
]. Briefly, bone marrow samples
from healthy donors were used for isolation of neutrophil precursor
populations by Percoll (Amersham Biosciences, Little Chalfont,
UK) density centrifugation. Following centrifugation, non-neutrophil
bone marrow cells were immunodepleted using magnetic cell sorting
(MACS) columns (Miltenyi Biotech, Bergisch Gladbach, Germany),
and the purified cells were used for protein and RNA preparation.
Purity of the cell populations was analyzed on a FACScan flow
cytometer (Becton Dickinson, San Diego, CA). NB4 and THP-1 cells
were cultured in RPMI media (Invitrogen, San Diego, CA) containing
10% fetal calf serum (Invitrogen) and 100 U/mL penicillin/100
µg/mL streptomycin (Invitrogen). Cells were grown at 37°C
in a humid atmosphere with 5% CO
2.
Cell-cycle analysis
Cells/sample (105) were washed in ice-cold, phosphate-buffered saline and were lysed in 200 µL modified Vindeloev buffer [1% w/v sodium citrate, pH 7.4, 0.02 mg/mL RNase A, 0.3% v/v Nonidet P-40 (NP-40), 0.05 mg/mL propidium iodide (PI)] in the dark. The intensity of PI-labeled DNA was subsequently measured on a FACScan flow cytometer (Becton Dickinson).
RNA isolation and Northern blotting
Total RNA was isolated with Trizol (Invitrogen). The RNA was ethanol-precipitated and resuspended in 0.1 mM EDTA. For Northern blotting, 5 µg RNA was separated on a 1% agarose gel and transferred to a Hybond-N membrane (Amersham Biosciences) as described [19
]. Filters were prehybridized for 30 min at 42°C in 6 mL ULTRAhyb (Ambion, Austin, TX) and were hybridized overnight at 42°C after addition of further 4 mL containing the 32P-labeled probe and sheared salmon sperm DNA (10 µg/mL). The membranes were washed as described [19
] and developed by a Fuji BAS2500 Phosphor Imager (Fuji, Tokyo, Japan). Membranes were stripped by boiling in 0.1% sodium dodecyl sulfate (SDS) before rehybridization. Probes used for hybridization were radiolabeled with [
-32P]deoxycytidine 5'-triphosphate using the Random Primers DNA labeling system (Invitrogen). Sizes of the hybridizing bands were determined relative to 18S and 28S and were found to be in accordance with previous reports (Table 1
).
Construction of probes for Northern blot
The probes were constructed by polymerase chain reaction (PCR)
amplification with the use of a human bone marrow cDNA library
(Clontech, Palo Alto, CA) or cDNA from HL60 cells as template
(Table 1)
and were cloned in pCRII (Invitrogen). Correctness
of the inserts was confirmed by sequencing. Inserts were excised
and gel-purified before use. Specificity of the probes was confirmed
by a Blast search (www.ncbi.nlm.nih.gov/blast/).
Preparation of whole-cell lysates and Western blotting
Cells/mL (3x1067.5x106) were preincubated in 0.7 µM diisopropyl fluorophosphate (DFP) for 5 min prior to lysis in 1 mL Trizol (Invitrogen)/107 cells. Lysates were added to 200 µL chloroform and were centrifuged for 15 min/12,000 g. DNA was removed by adding 300 µL ethanol to the organic phase and centrifuged for 5 min/7500 g. Isopropanol (1 mL) was added to the supernatant, and the lysate was incubated for 10 min at room temperature following centrifugation for 10 min/12,000 g. Precipitated protein was washed three times in 2 mL 0.3 M guanidine HCl/ethanol and once in 2 mL ethanol. Pellet was dissolved in 333 µL boiling 2x Laemmli buffer (0.125 M Tris-base, pH 6.8, 20% v/v glycerol, 4% w/v SDS, bromphenol blue, 2% v/v 2-mercaptoethanol). For Western blotting, 3 x 105 cells/population were run on SDS gels (between 7.5% and 14%, depending on the protein tested) and were transferred onto nitrocellulose membranes (Sartorius, Göttingen, Germany). Immediately after blotting, membranes were incubated in Ponceau S (Sigma-Aldrich, St. Louis, MO) for verification of successful blotting. The immune complexes were visualized by enhanced chemiluminescence (Amersham Biosciences), according to the manufacturers description. For the experiments using radio immunoprecipitation assay (RIPA) buffer, cells were lysed in ice-cold RIPA buffer (50 mM Tris-base, pH 7.4, 1% v/v NP-40, 0.25% v/v sodium deoxycholate, 150 mM NaCl, 1 mM EGTA, 1 mM Na3VO4) containing a broad cocktail of protease inhibitors (1836153; Roche, Mannheim, Germany) for 30 min on ice and subsequently centrifuged for 10 min/12,000 g. Supernatants were analyzed on Western blots as described above.
Antibodies and positive controls
Antibodies against CDK2 (sc-163), CDK4 (sc-260), CDK6 (sc-177), cyclin A (sc-751), cyclin D1 (sc-718), p16ink4a (sc-468), p18ink4c (sc-1064), p19ink4d (sc-1063), p57kip2 (sc-1040), p130 (sc-9963), signal transducer and activator of transcription (STAT)3 (sc-482; Santa Cruz Biotechnology, Santa Cruz, CA);
-tubulin (T9026; Sigma-Aldrich); cyclin D2 (AHF0122; Biosource, Camarillo, CA); cyclin D3 (610279), p21cip1 (C24420), p27kip1 (K25020), pRb (14001A; BD Biosciences-PharMingen, San Jose, CA); cyclin E (RB-012), p15ink4b (MS-1053), p107 (RB1414; Neomarkers, Fremont, CA); and neutrophil gelatinase-associated lipocalin (NGAL) [22
] were used for Western blot analysis according to the manufacturers recommended concentrations. Horseradish peroxidase-linked rabbit anti-mouse immunoglobulin G (IgG; P0260, Dako, Glostrup, Denmark) or swine anti-rabbit IgG (P0217, Dako) was used as a secondary antibody. Whole-cell lysates from the following cell lines were used as positive controls for Western blot analysis: HepG2 (CDK2, CDK4, cyclins A, D1, E, p15ink4b, p27kip1, p57kip2), K562 (CDK6, p18ink4c, p19ink4d), HL60 (cyclin D2), Jurkat (cyclin D3), HeLa (p16ink4a, pRb), MCF-7 (p21cip1, p130), and NIH3T3 (p107).
Nitroblue tetrazolium (NBT) test
NBT test was performed as described previously [23
].

RESULTS
End-stage differentiated neutrophil granulocytes are arrested in G0/G1
Neutrophil precursor populations were isolated by Percoll density
centrifugation as described previously [
19
]. Following centrifugation,
the neutrophil populations were purified by a depletion protocol
on a MACS column. PMNs isolated from peripheral blood were also
depleted of contaminating eosinophils. As described previously,
we were able to obtain neutrophil precursor populations and
PMNs with a purity >95% [
19
].
We initially investigated the proportion of cells in G0/G1 and S/G2 + M phases. MBs/PMs, MCs/MMs, BCs/SCs, and PMNs (Fig. 1 A
) were lysed, and DNA was stained with PI. In the most immature cell fraction (MBs/PMs), 59% of the cells were in G0/G1, and 36% of the cells were in S/G2 + M phases (Fig. 1B
and 1C)
. The amount of cells in S/G2 + M was significantly reduced in the MC/MM fraction, only 12% of the cells were in S/G2 + M, and the amount of cells in G0/G1 was concordantly increased to 86% (Fig. 1B
and 1C)
. The two most mature cell populations, BCs/SCs and PMNs, were 99% G0/G1 cells (Fig. 1B
and 1C)
. None of the populations showed more than 9% apoptotic cells (Fig. 1B) .
Inhibition of granule-derived proteases is necessary for preparation of whole-cell protein lysates
To investigate cell-cycle protein expression, whole-cell lysates
were prepared. As a result of the high amount of granule-derived
proteases in neutrophil granulocytes, the lysis process was
optimized. PMNs, which contain the highest amount of granule-derived
proteases [
24
], were lysed in RIPA buffer, boiled directly
in 2
x Laemmli buffer containing 2-mercaptoethanol, or lysed
in Trizol buffer/guanidine HCl. Lysis in Trizol buffer/guanidine
HCl was the method that allowed recovery of the largest amount
of proteins as determined by Western blot, followed by boiling
of the cells in 2
x Laemmli buffer (
Fig. 2 A
). Lysis in RIPA
buffer caused loss of most proteins and only allowed recovery
of trace amounts of

-tubulin
(Fig. 2B)
. To ensure that the
lower amount of protein in the RIPA and Laemmli lysates was
not a result of unsuccessful lysis, we also measured the amount
of the granule-derived protein NGAL, which is very resistant
to degradation by granule-derived proteases [
25
]. NGAL was
fully recovered after lysis in RIPA, Laemmli, and Trizol buffers
(Fig. 2A)
. The active proteases stored in neutrophil granulocytes
are predominantly serine proteases [
26
]. Thus, the effect of
irreversible inhibition of serine proteases with DFP was therefore
also tested. Preincubation of PMNs with DFP before lysis clearly
improved the recovery of p27kip1, STAT3, and

-tubulin by all
three methods. As expected, the effect was less prominent in
the Trizol/guanidine HCl lysate, as this had the least spontaneous
proteolysis
(Fig. 2A)
. Thus, for the following experiments,
we decided to preincubate the cells with DFP before preparation
of whole-cell lysates using Trizol/guanidine HCl.
Protein expression profiles of G1- and S-phase cyclins, CDKs, and pocket proteins during differentiation of neutrophil granulocytes
We next investigated protein expression profiles of the G1 phase
regulating cyclins D1, D2, D3, and E and the S phase regulating
cyclin A. Cyclins D1 and D2 proteins diminished at the MC/MM
stage, whereas the protein level of cyclin D3 peaked at the
MC/MM stage and almost disappeared at the BC/SC stage (
Fig. 3A
). Cyclin E (

45-kDa form) was slightly up-regulated from
the MC/MM stage and onward. Additionally, an

50-kDa form of
cyclin E appeared in the more mature populations of neutrophil
granulocytes: BCs/SCs and PMNs
(Fig. 3A)
. The protein level
of cyclin A was strongly decreased already at the MC/MM stage
and was not present in BCs/SCs and PMNs
(Fig. 3A)
, as expected
from the cell-cycle arrest pattern seen in
Figure 1
.
As we were only able to detect down-regulation of D-type cyclins,
we next speculated whether cell-cycle arrest during terminal
differentiation might be executed by down-regulation of the
CDKs, regulating G1-to-S-phase transition. CDK2, -4, and -6
proteins were clearly expressed in the most immature populationsMBs/PMs
(Fig. 3B)
. The protein levels of the three CDKs were, however,
strongly decreased at the MC/MM stage, and only a weak expression
of CDK4 and -6 was detected in the BC/SC and PMN populations.
We were unable to detect CDK2 in BCs/SCs and PMNs
(Fig. 3B)
.
To confirm cell-cycle arrest and low activity of CDK2, -4, and -6 in the more mature stages of neutrophil granulocytes, we investigated the phosphorylation status of pRb. In concordance with the decreased fraction of cells in S/G2 + M phases (Fig. 1B and 1C)
and the lack of expression of S-phase cyclin A (Fig. 3A)
, no hyperphosphorylated pRb could be detected in BCs/SCs and PMNs (Fig. 3C)
. Hyperphosphorylation of pRb was most prominent in MBs/PMs and already diminished in the MCs/MMs (Fig. 3C)
. The protein level of nonphosphorylated pRb was decreased in BCs/SCs and PMNs, compared with the less mature populations (Fig. 3C)
. We next investigated protein expression levels of the two pRb-related pocket proteins p107 and p130, which were present in MBs/PMs but were down-regulated at the MC/MM stage an onward. Although p130 already diminished at the MC/MM stages and was not present in the more mature populations, p107 was down-regulated at a slower rate, allowing the detection of minor amounts of p107 in BCs/SCs and PMNs (Fig. 3C)
.
Protein expression profiles of CDKIs during differentiation of neutrophil granulocytes
Up-regulation of CDKIs might also play a role in induction of cell-cycle arrest during terminal differentiation. We therefore investigated the expression pattern of the specific inhibitors of CDK4 and 6, the INK4 CDKIs. Although we were unable to detect p15ink4b and p16ink4a proteins, the protein level of p18ink4c was constant through all stages of differentiating neutrophil granulocytes (Fig. 4 A
). Following prolonged exposure of the p19ink4d Western blot, we were also able to detect a constant level, comparable with the control lysate, of p19ink4d in all four populations (Fig. 4A)
. We next investigated the generic CIP/KIP CDKIs. The protein level of p57kip2 remained unchanged during granulopoiesis, and p21cip1 was undetectable. In sharp contrast, the protein level of p27kip1 clearly increased from the MC/MM stages and onward (Fig. 4B)
. These data are in contrast to those previously reported, where an induction of p21cip1 mRNA and protein was seen following differentiation of the promyelocytic APL cell line NB4 with all-trans retinoic acid (ATRA) [10
11
27
]. To determine whether we could reproduce the induction of p21cip1 under the same assay conditions, we incubated NB4 cells with 1 µM ATRA for 6 days, which induced differentiation of the cells into the granulocytic lineage as determined by morphology, NBT reduction, and down-regulation of CD49d expression (data not shown). Following MACS depletion of not fully differentiated cells still expressing CD49d [28
], protein expression of p27kip1 and p21cip1 was investigated. In concordance with the literature, we too observed an increase of p21cip1 and p27kip1 protein in the differentiated NB4 cells (Fig. 4C)
. This demonstrates differences in cell-cycle regulation between in vivo and in vitro systems. Whereas p21cip1 seems to be important in the NB4 cell system, it is apparently not involved in differentiation of neutrophils in vivo.
CDK4, CDK6, CDK2, and p107 mRNAs disappear, and p27kip1 mRNA increases during differentiation of neutrophil granulocytes
We next wished to investigate whether the decrease of CDKs,
p107, and p130 proteins and the increase of p27kip1 protein
could be executed by changes in levels of corresponding mRNAs,
which would indicate that the protein level was regulated at
the transcriptional level. We found that the transcript profiles
for CDK2, -4, and -6 followed the same pattern as the protein
expression profiles (
Fig. 5 A
). Previously, it has been reported
that three different CDK6 transcripts can be detected in human
cells [
20
], but we only observed the largest of these CDK6
mRNAs, sized around 11 kb
(Fig. 5A)
. The transcript profile
for p107 was also in concordance with the protein expression
profile
(Fig. 5B)
. In contrast, the transcript level for p130
was unchanged during differentiation
(Fig. 5B)
, and the protein
level of p130 was clearly diminished in MCs/MMs and undetectable
in BCs/SCs and PMNs
(Fig. 3C)
. As a control, we investigated
the transcript profile for pRb, for which the protein level
also decreased during granulopoiesis, although some nonphosphorylated
pRB was still present in PMNs. As for p130, we observed a constant
level of pRb transcript in all populations
(Fig. 5B)
. The only
CDKI for which we observed a change in quantity during granulopoiesis
was p27kip1. We therefore wished to investigate whether p27kip1,
like the CDKs, had concurrent transcript and protein level profiles.
This was indeed the case as p27kip1 mRNA was up-regulated in
MCs/MMs and reached its maximal level in PMNs
(Fig. 5C)
. To
substantiate our findings on p21cip1 protein expression, we
also decided to examine the transcript profile of p21cip1. As
for the protein data
(Fig. 4B)
, no p21cip1 transcript
(Fig. 5C) could be detected in any of the neutrophil cell populations.
As a control of the specificity of our probe, we tested mRNA
from a variety of tissues and cell lines. As shown in
Figure 5C , we were clearly able to detect p21cip1 mRNA in lung and
colon tissues and A549, NHEK, and NHBE cell lines. The reason
for the discrepancy regarding p21cip1 expression in PMNs is
not known, but in our hands p21cip1 expression appears to be
insignificant during granulopoiesis.
Disappearance of p107, p130, and CDK proteins in the BCs/SCs and PMNs is not caused by degradation of the proteins during preparation of whole-cell lysates
As presented above, CDK2, -4, and -6, p27kip1, pRb, and p107
had concurrent transcript and protein expression profiles
(Figs. 3 4
5)
. In contrast, the level of p130 mRNA was constant in
all stages of differentiating granulocytes, and p130 protein
was absent in the BC/SC and PMN populations
(Figs. 3
and 5)
.
As shown in
Figure 2
, proteases must be inhibited to recover
cell-cycle-regulating proteins when preparing whole-cell lysates.
The disappearance of p130 protein in the mature populations
of neutrophil granulocytes might therefore be explained by a
higher susceptibility of p130 for degradation during lysis than
the other proteins investigated. THP-1 cells express CDK2, -4,
and -6, p107, and p130. To rule out the possibility that lack
of CDK2, -4, and -6, p107, and p130 expression in the PMN lysate
was a result of protease activity, we mixed DFP-treated THP-1
cells and PMNs before lysis in Trizol/guanidine HCl. As shown
in
Figure 6
, CDK2, -4, and -6, p107, and p130 proteins from
THP-1 cells were not degraded by the PMN-derived proteases,
demonstrating that our lysis procedure is able to fully recover
these proteins. Combined, these data indicate that p130 and
pRb proteins might have an increased turnover rate in BCs/SCs
and PMNs compared with the more immature neutrophil precursors,
whereas the levels of CDK2, -4, and -6, and p107 proteins reflect
their cognate mRNA levels.

DISCUSSION
It is well established that granulopoiesis is accompanied by
irreversible cell-cycle arrest [
1
]
(Fig. 1)
. Here, we show
that expression of several cell-cycle proteins is altered during
differentiation of human neutrophils, as summarized in
Figure 7
. We observed down-regulation of all three D-type cyclins
at the BC/SC stage, whereas the protein expression of cyclin
E was slightly up-regulated during differentiation, and an

50-kDa
form of cyclin E emerged in the BC/SC and PMN populations. Of
the CDKIs, only p27kip1 was extensively up-regulated from the
MC/MM stage and onward. It is striking that all three G1-phase
CDKs were strongly down-regulated from the MC/MM stages and
onward on transcript and protein levels. Down-regulation of
CDKs is a common theme in end-stage, differentiated cells [
29
30
31
32
].
However, simultaneous down-regulation of all three G1-phase
CDKs is not the general picture. Although CDK2 is down-regulated,
protein levels of CDK4 and -6 are unchanged in differentiating
mouse keratinocytes [
32
] and during renal development [
31
].
The expression pattern of G1-phase proteins during neuronal
differentiation, conversely, resembles the one shown in granulocytic
differentiation. Cell-cycle arrest and down-regulation of CDK4
and CDK2 [
29
30
] accompanied differentiation of oligodendrocyte
progenitor cells in vitro and a concomitant up-regulation of
p27kip1 [30]. Combined, these data indicate that the cell-cycle
arrest that accompanies end-stage differentiation of neutrophils
is executed through two different mechanisms: by turning off
the cell-cycle accelerators via down-regulation of all three
G1 CDKs and by inducing a generic CDK brake via up-regulation
of p27kip1. These events seem to be regulated by changes of
transcript levels and possibly expression activity of the cognate
genes. Regulation of p27kip1 has previously been shown to occur
at the post-translational level [
33
34
]. CDK2 complexed with
cyclin E is known to down-regulate p27kip1 protein by phosphorylation,
which tags p27kip1 for degradation via the ubiquitin proteasome
pathway [
35
36
37
]. However, during granulocytic differentiation,
p27kip1 transcript is also up-regulated, rendering it unlikely
that lack of CDK2 alone and thus merely stabilization of p27kip1
protein is causing the increase of p27kip1 protein in BCs/SCs
and PMNs. Oligodendrocyte progenitor cells obtained from p27kip1
-/- mice differentiate poorly [
29
]. Likewise, p27kip1
-/- mice produce
a reduced number of mature neutrophils [
16
]. These experiments
indicate that p27kip1 deficiency alone is not sufficient to
block cell-cycle arrest and differentiation. Speculatively,
the concomitant down-regulation of the CDKs and up-regulation
of p27kip1 might be two differently regulated mechanisms to
induce cell-cycle stop. If one of these fails, the other will
compensate to some degree, ensuring that the neutrophil is able
to differentiate. This hypothesis has been tested in vitro,
as inhibition of CDK2 restores the ability of Mad3/p27kip1 double-null
granulocyte cell lines to differentiate in response to ATRA
[
16
]. The existence of such back-up systems might explain why
a single mutation often is insufficient to cause the formation
of a malignant myeloid clone [
38
39
].
We were surprised to find that the pocket protein p130 was down-regulated
during granulocytic differentiation, as p130 has been described
to be the predominant E2F regulator in quiescent cells [
40
41
42
].
Regulation of p130 is exerted mainly at the post-translational
level [
41
]. In line with this, we did not observe any changes
in the transcript level of p130
(Fig. 5)
, indicating that p130
protein degradation is accelerated in the mature populations
of neutrophils. p130 is degraded via the ubiquitin proteasome
pathway, and CDK4 and -6 have been shown to tag p130 for degradation
by phosphorylation [
43
]. As we only detected trace amounts
of CDK4 and -6 protein in BCs/SCs and PMNs, other kinases may
be involved in priming p130 for degradation. In agreement with
our data, p107 has been shown to be regulated at the transcriptional
level and to accumulate only at the stage of differentiation
where the cell progresses through the cell cycle [
41
42
].
It has recently been observed that p130 and p107 are up-regulated
during granulocytic differentiation in mice [
16
]. However,
these experiments were performed in in vitro cultures and also
differed from our results by showing unaltered levels of CDK2,
-4, and -6 [
16
]. It has been demonstrated that p107 and p130
can bind and inhibit CDKs [
44
45
], and it could therefore
be speculated that the need for p130 and p107 during differentiation
may only be required if the CDKs are expressed. Accordingly,
during in vivo granulopoiesis, where the CDKs are down-regulated,
there is no need for p107 and p130 at the terminal stages of
differentiation.
When aligning the protein expression profiles of cell-cycle proteins during granulopoiesis (Fig. 7)
, it becomes clear that the major alterations take place at the MC/MM stage. Also, this is the point where the proliferative myelocyte turns into a nonproliferative metamyelocyte [1
]. Hypothetically, several events need to be coordinated in the myelocyte to propagate to the metamyelocyte stage. The transcription factor c-myc is a likely candidate to control these events, as c-myc is rapidly down-regulated during granulocytic differentiation and disappears at the MM/MC stage [16
] (unpublished). Concordantly, it is well known that c-myc down-regulates p27kip1 by suppressing its transcription and stability [46
47
48
] and up-regulates CDK4 and cyclin D2 [49
50
]. Other transcription factors, which may be involved in cell-cycle regulation during granulopoiesis are members of the CCAAT/enhancer-binding protein (C/EBP) family. We have recently described an individual expression pattern of the six C/EBP members during granulopoiesis [19
], and a role in cell-cycle regulation and granulocytic differentiation has been ascribed to many of these proteins [51
]. The forkhead transcription factor Foxo3a has also been shown to regulate transcription of the p27kip1 gene and thereby induce cell-cycle arrest [52
53
54
]. However, Kops et. al. [53] showed that in human colon carcinoma cells, conditional activation of Foxo3a increases p27kip1 and p130 protein expression. Our finding that p130 is down-regulated during granulopoiesis indicates that p130 is not regulated by Foxo3a in granulocytes, or Foxo3a is not involved in regulating cell-cycle arrest during granulopoiesis. Another likely candidate is STAT3, which also has been shown to regulate p27kip1 on a transcriptional level [55
56
]. Granulocyte-colony stimulating factor is a well-known inducer of granulocytic differentiation, and this has been shown to be followed by a strong STAT3 activation and up-regulation of p27kip1 [55
].
Cell-cycle regulation during myeloid differentiation has been studied extensively in vitro. However, two major problems exist when comparing the in vitro models and the presented in vivo data: the mechanisms by which cell-cycle arrest is executed using various agents and differences between model cell lines and neutrophil precursor cells. ATRA is a commonly used agent to differentiate granulocytes in vitro [11
27
]. Furthermore, ATRA is used to exert end-stage differentiation of promyelocytes in APL patients [57
58
]. No concise picture is evident regarding which cell-cycle proteins are influenced by ATRA in model cell systems. However, it seems to be that ATRA is acting on the brakes, especially the INK4s and p21cip1 [7
10
11
59
] (Fig. 4C) and through down-regulation of cyclins [9
60
] rather than influencing CDK levels [12
60
]. This resembles more the pattern seen in the reversible withdrawal of cells from the cell cycle, which is regulated by cytokines [4
], than the irreversible cell-cycle stop seen, e.g., in terminally differentiated neurons [61
]. The second problem lies in the model cell systems used. As mentioned in Introduction, the human cell lines commonly used as models for granulocytic differentiation are unable to express matrix proteins of peroxidase-negative granules [17
18 ]. Expression of the genes encoding matrix proteins of specific granules (such as lactoferrin, NGAL, and hCAP18) is coordinately regulated and initiated in the myelocyte [62
]. The observation that human myeloid cell lines such as NB4 and HL60 are unable to express these genes [17
18
62
] indicates that a major transcriptional regulator(s), acting on the myelocyte stage, is missing or is nonfunctional in these cells. As transcription of the genes encoding specific granule matrix proteins occurs at the same differentiation stage as the up-regulation of p27kip1 mRNA and down-regulation of CDK2, -4, and -6 mRNA are observed in vivo, a concern is that the transcriptional regulation of the genes encoding the cell-cycle regulatory proteins also is corrupted in the model cell lines. One difference in the mechanisms by which cell-cycle arrest, e.g., of NB4 cells and human bone marrow neutrophils, is executed may be the role of p21cip1. In concordance with the literature, we detected up-regulation of p21cip1 protein in NB4 cells during differentiation, and neither p21cip1 mRNA nor protein was present in any of the neutrophil populations. Thus, ATRA-induced differentiation of human neutrophil cell lines does not faithfully reflect granulopoiesis in vivo.
In conclusion, cell-cycle arrest during granulocytic differentiation in vivo is mediated by a coordinated down-regulation of the G1 CDKs and pocket proteins and up-regulation of p27kip1. As regulation of p27kip1 and the CDKs appears to be controlled at the transcriptional level, delineation of the regulation of CDK and p27kip1 promoters in granulocytes is likely to give valuable information of how cell-cycle arrest is exerted during differentiation, which in turn might give rise to development of new therapeutic drugs.

ACKNOWLEDGEMENTS
Grants from the Danish Medical Research Council, Danish Cancer
Society, Carlsberg Foundation, Danish Foundation for Cancer
Research, Danish Medical Association Research Fund, Copenhagen
University Hospital (H:S), and the Novo Nordisk Foundation supported
this work. The expert technical assistance of Inge Kobbernagel
and Katja Maj Nielsen is greatly appreciated. Mikkel Faurschou,
M.D., is thanked for helpful comments about the manuscript.
Received October 13, 2003;
revised November 14, 2003;
accepted November 19, 2003.

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