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(The FASEB Journal. 2000;14:1073-1082.)
© 2000 FASEB

Nucleotide excision repair gene (ERCC1) deficiency causes G2 arrest in hepatocytes and a reduction in liver binucleation: the role of p53 and p21

FATIMA NÚÑEZ*, MICHAEL D. CHIPCHASE*, ALAN R. CLARKE{dagger} and DAVID W. MELTON*1

* Institute of Cell and Molecular Biology, Edinburgh University, King’s Buildings, Edinburgh, Scotland, U.K.; and
{dagger} Department of Pathology, Edinburgh University, Teviot Place, Edinburgh, Scotland, U.K.

1Correspondence: Institute of Cell and Molecular Biology, Edinburgh University, Darwin Building, King’s Buildings, Mayfield Road, Edinburgh EH9 3JR, Scotland, U.K. E-mail: David.Melton{at}ed.ac.uk


   ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
A wide range of DNA lesions, both UV and chemically induced, are dealt with by the nucleotide excision repair (NER) pathway. Defects in NER result in human syndromes such as xeroderma pigmentosum (XP), where there is a 1000-fold increased incidence of skin cancer. The ERCC1 protein is essential for NER, but ERCC1 knockout mice are not a model for XP. In the absence of exogenous DNA-damaging agents, these mice are runted and die before weaning, with dramatically accelerated liver polyploidy and elevated levels of p53. Here we present a morphological, immunological, and molecular study to understand the mechanism for the unusual liver pathology in ERCC1-deficient mice. We show that the enlarged ERCC1-deficient hepatocytes are arrested in G2 and that DNA replication and the normal process of binucleation are both reduced. This is associated with a p53-independent increase in expression of the cyclin-dependent kinase inhibitor p21. The most dramatic feature of the ERCC1-deficient liver phenotype, the accelerated polyploidy, is not rescued by p53 deficiency, but we show that p53 is responsible for the reduced DNA replication and binucleation. We consider that the liver phenotype is a response to unrepaired endogenous DNA damage, which may reflect an additional non-NER-related function for the ERCC1 protein.—Núñez, F., Chipchase, M. D., Clarke, A. R., Melton, D. W. Nucleotide excision repair gene (ERCC1) deficiency causes G2 arrest in hepatocytes and a reduction in liver binucleation: the role of p53 and p21.


Key Words: DNA repair • cancer • knockout mice • cell cycle arrest


   INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
UNREPAIRED DNA LESIONS can give rise to mutations, genome instability and carcinogenesis, or cell death. Nucleotide excision repair (NER) deals with a wide range of lesions, from UV-induced thymine dimers and (6–4) photoproducts to lesions caused by a variety of chemical agents (1 , 2) . NER is a multi-step process that involves damage recognition, dual incision of the damaged strand, followed by the removal of the lesion as part of an oligonucleotide, gap filling, and strand ligation (1 , 2) . Defects in the proteins involved in this mechanism are associated with three human disorders: xeroderma pigmentosum (XP), which is characterized by a high incidence of skin cancer in sun-exposed areas of the body; Cockayne’s syndrome (CS); and trichothiodystrophy (TTD). ERCC1 (excision repair cross-complementing gene 1) was the first mammalian NER gene to be cloned by virtue of its ability to complement a UV-sensitive Chinese hamster ovary cell line (3) . ERCC1 failed to correct the repair defect in any of the human NER-deficient cell lines tested (4 , 5) . Nevertheless, the ERCC1 gene product is known to play a critical role in NER, where it acts in a complex with XPF to make an incision 5' to the damage site (6) . This led to speculation that mutations in ERCC1 may be developmentally lethal. Alternatively, ERCC1 deficiency may be associated with a different human phenotype not represented among the known NER deficiency diseases. Some NER proteins, such as XPB and XPD, have additional non-NER-related functions, and defects in these have been linked to the neurological and other not obviously NER-related problems, such as retarded physical or sexual development and brittle hair, seen in some XP, CS, and TTD patients (reviewed in ref 7 ). There is evidence that ERCC1 may also have other key functions. Based on homology studies (8 , 9) , the ERCC1/XPF complex has been proposed to play a role in mitotic recombination as well as in NER. In addition, many ERCC1 and ERCC4(XPF) mutants are extremely sensitive to agents, such as mitomycin C, which cause interstrand cross-links and are repaired by a process involving homologous recombination (7) . ERCC1 has also been implicated in the processing of heteroduplex recombination intermediates in mammalian cells (10) . However, recent experiments suggest that in mouse cells ERCC1 is not essential for the recombination-mediated repair of interstrand cross-links, but instead may have a role in S-phase-dependent chromosome exchange (11) .

p53 has been studied extensively in relation to DNA repair and its role in cell cycle regulation. On the detection of DNA damage, p53 levels are elevated through an increase in the protein half-life. p53 induces the transcription of downstream genes, such as the cyclin-dependent kinase inhibitor p21 (12) , resulting in cell cycle arrest at both G1/S and G2/M checkpoints; in some cell types it can also lead to apoptotic cell death (13 , 14) . p53 and p21 have also been implicated in cellular aging: p53 levels accumulate as diploid fibroblasts age, with a corresponding increase in p21 levels, which in turn correlate with a slowing of cellular growth (15 , 16) . Fibroblasts from p21 null mice cannot arrest in G1 after DNA damage (17 , 18) , and human p21-deficient cells show similar characteristics (16 , 19 , 20) . From studies of these human p21-deficient cells, another role for p21 has emerged in p53-mediated G2 arrest and coupling of DNA synthesis and mitosis (19 , 20) .

Contrary to some expectations, the absence of ERCC1 did not result in an embryonic lethal phenotype (21 , 22) . However, unlike XPA and XPC knockout mice (23 24 25) , animals deficient in ERCC1 do not present the typical phenotype associated with XP. Our ERCC1 knockout mice are severely runted at birth and die before weaning, probably due to hepatic failure, with elevated levels of p53 in their liver, brain, and kidney (21) . The most striking pathology was seen in the liver, where there was a dramatic increase in hepatocyte nuclear size. FACS analysis showed that this was due to nuclei with greater than the normal diploid (2n) content, with both polyploid (4n, 8n) and aneuploid nuclei being present (21) . Increased liver ploidy is normally only seen in older mice (see below) and increased p53 levels have been found in senescing fibroblasts (15) , so the phenotype in our ERCC1-deficient mice is reminiscent of premature aging. We wanted to understand how such a phenotype can arise in the absence of exogenous DNA-damaging agents. A clue to the involvement of cell cycle arrest in the ERCC1-deficient phenotype came from a report that similar liver abnormalities occurred in mice overexpressing p21 in their liver (26) . We also investigated the role of p53 in the phenotype. If elevated p53 levels are responsible for the increased DNA content, then the ERCC1-deficient liver phenotype might be rescued in mice deficient in both ERCC1 and p53. We carried out studies on 3-wk-old mice of the following genotypes: wild-type (wt), ERCC1-deficient, p53-deficient, and double null. The age of the mice for this study was determined by the severe phenotype of the ERCC1-deficient animals, which do not survive longer than 3 wk (21) . Incorporation of 5-bromo-2'-deoxyuridine (BrdU) (as a marker for DNA synthesis) and morphological studies (nuclear area measurement and binucleate cell count) of liver sections were used to investigate the cell cycle status of the hepatocytes. The nuclear area of the hepatocytes is directly related to DNA content (27 , 28) , with the area increasing with increasing ploidy as the animals age.


   MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
Mice
The origin of the ERCC1 (21) and p53 knockout (13) mice has been described. Both strains were maintained as heterozygotes and were crossed to produce double heterozygous mice. These were intercrossed to obtain the mice used in this study, which were genotyped for ERCC1 (21) and p53 (13) as described. All the animals were maintained on an outbred background segregating for several different genomes. To determine the DNA replication index, mice were injected intraperitoneally with a 10 mM BrdU solution (0.1 ml/10g body weight) and livers were removed 24 h later.

Northern analysis
Liver RNA samples (30 µg), prepared using the RNAzol method (Biogenesis Ltd., Bournemouth, U.K.), were subjected to Northern analysis as described (29) . A 490 bp fragment of mouse p21 cDNA, produced by PCR amplification of total mouse embryonic cDNA with the following p21 primers, was used as a probe:

p21F (5') ACCATGTCCAATCCTGGTGATGTCCG;

p21R (5') GGGCACTTCAGGGTTTTCTCTTGCAG.

Primers were derived from the complete mouse p21 cDNA sequence (GenBank Acc. No. U09507). The filter was then stripped and reprobed for glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA as a loading control using a 1.2 kb cloned fragment of GAPDH cDNA (30) . Signals were visualized using a Molecular Dynamics (Sunnyvale, Calif.) PhosphorImager and analyzed with ImageQuant software.

Immunohistochemistry
Livers were removed and immersion fixed for 24 h in methacarn, followed by storage in 70% ethanol. For the morphometry studies, 3 µm sections were stained with hematoxylin/eosin (H&E). For immunohistochemistry, 3 µm sections were mounted on slides that had been coated with poly-L-lysine. For the BrdU antibody, cells were rendered permeable by incubating slides in 1N HCl at 60°C for 1 h. The slides were then washed in running water and rinsed in phosphate-buffered saline (PBS) for 5 min. The sections were subsequently blocked for endogenous peroxidase activity in 3% hydrogen peroxide for 10 min at room temperature and incubated in a 1:5 dilution of normal goat serum (Scottish Antibody Production Unit) for 10 min. After this, the samples were incubated in the primary antibody to BrdU (MAS250, Harlan SeraLab), diluted (1:50) in normal serum for 30 min at room temperature, washed, and incubated for 30 min in biotinylated secondary antibody diluted (1:50) in normal serum. After washing the secondary antibody off, the slides were incubated in horseradish peroxidase-conjugated AB Complex (streptavidin/biotin, DAKO Ltd., Bucks, U.K.) for 30 min at room temperature. AB Complex was washed off and the positive nuclei were visualized in 3,3'-diaminobenzidine tetrahydrochloride solution. Finally, the slides were counterstained lightly in hematoxylin (Sigma Diagnostics, St. Louis, Mo.), rinsed in Scott’s tap water (1% (w/v) K2CO3, 10% (w/v) MgSO4), dehydrated, and mounted. Controls were carried out using preimmune serum in place of primary antibody.

Measurement of hepatocyte nuclear areas
The AxioHOME Morphometric System (Zeiss) was used to perform the study of BrdU incorporation and nuclear area size distribution (31) . Typically, a 100x objective lens was used for the measurements; 10 fields, each containing 50–70 nuclei, were measured for the BrdU-stained sections. For the area measurements and binucleate hepatocyte counts, all the nuclei in a field were measured and five fields were assayed per animal.

Centromeric staining of hepatocytes
Fresh livers were gently pressed onto a glass coverslip. This method allows single hepatocytes to detach in a nondisruptive manner so that their nuclei remain intact. Liver cells were air-dried for 5 min and fixed in 4% paraformaldehyde/PBS. After washing in PBS, the cells were permeabilized in KB buffer (10 mM Tris-HCl pH 7.7, 0.15 M NaCl, 0.1% bovine serum albumin)/0.1% Triton, washed twice in PBS without Triton, and incubated for 30 min at room temperature in the primary antibody, NR antibody (32 ; kindly donated by William Earnshaw, Institute of Cell and Molecular Biology, Edinburgh University) and diluted (1:1000) in PBS/0.1% Triton/0.1% sodium azide. The coverslips were then washed twice in PBS/1% Triton/0.1% sodium azide and subsequently incubated in a dilution (1:1000) of the biotinylated secondary antibody (anti-human IgG) for 30 min at room temperature. Then they were washed again and incubated for another 30 min in the tertiary antibody solution (streptavidin/Texas red complex, 1:1000 dilution in PBS/0.1% Triton/0.1% sodium azide) at room temperature. Finally, the cells were washed and stained with 4,6-diamidino-2-phenylindole (DAPI; 0.5 µg/ml in PBS) for 5 min, mounted on slides with Vectashield mounting medium, and sealed with nail varnish. Red dots within the nucleus of the hepatocytes, corresponding to the centromeres, were scored on a fluorescence microscope (Axioplan 2, Zeiss) using a 100xNA 1.4 oil immersion objective lens. The images presented here were acquired using a Sedat/Agard deconvolution microscope (Applied Precision Inc., Issaquah, Wash.) with an Olympus IX70 inverted microscope, a 100x/NA 1.4 oil immersion objective lens, and a PXL CCD camera (Photometrics, Munich, Germany). This process was performed using DeltaVision software running on a Silicon Graphics computer. All pictures were processed using the Adobe PhotoShop or Powerpoint packages.


   RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
The absence of p53 does not rescue the ERCC1-deficient phenotype
Animals that were both ERCC1 and p53 deficient did not survive longer than their ERCC1-deficient counterparts. This was the first indication that the absence of p53 did not rescue the overall phenotype associated with ERCC1 deficiency. In total, seven double null mice were identified, all of which were runted and were either killed or died prior to weaning. Mice were routinely genotyped at 3 wk, when the number of double nulls was far below the expected mendelian ratio of 1:16 from doubly heterozygous matings. A similar deficiency was not observed at day 19 of gestation, indicating very high perinatal mortality of the double null mice. We have previously reported a similar high perinatal mortality for ERCC1-deficient animals (21) . This imposed a technical limitation on the number of double null samples analyzed at 3 wk of age.

To see whether the ERCC1-deficient liver phenotype was affected by p53 deficiency, studies of nuclear morphology and binucleate frequency were carried out on H&E-stained liver sections. In normal mouse liver development, the number of binucleate and polyploid cells increases with age, concomitant with a decrease of mononucleate, diploid cells. The appearance of both the wild-type (Fig. 1A ) and the p53-deficient (Fig. 1C ) livers was normal, but this nuclear uniformity was lost in ERCC1-deficient (Fig. 1B ) and double null (Fig. 1D ) livers, with both showing enlarged nuclei in addition to the smaller size characteristic of wild-type. Thus, the lack of p53 also failed to rescue the ERCC1-deficient liver phenotype. Despite overall similarities in the appearance of the ERCC1 null and the double null livers, initial observations suggested that the number of binucleate cells was elevated in the double null compared to the ERCC1-deficient livers (see Fig. 1B, D ). To confirm these observations, the size of the hepatocyte nuclei and the number of binucleate cells were determined. Only cells that were unequivocally parenchymal in origin were counted, taking care to avoid the areas surrounding the portal veins, where there is an increased number of nonparenchymal cells. The distribution of the nuclear areas is shown in Fig. 2 . The wild-type profile (top panel) shows a distribution of areas with a mode of 20–30 µm2 and a maximum area of 70 µm2. The number of nuclei that fall within the last two nuclear categories (from 50–70 µm2 was so low (1% of the total) that >50 µm2 was the cut-off area chosen to define abnormal, enlarged nuclei. We have previously demonstrated that this category comprises both polyploid and aneuploid nuclei (21) . The p53-deficient livers showed the same size distribution as the wild-type (see Figs. 1 and 2 ), suggesting that p53 absence does not affect liver nuclear morphology, and this was confirmed by the observations made in the double null livers. In both the ERCC1-deficient livers and the double null livers the size distribution profiles were flatter and broader, indicating a clear shift to larger nuclear areas. We have previously reported this distribution for ERCC1-deficient mice (21) and it has also been observed by Weeda et al. (22) . The mode in these two categories has increased from the wild-type value of 20–30 to 30–40 µm2, and the biggest nuclei were up to 200 µm2. Also, the percentage of nuclei >50 µm2 has increased for both the ERCC1 null and the double null genotypes from the wild-type value of 1% to 34%. This percentage remained low (5%) for the p53 null livers. Using the Kolmogorov-Smirnov test, there was no significant difference in the distribution of nuclear areas in ERCC1-deficient and the double null livers, but both were significantly different (P=0.01) from wild-type.



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Figure 1. Liver morphology and typical BrdU staining patterns from 3-wk-old wild-type, ERCC1-deficient, p53-deficient, and double null mice. Photographs of liver sections were taken from BrdU-stained/hematoxylin- counterstained sections using a 40x objective lens. A) Wild-type, showing the typical uniform distribution of small nuclei seen in young animals. Eight-point star is situated immediately above a normal size binucleate cell. Arrow points toward a normal size BrdU-stained nucleus. B) ERCC1-deficient. Arrow points toward a normal size BrdU-stained nucleus. Star is situated next to an enlarged BrdU-stained nucleus. C) p53-deficient. Eight-point star is situated immediately above a normal size binucleate cell. Arrow points toward a normal-sized, BrdU-stained nucleus. D) Double null. Arrow points toward a normal size BrdU-stained nucleus. Star is situated next to a BrdU-stained enlarged nucleus and the eight-point star is situated next to a BrdU-stained binucleate cell with enlarged nuclei.



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Figure 2. Hepatocyte nuclear area distribution in 3-wk-old wild-type, ERCC1-deficient, p53-deficient, and double null mice. The areas (µm2) were calculated as described in Materials and Methods. The total number of nuclei counted per genotype is represented by n.

Binucleation is inhibited in ERCC1-deficient hepatocytes
The older the mouse, the higher the percentage of polyploid (4n, 8n) binucleate cells and the lower the number of diploid mononucleate cells. Binucleation arises from consecutive rounds of replication in the absence of cell division and is an essential step in the normal development of liver polyploidization (27) . Therefore, a change in the pattern of binucleation in our mice would reflect changes in the regulation of liver development. Binucleate cells were counted and divided into two categories: normal (nuclear area <50 µm2) and enlarged (area>50 µm2). The percentage of binucleate hepatocytes in wild-type (8%) and p53-deficient livers (10%) was not significantly different (by the Mann-Whitney U test). In these two genotypes, there was no evidence of binucleate cells with enlarged nuclei (see Fig. 3 and Fig. 1 ). In ERCC1-deficient livers, the percentage of binucleate cells (3%) was significantly lower than in all other genotypes (P=0.05 compared to wild-type), with 44% of the binucleates having enlarged nuclei. In the double nulls the total number of binucleate cells (7%) was significantly increased compared to ERCC1-deficient livers (P=0.05), being similar to that of the wild-type and p53-deficient tissues, with a high percentage (61%) of those binucleate cells having enlarged nuclei. Thus, binucleation seems to be impaired in the absence of ERCC1 and this block is rescued by the absence of p53.



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Figure 3. Percentage of binucleate hepatocytes in 3-wk-old wild-type, ERCC1-deficient, p53-deficient, and double null mice. Enlarged nuclei (when present) are represented by the second (gray) bar. DN, double null; WT, wild-type. Standard errors are shown. n, the number of animals sampled per genotype.

The absence of p53 rescues the replication block in ERCC1-deficient liver
Sections of liver were stained with an anti-BrdU antibody to establish the replication index for each genotype (see Fig. 4 ). The DNA replication index is the percentage of cells labeled with BrdU during the 24 h before collection of liver samples. Because ERCC1-deficient and double null animals are always runted, it was decided to use rare, runted wild-type and p53 nulls as controls for this experiment. We have previously reported that the liver nuclear abnormalities in ERCC1-deficient mice are not observed in runted control animals (21) . BrdU incorporation was also determined for normal (nonrunted) wild-type animals. Overall, the replication index for the runted wild-type, p53-deficient, and ERCC1-deficient livers was very low (<2%, see Figs. 1 , 4 ), although these values were not significantly different (by the Mann-Whitney U test) from the higher value (4%) in the normal-sized wild-type animals. Lower values were expected since these groups all suffered from a growth impairment. Although replication levels in ERCC1-deficient livers were less than in nonrunted wild-type animals when compared to runted wild-type animals, there was no detrimental effect in terms of replication. In runted p53-deficient livers, the levels of replication were not rescued to normal wild-type (nonrunted) levels. However, in the double null livers the level of replication has significantly increased compared to all other runted genotypic classes (P=0.1 compared to ERCC1-deficient), reaching normal levels and demonstrating a bypass of the replication arrest typical of runted animals.



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Figure 4. Percentage of BrdU-stained hepatocytes in 3-wk-old wild-type, ERCC1-deficient, p53-deficient, and double null mice. DN, double null; WT, wild-type. Standard errors are shown. n, the number of animals sampled per genotype.

Once the difference in the liver DNA replication indices was established, we determined which subpopulation of hepatocytes (i.e., normal, or enlarged nuclei) was responsible for the increased BrdU incorporation in double null livers. The size distribution of BrdU-positive nuclei is shown in Fig. 5 . When the size distribution of BrdU-stained nuclei is compared to the general nuclear size distribution, it is clear that although the distributions of BrdU-stained nuclei in the wild-type, p53 null, and ERCC1 null livers correspond with the general area distribution for the same genotypic classes, this is not the case for the double null livers. In this latter case, the distribution of sizes of BrdU-positive nuclei is significantly shifted (P=0.01 by Kolmogorov-Smirnov test) toward the enlarged nuclei (see also Fig. 1D ). The replicative potential of the double null livers is concentrated in the subpopulation of hepatocytes with enlarged nuclei. Taken together with the earlier demonstration that the percentage of BrdU-stained nuclei in these livers is higher than in any of the other runted animals and has reached levels equivalent to normal wild-type livers, it is reasonable to think that those nuclei that have ‘gained’ a replicative status are the enlarged nuclei. This ‘gain of replicative function’ effect is not seen in p53-deficient liver.



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Figure 5. Nuclear area size distribution of BrdU-stained hepatocyte nuclei from 3-wk-old wild-type, ERCC1-deficient, p53-deficient, and double null mice. The BrdU-stained nuclear area size distribution is shown as black bars. For comparative purposes, the general nuclear area size distribution (from Fig. 2 ) is also shown (gray bars).

Enlarged ERCC1-deficient hepatocytes are arrested in G2
ERCC1-deficient liver has a reduced growth rate and DNA replication index compared to normal control animals. Because of the increased hepatocyte DNA content and the presence of many nonhepatocyte cell types in young mouse livers, conventional FACS analysis of liver nuclear DNA content could not be used to obtain a simple indication of the stage of the cell cycle at which individual hepatocytes were; therefore, centromeric staining of hepatocytes was used to aid the determination (see Fig. 6 ). The autoimmune serum used stains mammalian centromeres (32) . Each centromere appears as a single structure until centromere duplication occurs in G2 and the structures become double (33) . Thus, the presence of double centromere structures identifies cells in G2. Fifty nuclei were scored from each 3-wk-old liver: six wild-type, five ERCC1-deficient, one p53-deficient, and one double null. The mean values (%) for hepatocytes in G2 were wild-type 33 ± 2; p53-deficient 32; ERCC1-deficient, normal nuclei 36 ± 4; enlarged nuclei 62 ± 3; double null, normal nuclei 20; enlarged nuclei 50. A typical wild-type hepatocyte is shown in Fig. 6A . Each red spot represents a centromere; chromosomes appear blue. Since the majority of the centromeres appear as single structures (single red dots), it is concluded that this nucleus is not in G2, but is instead in G1 (or G0), or S-phase. A typical enlarged ERCC1-deficient hepatocyte in G2 is shown in Fig. 6B , identified by a prominence of double centromeric structures. The values for wild-type and normal ERCC1-deficient nuclei in G2 are not significantly different (by Student’s t test), but G2 levels are significantly higher in enlarged ERCC1-deficient nuclei (P=0.01). We conclude there is a G2 arrest in ERCC1-deficient and double null hepatocytes that is restricted to the enlarged hepatocyte population.



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Figure 6. Centromeric staining in 3-wk-old wild-type and ERCC1-deficient hepatocytes. Binding of the NR antibody to centromeres was visualized with a Texas red-conjugated secondary antibody. Each centromeric structure is represented by a red spot. The DNA is stained with DAPI and presents a blue color. A) Wild-type, the majority of the centromeric structures, appear as single spots (arrow indicates a typical single spot). B) Enlarged ERCC1-deficient. Here the majority of the red dots appear as double spots (arrows indicate two typical double spots), so this nucleus is in G2.

p21 is a possible mediator of the G2 arrest and increased DNA content in ERCC1-deficient liver
A role for p21 in G2 arrest and/or increased liver ploidy was supported by the finding that mice overexpressing p21 in their liver present a similar liver phenotype to our ERCC1-deficient mice (26) . To see whether elevated levels of p21 were present in ERCC1 null mice, liver RNA was assayed for p21 mRNA levels. Figure 7 corresponds to a sample Northern autoradiograph probed first with p21 and then reprobed with GAPDH as a loading control. A summary of the standardized p21 mRNA levels is shown in Fig. 8 . The level of p21 mRNA in ERCC1-deficient and double null livers was 2- and 4.5-fold higher than that of the wild-type livers, respectively. Both values are significantly higher than wild-type (by the Mann-Whitney U test, P=0.1 for ERCC1-deficient, P=0.05 for double null), but not significantly different from each other. Since we have not measured p21 levels in individual hepatocytes and ERCC1-deficient liver contains both normal (diploid) and enlarged cells (arrested in G2 with increased DNA content), we are unable to determine whether the elevated p21 levels are associated with the G2 arrest, increased DNA content, or both. In p53-deficient livers (in the presence of proficient NER) the levels of p21 were equivalent to wild-type. Thus, in mouse liver, the expression of p21, both in the presence and absence of NER, is p53-independent.



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Figure 7. Northern analysis of p21 mRNA levels in liver from 3-wk-old wild-type, ERCC1-deficient, p53-deficient, and double null mice. The signal corresponding to p21 mRNA is shown. To obtain a loading control, the filter was reprobed with GAPDH and the ratio of p21/GAPDH signals for each sample was calculated using a PhosphorImage analysis system and expressed relative to the ratio for wild-type. DN, double null; WT, wild-type.



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Figure 8. Summary of p21 mRNA levels in liver from 3-wk-old wild-type, ERCC1-deficient, p53-deficient, and double null mice. The mean p21/GAPDH ratio and standard errors are shown, expressed relative to a mean value of 1 for wild-type. DN, double null; WT, wild-type. n, the number of animals sampled per genotype.


   DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
 
The tumor suppressor p53 has a prominent role in cell cycle regulation and apoptosis in response to DNA damage (34 , 35) . Tight regulation of DNA repair and cell cycle progression is necessary for the cell to cope with genotoxic stress (36 37 38) , and p21 has been shown to play an important role in this process via both p53-dependent and independent pathways (39 , 40) . The liver phenotype in the ERCC1-deficient mouse reflects a profound misregulation of the cell cycle. p53 levels had already been found to be elevated in ERCC1-deficient livers (21) , making this a good model for the in vivo study of the relationship between p53, DNA repair and cell cycle control. We have previously reported that 3-wk-old ERCC1-deficient mice have a distribution of hepatocyte nuclear areas that is reminiscent of an aged wild-type (21) , suggesting that the phenotype presented by the young ERCC1-deficient mice may also be related to premature aging. We have now investigated this further by carrying out an analysis of aspects of the hepatocyte’s life cycle, such as nuclear size and binucleation rates, which change during liver development and differentiate young from old livers, in addition to studying the cell cycle regulation.

Binucleation
The normal binucleation process was impaired in ERCC1-deficient animals, but wild-type levels of binucleation were observed in p53 and ERCC1 double null livers, indicating a role for p53 in preventing binucleation in the absence of ERCC1. However, in repair-proficient normal circumstances, p53 absence did not affect binucleation. This p53-dependent suppression of binucleation in ERCC1-deficient cells can be understood in the context of the protective role of p53. If cells that cannot repair their damaged DNA proceed through either replication or binucleation (which involves a round of replication followed by an acytokinetic cell division), this could lead to the fixation of mutations and the creation of chromosomal aberrations.

DNA replication index
The protective effect of p53 in suppressing DNA replication in ERCC1-deficient liver can be seen from the BrdU labeling data. Except for the double null mice, all runted animals have lower replication indices than nonrunted wild-type animals, consistent with their intrinsic growth retardation. The values obtained for normal wild-type animals agree with results obtained by other groups (41 , 42) . These low runt-related levels in the ERCC1-deficient animals are rescued back to normal, higher levels in the absence of p53.

p21 in liver
p21 has a well-established role in cell cycle control and the regulation of cell growth; overexpression of p21 in liver has also been linked to an ERCC1 null-like phenotype (26) . Elevated levels of p21 have been reported in primary fibroblasts derived from ERCC1-deficient mice (22) , although no data were provided to support this affirmation. Our data demonstrate that increased liver p21 mRNA levels are associated with either the G2 arrest or the premature increase in nuclear DNA content seen in ERCC1-deficient mice; furthermore, the p21 response is p53 independent. Another line of evidence comes from studies performed in vitro using a human colorectal carcinoma cell line (DLD1), where a p53-independent role for p21 in cell growth and DNA repair has been proposed (43) . p21 has been shown to play a role in the control of the initiation of mitosis (G2/M transition) through its inhibitory effect on cdk2 and cdk1-cyclin B (44) . p21 has also been shown to bind and inhibit cdk1-cyclin A complexes, which play an important regulatory role in early mitosis (45) . The ERCC1 null mouse may be a useful tool to understand the effect of p21-mediated growth arrest and its relationship with the DNA repair machinery in vivo.

Liver ploidy
The most striking feature of ERCC1-deficient liver is the increased hepatocyte DNA content at such an early age. Our previous studies have shown that the population of cells with enlarged nuclei comprises both polyploid and aneuploid cells (21) . In normal mammals, polyploidization of hepatocytes is strongly correlated with age and the extent of genotoxic damage, but aneuploidy is not usually observed (28) . Because hepatocytes absorb toxic products as part of their function, liver cells may accumulate genetic damage more rapidly than cells from other tissues. The absence of a special pool of nondifferentiated stem cells may make polyploidization a safer way to compensate for cellular losses than mitosis, which may result in a high incidence of chromosomal abnormality (28) . Apart from its role in protecting against the deleterious cellular effects of endogenous DNA damage, polyploidization allows the liver to preserve its normal size and functional capability without the risk of accumulating through mitosis a large proportion of aberrant, aneuploid cells, which may increase the level of cellular transformation. Several hypotheses seek to explain the possible mechanism by which polyploidization exerts its protective role: by reiteration of vital genes, by making the cell more resistant to toxins and carcinogens, and by providing a morphogenetic strategy against aging in specialized diploid systems. However, the polyploidization of hepatocytes in later periods of life, particularly the progressive polyploidization observed in mouse liver during senescence, by formation of nuclei up to 32n in DNA content is apparently an integral part of the aging process; more than representing a real protection against aging, it could well be a tissue-specific adaptation to age-related cellular loss (28) .

Endoreduplication
Polyploidization comes about by continuous rounds of DNA replication in the absence of mitosis (a process known as endoreduplication). p21 has also been implicated in the regulation of the checkpoints that prevent endoreduplication (20 , 46) . We have observed endoreduplication in the presence of elevated levels of p21, as opposed to its absence, so we propose that misregulation of p21 expression (either its absence or its overexpression) results in the uncoupling of the normal link between S-phase and mitosis, leading to cells in G2 undergoing repeated rounds of replication in the absence of mitosis. Alternatively, elevated levels of p21, in response to nonrepaired, accumulating damage, may lead the hepatocytes down a terminal (and also protective) differentiation pathway. p21 has been reported to play an important part in the differentiation process of several cell types (47 , 48) . Since polyploidization is the natural state of ‘aged’ hepatocytes, the ERCC1 null phenotype could indeed be equivalent to a premature aging syndrome.

Greater levels of DNA replication were observed in enlarged G2-arrested hepatocytes from animals deficient in both ERCC1 and p53. This observation would also predict higher DNA content (increased nuclear size) in double nulls compared to ERCC1-deficient, which was not observed. Perhaps the replication is only partial and not sufficient to result in higher levels of endoreduplication and a detectable increase in nuclear volume. However, it again illustrates the protective role of p53 in preventing DNA replication in ERCC1-deficient liver.

Model for the ERCC1-deficient liver phenotype
It is important to remember that the ERCC1-deficient liver phenotype arises spontaneously in the absence of exogenous DNA-damaging agents. The liver is required for a large number of metabolical processes such as lipid peroxidation, intermediate metabolism of carbohydrates and proteins, synthesis of proteins and detoxification and removal of foreign material such as bacteria, drugs and other noxious substances. All this results in the liver cells being exposed to and producing large quantities of genotoxic agents, such as oxygen-free radicals and toxic metabolic byproducts. Many of these will result in bulky DNA adducts that are normally repaired by NER. However, given that the same liver phenotype is not observed in XPA (23 , 25) , XPC (24) , or the recently reported XPG knockout mice (49) , it has been suggested that other forms of damage, which are dealt with by the recombinational repair pathway, may be more significant (22) . Probable involvement in this recombinational pathway distinguishes ERCC1 from most other NER proteins. The contribution that different forms of endogenous damage make to the ERCC1-deficient phenotype will be resolved when the DNA lesions are identified directly in ERCC1-deficient liver. The accumulation of unrepaired damage does not result in the normal cell cycle arrest at G1/S. Instead, cells replicate and a population of cells arrested in G2 with increased DNA content accumulates. This is associated with a p53-independent accumulation of p21. The premature polyploidization may be a protective response to the accumulation of damaged DNA. The development of polyploidy in young ERCC1-deficient mice is different from the normal situation in aging wild-type animals, where aneuploidy is not usually observed. ERCC1-deficient hepatocytes with increased, but aneuploid, DNA content may represent incomplete rounds of endoreduplication where replication has been physically prevented by unrepaired DNA lesions. p53 accumulates in ERCC1-deficient liver, but the main features of the phenotype are independent of p53. However, p53 does act to prevent binucleation and reduce the amount of DNA replication.


   ACKNOWLEDGMENTS
 
Mouse genotyping was done by Carolanne McEwan. We would like to thank Prof. William Earnshaw (Institute of Cell and Molecular Biology, Edinburgh University) for his help with the deconvolution microscopy. We also want to thank Steve Mackell (Department of Pathology, Edinburgh University) for his help with the BrdU staining. F.N. was supported by a Ph.D. studentship from the Darwin Trust of Edinburgh. M.D.C. was supported by a Ph.D. studentship from the Medical Research Council. A.R.C. is a Royal Society University Research Fellow. This work was supported by a project grant (SP2095/0201) and a program grant (SP2095/0301) from The Cancer Research Campaign to D.W.M.


   FOOTNOTES
 
Received for publication August 4, 1999. Revised for publication January 3, 2000.


   REFERENCES
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
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