(Investigative Ophthalmology and Visual Science. 2002;43:364-370.)
© 2002
by The Association for Research in Vision and Ophthalmology, Inc.
Involvement of p27KIP1 Degradation by Skp2 in the Regulation of Proliferation in Response to Wounding of Corneal Epithelium
Kazuhiko Yoshida1,
Keiko Nakayama2,
Hiroyasu Nagahama3,
Takayuki Harada1,
Chikako Harada1,
Junko Imaki4,
Akira Matsuda1,
Kazuyuki Yamamoto1,
Miyuki Ito5,
Shigeaki Ohno1 and
Kei-Ichi Nakayama2,3
1 From the Department of Ophthalmology, Hokkaido University School of Medicine, Sapporo, Japan; the
4 Department of Anatomy, Nippon Medical College, Tokyo, Japan; the
3 Department of Molecular and Cellular Biology and the
2 Department of Molecular Genetics, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan; and the
5 First Department of Internal Medicine, Sapporo Medical University, Sapporo, Japan.
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Abstract
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PURPOSE. To examine the expression of the p27KIP1in the
normal and epithelial-scraped cornea and whether degradation of
p27KIP1by Skp2 is involved in the regulation of cell
proliferation in response to wounding of the corneal epithelium.
METHODS. C57Bl6, p27KIP1-/-, Skp2-/-, and
Skp2-/-/p27KIP1-/- double-knockout mice
were examined. Normal and epithelial-scraped corneas were analyzed by
immunocytochemistry using anti-p27KIP1 antibody. Cells in
the S phase of DNA synthesis were analyzed by immunocytochemistry using
anti-bromodeoxyuridine (BrdU) antibody.
RESULTS. The p27KIP1 was expressed in basal cells of the central and
peripheral region of the cornea and limbus. This expression was not
detected 24 hours after the epithelial scraping, when there were many
cells in the S phase of DNA synthesis in the corneal epithelium. There
were no obvious differences in the thickness and anti-BrdU staining in
the corneal epithelium of p27KIP1-/- mice from that of
control animals. Twenty-four hours after epithelial scraping in the
Skp2-/- mice, the corneal epithelium was thinner than in
wild-type mice and had many p27KIP1-positive cells and few
BrdU-positive cells. In contrast, 24 hours after epithelial scraping in
the Skp2-/-/p27KIP1-/-
double-knockout mice, the corneal epithelium was as thick as in
wild-type mice and had many BrdU-positive cells.
CONCLUSIONS. These results suggest that degradation of p27KIP1 by Skp2
is involved in the regulation of cell proliferation in response to
wounding of the corneal epithelium.
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Introduction
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Wounding of the central corneal epithelium stimulates cell
proliferation.1
Corneal epithelial debridement stimulates
basal cells outside the wound area to synchronously enter the cell
cycle.2
However, the mechanism of the regulation of cell
proliferation has not been determined. Cell cycle progression is
controlled by a series of kinase complexes composed of cyclins and
cyclin-dependent kinases (CDKs).3
The enzymatic activities
of cyclin/CDK complexes are regulated by many mechanisms that reflect
both the diversity of the signals they integrate and the central
importance of their roles in cell cycle control. These regulatory
mechanisms include the actions of CDK inhibitors
(CKIs).4
5
p27KIP1 is one of the
CKIs and the elimination of p27KIP1 during the
late G1 phase is required for cell cycle
progression from the G1 to S phase in various
cell lines.6
7
8
9
Consistent with this idea is that forced expression of
p27KIP1 blocks cell cycle progression during the
G1 phase, whereas targeted
p27KIP1 mRNA antisense vectors increase the
fraction of cells in the S phase. Previous studies showed that
p27KIP1 mRNA does not fluctuate during the cell
cycle, implying the existence of posttranslational machinery that
control animals at the p27KIP1 expression
levels.10
The ubiquitin-mediated proteasome pathway was
suggested to be involved in p27KIP1 degradation
in mammals.11
The ubiquitin-mediated proteasome pathway is
emerging as a major and universal mechanism that regulates selective
and time-controlled elimination of short-lived key regulatory
proteinsfor example, CKIs12
or I
B,13
which was suggested to be involved in the differentiation of corneal
epithelial cells in our recent articles.14
15
The ubiquitin-mediated pathway of protein degradation comprises two
discrete steps: the covalent attachment of multiple ubiquitin molecules
to the protein substrate and the degradation of the polyubiquitylated
protein by the 26S proteasome complex. Skp1-cullin-F-box protein (SCF)
complex is one of the major classes of ubiquitin ligase and determines
the specificity in protein ubiquitylation. Skp2 is an F-box protein
that is a component of the SCF complex.16
Recently, it was
reported that p27KIP1 is specifically recognized
by Skp2 and that this step is a rate-limiting component of the
machinery that ubiquitinates and degrades
p27KIP1.17
18
In the current study,
the expression of p27KIP1 was examined in the
normal and epithelial-scraped corneas. In addition,
p27KIP1-/-, Skp2-/-,
and
Skp2-/-/p27KIP1-/-
double-knockout mice were examined.
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Materials and Methods
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Animals and Tissues
Development of the p27KIP1 Knockout, Skp2 Knockout,
and p27KIP1/Skp2 Double-Knockout Mice.
C57Bl6 mice (912 weeks old) were obtained from Hokudo Corp.,
Sapporo, Japan. Skp2-/- mice,
p27KIP1-/- mice, and littermate controls (14
weeks old) were obtained as previously reported.19
20
Briefly, cloned genomic DNA corresponding to the p27KIP1
and Skp2 locus was isolated from a 129/Sv mouse genomic library. For
the p27KIP1-/- mice, the targeting vector was constructed
by replacing a 2.5-kb SmaI-SmaI fragment
containing the entire p27KIP1 with a PGK-neo-poly(A)
cassette. For the Skp2-/- mice, the targeting vector was
constructed by replacing a 12-kb
SmaI-SacII fragment containing exons 1 to
4 with a PGK-neo-poly(A) cassette. The maintenance, transfection, and
selection of embryonic stem (ES) cells were performed as
described.19
The mutant ES cells were
microinjected in C57BL/6, and the resultant male chimeras were mated
with female C57BL/6 mice. Double-heterozygote
(Skp2+/-/p27KIP1+/-) mice were interbred to
generate mice deficient in both Skp2 and p27KIP1.
Cornea Wound Model.
Epithelial scraping (1 mm diameter) was performed on the right-eye
corneas, as previously described.21
22
Briefly, an
epithelial wound was created by demarcating an area on the cornea with
a 1-mm trephine and removing the epithelium within the circle with a
small scalpel, leaving an intact basement membrane.23
After the injury, ofloxacin ointment was applied to the eye to avoid an
infection. The eyes treated in vivo after scrape-wounding did not have
any sign of infection when observed by a dissection microscope.
The injured corneas were obtained at 6, 24, and 36 hours after the
injury and fixed immediately with 4% paraformaldehyde in 0.1 M borate
buffer (pH 9.5) for 2 hours and processed for paraffin section. For
bromodeoxyuridine (BrdU) labeling, the mice were injected with BrdU
peritoneally at a dosage of 30 mg/kg body weight 30 minutes before
sampling. The animal experiments conformed to the ARVO Statement for
the Use of Animals in Ophthalmic and Vision Research.
Immunocytochemistry
The slides were dewaxed, rehydrated, and rinsed in
phosphate-buffered saline (PBS) twice and incubated with normal goat
serum and then with the p27KIP1 antibody
(dilution, 1:1000; Transduction Laboratories, Lexington, KY), which was
generated from mouse p27KIP1. Binding of the
primary antisera was localized using FITC-conjugated goat anti-mouse
IgG (dilution, 1:200; Jackson ImmunoResearch Laboratories, Inc., West
Grove, PA). For the negative control of the
p27KIP1 staining, the serial sections without
incubation of primary antibody were incubated with the FITC-conjugated
goat anti-mouse IgG. Nuclei were then stained by PBS containing
4'6-diamidino-2-phenylindole (DAPI; 104 µg/mL) for 5 minutes.
Anti-BrdU staining was performed as described by Yoshiki et
al.24
Briefly, the sections were immersed in pepsin
solution (0.4 mg/mL) in 0.1 N HCl at 30°C for 1 minute and then in 2
N HCl at 40°C for 1 hour. After a wash in PBS, the slides were
incubated with normal goat serum and then with the anti-BrdU antibody
(dilution, 1:1000; Becton Dickinson, San Jose, CA). The slides were
examined by laser scanning confocal microscopy (MRC-1024; Bio-Rad,
Richmond, CA; and LSM 510; Carl Zeiss, Oberkochen, Germany). The
BrdU-positive cells of the cornea were counted in sections from six
each of the Skp2+/+,
Skp2-/-, and
Skp2-/-/p27KIP1-/-
double-knockout mice 24 hours after the injury, and significance was
analyzed by the Aspin Welch t-test.
Assessment of Wound Area in the Skp2+/+ and the
Skp2-/- Mice
In Skp2+/+ and
Skp2-/- mice (n = 6/group), the
corneal epithelium was removed as previously described. To assess the
wound area, fluorescein (Sigma Chemical Co., St. Louis, MO) diluted 2%
in PBS was instilled onto the cornea. The wound area was determined
from nonwound tissue by observation using a blue filter and monitored
by corneal photography every 6 hours from the time the lesion was
induced. The wound areas were analyzed on a computer (Macintosh; Apple
Computer, Cupertino, CA), using the public domain NIH Image program
(developed at the National Institutes of Health, Bethesda, MD, and
available on the at http://rsb.info.nih.gov/nih-image/).
 |
Results
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p27KIP1 was expressed in the nuclei of the
basal cells of the central and peripheral region of the cornea and the
limbus of the C57Bl6 mouse (Fig. 1)
. Because wounding of central corneal epithelium stimulates cell
proliferation,1
epithelial-scraped corneas of the C57Bl6
mouse were examined. In the sections from epithelial-scraped corneas
sampled at 6 hours after injury, there was no staining of the
p27KIP1, either in the leading edge of the
healing epithelium or in the peripheral region of the cornea or the
limbus (Figs. 2a
2b
2c)
. p27KIP1 immunoreactivity was not detected in
the central, peripheral, and limbal region of the cornea after 24 hours
(Figs. 2g
2h
2i)
but was detected 36 hours after the injury (Figs. 2m
2n
2o)
.

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Figure 1. Immunodetection of p27KIP1 (a, b,
c), DAPI staining (d, e,
f), and the negative control to
p27KIP1 staining (g, h,
i) in the central (a, d, g)
and peripheral (b, e, h) region of the
cornea and in the limbus (c, f, i) of
the C57Bl6 mouse. p27KIP1 was expressed in the
nuclei of the basal cells in the central (a) and peripheral
(b) region of the cornea and in the limbus (c).
For a negative control to p27KIP1 staining, the
serial sections without incubation of primary antibody were incubated
with the FITC-conjugated goat anti-mouse IgG. Magnification, x60.
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Figure 2. Immunodetection of p27KIP1 (ac,
gi, mo) and DAPI
(df, jl, pr)
staining in the cornea 6 (af), 24
(gl), and 36 hours (mr) after
epithelial scraping of the cornea in the C57Bl6 mouse. (a,
d) The leading edge (arrow) of the healing
epithelium. Central (g, j, m,
p) and peripheral (b, e, h,
k, n, q) regions of the cornea. Limbus
(c, f, i, l, o,
r). Staining for p27KIP1 was not
detected 6 and 24 hours after corneal scraping but was detected 36
hours after injury. Magnification, x60.
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Anti-BrdU staining of the scraped cornea of the C57Bl6 mouse at 6 hours
after injury did not show any positive staining (Figs. 3a 3c
3e)
, whereas positive staining was observed at the basal cells of
each area at 24 hours after injury (Figs. 3g
3i
3k)
. The number of
BrdU-positive cells decreased at 36 hours after the injury (Figs. 3m
3o
3q)
.

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Figure 3. Anti-BrdU staining (a, c, e,
g, i, k, m, o,
q) and HE staining (b, d,
f, h, j, l, n,
p, r) in the cornea 6 (af), 24
(gl), and 36 (mr) hours after
epithelial scraping of the cornea in the C57Bl6 mouse. (a,
b) The leading edge (arrow) of the healing
epithelium. Central (g, h, m,
n) and peripheral (c, d, i,
j, o, p) regions of the cornea. Limbus
(e, f, k, l, q,
r). Labeled nuclei were not detected after 6 hours but were
detected 24 hours after the injury in all areas. The number of
BrdU-positive cells declined at 36 hours after the injury
(mr). Magnification, x60.
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To determine the proliferation of corneal epithelial cells in the
absence of p27KIP1, hematoxylin-eosin (HE)
staining and anti-BrdU staining were examined in the
p27KIP1-/- mice (Fig. 4) . There was no difference in the thickness and anti-BrdU staining of
the corneal epithelium of uninjured p27KIP1-/-
mice from that of control animals. Anti-BrdU staining of the scraped
cornea of the p27KIP1-/- mouse at 6 hours after
injury did not show any positive staining (Figs. 4o
4s
4w)
and much
positive staining was observed in the basal cells of each area at 24
hours after injury (Figs. 4p
4t
4x)
. Because it was reported that
p27KIP1 was specifically recognized by Skp2 and
this step was a rate-limiting component of the machinery that
ubiquitinates and degrades
p27KIP1,17
18
Skp2-/- mice and
Skp2-/-/p27KIP1
-/- double-knockout mice were examined. There
was no obvious difference in the relative number of epithelial cell
layers between uninjured Skp2+/+,
Skp2-/-, and
Skp2-/-/p27KIP1-/-
double-knockout mice (Fig. 5)
. The p27KIP1 staining in the
Skp2-/- was confined in the basal cells as in
the Skp2+/+ mice.

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Figure 4. HE (al) and anti-BrdU (mx)
staining of central region (a, b, d,
m, n, p), leading edge (c,
o), and peripheral region (eh,
qt) of the cornea and of the limbus
(il, ux) of the uninjured
14-week-old p27KIP1+/+ (a,
e, i, m, q, u)
and p27KIP1-/- (b, f,
j, n, r, v) mice and of the
p27KIP1-/- mice 6 hours (c,
g, k, o, s, w)
and 24 hours (d, h, l, p,
t, x) after epithelial scraping. There was no
difference in the thickness and anti-BrdU staining of the corneal
epithelium in uninjured p27KIP1-/- mice from
that of control animals. Anti-BrdU staining of the scraped cornea of
the p27KIP1-/- mouse at 6 hours after injury
did not show any positive staining (o, s,
w) and much positive staining was observed in the basal
cells of each area at 24 hours after injury (p,
t, x). Bar, 40 µm; magnification, x60.
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Figure 5. HE staining (a, c, e, f,
h, j, k, m, o)
and the immunodetection of p27KIP1 (b,
d, g, i, l, n)
in the central (ae) and peripheral
(fj) cornea and in the limbus
(ko) of 14-week-old Skp2+/+
(a, b, f, g, k,
l), Skp2-/- (c,
d, h, i, m, n),
and Skp2-/-/p27KIP1-/-
double-knockout mice (e, j, o). There
was no obvious difference in the relative number of epithelial cell
layers between Skp2+/+,
Skp2-/-, and
Skp2-/-/p27KIP1-/-
double-knockout mice. p27KIP1 was expressed in
the nuclei of the basal cells in the central (d) and
peripheral (i) regions of the cornea and in the limbus
(n) of the Skp2-/- and
Skp2+/+ mice (b, g,
l). Bar, 20 µm; magnification, x40.
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Twenty-four hours after corneal scraping, Skp2+/+
mice had a three- to fourcell layer thickness in the epithelia of the
cornea and limbus (Figs. 6a
6d
6g)
whereas the Skp2-/- mice had a one- to
twocell layer thickness (Figs. 6b
6e 6h)
.
p27KIP1 staining was not detected 24 hours after
epithelial scraping in the Skp2+/+ mice (Figs. 6j
6m
6p)
, whereas it was detected in the
Skp2-/- mice (Figs. 6k
6n
6q)
. BrdU staining
of the cornea of the Skp2-/- mice was also
examined to determine whether Skp2 is involved in proliferation of
basal cells of the corneal epithelium. Six hours after the procedure,
positive cells for anti-BrdU staining were not detected in
Skp2+/+ or Skp2-/- mice
(data not shown). There were many cells positive for anti-BrdU staining
24 hours after epithelial scraping in the Skp2+/+
mice (Figs. 6s
6v
6y)
, whereas few positive cells were detected in
the Skp2-/- mice (Figs. 6t
6w
6z)
. To examine
whether the sustained expression of p27KIP1 is
involved in the decrease in cell proliferation in the epithelium of
Skp2-/- cornea,
Skp2-/-/p27KIP1-/-
double-knockout mice were examined. Twenty four hours after epithelial
scraping in
Skp2-/-/p27KIP1-/-
double-knockout mice, epithelium of the cornea and limbus had a three-
to fourcell layer thickness (Figs. 6c
6f
6i)
and had many cells
positive for anti-BrdU staining (Figs. 6u
6x
6
#). The number of
BrdU-positive cells in the cornea of the Skp2+/+
mice was significantly different from that in the
Skp2-/- mice (P < 0.0001) but
not from that in the
Skp2-/-/p27KIP1-/-
double-knockout mice (Fig. 7)
.

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Figure 6. HE staining (ai), the immunodetection of
p27KIP1 (jr), and anti-BrdU
staining (s#) of the central cornea
(ac, jl, su),
peripheral cornea (df, mo,
vx), and limbus (gi,
pr, y#) 24 hours after corneal
scraping in the Skp2+/+ (a,
d, g, j, m, p,
s, v, y),
Skp2-/- (b, e,
h, k, n, q, t,
w, z), and
Skp2-/-/p27KIP1-/-
double-knockout (c, f, i,
l, o, r, u, x,
#) mice. The epithelium in the cornea and limbus of the
Skp2+/+ mice was of three- to fourcell layer
thickness (a, d, g), whereas that of
the Skp2-/- mice was of one- to twolayer
thickness (b, e, h).
p27KIP1 staining was not detected in the corneal
epithelium of the Skp2+/+ mice (j,
m, p), whereas it was detected in that of the
Skp2-/- mice (k, n,
q). There were many cells positive for anti-BrdU staining in
the peripheral cornea (v) and limbus (y) 24 hours
after epithelial scraping in the Skp2+/+ mice,
whereas few positive cells were detected in the
Skp2-/- mice (w, z).
Twenty-four hours after epithelial scraping in the
Skp2-/-/p27KIP1-/-
double-knockout mice, the peripheral cornea and limbus were three to
four cell layers thick (c, f, i) and
had many cells positive for anti-BrdU staining (x,
#). Bar, 20 µm; magnification, x60.
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Figure 7. Number of BrdU-positive cells in the cornea of Skp2+/+,
Skp2-/-, and
Skp2-/-/p27KIP1-/- double-knockout mice 24
hours after epithelial scraping. Bars represent the mean ± SD of
BrdU-positive cells in the cornea. The number of BrdU-positive cells in
the cornea of the Skp2+/+ mice was significantly different
from the Skp2-/- mice (P < 0.0001)
but not from Skp2-/-/p27KIP1-/-
double-knockout mice.
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Thirty-six hours after the lesion in the
Skp2-/- mice, the number of
p27KIP1-positive cells was decreased, and there
were many BrdU-positive cells in the corneal epithelium (Fig. 8)
. The wound zone in the Skp2 null mouse was not significantly different
from the wild-type mouse at each time point tested (P > 0.05; analyzed by the Breslow-Gegan Wilcoxon test) and was entirely
covered 24 hours after the scraping (Fig. 9)
.

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Figure 8. HE staining (af), the immunodetection of
p27KIP1 (gl), and anti-BrdU staining
(mr) of the central (a, b,
g, h, m, n) and peripheral
cornea (c, d, i, j,
o, p) and of the limbus (e,
f, k, l, q, r)
36 hours after corneal scraping in the Skp2+/+
(a, c, e, g, i,
k, m, o, q) and
Skp2-/- (b, d,
f, h, j, l, n,
p, r) mice. The epithelium of the
Skp2-/- mice was thinner than that of the
Skp2+/+ mice. There were many cells positive for
p27KIP1 in the epithelium of the
Skp2+/+ mice (g, i,
k) but not in that of Skp2-/-
(h, j, l) mice. There were few
positive cells for anti-BrdU staining in the epithelium of the
Skp2+/+ mice, whereas many positive cells were
detected in the Skp2-/- mice (n,
p, r). Magnification, x40.
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Figure 9. The wound area after corneal scraping in the Skp2+/+ and
the Skp2-/- mice. The wound area relative to that
measured just after the procedure is expressed as a percentage. Each
value represents the mean ± SD of six animals per time point in
each group.
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 |
Discussion
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Degradation of the mammalian CDK inhibitor
p27KIP1 is necessary for the cellular transition
from quiescence to the proliferative state.19
In this
study, the expression of p27KIP1 was examined in
the mouse cornea. p27KIP1 was expressed in basal
cells of the central and peripheral region of the cornea and limbus. In
the sections from epithelial-scraped cornea sampled at 6 and 24 hours
after injury, there was no staining with p27KIP1
(Fig. 2) . Cells in the S phase of DNA synthesis were not detected at 6
hours after injury, but were detected at 24 hours after injury (Fig. 3)
. These results suggest that disappearance of
p27KIP1 was well correlated with cell
proliferation in the corneal epithelium.
To determine whether the absence of p27KIP1 was
sufficient for the proliferation of corneal epithelial cells,
p27KIP1-/- mice were examined (Fig. 4)
. There
was no obvious difference in the thickness and anti-BrdU staining in
the corneal epithelium between p27KIP1-/- mice
and control animals. The absence of ectopic or inappropriate
proliferation in nonlesioned cells in the cornea of
p27KIP1-/- mice suggests that absence of
p27KIP1 is not sufficient for proliferation of
corneal epithelial cells.
Because p27KIP1 was specifically recognized by
Skp2, and this step was a rate-limiting component of the machinery that
ubiquitinates and degrades
p27KIP1,17
18
20
Skp2-/- mice were examined (Fig. 5 6)
.
p27KIP1 staining was not detected in the
epithelium 24 hours after epithelial scraping in the
Skp2+/+ mice, whereas it was detected in the
Skp2-/- mice. Few cells were in the S phase of
DNA synthesis 24 hours after injury in the epithelium of the
Skp2-/- mice. These results suggest that Skp2
is involved in the degradation of p27KIP1 and
regulation of cell proliferation in the corneal epithelium.
There was a possibility that a decrease in cell proliferation in the
Skp2-/- cornea was not caused by the defect in
the degradation of p27KIP1, but by the
degradation of cyclin E or other protein, because Skp2 is also involved
in the degradation of cyclin E.20
To exclude this
possibility,
Skp2-/-/p27KIP1
-/- double-knockout mice were examined (Fig. 5
6)
. Twenty-four hours after the epithelial scraping in
Skp2-/-/p27KIP1-/-
double-knockout mice, the epithelia of the cornea and limbus were three
to four cell layers in thickness and had many anti-BrdUpositive
cells. These results suggest that the decrease in cell proliferation in
the Skp2-/- cornea was caused by sustained
expression of p27KIP1.
During the early stage of scrape injury, epithelial cell migration was
observed. After the covering of the bare surface, epithelial
proliferation started in some zones behind the leading
edge.1
21
Because the rate of covering the scrape in the
Skp2-/- mice was almost the same as that in the
Skp2+/+ mice (Fig. 9)
, we hypothesized that the
covering of the scrape in our experiments is solely dependent on
migration and adhesion.
In this study, suprabasal cells in the corneal epithelium were negative
for p27KIP1. p27KIP1 was
upregulated in the retinal neurons as they exited the cell cycle and
was downregulated after the terminal mitosis.25
Expression
of p27KIP1 in the postmitotic suprabasal cells
may be also downregulated after terminal mitosis.
Thirty-six hours after the lesion, the number of
p27KIP1-positive cells in the corneal epithelium
of the Skp2-/- mice was decreased, whereas it
was increased in the epithelium of the Skp2+/+
mice (Fig. 8)
. This delay in disappearance of
p27KIP1 was well correlated with the delay in
BrdU incorporation in the Skp2-/- mice. The
decrease in the number of p27KIP1-positive cells
in the corneal epithelium of the Skp2-/- mice
may be related to ubiquitin-independent processing during progression
from the G1 to the S phase26
or to a
ubiquitin-dependent, but Skp2-independent, mechanism.
 |
Footnotes
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Submitted for publication April 11, 2001; revised October 2, 2001;
accepted October 18, 2001.
Commercial relationships policy: N.
The publication costs of this article were defrayed in part by page
charge payment. This article must therefore be marked
"advertisement" in accordance with 18 U.S.C.
1734
solely to indicate this fact.
Corresponding author: Kazuhiko Yoshida, Department of Ophthalmology,
Hokkaido University School of Medicine, N15 W7, Kita-ku, Sapporo,
060-8638 Japan; kyoshida{at}med.hokudai.ac.jp
 |
References
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