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182    Part II  Cellular Basis of Hematology


        dwarfism, is linked to mutation or depletion of ORC1, which impairs   cyclin B, leading to nuclear localization of cyclin B and CDC25C.
        cell cycle progression.                               Cyclin  B–CDK1  can  phosphorylate  serine/threonine  residues  in
           During the transition from G 1  to S phase, the MCM complex is   many cellular proteins that are essential for mitosis. Phosphorylation
        phosphorylated  by  CDC7  and  cyclin  E–CDK2,  leading  to  the   of lamins by cyclin B–CDK1 promotes nuclear lamina disassembly
        recruitment  of  CDC45  and  the  four-protein  DNA  replication   and envelope breakdown, which occurs during prophase. Phosphory-
        complex GINS. Together, CDC45, MCM, and GINS represent the   lation  of  some  kinesin  motor  proteins  that  function  in  spindle
        CMG complex, and dissociation of the two MCM hexamers enables   assembly, such as KIF11 and CENPE, by cyclin B–CDK1 increases
        the formation of two preinitiation complexes at a replication origin.   their  efficiency  of  microtubule  binding  and  increases  processive
        Cyclin  E–CDK2  phosphorylates  Treslin  (TICRR)  and  RECQL4   motility along microtubules. Other kinesins that function in midzone
        that,  with TOPBP1  and  MCM10,  facilitate  the  formation  of  the   formation,  such  as  KIF23,  are  blocked  in  their  activity  by  cyclin
        preinitiation complex. After replication origins are licensed, ORC1   B–CDK1–mediated phosphorylation.
        phosphorylation by cyclin A–CDK1 inhibits rebinding of ORC1 to   After  chromosome  condensation,  centrosome  separation,  and
        replication origins, and CDT1 is blocked by Geminin (GMNN) and   nuclear envelope breakdown during prophase, chromosomes become
        sent to proteasomal degradation by SCF SKP2  to prevent relicensing   attached to microtubules of the mitotic spindle apparatus in prometa-
        during S phase.                                       phase. Kinetochores were originally called centromeres because they
           In  S  phase,  initiation  of  DNA  replication  by  CDK2  promotes   are located at the center of chromosomes. They are formed by cen-
        helicase activation, which leads to unwinding of DNA and recruit-  tromere proteins during G 2 phase and prophase and link chromosomes
        ment of DNA polymerases alpha (POLA), delta (POLD), and epsilon   to the mitotic spindle apparatus, so that sister chromatids become
        (POLE), together with PCNA (proliferating cell nuclear antigen) and   attached to opposite poles. In metaphase, the chromosomes align at
        RFC (replication factor C). The MCM complex translocates from   the equatorial plate, and cyclin B–CDK1 levels start to decline by
        replication origins to unwind double-stranded DNA, whereas POLA   APC/C CDC20 -mediated  degradation  of  cyclin  B.  The  APC/C CDC20
        binds to single-stranded DNA and initiates DNA synthesis on both   further  targets  securin  (PTTG1)  and  thereby  activates  separase
        the leading and lagging strands by providing an RNA primer and   (ESPL1), which cleaves the cohesin complexes linking sister chroma-
        synthesizing the first bases of DNA. POLE and POLD elongate these   tids.  Once  CDK1  activity  is  low,  APC/C CDH1   becomes  active  and
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        primers  with  a  base  substitution  error  rate  of  approximately  10 .   removes CDC20, PLK1, and Aurora kinases, as well as the mitotic
        When they occasionally incorporate a false nucleotide, it is usually   cyclins and CDKs.
        removed by an exonuclease associated with these DNA polymerases.   In anaphase, the spindle midzone forms between the separating
        This  so-called  proofreading,  together  with  DNA  mismatch  repair   chromosomes by coordinated actions of the microtubule cross-linker
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        mechanisms, leads to mutation rates of as low as 10  per base and   PRC1, the kinesin KIF4, and the multiprotein complexes central-
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        per cell division cycle.                              spindlin and CPC (chromosomal passenger complex).  Centralspin-
           An immediate consequence of DNA replication is the disruption   dlin consists of the kinesin KIF23 and the Rho GTPase RACGAP1,
        of chromatin in front of the replication fork, which results in release   and  the  CPC  consists  of  Aurora  kinase  B,  the  scaffold  INCENP,
        of parental histones. When the replication fork has passed, chromatin   survivin (BIRC5), and CDCA8. Phosphorylation by CPC promotes
        is rapidly reassembled onto old as well as newly replicated DNA, and   recruitment of centralspindlin to the spindle midzone through KIF23
        in the reassembled chromatin, half of the histones are recycled from   and allows for multimerization and accumulation of centralspindlin,
        the parental chromatin, whereas the other half are newly synthesized.   which in turn promotes localization of the RhoGEF ECT2 (epithelial
        Then, the multiprotein complex cohesin mediates cohesion between   cell transforming 2) to microtubules. ECT2 then fuels RhoA, which
        replicated sister chromatids in S phase, which is essential for chromo-  promotes the recruitment of effector contractile ring proteins. As the
        some segregation in M phase.                          ring closes, the spindle midzone is remodeled to form the densely
           In addition to DNA replication, the centrosome also needs to be   packed telophase midbody, which organizes the intracellular bridge.
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        replicated to allow the formation of two daughter cells.  The centro-  At this time in telophase, nuclear membranes form to envelop each
        some is the major microtubule-organizing center and consists of two   of  the  two  separated  sets  of  chromosomes,  which  also  begin  to
        centrioles. Phosphorylation by cyclin E–CDK2 promotes the forma-  decondense. This is soon followed by the abscission event near the
        tion of one procentriole at each centriole. During S and G 2  phases,   midbody, which completes mitosis.
        procentrioles elongate until they reach the length of the older centri-
        oles.  In  early  M  phase,  the  two  centrosomes  separate  to  promote
        cytokinesis.                                          CELL CYCLE CHECKPOINTS
                                                              Competence
        MITOSIS
                                                              Cells require the presence of nutrients and growth factors to switch
        The decision to enter mitosis is mediated by a network of proteins   from  quiescence  to  a  state  of  proliferation.  When  cells  sense  that
        that regulate activation of the cyclin B–CDK1 complex. In principle,   conditions are suitable for proliferation, they leave quiescence into
        a  feedback  system  between  CDK1,  WEE1/CDC25C,  and  the   G 1  phase and become competent to enter the cell cycle. G 1  has been
        CDK1-counteracting  phosphatases  generates  a  bistable  switch,   subdivided into segments and regulatory points based largely on the
        leading to robust directionality that prevents cells from going back   study of the proliferative response of cells to sequential application
        and  forth  between  G 2   and  M  phases.  Cyclin  B  and  CDK1  levels   of different growth factors, nutrients, and metabolic inhibitors. From
        increase in late S phase and G 2  phase, and the activity of newly made   the standpoint of cell cycle regulation, a particularly important point
        cyclin B–CDK1 complexes is blocked through phosphorylation by   in  G 1   is  the  restriction  point,  or  R,  which  occurs  near  the  G 1 –S
        WEE1. Activation of the cyclin B–CDK1 complex is the key to cell   boundary. The period after mitosis, when cells can enter quiescence,
        entry into mitosis and occurs just before mitosis through the action   is  termed  G 1 pm  (postmitosis),  and  the  period  between  quiescence
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        of CDC25C, causing dephosphorylation of CDK1. The activities of   and  S  phase  is  termed  G 1ps  (pre-DNA  synthesis)   (Fig.  17.5).
        WEE1 and CDC25C are themselves regulated with phosphorylation,   Notably,  nearly  all  of  the  variability  in  the  length  of  G 1  can  be
        inhibiting WEE1 function and enhancing CDC25C function. Once   accounted for by the G 1ps interval. Experiments have shown that, to
        a small amount of cyclin B–CDK1 is activated, it can phosphorylate   leave  quiescence  and  to  enter  the  cell  cycle,  cells  require  growth
        CDC25C and create a self-amplifying feedback loop that generates   signals either continuous for several hours during G 1 or, alternatively,
        more  active  cyclin  B–CDK1  from  the  large  preexisting  stock  of   as two discrete pulses of approximately 1 hour in duration and with
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        inactive  complex.  What  starts  this  sequence  of  events  by  initially   a pause of several hours in between.  To become competent for cell
        phosphorylating and activating CDC25C is unclear, but PLK1 is a   cycle  entry,  initial  activation  of  the  MAPK  pathway  by  mitogen
        candidate  kinase  that  can  phosphorylate  WEE1,  CDC25C,  and   signals is required that in turn activates essential metabolic programs.
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