Expression of p 27 Kip 1 , A Cell Cycle Repressor Protein with Dual Roles for Both Cancer Prevention and Promotion , Is Regulated Primarily at the Level of Unusual p 27 Kip 1 mRNA — A Short Concept Proposal

The p27Kip1 is a cell cycle repressor protein that regulates primarily the cell cycle transition from G1 to S phase and hence the DNA replication is in the S phase and cell division in the M phase. Expression of p27Kip1 protein has dual roles for both cancer prevention and promotion. For example, numerous nutritional and chemopreventive anti-cancer agents specifically increase the expression of p27Kip1 protein without directly affecting the expression of any other cell cycle regulatory proteins. On the other hand, pro-cancer agents (like glucose, insulin and other growth factors frequently seen in obesity and/or diabetes) specifically decrease the expression of p27Kip1 protein without directly affecting the expression of any other cell cycle regulatory proteins. Unlike expression of any other cell cycle regulatory proteins, expression of p27Kip1 protein is very unusual. The mRNA of p27Kip1 has a very long and unusual 5’-untranslated region (from −575 to −1 in human). It appears that the 5’-untranslated region of p27Kip1 mRNA forms two alternative secondary structures. One increases the expression of p27Kip1 protein when anti-cancer agents are added and another decrease the expression of p27K1p1 when pro-cancer agents are added. For this short concept proposal, Dr. Albert Einstein’s “visualized thought experiments (German: Gedanken experiment)” were used as a fundamental tool for understanding how either antior pro-cancer agents bring the primary structure of the 5’-untranslated region of p27Kip1 mRNA into two alternative secondary structures, thereby either increasing or decreasing, respectively, the translation initiation of p27Kip1 protein. How to cite this paper: Eto, I. (2018) Expression of p27Kip1, A Cell Cycle Repressor Protein with Dual Roles for Both Cancer Prevention and Promotion, Is Regulated Primarily at the Level of Unusual p27Kip1 mRNA—A Short Concept Proposal. American Journal of Molecular Biology, 8, 186-193. https://doi.org/10.4236/ajmb.2018.83016 Received: June 25, 2018 Accepted: July 21, 2018 Published: July 24, 2018 Copyright © 2018 by author and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/


Primary Structure of 5'-Untranslated Region of p27Kip1 mRNA (Figure 2)
Unlike expression of any other cells cycle regulatory proteins, the expression of p27Kip1 protein is very unusual.The mRNA of p27Kip1 has a very long 5'-untranslated region (5'-UTR) (from −575 to −1 in human) [2].This very long 5'-UTR of p27Kip1 mRNA is the key to gain understanding of the basic molecular mechanisms of how either 1) anti-cancer agents decrease the risk of developing cancer or 2) pro-cancer agents increase the risk of developing cancer.
The primary structure of the 5'-UTR of human p27Kip1 mRNA is shown in

Effect of Anti-Cancer Agents on the Secondary Structure of 5'-Untranslated Region of p27Kip1 mRNA 2.1. Effect of Anti-Cancer Agents on the Expression of p27Kip1
Protein (Figure 3) The main objective of this section is to describe how anti-cancer agents increase the translation initiation of p27Kip1 protein by forming a particular secondary structure of the 5'-untranslated region of p27Kip1 mRNA.This is described in the section immediately following this section.
Here in the present section, several relevant scientific findings will be summarized regarding the effect of how anti-cancer agents increase the translation initiation of p27Kip1 protein.
1) Numerous nutritional and chemopreventive anti-cancer agents increase the expression of p27Kip1 protein in several established cell lines in vitro [1].
2) Anti-cancer agents specifically Increase the expression of p27Kip1 protein without directly affecting the expression of any other cell cycle regulatory proteins including p21Cip1/Waf1.This observation could not be made using western immunoblot analysis of various cell cycle regulatory proteins.It could only be made by using luciferase reporter plasmid constructs of proximal 5'-region of the DNA of various cell cycle regulatory proteins [1] [2].
3) Anti-cancer agents increase the expression of p27Kip1 protein primarily at the level of translation, not at the level of transcription

Effect of Anti-Cancer Agents on the Secondary Structure of 5-Untranslated Region of p27Kip1 mRNA (Figure 4)
At this point, Dr. Albert Einstein's "visualized thought experiments (German: Gedanken experiment)" will be used as a fundamental tool for understanding how anti-cancer agents modify the primary structure of the 5'-untranslated region of p27Kip1 mRNA into secondary structure, thereby increasing the translation initiation of p27Kip1 protein.
The results of the visualized thought experiments suggest that: 1) Step 1-Anti-cancer agents compromise the m7G-5'-cap of the 5'-untranslated region (5'-UTR) of p27Kip1 mRNA at −575.Every pathway leading from anti-cancer agents to 5'-untranslated region of p27Kip1 mRNA involves a metabolic step that compromises the m7G-5 2) Step 2-Step 1 makes the 40S ribosome bypass the upstream open reading frame (uORF).
3) Step 3-In the absence of uORF, 40S ribosome binds to the downstream internal ribosome entry site (IRES).

4)
Step 4-Subsequently, 40S ribosome scans the remainder of the 5'-untranslated region (5'-UTR) of p27Kip1 mRNA until it encounters the UAG codon of the main p27Kip1 ORF at the position +1, thereby up-regulating the translation initiation of p27Kip1 protein.

Effect of Pro-Cancer Agents on the Expression of p27Kip1
Protein (Figure 5) The main objective of this section is to describe how pro-cancer agents (not  Here in the present section, several relevant scientific findings will be summarized regarding the effect of how pro-cancer agents decrease the translation initiation of p27Kip1 protein. 1) Almost all scientific findings described above for the anti-cancer agents are applicable to the pro-cancer agents with the following one major technical difference 2) The technical difference between the pro-cancer agents and anti-cancer agents derives primarily from the different chemical structures and origins of these two types of agents.More specifically speaking, all of the anti-cancer agents identified so far have turned out to be foreign to our body, whereas, the pro-cancer agents identified so far have turned out to be native to our body.
Thus, the fundamental technical difficulties of identifying pro-cancer agents derive from the fact that they are native to our body.For example, glucose in the established cell lines in vitro could be identified as a pro-cancer agent only by using luciferase reporter plasmid constructs of the 5'-untranslated region (5-UTR) of p27Kip1 mRNA [1] [2].Whereas, glucose could be readily identified as a pro-cancer agent in the peripheral blood mononuclear cells (PBMC) obtained from obese, type 2 diabetic patients by performing western immunoblot analysis of the p27Kip1 protein in these cells [5].

Effect of Pro-Cancer Agents on the Secondary Structure of 5-Untranslated Region of p27Kip1 mRNA (Figure 6)
The visualized thought experiments described above will be used again as a

Figure 2 .
Figure 2. It contains three distinct elements [2]: a) The first element is the five-prime cap (5'-cap) located at -575.The 5'-cap is 7-methylguanylated.So, it is usually abbreviated as 7-methylguanylated 5'-cap (m7G-5'-cap).One of the general functions of m7G-5'-cap is to protect mRNA from degradation.b) The second element is the upstream open reading frame (uORF) located from −521 to −432 in human.The uORF is very different from the main p27Kip1 ORF beginning at +1.The sequence of the uORF resembles that of mini-mRNA embedded in the unusually long 5'-untranslated region (5'-UTR) of p27Kip1 mRNA.It contains AUG codon on the extreme 5'-side beginning at −521 and UAAAAAAA on the extreme 3'-side beginning at −432.In between these two sequences, it contains codons for 29 amino acid residues.c) The third element is the internal ribosome entry site (IRES).It is placed centered around the polypyrimidine tract (from −66 to −41 in human).This is the site where 40S ribosome attaches and begins scanning towards the 5'-AUG of the main p27Kip1 ORF when m7G-5'-cap at the −575 is compromised.

[ 1 ] [ 2 ]. 4 )
Anti-cancer agents increase the relative luciferase activity of the luciferase reporter plasmid constructs of the 5'-untranslated region of p27Kip1 DNA.The 5'-untranslated region of p27Kip1 DNA does not contain any cryptic transcription factors.This has been established primarily by adding actinomycin D, a transcriptional inhibitor, in the luciferase assay of the 5'-untranslated region of p27Kip1 DNA [2].

Figure 3 .
Figure 3.Effect of anti-cancer agents on the expression of p27Kip1 protein.

Figure 4 .
Figure 4. Effect of anti-cancer agents on the secondary structure of 5-untranslated region of p27Kip1 mRNA.

Figure 5 .
Figure 5.Effect of pro-cancer agents on the expression of p27Kip1 protein.