Abstract
Mycophenolic acid (MPA) is the active metabolite of mycophenolate mofetil, an effective immunosuppressive drug. Both MPA and mycophenolate mofetil are highly specific inhibitors of guanine nucleotide synthesis and of T-cell activation. However, the mechanism by which guanine nucleotide depletion suppresses T-cell activation is unknown. Depletion of GTP inhibits ribosomal RNA synthesis in T cells by inhibiting transcription initiation factor I (TIF-IA), a GTP-binding protein that recruits RNA polymerase I to the ribosomal DNA promoter. TIF-IA-GTP binds the ErbB3-binding protein 1, and together they enhance the transcription of proliferating cell nuclear antigen (PCNA). GTP binding by TIF-IA and ErbB3-binding protein 1 phosphorylation by protein kinase C δ are both required for optimal PCNA expression. The protein kinase C inhibitor sotrastaurin markedly potentiates the inhibition of ribosomal RNA synthesis, PCNA expression, and T-cell activation induced by MPA, suggesting that the combination of the two agents are more highly effective than either alone in inducing immunosuppression.
© 2015 by The American Society of Hematology.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Adaptor Proteins, Signal Transducing / genetics
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Adaptor Proteins, Signal Transducing / metabolism*
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Blotting, Western
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Cell Proliferation / drug effects
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Cells, Cultured
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DNA, Ribosomal / genetics
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Gene Expression / drug effects
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Guanosine Triphosphate / metabolism*
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HEK293 Cells
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Humans
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Jurkat Cells
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Keratin-20 / genetics
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Keratin-20 / metabolism
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Lymphocyte Activation / drug effects
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Mutation
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Mycophenolic Acid / pharmacology
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Phosphorylation / drug effects
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Pol1 Transcription Initiation Complex Proteins / genetics
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Pol1 Transcription Initiation Complex Proteins / metabolism
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Proliferating Cell Nuclear Antigen / genetics
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Proliferating Cell Nuclear Antigen / metabolism
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Promoter Regions, Genetic / genetics
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Protein Binding / drug effects
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Protein Kinase C-delta / antagonists & inhibitors
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Protein Kinase C-delta / metabolism
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Pyrroles / pharmacology
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Quinazolines / pharmacology
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RNA Interference
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RNA Polymerase I / metabolism
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RNA, Ribosomal / biosynthesis*
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RNA, Ribosomal / genetics
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RNA-Binding Proteins / genetics
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RNA-Binding Proteins / metabolism*
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T-Lymphocytes / drug effects
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T-Lymphocytes / metabolism*
Substances
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Adaptor Proteins, Signal Transducing
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DNA, Ribosomal
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KRT20 protein, human
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Keratin-20
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PA2G4 protein, human
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Pol1 Transcription Initiation Complex Proteins
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Proliferating Cell Nuclear Antigen
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Pyrroles
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Quinazolines
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RNA, Ribosomal
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RNA-Binding Proteins
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RRN3 protein, human
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sotrastaurin
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Guanosine Triphosphate
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Protein Kinase C-delta
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RNA Polymerase I
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Mycophenolic Acid