Our previous studies in melanoma cell lines (
31,
42) and animal models (
14,
42) have implicated Survivin as an important molecule in melanoma pathogenesis. Its clinical relevance in this disease is underscored by studies demonstrating a correlation between Survivin expression and poor outcome in patients (
16,
17). To better understand the role of Survivin in human melanoma and to design optimal therapies targeting Survivin, it will be important to elucidate the mechanism(s) of Survivin upregulation during melanocyte transformation, as well as mechanism(s) of repression of Survivin expression in normal melanocytes. Thus our approach taken here was to examine upstream factors known to be involved in melanocyte transformation (
9,
10), and we found that p53 and Rb independently repress Survivin expression in normal melanocytes.
Our results suggest that compromise of either p53 or Rb pathways in melanoma would be sufficient for upregulation of Survivin expression. Genetic alterations are common in human melanoma, and usually involve mutational inactivation or deletion of tumor suppressors or mutational activation or amplification of oncogenes leading to aberrant signaling (
43). Interruption of the p16
INK4A-CDK4-Retinoblastoma (Rb) pathway, due to germ-line mutations in
p16 or
CDK4 (
8) or
p16 mutations in sporadic melanomas (
44), promotes cell cycle progression through hyper-phosphorylation of Rb and consequent activation of E2F transcription factors (
36). The p14
ARF-HDM2-p53 pathway promotes p53-dependent apoptosis, and may be disrupted by germ-line mutations (
8) or deletions (
7) in
p14 that lead to increased HDM2-mediated degradation of p53, or acquisition of inactivating p53 mutations (
6).
The role of p53 in tumor suppression has been well characterized, acting in a gene-specific manner as either transcriptional activator (for pro-apoptotic genes such as
bax) or repressor (for various oncogenes such as
c-myc) (
45). Induction of wild type p53 by DNA-damaging agents such as UV or doxorubicin (
29), or introduction of exogenous p53 (
30), have been shown to downregulate Survivin expression in malignant cells. However, the role of p53 in the regulation of Survivin under basal conditions in normal cells has yet to be defined. We found that endogenous p53, in the absence of DNA-damaging agents or other stimuli known to activate p53, plays a critical role in the repression of Survivin expression in normal human melanocytes.
Earlier studies have suggested that p53 does not bind to the
survivin promoter (
30,
46). In both these studies, performed in malignant cell lines, mutational analysis of the
survivin promoter suggested that the p53-binding site was nonfunctional, and that p53 acted through other mechanisms to repress Survivin. By contrast, we found in normal melanocytes that the p53-binding site is functional as evidenced by direct binding of p53 to the
survivin promoter and increased promoter activity upon mutation of the p53-binding site. While it has been suggested that p53 exerts its effects on Survivin via the p21-Rb-E2F pathway (
46), our data in melanocytes suggests that the effect of p53 on Survivin is at least partially independent of p21. In addition, we show that siRNA-mediated silencing of p53 in melanocytes has no apparent effect on Rb activity, suggesting that in melanocytes p53 exerts its actions on Survivin expression directly. The discrepant findings regarding p53-binding to the
survivin promoter may be due to the fact that malignant cells often exhibit a variety of defects upstream and downstream of p53 which may compromise p53 function (such as DNA binding) even in the absence of p53 mutation (
45).
As the effects of Rb are mediated through multiple E2F transcription factors, repression of individual genes by Rb depends on the nature of particular Rb-E2F interactions and the activity of the Rb-bound proteins recruited to the promoter (
36). It has been suggested that E2F factors bind adjacent to the p53-binding site in the
survivin promoter (
29,
47). We have, however, identified a novel E2F-binding site 120 bp upstream of the p53-binding site, and shown using reporter assays that this site plays a repressive role in
survivin transcription. Earlier studies reported that Rb represses Survivin expression by binding to and inactivating E2F3 in mouse fibroblasts (
47) or E2F1 in lung carcinoma cells (
28). By contrast, we could not detect expression of E2F1 and E2F3 in human melanocytes, while E2F2 was highly expressed in this cell type. Although previous studies implicated E2F2 as a positive transcriptional regulator (
40), our finding that E2F2 knockdown led to Survivin upregulation identifies it as a novel negative regulator of Survivin expression. Thus the mechanism of E2F-mediated regulation of Survivin expression may be tissue-specific, and differ between melanocytes and other cell types.
While the
p53 gene is commonly mutated in other cancers, melanomas generally exhibit far lower rates of p53 mutation (
6), although p53 may be compromised in melanoma by deletions in p14
ARF (
7). Nevertheless, the high levels of p53 seen in some melanoma tumors (
48) may at first appear paradoxical given that they consistently express high levels of Survivin as we have observed previously (
13). Our data may resolve this paradox in that p53 and Rb are both required to repress Survivin expression in melanocytes, as inactivation of either factor is sufficient to derepress Survivin expression. Furthermore, we did not observe any additive effect of knocking down p53 and Rb by RNAi or mutating both the p53- and E2F-binding sites in the promoter. These findings suggest that p53 and Rb are both required to repress Survivin expression. Consistent with this notion, Rb inactivation (by phosphorylation) in G2/M was sufficient to upregulate Survivin expression, even in the presence of high amounts of activated p53. In melanoma, the near-ubiquitous defects in Rb signaling (due to inactivation of p16, mutation of CDK4, or over-expression of cyclin D1) (
36) would be predicted to upregulate Survivin expression even in the context of wild-type p53.
The secondary events leading to repression of the
survivin promoter, following p53 and Rb (via E2F factors) binding, have not been clearly defined. It has been suggested that p53 recruits DNMT1 causing methylation of the
survivin promoter and transcriptional repression (
49). We found, somewhat surprisingly given earlier studies (
18), that the
survivin promoter is unmethylated in normal melanocytes, suggesting that the mechanism of p53 repression of survivin may be tissue-specific. Several transcription factors, including Dec1 (
23), Sp1 (
19), KLF5 (
25) and c-myc (
24) have been shown to facilitate trans-activation by binding to the proximal part of the
survivin promoter – interestingly in the same region where we have demonstrated p53- and E2F2-binding in this study. It is possible that p53 and Rb physically displace these transcriptional activators from the
survivin promoter. Alternatively, given that histone deacetylases may be recruited to target promoters by p53 and Rb, these factors may promote repressive modifications of chromatin and thereby block trans-activation. Possible interactions between p53 and Rb on the
survivin promoter, histone modifications secondary to p53 and Rb binding, and recruitment of other repressive factors by p53 and Rb may underlie tissue-specific differences in the regulation of Survivin expression, and merit further study.