(CANCER RESEARCH 57. 5542-5549. December 15. 1997] A Transgenic Mouse Model with Cyclin Dl Overexpression Results in Cell Cycle, Epidermal Growth Factor Receptor, and p53 Abnormalities1 Annegret Mueller, Robert Odze, Timothy D. Jenkins, Ali Shahsesfaei, Anil K. Rustgi2 Hiroshi Nakagawa, Takuya liminolo, and Gastrointestinal Unit ¡A.M.. T. D. J., H. N.. T. I., A. K. R.¡.Hematology-Oncology Unit ¡A.K. K.¡.Massachusetts Women's Hospital /K. O.. A. S.I. Hazard Medical Schon/. Boston. Massachusetts 02114 General Hospital, unii Department of Pathology. Brigluim and (18, 19). The oncogenic properties of cyclin Dl have been demon strated in vitro by its ability to cooperate with ra.v (20) and its ability to complement a detective adenovirus Eia (21) in cultured cells. Transgenic mouse models have involved the targeting of cyclin Dl to breast tissue, resulting in mammary hyperplasia and carcinomas in lactating mice (22). More recently, we have developed a transgenic mouse model in which the EBV ED-L2 promoter when fused to the human cyclin Dl cDNA results in dysplasia restricted to the oral cavity and esophagus, both sharing a stratified squamous epithelium (23). This tissue specificity is attributable to the interaction of squa mous epithelial nuclear transcriptional factors with the EBV ED-L2 ABSTRACT The cyclin DI oncogene is critical in the progression of the cell cycle through the (ì,phase. It is frequently overexpressed in squamous cell carcinomas originating from the head/neck and esophagus. Yet, the func tional consequences of aberrant cyclin 1)1 overexpression are not entirely understood apart from increased cell proliferation. To address this ques tion, we have developed a transgenic mouse model in which the EBV 1 l)-l 2 promoter targets cyclin DI to the stratified squamous epithelium in a tissue-specific fashion to the tongue and esophagus, thereby resulting in a dysplastic phenotype. We now demonstrate that the dysplastic phenotype is associated with increased cell proliferation based on proliferat ing cell nuclear antigen overexpression and abnormalities in cyclin-dependent kinase 4, epidermal growth factor receptor, and p53. In aggregate, these studies suggest that alterations in certain oncogenes and tumor suppressor genes occur early during head/neck and esophageal carcinogenesis. INTRODUCTION Cyclin Dl is a key protein that contributes to cell cycle progression through the G, phase. It associates with cdks.3 preferentially cdk4 or cdk6. and PCNA ( 1). A consequence of the association between cyclin Dl and cdk4 or cdk6 is the phosphorylation of the retinoblastoma tumor suppressor gene product (pRh. Ret. 2). Hyperphosphorylation of pRb leads to its dissociation from transcriptional factors, such as E2F. that transcriptionally regulate growth-promoting genes. Although pRb remains a key target of cyclin Dl/cdk4 or cdko, other proteins have been postulated to be putative targets, for example the myb-like protein (3). Cyclin Dl overexpression is associated with a number of malig nancies. One prominent pattern is that of cyclin Dl overexpression due to gene amplification in squamous cell cancers, originating from the head/neck (4-11) and esophagus (12-14). Alternatively, chromo somal translocation is responsible for cyclin Dl overexpression in parathyroid adenomas (15). centrocytic lymphomas (16), and some breast cancers, although gene amplification is a major factor in breast cancers (17). Insights into how cyclin Dl contributes to malignant transformation have been gained through in vitro and HI vivo ap proaches. Overexpression of cyclin Dl in cultured cells leads to a more rapid traversion through the G, phase and entry into the S phase Received 4/14/97; accepted 10/15/97. The costs of publication of this article were defrayed in part hy the payment of page charges. This article must therefore he hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1This work was supported hy the ADHF/AGA Fiterniun and Funderburg Awards (to A. K. R.I. an American Cancer Society Jr. Faculty Research Award JFRA-649 (to A. K. R.). NIH Grants DK4056I and DK53377 do A. K. R.l. and Department of Knergy DE-FG-2-9I-ER61228 Award (to H. N. and A. K. R.(. A. M. was supported by the Deutsche Forschungsgemeinschaft <1304-1-1). R. O. was supported by the Stanley L. Rohhins Research F'und from the Department of Pathology at Brigham and Women's Hospital. T. J. was supported by the Glaxo Wellcome Institute for Digestive Health Award. : To whom requests for reprints should be addressed, at Gastrointestinal and Hematology-Oncology Units. Jackson 904, Massachusetts General Hospital. 50 Blossom Street, Boston. MA 02114. Phone: (617)724-3740; Fax: (617)726-3673; E-mail: rustgi(a: helix, mgh.harvard.edu. ' The abbreviations used are: cdk. cyclin-dependeni kinase; PCNA. proliferating cell promoter (24). One of the inherent advantages of the dysplastic phenotype result ing from the targeting of cyclin Dl to the tongue and esophagus is the molecular dissection of the dysplastic tissues to assess whether other genetic alterations are acquired as a function of cyclin Dl overex pression. Thus, a multistage model of oral-esophageal carcinogenesis can be developed with the correlation of key genetic alterations with dysplasia. We show that cyclin Dl overexpression is associated with increased cell cycle proliferation as interred from PCNA overexpres sion, enhanced cdk4 overexpression. and increased EGFR overexpres sion. as well as p53 abnormalities. MATERIALS AND METHODS Generation of Cyclin Dl Transgenic Mice. We employed the EBV ED-L2 promoter and fused it Io the human cyclin Dl cDNA to create a transgene from which founder lines were generated and maintained in the FVB/N genetic background. The cyclin DI transgene is expressed in a tissuespecific fashion with targeting in the tongue, esophagus, and forestomach (23). The cyclin Dl transgenic mice and age-matched wild-type mice were sacri ficed at 1.9. and 20 months for tissue processing and examination. There were 15 cyclin Dl transgenic mice from two different founder lines analy/ed each at 9 and 20 months: these time points demonstrate dysplasia in the tongue and the esophagus. Five transgenic mice from two different founder lines with normal tongue and esophageal histology were analy/ed at age I month. Because the wild-type mice did not show any tongue or esophageal histológ ica! changes at the three different time points, a total of live wild-type mice (ages 1. 9. and 20 months) were considered in aggregate as one group for statistical analysis. Immunohistochemistry. All comparisons were made between agematched (1.9. and 20 months) wild-type and cyclin Dl transgenic mice tongue and esophageal tissue sections. Tissues from the tongue and esophagus were extracted, fixed in 10% formalin, embedded in paraffin, and processed for H&E staining. Immunohistochemical staining of the tongue and esophagus was performed in the following manner with modifications as outlined for individual antibodies. Tongue (encompassing dorsal and ventral surfaces) and esophageal (proximal, mid. and distal) tissue sections were cut 3-5 jim thick, and slides were dried at room temperature for 2 days. Then, the sections were baked at 60°Cin a microwave oven for 20 min. deparaffini/ed in xylene. and rehydrated in alcohol and water. For EGFR and cyclin Dl. treated with 3% H2O2 in absolute methanol for 5 min to peroxidase activity. All slides were then microwave treated sodium citrate (pH 6.0) at 93°Cfor 30 min. The slides were nuclear antigen: ECiFR. epidermal growth factor receptor. slides were further block endogenous (800 W) in 10 HIM then cooled for 15 min and transferred to PBS. After blocking with 1.5% goat serum (blocking step for EGFR. cyclin Dl. 5542 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1997 American Association for Cancer Research. TRANSCÃŒKNICMOUSE MODEL WITH CYCLIN intmimohislocheinislr\Antibodyanli-PCNA(PC Table 1 Antibodies for DI OVKRIAI'KI SSION respect to dysplastic cells and expressed in the following categories: none, no nuclei stained: rare. <30% of viable nuclei stained positive; moderate. 30- clonalityMonoclonalPolyclonal(affinity time(h)1121llCompanyPharmingen(San 10)anti-cyclin CA)Gift Diego. Dl(#19)anli-cdk4(sc-260)anti-EGFR(sc-003)anti-p53(#1801)Antibody HarlowSanta of E. purified)Polyclonal(affinity :8(X)1:2001:1500IncubationCru/(Santa purified)PolyclonalMonoclonalDilution1:6001:15001 ÇA)Santa Cru/.. CruzI CA)BioGenex(San Santa Cruz. 60% of viable nuclei stained positive; and strong. >60% of viable nuclei stained positive (27). Of note, the p53 antibody recognized a broad spectrum of mutant p53 proteins as well as wild-type p53. All imnumohistochemical changes were assessed and scored independently in a blinded fashion by three different observers (A. M.. R. O.. and A. K. R.l. Statistical Analysis. Statistical comparisons between different age groups of mice were performed with the use of the one-way ANOVA lest and Duncan's multiple range test. P < 0.05 was considered statistically significant. Ramon, CAI RESULTS and cdk4) or with 1.5% horse serum (blocking step for PCNA and p53) in PBS for 15 min. the slides were incubated with the primary antibody at room temperature, except for cyclin Dl at 4°C(Table 1). After washing with PBS. slides were incubated lor 30 min with a 1:2(K) dilution of the appropriate biotinylated secondary antibody, washed with PBS. and then incubated for 40 min with the avidin and biotinylated peroxidase complex (Vectastain Elite ABC kit: Vector Laboratory. Burlingame. CA) at room temperature. After washing with PBS. the colorimetrie reaction was performed with 3.3'-diaminoben/.idine (Sigma Chemical Co., St. Louis, MO) and 0.1% H2O2 in 0.5 M TrÃ-s-HClbutter (pH 7.6). The sections were counterstained with hematoxylin. dehydrated, and mounted in Permount (Fisher Scientific. Pittsburgh. PA). Human tissue sections served as positive controls for the primary antibodies: tonsil (PCNA). and breast cancer (EGFR. cyclin Dl. cdk4. and p53). Normal goat or horse serum was used as the primary antibody to serve as negative controls. For determination of PCNA. cyclin Dl. and cdk4 nuclear staining, the average percentage positively was determined by counting the number of positively stained cells of 500 cells at X400. EGFR cytoplasmic and mem branous staining was assessed in a semiquantitative fashion: grade 0. no staining; grade 1+, less than 25% of cells stained positive; grade 2 + , 25-49%: grade 3 + , 50-74%; and grade 4+, greater than or equal to 75% (25. 26). Scoring of p53 staining was based upon the percentage of positive nuclei with We have previously demonstrated that an EBV ED-L2 promoterdirected cyclin DI transgene leads to a oral-esophageal tissue-specific dysplastic phenotype in mice (23), an important precursor to cancer. This is initially evident by 6-9 months in the form of nuclear atypia and progresses to greater dysplasia by 16-20 months (Fig. 1). Such changes are not evident in age-matched wild-type mice in the same FVB/N background or in young (1-month) transgenic mice, the latter likely reflecting the luck of selection of cyclin Dl-overexpressing cells. Overall, this model provides a unique opportunity to determine not only whether cell cycle partners of cyclin Dl are aberrantly expressed but also to determine whether genetic alterations frequently described in human oral-esophageal carcinogenesis are associated with dysplasia. In this context, EGFR overexpression and p53 muta tions have been described in human oral and esophageal dysplasia and squamous cancers. PCNA and cdk4 Expression Are Increased in the Tongue and Esophageal Tissues of the Cyclin Dl Transgenic Mice. The in creased cyclin Dl expression was evident in the 9- and 20-month-old transgenic mice tongue and esophageal tissues in comparison to age-matched wild-type and 1-month-old transgenic mice, as apparent Fig. 1. H&E staining (X400) of wild-type mouse (age 16 months) longue (A) and esophagus (O and cyclin Dl transgenic mouse (age 16 months) tongue (ß)and esophagus (/)). Note the nuclear atypia, in creased nuclear size, nuclear hyperchromasia. all indi cated by medium-sized arrows in B and D. Also, there is loss of polarity in the transgenic mouse tongue and esophageal epithelium. A mitolic figure is observed in the dysplastic tongue in B (small arrow). In addition, the tongue has elongation and bridging of epithelial pegs (large open arrow}. [Modified from Nakagawa el al. (23).] * H * » £»+ *' 5543 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1997 American Association for Cancer Research. TRANSGENIC MOUSE MODEL WITH CYCLIN DI OVEREXPRESSION Fig. 2. Cyclin Dl immunohistochemical stain ing (X400) in 20-month-old wild-type mouse tongue (A) and esophagus (C) and 20-month-old transgenic mouse tongue (B) and esophagus (D). Note the brawn cyclin Dl nuclear staining in ßand D (also indicated by arrows). M Fig. 4. PCNA immunohistochemical staining (X400) in 20-month-old wild-type mouse tongue (Ai and esophagus (C) and 20-month-old trans genic mouse tongue (ßland esophagus (D). Note the dark PCNA nuclear staining in B and D (also indicated by arrows). in the immunohistochemical staining in Fig. 2 and the quantitative scoring in Fig. 3. The vast majority of cyclin Dl staining is nuclear, although rare cytoplasmic staining is noted. We then determined whether the cyclin Dl overexpression resulted in corresponding in creases in PCNA and cdk4 expression. The 9- and 20-month-old transgenic mice demonstrated an increase in nuclear PCNA expres sion (Fig. 4) in the tongue and esophageal basal and intermediate layers in comparison to the 1-month-old transgenic mice and all the age-matched wild-type mice. Nearly 60% of cells counted in the tongue epithelium were positive for PCNA staining in the 9-monthold transgenic mice, which increased to approximately 70% of cells in the 20-month-old transgenic mice, representing statistically signifi cant increases when compared to the 1-month-old transgenic mice and all of the age-matched wild-type mice (Fig. 5). Similar numbers of positive cells for PCNA staining were observed in the esophageal epithelia of the 9- and 20-month-old transgenic mice (Fig. 5), also statistically significant. Additionally, there was increased cdk4 ex pression in the tongue and esophageal epithelial layers in the same age groups (9- and 20-month-old) of transgenic mice when compared to the 1-month-old transgenic mice and all of the age-matched wild-type mice (Fig. 6). Again, the number of cells staining positive for cdk4 in the basal and intermediate layers of the 9- and 20-month-old trans genic mice was greater than those in the 1-month old transgenic and all the age-matched wild-type mice (Fig. 7) in a statistically signifi- 5544 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1997 American Association for Cancer Research. TRANSGENIC MOUSE MODEL WITH CYCLIN DI OVEREXPRESSION 100 TONGUE (Cyclin D1) «ESOPHAGUS (Cyclin 01) Fig. 3. Quantitative scoring of cyclin DI immunohistochemical staining in the tongue and esoph agus. Wi. wild-type mice; 1-, 9-, and 20-month old groups are transgenic mice. + + , age-matched wild-type mice compared lo all transgenic mice groups: P < 0.05 for tongue and esophagus. », I-month old transgenic mice compared to 9-rnonthold transgenic mice and 1-month-old transgenic mice compared to 20-month old transgenic mice: P < 0.05 for tongue and esophagus. **. 9-monthold transgenic mice compared to 20-monlh-old transgenic mice: P < 0.05 for longue and esopha gus. »**,comparisons as noted above. Wild Type 1 month 9 months 20 months GROUPS 100 •¿ TONGUE (PCNA) 90 •¿ ESOPHAGUS (PCNA) 80 Fig. 5. Quantitative scoring of PCNA immunohistocheniic.il staining in the tongue and esophagus. Wi. wild-lype mice; I-, 9-. and 20month old groups are transgenic mice. ++. agemalched wild-type mice compared lo all trans genic mice groups: P < 0.05 for tongue and esophagus. *. I-month-old transgenic mice com pared to 9-month-old transgenic mice and I-month-old transgenic mice compared to 20month old transgenic mice: P < 0.05 for tongue and esophagus. »*.9-month-old transgenic mice compared to 20-monlh-old transgenic mice: P < 0.05 for tongue and P > 0.05 for esophagus. ***. comparisons as noted above. 10 Wild Type 1 month 9 months 20 months GROUPS cant fashion. Because cdk4 is one of the major catalytic subunit may be present in the cyclin Dl transgenic mice dysplastic oral- partners of cyclin Dl, to our knowledge, this is the first in vivo demonstration of parallel increases in cyclin Dl and cdk4 expression in the setting of dysplasia. Genetic Abnormalities Are Acquired in Cyclin Dl Transgenic Mice. Given the high frequency of ECFR oncogene and p53 tumor suppressor abnormalities in human head/neck (28-34) and esophageal (35-40) squamous cell cancers, we determined whether such changes esophageal tissues, In the wild-type and the 1-month-old cyclin Dl transgenic mice, focally weak EGFR cytoplasmic staining was detectable only in the basal layer consistent with grade 1+ staining. However, all 9-month and 20-month cyclin Dl transgenic mice revealed an increase in the intensity and degree of cytoplasmic and membranous EGFR staining in the basal and intermediate layers. This was 5545 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1997 American Association for Cancer Research. TRANSGENIC MOUSE MODEL WITH CYCLIN DI OVÜREXPRESSION Fig. 6. cdk4 immunohistochemical staining (X400) in 20-monlh-old wild-type mouse tongue </t) and esophagus (C) and 20-month-old transgenie mouse tongue (H) and esophagus (O). Note the brown edk4 nuclear staining in fì and D (also indicated by arrows). Fig. 8. HGFR immunohistochemical staining (X400) in 20-month-old wild-type mouse tongue (A) and esophagus <C")and 20-month-old transgenie mouse tongue (B) and esophagus (D). Note the cytoplasmic and membranous EGFR staining in the basal and intermediate layers of the transgenic mice tongue and esophageal epithelia in B and D (also indicated by arrows). a r uniformly grade 2+ in the 9-month old mice and grade 3+ in the proliferation observed in the dysplastic tongue epithelium might be 20-month-old mice (Fig. 8). Thus, EGFR overexpression was responsible for the increased p53 staining, which may represent de associated with dysplasia induced by the targeting of cyclin Dl to novo p53 mutations. the tongue and esophageal epithelia. Regardless of the age of the wild-type mice. p53 staining was DISCUSSION not detected in the wild-type mouse tongue and esophageal layers, consistent with the notion that p53 mutations did not arise in these Cyclin Dl associates with cdks (cdk4 or cdk6) and PCNA in the G, mice. This was also the case for the 1- and 9-month-old cyclin Dl phase of the cell cycle. The cyclin Dl/cdk4 or cdko complex phostransgenic mice. In contrast, all 20-month-old cyclin DI transgenic phorylates the retinoblastoma tumor suppressor gene product (2). The mice showed rare p53 staining (5-10% of cells) in the dysplastic hyperphosphorylation of pRb leads to its dissociation from key transcriptionul factors, such as E2F, which allows for these factors to tongue epithelium but not in the dysplastic esophageal epithelium activate growth-promoting genes. It is within the realm of possibility (data not shown). It is possible that the greater degree of cell 5546 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1997 American Association for Cancer Research. TRANSÕU NIC MOrSi. M()I)I-;l. WITH CYO.IN 1)1 OVI HI M'KI SSK IN 100 90 Fig. 7. Quantitative scoring of cdk4 mimmi. > histochemical staining in the tongue and esoph agus. Wt. wild-type mice; I-, <)-. and 20-monthold groups are transgenie miee. + +, agematched wild-type mice compared to all transgenic mice groups: P < 0.05 for tongue and esophagus. *. I-month-old transgenie mice com pared to 9-month-old transgenic mice and I-month-old transgenic mice compared to 20month-old transgenic mice: P < 0.05 tor tongue and esophagus. **, 9-monlh old Iransgenic mice compared to 20-month old transgenic mice: P < 0.05 for tongue and esophagus. ***, com parisons as noted above. Wild Type 1 month 9 months 20 months GROUPS that other substrates are targets for the cyclin Dl/cdk complex, as has been postulated recently with the myb-like transcriptional factor (3). Cyclin D l overexpression has been associated with a number of cancers, especially those of squamous epithelial origin from the head/ neck and esophagus. In an attempt to understand the molecular mech anisms that underlie the contribution of cyclin DI to malignant transformation in this tissue and cell type, we have recently developed a transgenic mouse model where cyclin Dl is targeted to these epithelia using an EBV promoter (23). A number of environmental and genetic factors are common to head/neck and esophageal squamous cell cancers. Among the fre quently associated genetic factors are oncogene activation, (cyclin D l and EGFR) and tumor suppressor gene inactivation, (p53 and pl6 mutations) (41-45). Thus, we have used the cyclin Dl model to tions correlate with cyclin Dl amplification in head and neck squa mous cell carcinomas (49). The link between EGFR and cyclin Dl in our transgenic mouse model may be direct or indirect. It is possible that the EGFR promoter is a potential target of cyclin Dl. resulting in increased EGFR tran scription. Conceivably, cyclin Dl may activate other transcriptional factors that modulate EGFR transcription. Alternatively, increased EGFR expression may be the consequence of increased cell prolifer ation. Nonetheless, the finding of increased EGFR expression in dysplasia is important and implicates it as an early event in head and neck as well as esophageal carcinogenesis. p53 is a well-described tumor suppressor gene, the encoded protein of which has several effects related to cell cycle regulation, DNA replication and repair, transcriptional regulation of genes, and apoptosis. p53 serves as a cell cycle checkpoint at the G,/S transition, in part through the transcriptional activation of p21, a general cdk inhibitor (50). The dysplastic phenotype in the cyclin DI transgenic mice tongue epithelia was uniformly associated with rare p53 staining, consistent with the notion, although not defini tive, of p53 mutation and stabilization of the p53 protein. This finding was restricted, interestingly, to the tongue epithelium of the 20-month-old transgenic mice, perhaps reflecting the increased expression of cyclin Dl, cdk4, and PCNA in this particular age group's tongue tissues. A possible, albeit speculative, link among investigate whether other genetic alterations, either directly or indi rectly as a consequence of cyclin D l overexpression. can be detected in the dysplastic phenotype by using immunohistochemical staining approaches. One of the well-established aspects of cyclin Dl overexpression in cultured cells is a shortened G, phase, resulting in a more rapid entry into S phase and increased cell proliferation. We found that cyclin Dl overexpression resulted in increased cell proliferation in the tongue and esophageal epithelia of 9- and 20-month-old trans genic mice, as inferred from increased PCNA staining in compar ison to age-matched wild-type mice and the young (1-month) these latter changes is that mutant p53 has been shown to activate the PCNA (51) and EGFR (52) promoters. Thus, although cyclin transgenic mice. This may potentially be a consequence of the increased cdk4 and cyclin Dl overexpression observed in the same Dl overexpression may be an initiating event, mutant p53 may further augment cell proliferation, at least in the tongue, through age groups of transgenic mice. the ongoing activation of key genes, especially EGFR. However, As noted, the cyclin Dl and cdk4 complex phosphorylates key this is not an entirely complete explanation because EGFR overcellular targets. It is likely in this setting of increased cell proliferation that other genetic alterations are acquired. Key abnormalities that have expression preceded the p53 staining temporally and was also evident in the esophagus. Nonetheless, this may be a contributing been associated in head and neck as well as esophageal squamous cell factor in the dysplastic tongue squamous epithelium. carcinomas are EGFR overexpression and p53 mutations. EGFR In aggregate, our cyclin Dl transgenic mouse model of oral-esophoverexpression and p53 mutations have also been observed in head ageal dysplasia permits the unique development of a multistage model and neck squamous epithelial dysplasia (46, 47). Interestingly enough, of carcinogenesis (49, 53-55) in which cyclin Dl overexpression p53 mutations have been found to correlate with EGFR overexpres results in a dysplastic phenotype associated with EGFR and p53 sion in human esophageal squamous carcinomas (48). and p53 muta 5547 Downloaded from cancerres.aacrjournals.org on July 31, 2017. © 1997 American Association for Cancer Research. TRANSGENIC MOUSE MODEL WITH CYCLIN genetic alterations. Although not tested yet. other genetic changes may be associated with dysplasia in this transgenic mouse model, such as in other tumor suppressor genes, pl6 and pRb, or other oncogenes and key enzymes (56) implicated in oral-esophageal carcinogenesis. Mechanistically, pi6 mutation, deletion, or hypermethylation is likely redundant with cyclin Dl overexpression in the cyclin Dl pathway. Furthermore, actual pRb inactivation is infrequent in human head and neck cancers (57) and has not been formally investigated in esophageal cancers, although loss of heterozygosity of the locus has been implicated (58). The association of key genetic alterations with the oral-esophageal dysplastic phenotype in the cyclin Dl transgenic mouse model also lays the foundation for the application of diagnostic strategies in the early premalignant lesions and the use of tissue- 21. Lovec. H.. Sewing. A.. Lucibello. F. C.. Muller. R., and Moroy. T. Oncogenic activity of cyclin Dl revealed through cooperation with Ha-ras: link between cell cycle control and malignant transformation. Oncogene. 9: 323-326. 1994. Wang. T. C.. Cardiff. R. D., Zukerberg. L.. Lees, E., Arnold. A., and Schmidt, E. V. 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