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10    Part I  Molecular and Cellular Basis of Hematology


        thus a means by which information regarding chromatin structure is   regulation at the mRNA level are regulated alternative mRNA splic-
        passed to daughter cells after DNA replication occurs.  ing, control of mRNA stability, and control of translational efficiency.
                                                              As discussed elsewhere (see Chapter 5), additional regulation at the
                                                              protein level occurs by mechanisms modulating localization, stability,
        ENHANCERS, PROMOTERS, AND SILENCERS                   activation, or export of the protein.
                                                                 A cell can regulate the relative amounts of different protein iso-
        Several types of cis-active DNA sequence elements have been defined   forms arising from a given gene by altering the relative amounts of
        according  to  the  presumed  consequences  of  their  interaction  with   an mRNA precursor that are spliced along one pathway or another
        nuclear proteins (see Fig. 1.5). Promoters are found just upstream (to   (alternative mRNA splicing). Many striking examples of this type of
        the 5′ side) of the start of mRNA transcription (the CAP). mRNA   regulation are known—for example, the ability of B lymphocytes to
        polymerases appear to bind first to the promoter region and thereby   make both IgM and IgD at the same developmental stage, changes
        gain access to the structural gene sequences downstream. Promoters   in the particular isoforms of cytoskeletal proteins produced during
        thus serve a dual function of being binding sites for mRNA poly-  red blood cell differentiation, and a switch from one isoform of the
        merase  and  marking  for  the  polymerase  the  downstream  point  at   c-myb proto-oncogene product to another during red blood cell dif-
        which transcription should start.                     ferentiation. Abnormalities in mRNA splicing due to mutations at
           Enhancers  are  more  complicated  DNA  sequence  elements.   the splice sites can lead to defective protein synthesis, as can occur in
        Enhancers can lie on either side of a gene or even within the gene.   β-globin, leading to a form of β-thalassemia. The effect of controlling
        Enhancers bind transcription factors and thereby stimulate expression   the  pathway  of  mRNA  processing  used  in  a  cell  is  to  include  or
        of  genes  nearby.  The  domain  of  influence  of  enhancers  (i.e.,  the   exclude  portions  of  the  mRNA  sequence.  These  portions  encode
        number of genes to either side whose expression is stimulated) varies.   peptide sequences that influence the ultimate physiologic behavior
        Some  enhancers  influence  only  the  adjacent  gene;  others  seem  to   of  the  protein,  or  the  RNA  sequences  that  alter  stability  or
        mark  the  boundaries  of  large  multigene  clusters  (gene  domains)   translatability.
        whose coordinated expression is appropriate to a particular tissue type   The importance of the control of mRNA stability for gene regula-
        or a particular time. For example, the very high levels of globin gene   tion is being increasingly appreciated. The steady-state level of any
        expression in erythroid cells depend on the function of an enhancer   given mRNA species ultimately depends on the balance between the
        that  seems  to  activate  the  entire  gene  cluster  and  is  thus  called  a   rate of its production (transcription and mRNA processing) and its
        locus-activating region (see Fig. 1.5). The nuclear factors interacting   destruction. One means by which stability is regulated is the inherent
        with enhancers are probably induced into synthesis or activation as   structure of the mRNA sequence, especially the 3′ and 5′ UTRs. As
        part of the process of differentiation. Chromosomal rearrangements   already  noted,  these  sequences  appear  to  affect  mRNA  secondary
        that place a gene that is usually tightly regulated under the control   structure, recognition by nucleases, or both. Different mRNAs thus
        of a highly active enhancer can lead to overexpression of that gene.   have inherently longer or shorter half-lives, almost regardless of the
        This commonly occurs in Burkitt lymphoma, for example, in which   cell type in which they are expressed. Some mRNAs tend to be highly
        the  MYC  proto-oncogene  is  juxtaposed  and  dysregulated  by  an   unstable. In response to appropriate physiologic needs, they can thus
        immunoglobulin enhancer.                              be produced quickly and removed from the cell quickly when a need
           Silencer sequences serve a function that is the obverse of enhancers.   for  them  no  longer  exists.  Globin  mRNA,  on  the  other  hand,  is
        When bound by the appropriate nuclear proteins, silencer sequences   inherently  quite  stable,  with  a  half-life  measured  in  the  range  of
        cause repression of gene expression. Some evidence indicates that the   15 to 50 hours. This is appropriate for the need of reticulocytes to
        same sequence elements can act as enhancers or silencers under dif-  continue to synthesize globin for 24 to 48 hours after the ability to
        ferent conditions, presumably by being bound by different sets of   synthesize  new  mRNA  has  been  lost  by  the  terminally  mature
        proteins  having  opposite  effects  on  transcription.  Insulators  are   erythroblasts.
        sequence domains that mark the “boundaries” of multigene clusters,   The stability of mRNA can also be altered in response to changes
        thereby preventing activation of one set of genes from “leaking” into   in the intracellular milieu. This phenomenon usually involves nucle-
        nearby genes.                                         ases  capable  of  destroying  one  or  more  broad  classes  of  mRNA
                                                              defined  on  the  basis  of  their  3′  or  5′  UTR  sequences.  Thus,  for
                                                              example, histone mRNAs are destabilized after the S-phase of the cell
        TRANSCRIPTION FACTORS                                 cycle is complete. Presumably this occurs because histone synthesis is
                                                              no longer needed. Induction of cell activation, mitogenesis, or termi-
        Transcription factors are nuclear proteins that exhibit gene-specific   nal differentiation events often results in the induction of nucleases
        DNA binding. Considerable information is now available about these   that destabilize specific subsets of mRNAs. Selective stabilization of
        nuclear proteins and their biochemical properties, but their physio-  mRNAs probably also occurs; α-globin mRNA, for example, is sta-
        logic behavior remains incompletely understood. Common structural   bilized by the protective binding of a specific stabilizing protein to a
        features  have  become  apparent.  Most  transcription  factors  have   nuclease target sequence in its 3′ UTR.
        DNA-binding  domains  sharing  homologous  structural  motifs   The amount of a given protein accumulating in a cell depends on
        (cytosine-rich regions called zinc fingers, leucine-rich regions called   the amount of the mRNA present, the rate at which it is translated
        leucine zippers, and so on), but other regions appear to be unique.   into the protein, and the stability of the protein. Translational effi-
        Many factors implicated in the regulation of growth, differentiation,   ciency depends on a number of variables, including polyadenylation
        and development (e.g., homeobox genes, proto-oncogenes, antionco-  and presence of the 5′ cap. The amounts and state of activation of
        genes) appear to be DNA-binding proteins and may be involved in   protein factors needed for translation are also crucial. The secondary
        the steps needed for activation of a gene within chromatin. Others   structure of the mRNA, particularly in the 5′ UTR, greatly influences
        bind to or modify DNA-binding proteins. These factors are discussed   the intrinsic translatability of an mRNA molecule by constraining
        in more detail in several other chapters.             the  access  of  translation  factors  and  ribosomes  to  the  translation
                                                              initiation signal in the mRNA. Secondary structures along the coding
        REGULATION OF mRNA SPLICING, STABILITY, AND           sequence of the mRNA may also have some impact on the rate of
                                                              elongation of the peptide.
        TRANSLATION (POSTTRANSCRIPTIONAL REGULATION)             Changes in capping, polyadenylation, and translation factor effi-
                                                              ciency  affect  the  overall  rate  of  protein  synthesis  within  each  cell.
        It  has  become  increasingly  apparent  that  posttranscriptional  and   These effects tend to be global rather than specific to a particular
        translational  mechanisms  are  important  strategies  used  by  cells  to   gene product. However, these effects influence the relative amounts
        govern  the  amounts  of  mRNA  and  protein  accumulating  when  a   of different proteins made. mRNAs whose structures inherently lend
        particular gene is expressed. The major modes of posttranscriptional   themselves to more efficient translation tend to compete better for
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