From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Erythropoietin mRNA Levels Are Governed by Both the Rate of Gene Transcription and Posttranscriptional Events By Mark A. Goldberg, Christopher C. Gaut, and H. Franklin Bunn The human hepatoma cell line, Hep3B. synthesizes large quantities of erythropoietin (Epo) mRNA and protein in a regulated manner in response to hypoxia and cobaltous chloride (CoCI,). To further understand the regulation of Epo gene expression, we studied the effects of hypoxia and CoCI, on the rate of Epo gene transcription. While Northern blot analyses showed that steady-state Epo mRNA levels increase more than 50-fold in response to hypoxia or CoCI,, nuclear run-off experiments demonstrated only a 10-fold increase in Epo gene transcription in response to these stimuli. In the presence of either actinomycin D (Act D) or cycloheximide, the stability of biologically functional Epo mRNA was much greater than that observed in the absence of these agents and much greater than that which has been reported in vivo. These findings suggest that the stability of Epo mRNA is modulated by the transcription and translation of rapidly turning over gene product(s). Thus, Epo mRNA levels are determined by both the rate of gene transcription and posttranscriptionalevents. These experiments demonstrate a potential pitfall in estimating mRNA half-lives based on Act D chase experiments alone. o 1991by The American Society of Hematology. R Hep3B cell line, a homogeneous population of Epoproducing cells. EGULATION OF the expression of highly inducible genes, such as growth factors and oncogenes, has been the subject of much in~estigation.'.~The protein products of these genes are frequently quite labile and their in vivo levels may fluctuate by several orders of magnitude depending on particular physiologic conditions. The production of these proteins is dependent on precise regulation of mRNA levels. In turn, the steady-state levels of mRNA are determined by both the rate of gene transcription and the rate of mRNA decay.2.8-'o Erythropoietin (Epo) is a glycoprotein hormone essential for the regulation of red blood cell production. It is produced in the fetal liver" and the adult kidney" in response to hypoxia and circulates in the plasma with a ~ levels may increase as half-life of 4 to 7 h 0 ~ r s . lSerum much as 1,000-fold in severe anemia. Conversely, inappropriate overproduction of Epo may cause life-threatening polycythemia due to markedly increased blood viscosity and decreased blood f l o ~ . ' ~Thus, , ' ~ the Epo-synthesizing cells must possess the ability to regulate the rate of Epo production over a wide range. One of the most puzzling aspects of erythropoiesis is the mechanism by which hypoxia triggers increased expression of the Epo gene. We have previously demonstrated that the human hepatoma cell line. Hep3B, synthesizes large quantities of Epo in a regulated manner in response to hypoxia and cobaltous chloride (CoCl,), and that this regulation occurs at the Epo mRNA le~e1.'~~'' In addition, we have previously shown that ongoing protein synthesis is required for both the hypoxia and cobalt induction of increased levels of Epo mRNA in Hep3B cells." Northern blot analyses of RNA from murine kidneys show greater than a 100-fold increase in the level of Epo mRNA in the presence of hypoxia or cobaltous To assess changes in the rate of Epo gene ~hloride.'~,'~ transcription that might account for this marked increase in steady-state Epo mRNA levels, Schuster et alZoperformed nuclear run-off experiments on nuclei isolated from the whole kidneys of hypoxic and nonhypoxic mice. They could detect Epo gene transcription only in nuclei from hypoxic kidneys. A very small percentage of this mixed population of cells were potential Epo-producing cells.21To gain a better understanding of the level of regulation of the Epo gene, we have examined the influence of hypoxia and CoCl, on Epo gene transcription and Epo mRNA stability in the Blood, Vol77, No 2 (January 15), 1991: pp 271-277 MATERIALS AND METHODS Cell culture. Hep3B cells were obtained through American Type Culture Collection. They were cultured in MEM Alpha medium (GIBCO, Grand Island, NY) supplemented with penicillin (100 U/mL), streptomycin (100 pg/mL), and 10% defined supplemented bovine calf serum (Hyclone, Logan, UT) and were maintained in a humidified 5% CO, incubator at 37°C. The cells were grown hypoxically either as described previously'6 or in a controlled atmosphere chamber (Plas Labs, Lansing, MI) supplied with a constant flow of a hydrated 1% 0,, 5% CO, balance N, gas mixture. All experiments were begun when the Hep3B cells approached confluence. Radioimmunoassay (RIA). The RIA for Epo was performed using a high-titer polyclonal rabbit antiserum raised in our laboratory against human recombinant Epo. lZsIrecombinant human Epo was obtained from Amersham, Inc (Arlington Heights, IL). Standards were prepared using recombinant human Epo from Amgen, Inc (Thousand Oaks, CA) diluted in MEM Alpha medium containing 10% defined supplemented calf serum (Hyclone) and 0.05% sodium azide, pH 7.4. Aliquots of 0.2 mL of standard or sample were placed in 5 mL conical polypropylene tubes. To this was added 0.1 mL of rabbit antiserum diluted 1:15,000 in phosphatebuffered saline (PBS) containing 0.5% bovine serum albumin. The mixture was diluted to 0.7 mL using the same diluent used for the recombinant Epo standards and was incubated at room temperature for 2 hours. '''I Epo, 0.1 mL (approximately 10,000 cpm), prepared in the same diluent was then added, the mixture was briefly vortexed and incubated overnight at 4°C. One milliliter of Amerlex-M (Donkey antirabbit globulin, Amersham, UK) was From the Department of Medicine, Hematology Divhion, Brigham and Women's Hospital and Harvard Medical School, Boston, MA. Submitted April 30, 1990; accepted September 4, 1990. Supported in part by National Institutes of Health (NIH) Grant No. DK41234. M.A.G. is the recipient of an NIH Physician Scientist Award (Grant No. DK01401). Address reprint requests to H. Franklin Bunn, MD, Brigham and Women's Hospital, Hematology Division, 75 Francis St, Boston, M A 02115. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. section I734 solely to indicate this fact. 0 I991 by TheAmerican Society of Hematology. 0006-4971/91/7702-01I9$3.00/0 27 1 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. GOLDBERG, GAUT, AND BUNN 272 then added to each tube and the tubes were placed at 4°C with constant shaking for 2 hours. The Amerlex was pelleted by centrifugation for 15 minutes at 1,500gat 4”C,washed once with 1.0 mL PBS, and counted in an LKB model 1282gamma counter. Northern blot anaiysis. Total RNA was prepared from cultured cells as described by Chirgwin et al.’, The RNA was denatured in formaldehyde, electrophoresed on a 1%agarose gel containing 2.2 m o m formaldehyde and a trace amount of ethidium bromide, and transferred to a Genescreen Plus filter (New England Nuclear, Boston, MA) using 1OX standard saline citrate (1.5 mol/L NaCI, 0.15 mol/L sodium itr rate)?^ Epo cDNA in an SP65 plasmid was digested with the restriction enzyme EcoR1, the Epo insert isolated by agarose gel electrophoresis, followed by electr~elution~~ and ”P-labeled to a specific activity of between 3 x 108 and 1.2 x lo9 cpm/kg of c D N A . ~The radiolabeled cDNA was then mixed with carrier salmon sperm DNA, denatured by boiling for 10 minutes, and hybridized to the filter at 5 x lo5 cpm/mL of hybridization solution (50% formamide, 1 m o m NaCl, 1% sodium dodecyl sulfate, 10% dextran). Hybridization was performed at 42°C for 20 hours. The final washing was done in 0.5X standard saline citrate (0.075 mol/L NaCl, 0.0075 m o m sodium citrate) at 65°C. Autoradiography was performed with intensifying screens at -80°C using Kodak X-Omat AR film (Eastman Kodak, Rochester, NY). Mouse p-actin cDNA was also radiolabeled and hybridized to the same filters to provide an internal control for the efficiency of RNA transfer to the filters. Nuclear run-off experiments. The transcriptional component of Epo gene regulation was assessed by nuclear run-off experiments, as described by Greenberg.= Hep3B cells were exposed to 75 pmol/L CoCI, or 1% 0, for varying lengths of time. After isolation of nuclei by lysis of cells in NP-40 buffer, in vitro transcription was completed in the presence of aZ2P-UTP.Radiolabeled RNA was then isolated and the amount of trichloroacetic acid precepitable radioactivity was quantitated. At each time point an equal amount of ”P-RNA was hybridized to nitrocellulose filters containing a linearized plasmid possessing either a nearly full-length Epo cDNA clone or a full-length, human Epo genomic clone (4.0 kb Epo gene extending from 0.4 kb upstream from the putative start site to 0.7 kb downstream from the polyadenylation signal). A plasmid containing a linearized mouse p-actin cDNA fragment served as a positive control while a linearized plasmid containing a human P-globin genomic clone provided a negative control. Densitometric scanning was performed using a Molecular Dynamics Model 300A computing densitometer. Relative levels of Epo mRNA transcription represent arbitrary units normalized to p-actin mRNA transcription. Normalization to p-actin mRNA was used because this is an abundant mRNA and its transcriptional rate has been shown to be minimally influenced by hypoxia?6 Epo mRNA stubiliv. Hep3B cells were placed in either a 1% or 21% 0, containing atmosphere for 18 to 24 hours at 37°C. At “0 time” the 0, content of the atmosphere was manipulated as described below and either actinomycin D (Act D) or cycloheximide was added to final concentrations of 5 @mL or 20 pg/mL, respectively. After varying periods of incubation, total cellular RNA was isolated from the cells and Northern blot analyses were performed. Densitometric scanning was performed with a Molecular Dynamics Model 300A computing densitometer. Relative Epo mRNA levels represent arbitrary units normalized relative to p-actin mRNA levels. RESULTS Northern blot analyses were performed on RNA obtained from Hep3B cells grown for 18to 24 hours in either a 1% or 21% oxygen atmosphere. The RNA blots were hybridized with Epo and actin radiolabeled probes and the levels of each of these mRNAs was quantitated by densitometry as described above. Analysis of 14 such experiments demonstrated a greater than 50-fold mean increase in steady-state Epo mRNA levels (representative blots are shown in lanes 1 and 2 of Figs 2B and 3B). This stated increase in steady-state Epo mRNA levels represents a minimal estimate because densitometry loses linearity in the very low and very high ranges. In contrast, actin mRNA levels were not significantly influenced by hypoxia as estimated by concordance with the levels of 18s and 28s ribosomal RNA levels observed on the ethidium stained gels. To assess the relative contribution of changes in the rate of Epo gene transcription to this marked increase in Epo mRNA steady-state levels, nuclear run-off experiments were performed. Initial experiments were performed with a nearly full-length Epo cDNA probe as detailed in the Materials and Methods section. However, with this probe it was difficult to detect a hybridizing signal in experiments performed on the nuclei of either hypoxic or nonhypoxic cells. In an attempt to increase sensitivity we used a human Epo full-length genomic clone that has greater homology with the unspliced primary RNA generated in the in vitro transcription reaction. With this probe we were able to detect low-level transcription even in the absence of hypoxia. In contrast to the more than 50-fold increase in steady-state Epo mRNA levels observed in RNA blot analyses, three nuclear run-off experiments performed on Hep3B cells (Fig 1) demonstrated a 5-to 10-fold increase in Epo mRNA transcription in response to hypoxia or CoCI,. Important to the interpretation of the experiments shown in Fig 1 is the finding that the total counts per minute of 32P-radiolabeledRNA recovered from the in vitro transcription reactions on nuclei of cells grown for 8 hours in 21% oxygen, 1% oxygen, or 75 p”l/L CoCI,, were within 10% of one another, suggesting that 8 hours of hypoxia or exposure to 75 kmol/L CoCI, had no significant change on overall gene transcription. Assuming a zero-order rate of formation of Epo mRNA and a first-order rate of mRNA decay:” a mere 10-fold increase in the rate of Epo mRNA synthesis cannot by itself explain the greater than 50-fold increase in steady-state Epo mRNA levels observed after stimulation by hypoxia or cobalt. Therefore, experiments were undertaken to investigate posttranscriptional influences on steady-state Epo mRNA levels. Initially, Hep3B cells were grown in 1% 0, to increase Epo mRNA levels, and subsequently were switched to 21% 0,. Epo mRNA levels were then determined after varying periods of time by Northern blot analyses. As demonstrated in Figs 2 and 3, in 21% 0, Epo mRNA has a rapid rate of decay with steady-state levels decreasing by 50% within 1.5 to 2 hours and with almost undetectable levels by 6 hours. This finding is similar to reported changes in kidney Epo mRNA levels in mice switched from a hypoxic to a nonhypoxic environment:’ and represents a maximal estimate of the in vivo half-life of the Epo mRNA (because new transcription was not blocked). To distinguish between transcriptional and posttranscriptional con- From www.bloodjournal.org by guest on June 17, 2017. For personal use only. REGULATION OF ERYTHROPOIETIN MRNA LEVELS A 273 EPO Actin Globin hours hypoxia 0 2 4 6 8 12001 a z U E 0 n W -Q .-> Fig 1. Transcriptional component of Epo gene regulation. Nuclear run-off experiments, as described by Greenberg,” were performed on near confluent Hep3E cells exposed to 75 pmol/L CoCI, or 1% 0, for varying lengths of time as indicated. (A) Autoradiogram of a fitter demonstratinghypoxia-induced increase in Epo gene transtription. (E) Results of densitometry normalized to mouse p-actin as described in Materials and Methods. [-E-), 1% oxygen; (-m-), cobalt. tributions to this observed decrease in steady-state Epo mRNA levels, Act D chase experiments were performed. Initial experiments demonstrated that Act D at a concentration of 5 pg/mL blocked greater than 98% of the incorporation of ’[HI-uridine into total cellular Hep3B RNA under both hypoxic and nonhypoxic conditions. Hep3B cells were made hypoxic to allow an increase in Epo mRNA levels. After the addition of Act D the cells were either kept hypoxic or rapidly equilibrated with a 21% 0, atmosphere for various periods of time. The stability of the Epo mRNA in the presence of Act D at both 0, tensions was much greater than that observed in the absence of Act D (Fig 2) and much greater than that reported in vivo. Thus, the addition of Act D resulted in an increased stability of Epo mRNA (estimated T,, = 7 to 8 hours). Of note, when Hep3B cells were grown continually in 1% 0, in the absence of Act D, Epo mRNA levels continued to remain elevated (ie, did not peak and then decline) throughout the entire period of study. If Act D was preventing the transcription of rapidly turning over mRNA whose protein product or products participate in the degradation of Epo mRNA, one would expect cycloheximide to have a similar effect on the stability of Epo mRNA. Hence, parallel experiments were performed using 20 pg/mL cycloheximide instead of Act D. These experiments demonstrated a reproducible increase in the stability of the Epo mRNA in the presence of cycloheximide as well (Fig 3). Evidence that the cycloheximide enhances Epo mRNA stability rather than de novo transcription is provided by the fact that cycloheximide blocks hypoxia and CoCI,-induced increases in Epo mRNA” and cycloheximide by itself does not cause an increase in m a U 0 1 0 . I 2 . I . I 6 l i m e (hours) 4 . , 8 . 1 10 steady-state Epo mRNA levels.” However, as seen in Fig 3, the effect of cycloheximide on increasing Epo mRNA stability is not quite as marked as the effect of Act D. This may be due to the inability of cycloheximide to block translation for a sustained period of time” as completely as Act D blocks transcription. To assess the possible biologic relevance of the prolonged stability of Epo mRNA in the presence of Act D, experiments were performed to determine if this stabilized mRNA was available for translation into Epo protein. Hep3B cells were grown hypoxically for 20 to 24 hours. The culture medium was removed and frozen for subsequent determination of Epo concentration by RIA (mean 2 1 standard deviation = 91 2 8 mU/mL, n = 32), the cells were washed thoroughly, and fresh medium was added. The cells were then grown in 1% or 21% 0, in the presence or absence of Act D. After 14 hours the medium was removed and assayed for the presence of Epo by RIA. As shown in Fig 4, Hep3B cells switched to 21% 0, in the presence of Act D were fully capable of sustaining Epo production and, in fact, secreted significantly more Epo protein into the culture medium than cells switched to 21% 0, in the absence of Act D (mean 2 1 standard deviation = 52 2 9 mU/mL v 33 2 8 mU/mL, P < .OS). This finding strongly supports the conclusion that the increased Epo mRNA levels observed in the presence of Act D are not due to nonspecific cytotoxic effects. Furthermore, the observation that Hep3B cells grown continually in 1% 0, in the absence of Act D secreted even more Epo than cells grown in 1% 0, in the presence of Act D suggests that both the rate of Epo gene transcription and posttranscriptional events influence steady-state Epo mRNA levels. From www.bloodjournal.org by guest on June 17, 2017. For personal use only. GOLDBERG, GAUT, AND BUNN 274 a z U E 0 P W Q) .-> c Q Q) U A 0 4 8 12 16 20 time (hours) 28s - 18S- AcfinomycinD kb/rSOfZf%02 B - - - t - + - t 6 6 24 0 2 2 4 4 ACTIN DISCUSSION These experiments suggest that the hypoxia and cobalt induced increase in Epo mRNA steady-state levels cannot be accounted for by increased Epo gene transcription alone. As noted previously, in the nuclear run-off experiments described here, a human Epo full-length genomic clone was used to probe the in vitro transcription products. While the genomic probe allowed for increased sensitivity and enabled detection of low-level transcription even in the absence of hypoxia, it is not without potential drawbacks. If the intervening sequences include repetitive sequences that are transcribed elsewhere as well, the run-off assay may not be totally specific for Epo mRNA. In fact, in the intervening sequence between exons I11 and IV is a member of the Alu family of repeated sequences.%This region is 70% homologous to the consensus Alu sequence?" Because the 100% homologous Epo cDNA gave a relatively weak signal, it is unlikely that under the hybridization conditions used this relatively short, imperfectly conserved, repetitive sequence would give a significant hybridization signal. Furthermore, Fig 2. Epo mRNA stabiiity. Experiments were performed as described in the Materials and Methoda section. Relative Epo mRNA levels represent arbiWary units normalized relative to p-actin mRNA levels. (A) (-A+, 21% oxygen; (-A+, 21% oxygen Act D; (U 1% ) oxygen , + Act D. Each data point in (A) is the average (+1 standard deviation) of at least two experimentswith most points representing the average of three or more experiments. (E) A representativeRNA blot demonstratingthe effects of Act Don Epo mRNA stability. + when the Epo cDNA probe was used, a weak hybridization signal was seen even from nuclei of cells grown in 21% 0, (data not shown). This result argues strongly that some baseline Epo gene transcription is ongoing in 21% 0,. Hence, the hybridization signal seen at 21% 0, using the genomic Epo probe is unlikely to simply represent nonspecific, background hybridization. Like Schuster et al,m we also note an increase in Epo gene transcription in response to hypoxia, although the degree of increase appears to be less. Our nuclear run-off experiments used nuclei from a homogeneous population of Epo-producing human hepatoma cells grown in continuous culture. On the other hand, Schuster et almused nuclei from a heterogeneous population of primary murine kidney cells, only a very small proportion of which were actually Epo-producing cells. These differences may account for the difference in the degree of increase in Epo gene transcription. The data presented in this report suggest that Epo mRNA levels are governed by a complex mechanism From www.bloodjournal.org by guest on June 17, 2017. For personal use only. REGULATION OF ERYTHROPOIETIN MRNA LEVELS 275 1 2 0 6 4 8 (hours) time 28S- 18S- 1 + Ben; (-A+, 21% oxygen cyclohex. Each data point In (A) is the average ( 2 1 standard deviation) of at least two experiments, with most points representing three or more experiments. (B) A representative RNA blot demonstrating the effect of cycloheximide on Epo mRNA stability. B involving both the rate of gene transcription and posttranscriptionalevents. The fact that steady-state Epo mRNA levels increase more than 50-fold in response to hypoxia and CoCI, while Epo gene transcription increases only about 10-fold in Hep3B cells suggests that there is a significant posttranscriptional component to Epo gene regulation in this cell line. Numerous examples of posttranscriptional regulation of mRNA have been well documented, particularly at the level of mRNA Many examples of regulated mRNA stability involve genes whose protein products play a crucial role in cell growth regulation and s ~ r v i v a l . ~Although ~ . ~ ~ ~ ”still ~ ~poorly ~ understood, multiple mechanisms for this regulation of the rate of mRNA degradation have been demonstrated2; however, many of these mechanisms seem to share certain common features. In many cases mRNA degradation requires ongoing protein synthesis because stabilization occurs in the presence of various protein synthesis inhibitor^.""^'^^ Two explanations for the requirement of ongoing protein synthesis have been proposed: (1) certain mRNAs may be degraded by rapidly turning over specific ribonucleases, and (2) the degradation of some mRNAs may be directly coupled to their translation. Cotranslational degradation has been + +- + 3 3 5 5 1 L ACT1 N 21% 0 2 -> 21% 0 2 1% 0 2 * 21% 0 2 + Act D 1% 0 2 -w 1% 0 2 + Act D 1% o 2 * 1% 0 * . 0 . 20 . 40 . . . 60 80 100 Epo mU/ml . 120 . 140 Fig 4. Biologic activity of Epo mRNA. After approaching confluence, the media was changed and the cells were grown in an atmosphere containing either 1% or 21% 0, for 20 to 24 hours. The media was then removed, tha calls were washed thoroughfy with PBS. and incubated with 5 mL of fresh medium with or without Act D (5 pg/mL) in either a 1% or 21% 0, environment, as indicated In the figure, for an additional 14 hours. The media was then removed and an Epo RIA was performed in duplicate on an aliquot. Each data bar represents the average ( 2 1 standard deviation) of eight separate experiments. From www.bloodjournal.org by guest on June 17, 2017. For personal use only. GOLDBERG. GAUT, AND BUNN 276 elegantly demonstrated for tubulin and histone mRNAs.”.” On the other hand, although indirect evidence suggests the presence of rapidly turning over specific ribonucleases: thus far none of these nucleases have been well characterized. If the expression of these putative nucleases is regulated at the level of transcription, one would expect that inhibitors of transcription as well as inhibitors of protein synthesis would stabilize the mRNA targets of these ribonucleases. This is not the case for the protein synthesisrequiring degradation of the c-myc, c-fos, 32,34 and granulocyte-macrophage colony-stimulating factor7 mRNAs. However, the transcription inhibitor Act D does stabilize poly(1) poly((=)-induced fibroblast interferon as well as prevent the decay of human transferrin receptor mRNA.” Furthermore, recent studies by Shyu et a1% demonstrate two independent determinants of c-fos mRNA instability, one of which appears to be dependent on ongoing transcription. Epo is another case in which mRNA instability requires both ongoing transcription and protein synthesis. However, unlike many of the other known examples, Epo’s biogenesis”r3’ and its biologic action^'^ are extremely tissue specific.The data presented here support a mechanism in which Epo mRNA degradation requires both the transcription and translation of a rapidly turning over mRNA (or mRNAs) whose protein product(s) participates in the degradation of Epo mRNA. In addition, this phenomenon clearly demonstrates a potential pitfall in relying on Act D chase experiments alone to estimate mRNA halflives. The evidence presented here suggesting the existence of a rapidly turning over Epo mRNA degrading protein raises the possibility that the concentration and/or the activity of this protein may be decreased during hypoxia or CoCl, exposure. However, direct demonstration of PO,-dependent changes in Epo mRNA stability in intact Hep3B cells is impossible using Act D because the Act D itself alters the mRNA stability by blocking synthesis of the presumptive Epo mRNA destabilizing protein. One alternative might be to perform ’[HI-uridine pulse-chase experiments, but this approach requires medium to high abundance mRNA Another more direct approach, currently underway, is to characterize this Epo mRNA destabilizing protein, and the sequences to which it binds, in an in vitro system.@ In the case of Epo gene regulation, the finding that steady-state Epo mRNA levels may be significantly influenced by a rapidly turning over Epo mRNA degrading protein is particularly intriguing because it may have biologic significance. The combination of the hypoxiainduced increased Epo gene transcription coupled with increased Epo mRNA stability permits a marked amplification of Epo mRNA levels. A modest increase in the rate of Epo gene transcription and a modest increase in Epo mRNA stability acting in synergy can explain how the cell is able to regulate Epo mRNA levels such that during hypoxia, circulating levels of Epo protein can increase by three orders of magnitude. ACKNOWLEDGMENT The full-length human genomic Epo clone and the Epo cDNA clone were kindly provided by Genetics Institute, Inc (Cambridge, MA). Mouse p-actin cDNA was a gift from Dr Bruce Spiegelman of the Dana-Farber Cancer Institute (Boston, MA). We thank Thomas Schneider for his excellent technical assistance. REFERENCES 1. Clark SC, Kamen R: The human hematopoietic colonystimulating factors. Science 236:1229,1987 2. Cleveland DW, Yen TJ: Multiple determinants of eukaryotic mRNA stability. New Biologist 1:121,1989 3. Greenberg ME, Hermanowski AL,Ziff EB: Effect of protein synthesis inhibitors on growth factor activation of c-fos, c-myc, and actin gene transcription. Mol Cell Biol61050,1986 4. Groopman JE, Molina J, Scadden D T Hematopoietic growth factors: Biology and clinical applications. N En@J Med 321:1449,1989 5. Linial M, Gunderson N, Groudine M: Enhanced transcription of c-myc in bursal lymphoma cells requires continued protein synthesis. Science 230:1126,1985 6. Metcalf D: The granulocyte-macrophage colony stimulating factors. Cell 435,1985 7. Shaw G, Kamen R A conserved AU sequence from the 3’ untranslated region of GM-CSF mRNA mediates selective mRNA degradation. Cell 46:659,1986 8. Brawerman G mRNA decay: Finding the right targets. Cell 57:9,1989 9. Hargrove JL, Schmidt FH: The role of mRNA and protein stability in gene expression. FASEB J 3:2360,1989 10. Rodgers JR, Johnson ML, Rosen JM: Measurement of mRNA concentration and mRNA half-life as a function of hormonal treatment. Methods Enzymol109:572,1985 11. Zanjani ED, Poster J, Burlington H, Mann LI, Wasserman LR: Liver as the primary site of erythropoietin production in the fetus. J Lab Clin Med 89:640,1977 12. Jacobson LO, Goldwasser E, Fried W, Plzak L Role of the kidney in erythropoiesis. Nature 179:633,1957 13. Abels R Safety and multiple dose pharmacokinetic profile of intravenous and subcutaneous recombinant-human erythropoietin in normal male subjects: A double-blind, placebo controlled study (H87-023), in Information for Clinical Investigators. Raritan, NJ, Robert Wood Johnson Pharmaceutical Research Institute, March 11,1989 14. Erslev AJ, Car0 J: Secondary polycythemia: A boon or a burden? Blood Cells 10:177,1984 15. Erslev AJ, Wilson J, Car0 J: Erythropoietin titers in anemic, nonuremic patients. J Lab Clin Med 109:429,1987 16. Goldberg MA, Glass GA, Cunningham JM, Bunn H F The regulated expression of erythropoietin by two human hepatoma cell lines. Proc Natl Acad Sci USA 84:7972,1987 17. Goldberg MA, Dunning SP, Bunn HF: Regulation of the erythropoietin gene: Evidence that the oxygen sensor is a heme protein. Science 242:1412,1988 18. Beru N, McDonald J, Lacombe C, Goldwasser E Expression of the erythropoietin gene. Mol Cell Biol6:2571,1986 19. 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Science 246:870, 1989 30. Mullner EW, Kuhn LC: A stem-loop structure in the 3’ 277 untranslated region mediates iron-dependent regulation of transferrin receptor mRNA stability in the cytoplasm. Cell 53:815, 1988 31. Pachter JS, Yen TJ, Cleveland D W Autoregulation of tubulin expression is achieved through specific degradation of polysomal tubulin mRNAs. Cell 51:283, 1987 32. Rahmsdorf HJ, Schonthal A, Angel P, Litfin M, Ruther U, Herrlich P: Posttranscriptional regulation of c-fos mRNA expression. Nucleic Acids Res 15:1643, 1987 33. Sive HL, Heintz N, Roeder RG: Regulation of human histone gene expression during the HeLa cell cycle requires protein synthesis. Mol Cell Biol4:2723,1984 34. Shyu A-B, Greenberg ME, Belasco J G The c-fos transcript is targeted for rapid decay by two distinct mRNA degradation pathways. Genes Dev 3:60,1989 35. Cavalieri RL, Have11 EA, Vilcek J, Pestka S: Induction and decay of human fibroblast interferon mRNA. Proc Natl Acad Sci USA 744415,1977 36. Koury ST, Bondurant MC, Koury MJ: Localization of erythropoietin synthesizing cells in murine kidneys by in situ hybridization. Blood 71524,1988 37. Lacombe C, Da Silva J-L, Bruneval P, Fournier J-G, Wendling F, Casadevall N, Camilleri J-P, Bariey J, Varet B, Tambourin P: Peritubular cells are the site of eryrthropoietin synthesis in the murine hypoxic kidney. J Clin Invest 81:620,1988 38. Spivak J L The mechanism of action of erythropoietin. Int J Cell Cloning 4:139,1986 39. Krowczynska A, Yenofsky R, Brawerman G: Regulation of messenger RNA stability in mouse erythroleukemia cells. J Mol Biol181:231, 1985 40. Rondon I, MacMillan LA, Beckman BS, Goldberg MA, Bunn HF, Malter JS: Identification of a cytosolic protein that binds specifically to erythropoietin messenger RNA. Abstract submitted to American Society of Hematology Meeting, 1990 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. 1991 77: 271-277 Erythropoietin mRNA levels are governed by both the rate of gene transcription and posttranscriptional events MA Goldberg, CC Gaut and HF Bunn Updated information and services can be found at: http://www.bloodjournal.org/content/77/2/271.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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