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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2015.3017</article-id>
<article-id pub-id-type="publisher-id">ijo-47-01-0303</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Genetic manipulation of <italic>RPS5</italic> gene expression modulates the initiation of commitment of MEL cells to erythroid maturation: Implications in understanding ribosomopathies</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>VIZIRIANAKIS</surname><given-names>IOANNIS S.</given-names></name><xref ref-type="corresp" rid="c1-ijo-47-01-0303"/></contrib>
<contrib contrib-type="author">
<name><surname>PAPACHRISTOU</surname><given-names>ELENI T.</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>ANDREADIS</surname><given-names>PANAGIOTIS</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>ZOPOUNIDOU</surname><given-names>ELENA</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>MATRAGKOU</surname><given-names>CHRISTINA N.</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>TSIFTSOGLOU</surname><given-names>ASTERIOS S.</given-names></name></contrib>
<aff id="af1-ijo-47-01-0303">Laboratory of Pharmacology, Department of Pharmaceutical Sciences, Aristotle University of Thessaloniki, GR-54124 Thessaloniki, Greece</aff></contrib-group>
<author-notes>
<corresp id="c1-ijo-47-01-0303">Correspondence to: Professor Ioannis S. Vizirianakis, Laboratory of Pharmacology, School of Pharmaceutical Sciences, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki GR-54124, Greece, E-mail: <email>ivizir@pharm.auth.gr</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>7</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>05</month>
<year>2015</year></pub-date>
<volume>47</volume>
<issue>1</issue>
<fpage>303</fpage>
<lpage>314</lpage>
<history>
<date date-type="received">
<day>14</day>
<month>01</month>
<year>2015</year></date>
<date date-type="accepted">
<day>24</day>
<month>02</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2015, Spandidos Publications</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Impairment of ribosome biogenesis contributes to the molecular pathophysiology of ribosomopathies by deregulating cell-lineage specific proliferation, differentiation and apoptosis decisions of haematopoietic progenitor cells. Here, using pro-erythroblast-like murine erythroleukemia (MEL) cells, a model system of erythroid maturation, we aimed to investigate whether genetic manipulation of <italic>RPS5</italic> expression affects the capacity of cells to grow and differentiate in culture. Parental MEL cells stably transfected with full length RPS5 cDNA in sense (MEL-C14 culture) or antisense (MEL-<italic>antisenseRPS5</italic> culture) orientation, as well as MEL cells transiently transfected with siRNAs specific for <italic>RPS5</italic> gene silencing (MEL-<italic>RPS5siRNA</italic> culture) were assessed for their ability to fully execute their erythroid maturation program in culture. The data obtained thus far indicate that: a) MEL-<italic>antisenseRPS5</italic> exhibit a pronounced delay in the initiation of differentiation, as well as an impairment of commitment, since the continuous presence of the inducer in culture is required for the cells to fully execute their erythroid maturation program. b) RNAi-mediating silencing of RPS5 gene expression resulted in the inability of MEL cells to differentiate; however, when these cells were allowed to recapitulate normal <italic>RPS5</italic> gene expression levels they regained their differentiation capacity by accumulating high proportion of erythroid mature cells. c) Interestingly the latter, is accompanied by morphological changes of cells and an impairment of their proliferation and apoptosis potential. Such data for the first time correlate the <italic>RPS5</italic> gene expression levels with the differentiation capacity of MEL cells <italic>in vitro</italic>, a fact that might also have implications in understanding ribosomopathies.</p></abstract>
<kwd-group>
<kwd>murine erythroleukemia</kwd>
<kwd>erythroid maturation</kwd>
<kwd>ribosomal proteins</kwd>
<kwd>RPS5</kwd>
<kwd>antisense RNA</kwd>
<kwd>siRNAs</kwd>
<kwd>ribosomopathies</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Normal haematopoiesis during adult life in animals like in humans is a multistep complex process occurring within the bone marrow microenvironment (<xref rid="b1-ijo-47-01-0303" ref-type="bibr">1</xref>,<xref rid="b2-ijo-47-01-0303" ref-type="bibr">2</xref>). Haematopoietic stem cells (HSCs) besides their self-renewal potential can be triggered to give rise to different blood cells (red blood cells, white blood cells, platelets) via lineage-restricted cell pathways (<xref rid="b3-ijo-47-01-0303" ref-type="bibr">3</xref>&#x02013;<xref rid="b5-ijo-47-01-0303" ref-type="bibr">5</xref>). HSCs interact with bone marrow meschenchymal (stroma) cells as well as with growth factors and differentiation signals needed for maturation (<xref rid="b6-ijo-47-01-0303" ref-type="bibr">6</xref>). During erythropoiesis, HSCs give rise to pro-erythroid progenitors which are then converted into orthochromatophilic normoblasts, subsequently reticulocytes and finally red blood cells entering the peripheral blood stream (<xref rid="b7-ijo-47-01-0303" ref-type="bibr">7</xref>&#x02013;<xref rid="b10-ijo-47-01-0303" ref-type="bibr">10</xref>). Impairment of normal erythropoiesis is directly related to the pathophysiology of haematological disorders of metabolic or genetic nature such as porphyria, anemia, leukemia and myelodysplastic syndromes (MDS) (<xref rid="b11-ijo-47-01-0303" ref-type="bibr">11</xref>,<xref rid="b12-ijo-47-01-0303" ref-type="bibr">12</xref>).</p>
<p>The induced erythroid maturation program of murine erythroleukemia (MEL) cells in culture by chemical inducers is accompanied by orchestrated gene expression patterns that involve upregulation of developmentally regulated genes and downregulation of those controlling potential for cell proliferation (<xref rid="b13-ijo-47-01-0303" ref-type="bibr">13</xref>,<xref rid="b14-ijo-47-01-0303" ref-type="bibr">14</xref>). It has been previously reported that down-regulation of genes encoding ribosomal RNAs (rRNAs) and specific ribosomal proteins (RPs), (e.g., <italic>RPS5</italic> and <italic>RPL35a</italic>), occurs very early in MEL erythroid maturation program (<xref rid="b15-ijo-47-01-0303" ref-type="bibr">15</xref>&#x02013;<xref rid="b17-ijo-47-01-0303" ref-type="bibr">17</xref>). At this early period (latent period; &lt;24 h) of induction, the overall number of ribosomes also declines substantially and cells synthesize far less protein (<xref rid="b15-ijo-47-01-0303" ref-type="bibr">15</xref>,<xref rid="b18-ijo-47-01-0303" ref-type="bibr">18</xref>). Simultaneously, a salt-labile translationally inactive form of ribosomes has been shown to exist (<xref rid="b19-ijo-47-01-0303" ref-type="bibr">19</xref>). The precise molecular mechanisms underlying such progressive reduction of ribosome biogenesis and protein synthesis in mature MEL cells are still elusive; however, the assessment of ribosomal dysfunction has been considered essential in understanding the pathophysiology of reticulocytes disorders (<xref rid="b20-ijo-47-01-0303" ref-type="bibr">20</xref>) and ribosomopathies (<xref rid="b21-ijo-47-01-0303" ref-type="bibr">21</xref>). Besides, overexpression of RPS5 gene in stably transfected MEL cells (e.g., MEL-C14) has been associated with a delay in the initiation of MEL erythroid differentiation program <italic>in vitro</italic>. Interestingly, it has been demonstrated that RPS5 interferes with the ability of MEL-C14 to differentiate through perturbation of cell entrance into G<sub>0</sub>/G<sub>1</sub> cell cycle arrest and CDK2, CDK4 and CDK6 levels (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>).</p>
<p>In this study, we established two additional MEL cell cultures with altered RPS5 gene expression. One culture in which the cells were stably transfected with the full length of RPS5 antisense cDNA (MEL-<italic>antisenseRPS5</italic>) and another in which the cells were transiently transfected with siRNAs specific for RPS5 gene silencing (MEL-<italic>RPS5siRNA</italic>). Parental MEL and MEL cells transiently transfected with scrambled siRNAs (MEL-<italic>scrambled siRNA</italic>) were used as control cultures. Moreover, previously established MEL-C14 culture in which overexpression of RPS5 exists was also included in this study. The data obtained thus far indicate that: a) MEL-<italic>antisenseRPS5</italic> exhibited a more pronounced delay in the initiation of differentiation program as compared to MEL-C14; b) RNAi-mediated transient silencing of <italic>RPS5</italic> gene expression resulted in complete inability of MEL cells to differentiate <italic>in vitro</italic>; however, when these cells were permitted to restore normal RPS5 gene expression levels, their maximum differentiation capacity has been regained; c) interestingly, differentiation of MEL-<italic>antisenseRPS5</italic> and MEL-<italic>RPS5siRNA</italic> cells was accompanied by cellular morphology changes, altered gene expression profiles and impairment of their potential for proliferation and even cell death. Overall, these findings support the concept for the first time that genetic manipulation of <italic>RPS5</italic> gene expression level (up- and/or downregulation) critically affects the potential of MEL cells to fully complete their erythroid maturation program <italic>in vitro</italic>.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Chemicals and antibodies</title>
<p>Dimethylsulfoxide (DMSO), hexamethylene-bis-acetamide (HMBA), benzidine dihydrocloride, vanadyl ribonucleotide complexes (VRC) and proteinase K was purchased from Sigma (St. Louis, MO, USA). &#x0005B;&#x003B3;-<sup>32</sup>P&#x0005D;-dCTP (111 Tbq/mmol) was obtained from Izotop, Institute of Isotopes Co., Ltd., Budapest, Hungary, whereas the DNA <sup>32</sup>P-labeling system kit was purchased from Invitrogen (Red Prime DNA Labeling System). The rabbit anti-RPS5 polyclonal antibody (pAb) raised against C-terminal oligopeptide of RPS5 was kindly provided by Dr Shuetsu Fukushi (R&amp;D Center, BioMedical Laboratories, Matoba, Kawagoe, Saitama, Japan). The rat anti-mouse MYC, CDK2, CDK4, CDK6 and Gata-1 mAbs were purchased from Invitrogen, Cell Signaling, Transduction Bioscience (BD) and Santa Cruz. Also, goat anti-mouse IgG and goat anti-rabbit IgG were obtained from Santa Cruz, respectively.</p></sec>
<sec>
<title>Assessment of MEL cell differentiation and the cellular content of haemoglobin</title>
<p>Parental MEL cells were maintained in Dulbecco&#x02019;s modified Eagle&#x02019;s medium as previously published (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). MEL cell cultures were exposed to DMSO (1.5&#x00025; v/v) and/or HMBA (5 mM) as indicated under individual figure. At certain time intervals upon exposure, the accumulation of differentiated (haemoglobin-producing; Bz<sup>+</sup> cells) cells was assessed cytochemically with benzidine-H<sub>2</sub>O<sub>2</sub> solution as previously described (<xref rid="b16-ijo-47-01-0303" ref-type="bibr">16</xref>). Also the haemoglobin content within the cells was determined spectrophotometrically as described elsewhere (<xref rid="b23-ijo-47-01-0303" ref-type="bibr">23</xref>).</p></sec>
<sec>
<title>Stable transfection of MEL cells with the full length mouse RPS5 cDNA either in sense or antisense orientation</title>
<p>MEL-C14 cells generated by stable transfection of MEL cells with the full length mouse RPS5 cDNA to express recombinant RPS5-Myc-His protein has been previously described (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Stable transfection of MEL cells with the full length mouse antisense <italic>RPS5</italic> cDNA was carried out as briefly described below: logarithmically growing MEL cells were transfected with the recombinant vector pcDNA3.1(+) carrying the full-length mouse <italic>RPS5</italic> cDNA (715 bp in length). Such construct was generated through the ligation of the <italic>Eco</italic>RI/<italic>Xho</italic>I fragment derived from the original pBluescript SK +/&#x02212; plasmid that carry the full length of <italic>RPS5</italic> cDNA cloned in our laboratory (<xref rid="b16-ijo-47-01-0303" ref-type="bibr">16</xref>) (GenBank accession no. Y12431) into the respective <italic>Eco</italic>RI/<italic>Xho</italic>I sites of pcDNA3.1(+) vector. The <italic>RPS5</italic> DNA fragment was inserted into the recombinant pcDNA3.1(+) vector (Invitrogen Life Technologies, USA) in antisense orientation with respect to CMV promoter to generate the construct pcDNA3.1(+)-<italic>anti</italic>-RPS5. Subsequent stable transfection of MEL cells was performed by using Lipofectamine-2000&#x02122; reagent (Invitrogen Life Technologies) and 1 &#x003BC;g plasmid DNA of the recombinant construct pcDNA3.1(+)-<italic>anti</italic>-RPS5 according to the accompanying manufacturer&#x02019;s protocol. Stably transfected cells were then selected with G418, (Gibco BRL, Gaithersburg, MD, USA; 0.6 mg/ml) added in the culture medium. G418-resistant cells outgrown from the transfected pcDNA3.1(+)-<italic>anti</italic>-RPS5 MEL culture allowed us to establish a culture designated as MEL-<italic>antisenseRPS5</italic> and used then throughout this study. After the establishment of MEL-<italic>antisenseRPS5</italic> culture, G418 (0.2&#x02013;0.25 mg/ml) was used throughout all experiments described in this study.</p></sec>
<sec>
<title>Isolation of total cytoplasmic RNA, northern blot hybridization and RT-PCR analysis</title>
<p>Total cytoplasmic RNA isolated from control and/or inducer-treated cells at various time intervals upon incubation in culture was subjected to northern blot hybridization analysis to assess the steady-state levels of RNA transcripts encoded the <italic>RPS5</italic> and &#x003B2;<sup>major</sup> globin genes, as previously described (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>,<xref rid="b29-ijo-47-01-0303" ref-type="bibr">29</xref>).</p>
<p>For RT-PCR analysis, total cytoplasmic RNA (0.2&#x02013;0.5 &#x003BC;g) isolated from various MEL cell cultures was used for RT-PCR. The PCR experiments were performed by using the RobusT&#x02122; I kit (Finnzymes). In detail, the primers used were: 5&#x02032;-GCGGGATCCATGACTGAGTGGGAAGCA-3&#x02032; (forward) and 5&#x02032;-GCGGAATTCTCAGCGGTTAGACTTGGC-3&#x02032; (reverse) specifically designed to allow the detection of mRNA level of endogenous <italic>RPS5</italic> (441 bp) as previously published (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>); 5&#x02032;-GGACTTCGAGCAAGAGATGG-3&#x02032; (forward) and 5&#x02032;-AGC ACTGTGTTGGCGTACAG-3&#x02032; (reverse) for &#x003B2;-actin (234 bp); 5&#x02032;-GACCTCGACTACGACTCCGTAC-3&#x02032; (forward) and 5&#x02032;-CCACTGAGGGGTCAATGCAC-3&#x02032; (reverse) for <italic>c-myc</italic> (547 bp); 5&#x02032;-CTGCTGGTTGTCTACCCTTGG-3&#x02032; (forward) and 5&#x02032;-CCTGAAGTTCTCAGGATCCAC-3&#x02032; (reverse) for <italic>&#x003B2;</italic><italic><sup>major</sup></italic> <italic>globin</italic> (222 bp).</p></sec>
<sec>
<title>Transfection with scrambled and RPS5 specific siRNAs</title>
<p>All siRNAs used including a negative control siRNA &#x0005B;negative control siRNA (#1022076)&#x0005D; designed with no significant homology to any sequence in the mouse genome (scrambled siRNA) along with two predesigned siRNAs directed against mouse <italic>RPS5</italic> (NM_009095) (Mm_Rps5_4 #SI01407322; Mm_Rps5_4 #SI01407336) were obtained from Qiagen. Based on extensive preliminary data (not shown), however, only Mm_Rps5_4 was capable of specifically downregulating the expression of <italic>RPS5</italic> gene in parental MEL cells and, therefore, was used throughout this study. Scrambled and Mm_Rps5_4 siRNAs were transfected in MEL cells using HiPerFect reagent (Qiagen). The oligo-nucleotide sequence for siRNAs included in Mm_Rps5_4 were: <italic>sense</italic>, r(GCGCUUCCGCAAAGCACAA)dTdT; <italic>antisense</italic>, r(UUGUGCUUUGCGGAAGCGC)dTdT), whereas in scrambled siRNA were <italic>sense</italic>, UUCUCCGAACGUGUCACGUdTdT; <italic>antisense</italic>, ACGUGACACGUUCGGAGAAdTdT. The procedure briefly was as follows. The day before transfection, MEL cells were seeded at a density of 0.4&#x02013;1.6&#x000D7;10<sup>6</sup> cells in 60-mm dishes with 4 ml of DMEM containing serum and antibiotics. On the day of transfection either <italic>RPS5</italic> specific or scrambled siRNA were diluted in culture to give a final concentration of 120 nM. The transfection of siRNAs was facilitated by adding 20 &#x003BC;l of HiPerFect reagent buffer according to the manufacturer&#x02019;s protocol and the cells were further incubated under normal growth conditions before silencing of the <italic>RPS5</italic> gene to be monitored by RT-PCR analysis.</p></sec>
<sec>
<title>Flow cytometry DNA analysis and assessment of apoptosis</title>
<p>Samples of parental MEL cells as well from those exposed either to specific <italic>RPS5</italic> (MEL-<italic>RPS5siRNA</italic>) or scrambled (MEL-scrambled-siRNA) siRNAs before harvested from culture at time intervals as shown in each figure, were subjected to flow cytometry DNA analysis and assessment of apoptosis, as previously published (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>,<xref rid="b24-ijo-47-01-0303" ref-type="bibr">24</xref>).</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Stable transfection of mouse antisense RPS5 cDNA affects the commitment and decreases the onset of MEL cells to erythroid maturation in vitro</title>
<p>Stable transfection of MEL cells with the mouse antisense <italic>RPS5</italic> cDNA allowed us to assess the proliferation and differentiation behavior of such cells in culture. As shown in <xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1B</xref>, MEL-<italic>antisenseRPS5</italic> cells failed to reach the maximum differentiation level upon exposure to chemical inducer DMSO as compared to parental MEL cells, although comparatively no significant change on their cell growth capacity was observed (<xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1A</xref>). In particular, parental MEL cells exhibited high levels of Bz<sup>+</sup> (haemoglobin-producing) cells after 96-h exposure to DMSO (&gt;80&#x00025;) as expected (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). On the contrary, MEL-<italic>antisenseRPS5</italic> culture has shown a delay of 18&#x02013;24 h in the initiation of differentiation and the proportion of Bz<sup>+</sup> cells was ~50&#x00025; (<xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1B</xref>). These data suggest that stable transfection of MEL cells with antisense <italic>RPS5</italic> cDNA delayed the onset of differentiation by reducing the number of terminally differentiated cells accumulated in culture.</p>
<p>By being aware on how the commitment to erythroid maturation proceeds in MEL cells, a more thorough kinetic analysis was performed in cultures to better understand the behavior of MEL-<italic>antisenseRPS5</italic>. In particular it has been reported earlier that in parallel to haemoglobin synthesis, commitment of inducer-treated cells to terminal erythroid maturation leads to limitation of proliferation potential of MEL cells up to 4&#x02013;5 cellular divisions (<xref rid="b13-ijo-47-01-0303" ref-type="bibr">13</xref>,<xref rid="b14-ijo-47-01-0303" ref-type="bibr">14</xref>). This event becomes quite clear upon dilution of cultures of inducer-treated cells. Such dilution approach has been successfully applied in our work in MEL-C14 culture overexpressing the recombinant RPS5-Myc-His protein (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Inducer-treated cells, fail to grow and divide continuously in contrast to uncommitted-undifferentiated MEL cells, which exhibit an unlimited proliferation potential. To this end, MEL-<italic>antisenseRPS5</italic> cells were exposed continuously to inducer DMSO for either 96 or 72 h, before the dilution of cultures with fresh medium to permit cells to proliferate for further 3 days in the absence (<xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1C and D</xref>) or 2 days in the presence of DMSO (<xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1E and F</xref>), respectively. Under these conditions, cells are capable of exhibiting their maximum proliferation potential by executing the erythroid maturation program in the absence of the inducer. As shown in <xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1C</xref>, parental MEL cells initially growing for 96 h in the presence of DMSO continued in the absence of DMSO for additional 72 h, they reached their plateau phase of growth and maintained at that level despite the dilution (1:10) of the culture with fresh medium. The latter result is attributed to the differentiation-dependent restriction of proliferation potential of DMSO-treated cells (<xref rid="b13-ijo-47-01-0303" ref-type="bibr">13</xref>,<xref rid="b14-ijo-47-01-0303" ref-type="bibr">14</xref>,<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>), since they achieved high level of differentiated cells (&gt;80&#x00025;) after 96 h in culture (<xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1D</xref>). However, the proportion of differentiated cells decreased thereafter upon dilution as expected, since the committed cells can go on only for 4&#x02013;5 divisions, as mentioned above. On the contrary, MEL-<italic>antisenseRPS5</italic> cells did not exceed the level of 50&#x00025; of differentiated cells under the same culture conditions (<xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1D</xref>). Moreover in this culture, cellular growth increased after the 6th day (<xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1C</xref>), since the higher number of non-committed cells (~50&#x00025;) continued to grow in the absence of DMSO, as expected. These data suggest that in MEL-<italic>antisenseRPS5</italic> culture fewer cells enter the differentiation program at a slower rate. Such observation proposes that the plateau phase of growth seen in antisense-RPS5-transfected MEL cells before dilution has to be attributed to cell-cell contact inhibition rather than differentiation-dependent restriction of cell proliferation potential, as seen in parental MEL cells. To confirm this observation, the same experiment was repeated but allowing cells to grow in the presence of DMSO even after dilution of cultures. Interestingly enough, in that case the MEL-<italic>antisenseRPS5</italic> cells reached the same high level of differentiation (&gt;80&#x00025;) after 5 days in culture compared to parental MEL, as illustrated in <xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1E and F</xref>. These results suggest that the onset of differentiation has been significantly delayed by the transfection of antisense-RPS5 cDNA and the presence of inducer is required throughout the entire exposure period for MEL cells to complete their erythroid maturation program. At this point it has to be noted that such behavior is unique for MEL-<italic>antisenseRPS5</italic> culture, since both parental MEL and MEL-C14 did not require the presence of inducer after initiation of commitment to execute the differentiation program, as previously published (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>).</p></sec>
<sec>
<title>Correlation of RPS5 gene expression with modulation of CDKs in DMSO-treated MEL-antisenseRPS5</title>
<p>To assess any changes in the steady-state level of <italic>RPS5</italic> RNA transcripts in MEL-<italic>antisenseRPS5</italic> cells in proliferating and/or differentiating cultures, isolated cytoplasmic RNA was subjected to northern blot hybridization analysis using &#x003B2;<sup>major</sup> globin gene as internal control. As shown in <xref rid="f2-ijo-47-01-0303" ref-type="fig">Fig. 2A</xref>, the level of <italic>RPS5</italic> RNA transcripts in the cytoplasm remained constant in MEL-<italic>antisenseRPS5</italic> cells growing in culture in the absence of DMSO. Similar data were obtained even after 96-h exposure to DMSO (<xref rid="f2-ijo-47-01-0303" ref-type="fig">Fig. 2C</xref>). On the contrary, the gradual cytoplasmic accumulation of &#x003B2;<sup>major</sup> globin RNA transcripts was evident in differentiating cells only after 48&#x02013;72 h (<xref rid="f2-ijo-47-01-0303" ref-type="fig">Fig. 2D</xref>). The latter, represents a difference in what was seen in differentiating parental MEL cells where a substantial decrease of RPS5 mRNA after 24 h and a significant accumulation of &#x003B2;<sup>major</sup> mRNA after 36 h has been detected (<xref rid="b16-ijo-47-01-0303" ref-type="bibr">16</xref>,<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). These marginal differences seen in the expression level of both <italic>RPS5</italic> and &#x003B2;<sup>major</sup> globin genes in differentiating MEL-<italic>antisenseRPS5</italic> cells seems more likely to be related to their limited commitment potential to erythroid maturation, as shown in <xref rid="f1-ijo-47-01-0303" ref-type="fig">Fig. 1</xref>.</p>
<p>By knowing that commitment of MEL cells to erythroid maturation is correlated with cell cycle changes, the assessment of the expression profile of endogenous RPS5 and CDKs (CDK2, CDK4 and CDK6) upon differentiation of MEL-antisenseRPS5 cells was investigated. During the course of differentiation, the Gata-1 protein level was also assessed as an internal control for MEL cells, as previously described (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Cell lysates prepared from differentiating MEL-<italic>antisenseRPS5</italic> cultures and subjected to immunoblotting revealed that the RPS5 protein level decreased quite early after 24 h (<xref rid="f2-ijo-47-01-0303" ref-type="fig">Fig. 2F</xref>). This is interesting, since in parental MEL cells the decrease of RPS5 protein is detected only after 72 h (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Regarding the assessment of CDKs, the level of CDK2 and CDK4 proteins remained almost constant, whereas that of CDK6 decreased very early ~2 h after the induction of differentiation (<xref rid="f2-ijo-47-01-0303" ref-type="fig">Fig. 2G&#x02013;I</xref>). These differences seen in the expression level of CDKs seems to be correlated with the differentiation potential of MEL-<italic>antisenseRPS5</italic> cells, since the expression profile of Gata-1 remained almost constant throughout the course of the experiment (<xref rid="f2-ijo-47-01-0303" ref-type="fig">Fig. 2J</xref>). The expression profile of CDKs detected at late stages of differentiating MEL cells coincide with previous observations (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>,<xref rid="b25-ijo-47-01-0303" ref-type="bibr">25</xref>&#x02013;<xref rid="b28-ijo-47-01-0303" ref-type="bibr">28</xref>).</p>
<p>In an effort to rule out the possibility that the delay observed in the onset of differentiation of MEL-<italic>antisenseRPS5</italic> cells could be attributed to inducer DMSO, the chemical inducer hexamethylene-bis-acetamide (HMBA) has been also included for further analysis (<xref rid="b13-ijo-47-01-0303" ref-type="bibr">13</xref>,<xref rid="b14-ijo-47-01-0303" ref-type="bibr">14</xref>). Based on the experimental data obtained, a decrease in the onset of differentiation was also recorded since the number of differentiating MEL-<italic>antisenseRPS5</italic> cells accumulated in culture after 96 h is less (~40&#x00025;) as compared to that seen in parental MEL cells (&gt;80&#x00025;) (<xref rid="f3-ijo-47-01-0303" ref-type="fig">Fig. 3E</xref>). Interestingly, this effect was more pronounced even by comparing the number of differentiating cells seen in MEL-C14 cells (~60&#x00025;). The latter culture, as reported earlier, also exhibits a delay in the initiation and the onset of differentiation upon treatment with HMBA attributed to the overexpression of recombinant RPS5-Myc-His protein (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Moreover, the amount of haemoglobin accumulated in differentiating MEL-<italic>antisenseRPS5</italic> is lower than that measured in parental MEL and MEL-C14 cultures (<xref rid="f3-ijo-47-01-0303" ref-type="fig">Fig. 3F</xref>). In addition, cell growth is decreased dramatically in MEL-<italic>antisenseRPS5</italic> culture upon exposure to HMBA similarly to MEL-C14 (<xref rid="f3-ijo-47-01-0303" ref-type="fig">Fig. 3C</xref>), whereas the number of non-viable cells is much higher in MEL-<italic>antisenseRPS5</italic> (~85&#x00025;) compared to both parental MEL (~25&#x00025;) and MEL-C14 (~45&#x00025;) cells (<xref rid="f3-ijo-47-01-0303" ref-type="fig">Fig. 3D</xref>). However, these differences in cell growth capacity and viability recorded in cultures is more likely to be attributed to their differentiation potential, since the untreated-control cells behave similarly and achieve comparable high numbers of proliferating and viable cells after 96 h (<xref rid="f3-ijo-47-01-0303" ref-type="fig">Fig. 3A and B</xref>). This notion is further supported by examining the morphology of cells in culture as well as assessing the gene expression profile of &#x003B2;-actin (housekeeping gene), RPS5 (gene of interest) and &#x003B2;<sup>major</sup> globin (a developmentally regulated gene) upon induction of differentiation of MEL-<italic>antisenseRPS5</italic>. Indeed, the morphology of untreated MEL-<italic>antisenseRPS5</italic> exhibit an altered phenotype with a larger size that, however, upon 96-h exposure to inducing agent HMBA is further exacerbated by giving smaller although abnormally differentiated cells (distorted nucleolus and nucleus) (<xref rid="f4-ijo-47-01-0303" ref-type="fig">Fig. 4</xref>). Moreover, a dramatic decrease in mRNA levels for all three genes was observed after 48&#x02013;72-h exposure of cells to HMBA (data not shown), whereas no significant alteration was seen for RNA transcripts of &#x003B2;-actin, &#x003B2;<sup>major</sup> globin and c-myc (an oncogene with crucial role in the differentiation potential of MEL cells) in control-untreated cells continuously growing in culture even for 120 h. Such data collectively propose a correlation between antisense-RPS5 transfection and the decrease in the onset of differentiation seen in MEL-<italic>antisenseRPS5</italic> cell culture, since dismantling of the differentiation program is observed very early regardless of the nature of the chemical inducer (DMSO and/or HMBA) employed.</p></sec>
<sec>
<title>RNAi-mediated silencing of RPS5 gene expression blocked MEL cell differentiation in vitro</title>
<p>In order to more thoroughly investigate the correlation of <italic>RPS5</italic> gene expression with the capacity of MEL cells to initiate their erythroid maturation program <italic>in vitro</italic>, we applied the RNA interference (RNAi) methodology to specifically downregulate the expression of <italic>RPS5</italic> in this culture. As shown in <xref rid="f5-ijo-47-01-0303" ref-type="fig">Fig. 5</xref>, by using specific siRNAs the silencing of RPS5 gene in MEL cells was achieved in both mRNA and protein level after 24 and 36 h, respectively (<xref rid="f5-ijo-47-01-0303" ref-type="fig">Fig. 5A and C</xref>). Interestingly, this effect was evident even after 72&#x02013;96-h continuous exposure to specific siRNAs for the <italic>RPS5</italic> gene and not for the scrambled siRNAs used as control (data not shown). The successful RNAi-mediated silencing of <italic>RPS5</italic> gene in MEL cells prompted us to assess the capacity of such culture to differentiate <italic>in vitro</italic> upon exposure to the chemical inducer HMBA. The experimental design shown in <xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6</xref> allowed us to verify for each experiment the successful RPS5 gene silencing and also to assess the differentiation capacity of such a culture (<xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6A</xref>). In particular, the cells were initially exposed to suitable siRNAs (scrambled and/or RPS5-specific) for 24 h before the addition of HMBA in culture. After an additional period of 24 h, the silencing of <italic>RPS5</italic> gene expression was verified by RT-PCR, as shown in <xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6B</xref>. The RPS5 protein level was not detectable after 96-h exposure to RPS5-specific siRNAs, in contrast to cultures exposed to scrambled siRNAs (<xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6D</xref>). Importantly however, the monitoring of differentiation potential of these cultures for the entire 96-h exposure period to inducer HMBA indicated that only MEL cells exposed to RPS5-specific siRNAs failed to initiate their erythroid maturation program <italic>in vitro</italic> (<xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6F</xref>). The number of differentiating cells (cells producing haemoglobin) accumulated after 96 h in culture exposed to specific <italic>RPS5</italic> siRNAs is very low (~15&#x00025;), whereas MEL cells exposed to scrambled siRNAs reach a level comparable to parental ones (&gt;85&#x00025;). In parallel, assessment of trypan-blue positive cells in these cultures revealed that in both conditions the number of dead cells marginally exceed 20&#x00025; after 72-h exposure to HMBA; however, after 96 h in culture only MEL cells exposed to RPS5-specific siRNAs exhibited a high proportion (80&#x00025;) of dead cells (<xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6G</xref>).</p>
<p>MEL cultures exposed to RPS5-specific siRNAs and being induced to differentiate by HMBA exhibit different cellular morphology. In particular, parental and scrambled siRNA-treated MEL cells showed the typical erythroid maturation phenotype as expected after 72&#x02013;96 h. However, differentiating cells exposed to RPS5-specific siRNAs present a phenotype more resembling that of undifferentiated cells where nucleolus and nucleus are distorted (data not shown). The latter, is in accordance with the inability of such a culture to initiate commitment of erythroid maturation and accumulate high proportion of haemoglobin-producing cells, as presented above. In order to clarify such differentiation behavior of cells, the assessment of the expression level of <italic>RPS5</italic>, <italic>c-myc</italic>, <italic>&#x003B2;</italic><italic><sup>major</sup></italic> <italic>globin</italic> and <italic>&#x003B2;-actin</italic> genes was further investigated. Upon induction of MEL cell differentiation with HMBA, parental MEL, MEL-C14 and MEL-<italic>scrambled siRNA</italic>-treated cells exhibited decreased level of RPS5 (data not shown). On the contrary, the steady-state level of RPS5 RNA transcripts in MEL-s<italic>iRNA RPS5</italic> culture was much lower from the beginning and throughout the entire exposure period, as expected. The steady-state mRNA level of <italic>c-myc</italic> in parental MEL showed an early initial increase at 6 h before a final decline after 48 h, in agreement with a previous report (<xref rid="b29-ijo-47-01-0303" ref-type="bibr">29</xref>). In MEL-C14 culture, the steady-state <italic>c-myc</italic> RNA transcripts indicated a biphasic profile, where an initial downregulation was observed very early (3 h) followed by an increase after 24 h before the final decrease afterwards (data not shown). Moreover, in both MEL-scrambled siRNA and MEL-<italic>siRNA RPS5</italic> cultures, the low expression level of c-myc at 24&#x02013;48 h was followed by a significant increase at 72 h before a final decrease later on. In parallel, the level of &#x003B2;<sup>major</sup> globin gene expression in differentiating parental MEL, MEL-C14 and MEL-<italic>scrambled siRNAs</italic> cells showed a time-dependent increase, as expected, with the higher level seen after 96 h in all cultures. Importantly, however, the level of &#x003B2;<sup>major</sup> globin gene expression in differentiating MEL-<italic>RPS5 siRNA</italic> exhibited no substantial change by being kept at low levels even after 96 h as compared to all other cultures (data not shown). Furthermore, the level of &#x003B2;-actin mRNA did not show any significant change either between the four cultures or during the course of differentiation.</p></sec>
<sec>
<title>Restoration of normal RPS5 expression levels in RNAi-mediated RPS5 gene silencing MEL cells leads the culture to regain maximum erythroid maturation capacity in vitro</title>
<p>The commitment of MEL cells to erythroid maturation is associated with early accumulation of cells in G<sub>0</sub>/G<sub>1</sub> cell cycle phase arrest. In order to assess that propensity of MEL cells in both <italic>RPS5</italic>-specific siRNAs- and/or scrambled siRNAs-treated cultures, the accumulation of cells to G<sub>0</sub>/G<sub>1</sub> was evaluated upon differentiation <italic>in vitro</italic>. No substantial difference between the two cultures was recorded in the 24&#x02013;72-h period tested (data not shown). However, a difference in the differentiation potential in the two cell cultures was previously seen and discussed regarding the inability to commit only in cells treated with <italic>RPS5</italic>-specific siRNAs. We reasoned additionally to assess the accumulation of apoptotic cells upon induction of differentiation with HMBA. Indeed, as shown in <xref rid="f7-ijo-47-01-0303" ref-type="fig">Fig. 7</xref>, by using flow cytometry to assess Annexin V-positive cells, we were able to evaluate the kinetics of apoptotic cells accumulated in these cultures for the entire 24&#x02013;96-h period. MEL-<italic>RPS5siRNA</italic> culture from the beginning of the induction of differentiation showed much lower proportion of cells exhibiting a pre-apoptotic or apoptotic phenotype. Interestingly, MEL cells treated with scrambled siRNAs accumulate ~32&#x00025; of both pre-apoptotic and apoptotic cells after 96 h, whereas specific RPS5 siRNAs-treated cells only ~17&#x00025; during the same period.</p>
<p>The fact that the modulated gene expression level of RPS5 is associated with an altered differentiation capacity of MEL cell cultures <italic>in vitro</italic> (MEL-C14, MEL-<italic>antisenseRPS5</italic> and MEL-RPS5 siRNA treated cells) has clearly proposed a correlation between MEL cell differentiation potential and <italic>RPS5</italic> gene expression. In order to more precisely inter-correlate such connection, an attempt was made to restore the normal RPS5 expression levels in MEL cultures that previously exhibited an RNAi-mediated RPS5 gene silencing and then reversely assess their capacity to commit to erythroid maturation. In doing so, the experiment shown in <xref rid="f8-ijo-47-01-0303" ref-type="fig">Fig. 8</xref> was designed. MEL cells were exposed for 48 h with either scrambled- or <italic>RPS5</italic>-specific siRNAs, before the replenishment of cultures with fresh medium containing only the inducer HMBA, no siRNAs (shown in <xref rid="f8-ijo-47-01-0303" ref-type="fig">Fig. 8A</xref>). MEL cells cultured in the presence of specific <italic>RPS5</italic> siRNAs for 48 h, were washed out and changed into fresh medium with the addition of inducer, restored their <italic>RPS5</italic> gene expression levels within 24 h (<xref rid="f8-ijo-47-01-0303" ref-type="fig">Fig. 8B</xref>), whereas the level of &#x003B2;-actin mRNA used as control remained unchanged (<xref rid="f8-ijo-47-01-0303" ref-type="fig">Fig. 8C</xref>). However, such MEL cells exhibit their maximum differentiation potential comparable to that seen for both parental MEL and scrambled-siRNAs treated MEL cultures (<xref rid="f8-ijo-47-01-0303" ref-type="fig">Fig. 8F</xref>). Similarly, the kinetics of cellular proliferation in both terms of growth (<xref rid="f8-ijo-47-01-0303" ref-type="fig">Fig. 8D</xref>) and trypan-blue positive (dead) cells (<xref rid="f8-ijo-47-01-0303" ref-type="fig">Fig. 8E</xref>) are indistinguishable between the three differentiating MEL cultures. Overall, such data propose a close relationship between the recorded <italic>RPS5</italic> gene expression level in MEL cells and their capacity to initiate the <italic>in vitro</italic> differentiation program to erythroid maturation.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In this study and in order to more thoroughly investigate the function of RPS5 in the initiation of commitment to erythroid maturation and the onset of MEL differentiation program to accumulate haemoglobin-containing cells in culture, we stably transfected MEL cells with the full length mouse anti-sense <italic>RPS5</italic> cDNA (MEL-<italic>antisenseRPS5</italic>) and also applied RNAi methodology to transiently silence the expression of <italic>RPS5</italic> gene (MEL-<italic>RPS5siRNA</italic>). The fact that overexpression of recombinant RPS5 in MEL-C14 cells abrogated their reprogramming to differentiation <italic>in vitro</italic> has shown a novel potential extraribosomal function of this protein in erythropoiesis (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Indeed, this conclusion has been further supported through the establishment of MEL-<italic>antisenseRPS5</italic> culture and the induction of differentiation upon exposure to chemical inducers. In particular, and comparatively to MEL-C14, these cells achieved lower onset of differentiation in culture, whereas they exhibited a delay in completing their erythroid maturation program in full (haemoglobin synthesis and limitation of proliferation potential). The latter effect would be attributed to the fact that although these cells do not produce full recombinant <italic>RPS5</italic> RNA transcripts, they might accumulate, however, truncated antisense RPS5 molecules in the cytoplasm interfere with endogenous RPS5 mRNA to affect its function. A similar effect has been reported in the case of Notch, where the transfection of MEL cells with recombinant constructs of Notch antisense cDNA modulated the endogenous Notch mRNA level and function within the cells (<xref rid="b30-ijo-47-01-0303" ref-type="bibr">30</xref>). The comprehensive analysis of the experimental data presented in this study indicated that although the cytoplasmic steady-state level of endogenous RPS5 RNA transcripts remains unchanged in differentiating MEL-<italic>antisenseRPS5</italic> cells, the synthesis of the corresponding RPS5 protein dramatically decreases very early, soon after induction of differentiation as shown in this study, in contrast to MEL-C14 cells where this effect happened at latter stages of differentiation (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Such a result implies that antisense-<italic>RPS5</italic> RNA molecules may cause a translational inhibition of endogenous RPS5 mRNA, as seen in the case of antisense-Notch cDNA transfection in MEL cells, leading to modulated RPS5 function in the timed reprogramming of these cells to differentiate. More importantly, the causal relationship between the <italic>RPS5</italic> gene expression and the differentiation potential of MEL cells is undoubtedly supported by the experiments presented in this study based on the selective RNAi-mediated silencing of RPS5 gene. By exhibiting silencing of <italic>RPS5</italic> gene, the inability of such MEL culture to initiate commitment to erythroid maturation <italic>in vitro</italic> has been strikingly reversed by allowing cells to restore normal RPS5 gene expression level. The latter, confirms previous observations showing that imbalance in differentiation potential and differentiation-dependent apoptosis is correlated with the capacity of cells to continue proliferation in culture (<xref rid="b13-ijo-47-01-0303" ref-type="bibr">13</xref>,<xref rid="b14-ijo-47-01-0303" ref-type="bibr">14</xref>). On the other hand, the cellular morphology showing a distortion of nucleus and nucleolus, coincides with an imbalance between the need for either proliferation (neoplasm phenotype), or differentiation/apoptosis decisions (erythroid maturation phenotype). Such a conclusion is in accordance with previously published data showing that MEL cell differentiation <italic>in vitro</italic> is associated very early with a noticeable decrease in the expression of <italic>RPS5</italic> gene, as well as a sharp inactivation of the transcription of rRNAs genes (<xref rid="b15-ijo-47-01-0303" ref-type="bibr">15</xref>,<xref rid="b16-ijo-47-01-0303" ref-type="bibr">16</xref>). Being also aware on the highly coordinated nature of the MEL erythroid maturation program regarding the transcriptional activation and/or repression of crucial genes, it is reasonable to assume that somehow the deregulation of RPS5 contributes to an imbalance in ribosomal biogenesis and function. It has been reported that the blockade of MEL erythroid differentiation program by methylation inhibitors (neplanocin A, 3-deaza-neplanocin A, and cycloleucine), caused constitutive expression of RPS5, thus implying a differentiation-dependent regulation for RPS5 gene in these cells (<xref rid="b31-ijo-47-01-0303" ref-type="bibr">31</xref>).</p>
<p>The ribosomal proteins are thought to have mainly structural role to facilitate the proper configuration of rRNAs as integral moieties of ribosomal subunits, thereby promoting the speed and accuracy of the translation process (<xref rid="b32-ijo-47-01-0303" ref-type="bibr">32</xref>). This conservative concept, however, is changing, by knowing that besides their profound structural and functional role in ribosome integrity and protein synthesis, ribosomal proteins exert extraribosomal roles in gene transcription, cell proliferation, apoptosis and differentiation (<xref rid="b33-ijo-47-01-0303" ref-type="bibr">33</xref>). Also recently, an intense interest in delineating the role of ribosome function in the pathogenesis of certain blood disorders has been emerged. Indeed, ribosomal proteins have unexpectedly been found to contribute in a series of pathological conditions such as Diamond-Blackfan anemia (DBA) or 5q<sup>&#x02212;</sup> syndrome. The latter happened at a rate that led to the term &#x02018;ribosomopathies&#x02019; which has been coined to describe these and other syndromes characterized by abrogated ribosome biogenesis (<xref rid="b21-ijo-47-01-0303" ref-type="bibr">21</xref>). Interestingly, the molecular pathogenesis of DBA depends on mutations in a number of different ribosomal protein genes with that of <italic>RPS19</italic> accounting for ~25&#x00025; of DBA patients (<xref rid="b34-ijo-47-01-0303" ref-type="bibr">34</xref>). The striking specificity of the defect manifestation mainly on red blood cell precursors is still elusive, while the list of ribosomal protein genes found mutated is growing to include members of the large as well the small ribosomal subunit such as <italic>RPS24, RPS17, RPS10, RPS26, RPL35a, RPL5</italic> and <italic>RPL11</italic> (<xref rid="b35-ijo-47-01-0303" ref-type="bibr">35</xref>&#x02013;<xref rid="b39-ijo-47-01-0303" ref-type="bibr">39</xref>). On the other hand, <italic>RPS14</italic> is directly linked to 5q<sup>&#x02212;</sup> syndrome pathogenesis, which presents many similarities to the clinical symptoms of DBA (<xref rid="b40-ijo-47-01-0303" ref-type="bibr">40</xref>). Haploinsufficiency of certain ribosomal protein genes in <italic>Drosophila</italic> has been associated with a growth restricted phenotype called &#x02018;minute&#x02019;, while in Zebrafish it leads to tumorigenesis by an unknown mechanism (<xref rid="b41-ijo-47-01-0303" ref-type="bibr">41</xref>). One of the major events during erythroid differentiation is the modulation of the number of ribosomes thus ensuring the synthesis of large amounts of haemoglobin needed for red blood cell function (<xref rid="b13-ijo-47-01-0303" ref-type="bibr">13</xref>). The pathophysiology at the molecular level correlating to the selective dysfunction of the erythroid cell lineage with disorders of ribosome biogenesis is still elusive besides the fact that the p53 activation and p21 accumulation has been shown to cause cell cycle arrest in such ribosome abnormal erythroid progenitor cells. The latter, proposes that the erythroid lineage has a low threshold for the induction of p53, thus providing a basis for the failure of erythropoiesis in disorders like 5q<sup>&#x02212;</sup> syndrome and DBA (<xref rid="b42-ijo-47-01-0303" ref-type="bibr">42</xref>). A clear connection between erythropoiesis, ribosome biogenesis and specific ribosomal protein function is still elusive. We do not know precisely how ribosomal proteins contribute to the formation of the 40S and 60S ribosomal subunits and to which extent they contribute to the protein synthesis. In MEL cells for example, it has been proposed that ribosomal proteins are added sequentially during the formation of the small (40S) ribosomal subunit (<xref rid="b43-ijo-47-01-0303" ref-type="bibr">43</xref>). In particular, RPS5 together with RPS4 and RPS12 have been implicated in the signaling step for the formation of a peptide bond (after the binding of tRNA in the ribosome) during the translation process (<xref rid="b44-ijo-47-01-0303" ref-type="bibr">44</xref>). For example, the targeted disruption of mouse PRS19 gene that was lethal prior to implantation, thus exhibiting a potential role in erythropoiesis and development (<xref rid="b45-ijo-47-01-0303" ref-type="bibr">45</xref>). Moreover, it is also noteworthy that RPS3 can act as a potential receptor for chemical inducers that initiate MEL cell differentiation <italic>in vitro</italic>, thus enriching our knowledge regarding an important extraribosomal functional role of this specific protein within cancer cells (<xref rid="b46-ijo-47-01-0303" ref-type="bibr">46</xref>).</p>
<p>Initiation of MEL cell differentiation has been reported to occur within the G<sub>1</sub>/S interphase and that terminal erythroid cell maturation is associated with G<sub>0</sub>/G<sub>1</sub> cell cycle arrest and the coordinated function of CDK2, CDK4 and CDK6 along with their inhibitors (CDKIs) (<xref rid="b13-ijo-47-01-0303" ref-type="bibr">13</xref>,<xref rid="b14-ijo-47-01-0303" ref-type="bibr">14</xref>,<xref rid="b25-ijo-47-01-0303" ref-type="bibr">25</xref>&#x02013;<xref rid="b28-ijo-47-01-0303" ref-type="bibr">28</xref>). As reported earlier, MEL-C14 cells delayed the initiation of the onset of differentiation upon exposure to chemical inducers, whereas at the same time a slower entrance of cells in G<sub>0</sub>/G<sub>1</sub> phase and significant changes in the profile of CDK2, CDK4 and CDK6 have been recorded (<xref rid="b22-ijo-47-01-0303" ref-type="bibr">22</xref>). Such a conclusion also applies for differentiating MEL-<italic>antisenseRPS5</italic> cells as reported in this study, where a delay in the onset of initiation of differentiation has been uncovered with simultaneous significant alterations in the protein levels of individual CDKs. Alternatively, the deregulation in cell cycle and differentiation seen upon modulating <italic>RPS5</italic> gene expression in MEL cells could be attributed to the altered c-myc expression profile seen in this study. Indeed, recent studies have clearly indicated the existence of a molecular link connecting cell growth control and ribosome biogenesis, as well as ribosome dysfunction and cell cycle regulation (<xref rid="b47-ijo-47-01-0303" ref-type="bibr">47</xref>,<xref rid="b48-ijo-47-01-0303" ref-type="bibr">48</xref>). In particular, <italic>c-myc</italic> plays a major role in balancing ribosome component production, whereas impairment of ribosome biogenesis (e.g., deregulation of <italic>RPL11</italic> and <italic>RPL5</italic>) leads to p53 induction thus hindering cell cycle progression. Whether such a connection already exists for RPS5 in MEL cells is still elusive. As shown in this study, the extra-ribosomal function of RPS5 related to the modulation of the onset of MEL cell differentiation program must be attributed to the latent period before the initiation of commitment. This is an interesting, and intriguing possibility requiring further experimental verification and validation to provide insights into how RPS5 exerts its roles for crucial cellular decisions, such as proliferation, differentiation and apoptosis. In a previous study, the selective repression of RPS19 gene expression in human CD34<sup>+</sup> cells caused abnormal ribosomal biogenesis that consequently has been clearly correlated with irregular cell cycle arrest and lineage-specific defects of erythroid progenitors (<xref rid="b49-ijo-47-01-0303" ref-type="bibr">49</xref>). The data presented in this study contribute to the better understanding of the role of RPS5 in the initiation of commitment of MEL cells to terminal erythroid maturation. Moreover, such results provide new knowledge on the borderlines of erythropoiesis on how the pathogenesis of ribosomopathies and the modulated gene expression of RPS5 could impair red blood cell production and the function of haemoglobin. This is considered very attractive especially in light of evidence (<xref rid="b50-ijo-47-01-0303" ref-type="bibr">50</xref>) showing that individual components of the translation machinery are deregulated in cancer cells, an event that also suggests the therapeutic exploitation of specific ribosome-related molecules as candidate targets for cancer therapy.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>We would like to thank Elsa P. Amanatiadou (Ph.D. Fellow, Laboratory of Pharmacology, Department of Pharmaceutical Sciences at Aristotle University of Thessaloniki) for her substantial help both in experimentation and upon the preparation of this manuscript. This study was supported by interdepartmental funds and the Research Committee of the Aristotle University of Thessaloniki (no. 88074 to I.S.V.).</p></ack>
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<floats-group>
<fig id="f1-ijo-47-01-0303" position="float">
<label>Figure 1</label>
<caption>
<p>Assessment of proliferation and differentiation potential of MEL-<italic>antisenseRPS5</italic> exposed to inducer DMSO upon the establishment of continuous logarithmic phase of growth with dilution with fresh medium. Parental MEL as well as MEL-<italic>antisenseRPS5</italic> cultures (5&#x000D7;10<sup>4</sup> cells/ml) were incubated either in DMEM supplemented with 10&#x00025; v/v FBS, or with DMEM supplemented with 10&#x00025; v/v FBS and G418, respectively, in the presence of the chemical inducer DMSO (1.5&#x00025; v/v). The exposure to DMSO was either continuous (A and B) without medium dilution or discontinuous with dilution with fresh medium after 4 (C and D) or 3 days (E and F) in order to establish logarithmic cell growth. In particular upon the 4th day, the cultures were diluted 1:10, with the addition of fresh medium in the absence of inducer DMSO, whereas as shown (E and F) and on the 3rd day, the cultures were diluted again 1:10 with the addition of fresh medium in the presence of DMSO. The kinetics of cell growth (A, C and E) and differentiation (B, D and F) was assessed as indicated in Materials and methods. The data shown are from a representative experiment repeated at least three times and the numbers represent the mean of two independent measurements.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g00.gif"/></fig>
<fig id="f2-ijo-47-01-0303" position="float">
<label>Figure 2</label>
<caption>
<p>Assessment by northern blot hybridization of the steady-state level of <italic>RPS5</italic> and &#x003B2;<sup>major</sup> globin RNA transcripts as well as RPS5 and CDKs protein level in MEL-<italic>antisenseRPS5</italic> cell cultures grown in the presence of DMSO. MEL-<italic>antisenseRPS5</italic> cell cultures were grown in DMEM supplemented with 10&#x00025; v/v FBS and G418 in the absence (control-untreated) or presence (DMSO-treated) of DMSO (1.5&#x00025; v/v). At times indicated, cells were harvested from culture and total cytoplasmic RNA and cellular protein extracts were isolated, as described in Materials and methods. (A, C and D) Cytoplasmic RNA (10 &#x003BC;g) was electrophoretically separated on 1&#x00025; agarose gel, transferred onto a nylon membrane, and hybridized at 65&#x000B0;C with &#x0005B;<sup>32</sup>P&#x0005D;-labeled DNA fragments coding for mouse <italic>RPS5</italic> mRNA (715 bp) (A and C) and/or &#x003B2;<sup>major</sup> globin gene (7,304-bp genomic DNA fragment containing the entire gene) (D). The ethidium-bromide staining pattern of the isolated cytoplasmic RNA transcripts from control-untreated (B) and DMSO-treated (E) MEL-<italic>antisenseRPS5</italic> cells is shown. The position of the 28S and 18S rRNAs is indicated by the arrows. (F&#x02013;J) Western blot analysis using 30 &#x003BC;g protein extracts from each culture preparation was carried out for the assessment of RPS5 (F), CDK-2 (G), CDK-4 (H), CDK-6 (I) and Gata-1 (J) protein levels. Abs for RPS5 (C-terminal), CDK2, CDK-4 and CDK-6 (1:1,000 dilution) and for Gata-1 (1:400 dilution) was used for immunoblotting, as shown in Materials and methods.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g01.gif"/></fig>
<fig id="f3-ijo-47-01-0303" position="float">
<label>Figure 3</label>
<caption>
<p>Assessment of proliferation and differentiation potential of MEL-<italic>antisenseRPS5</italic> exposed to inducer HMBA. Parental MEL and MEL-<italic>antisenseRPS5</italic> cultures (5&#x000D7;10<sup>4</sup> cells/ml) were incubated either in DMEM supplemented with 10&#x00025; v/v FBS, or with DMEM supplemented with 10&#x00025; v/v FBS and G418 (0.25 mg/ml), respectively, in the absence (A and B) or the presence (C&#x02013;F) of the chemical inducer HMBA (5 mM). The kinetics of cell growth (A and C), cell death (B and D), differentiation (E) and haemoglobin content (F) was assessed as indicated in Materials and methods. The data shown are from a representative experiment repeated at least three times and the data represent the mean of two independent measurements.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g02.gif"/></fig>
<fig id="f4-ijo-47-01-0303" position="float">
<label>Figure 4</label>
<caption>
<p>Cellular morphology of control-untreated or HMBA-treated cultures of MEL parental, MEL-C14 and/or MEL-antisenseRPS5. MEL parental, MEL-C14 and MEL-antisenseRPS5 cultures were grown in the absence (control-untreated) or the presence of inducer HMBA (5 mM) for 96 h (HMBA-treated). The morphology of cells was assessed by light microscopy. Cell images were taken with a Nikon Coolpix P5100 camera adjusted on a Nikon Eclipse TS100 light microscope. The images obtained are presented &#x000D7;60.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g03.gif"/></fig>
<fig id="f5-ijo-47-01-0303" position="float">
<label>Figure 5</label>
<caption>
<p>Time course assessment of RNAi-mediated <italic>RPS5</italic> gene silencing in parental MEL cells. Parental MEL cells grown in culture were exposed with either scrambled (B and D) or RPS5 specific (A and C) siRNAs as indicated in Materials and methods. At time intervals indicated, cells were harvested from culture and total cytoplasmic RNA and protein extracts were isolated and subjected to either RT-PCR &#x0005B;(A and B) 0.5 &#x003BC;g RNA&#x0005D; or western blot &#x0005B;(C and D) 20 &#x003BC;g protein&#x0005D; analysis for <italic>RPS5</italic> gene and protein expression, respectively, as described in Materials and methods.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g04.gif"/></fig>
<fig id="f6-ijo-47-01-0303" position="float">
<label>Figure 6</label>
<caption>
<p>Assessment of differentiation potential of parental MEL cells treated with RPS5 specific siRNAs. Parental MEL cells were treated with either scrambled (MEL-scrambled siRNA) or RPS5 specific (MEL-RPS5 siRNA) siRNAs as indicated in <xref rid="f4-ijo-47-01-0303" ref-type="fig">Fig. 4</xref> for 24 h, before the addition of inducer HMBA (5 mM). Note that parental MEL cells treated without siRNA molecules (MEL parental) exposed to HMBA were also included in this experimental design as control. Afterwards, the number of cells producing haemoglobin (benzidine-positive cells; differentiated cells) accumulated in culture was assessed kinetically for a 96-h period (F), as described in Materials and methods. After 48- and 96-h continuous exposure to siRNAs in culture, as shown diagrammatically (A), isolation of total cytoplasmic RNA and protein extracts was carried out to assess the expression RPS5 gene and protein level by RT-PCR &#x0005B;(B) 0.5 &#x003BC;g RNA&#x0005D; and western blotting &#x0005B;(D) 20 &#x003BC;g protein&#x0005D;, respectively. The assessment of &#x003B2;-actin mRNA (C) and tubulin protein (E) was also carried out and used as controls. (G) The accumulation of trypan-blue (dead) staining cells was measured after 72- and 96-h exposure of cells to the inducer HMBA (A). (B and C) Cultures treated with HMBA for 24 h; lane 1, M_L parental; lane 2, M_L-PRS5 siRNA; lane 3, M_L-scrambled siRNA. (D and E) Cultures treated with (lanes 1&#x02013;3) or without (lane 4) the presence of HMBA for 72 h; lane 1, MEL-RPS5 siRNA; lane 2, MEL-scrambled siRNA; lanes 3 and 4, parental MEL. The data shown are from a representative experiment repeated at least three times and the data represent the mean of two independent measurements.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g05.gif"/></fig>
<fig id="f7-ijo-47-01-0303" position="float">
<label>Figure 7</label>
<caption>
<p>Flow cytometry analysis for the assessment of apoptotic cells in MEL-scrambled siRNA and MEL-RPS5 siRNA cultures exposed to HMBA. MEL-scrambled siRNA and MEL-RPS5 siRNA cells grown in the presence of HMBA (5 mM) as shown in <xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6</xref> harvested from culture at time intervals indicated, washed, stained with Annexin V/AAD reagent and then processed for flow cytometry, as described in Materials and methods. The data obtained for apoptotic and non-viable cells is indicated.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g06.gif"/></fig>
<fig id="f8-ijo-47-01-0303" position="float">
<label>Figure 8</label>
<caption>
<p>Assessment of differentiation potential of parental MEL cultures restoring normal <italic>RPS5</italic> gene expression levels after an initial RNAi-mediated silencing of endogenous <italic>RPS5</italic>. Parental MEL cells were treated with either scrambled (MEL-scrambled siRNA) or RPS5 specific (MEL-RPS5 siRNA) siRNAs as indicated in <xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6</xref> for 48 h. At that time and before the addition of inducer HMBA (5 mM) (0 h), the medium was replaced with siRNAs-free fresh one. Note that parental MEL cells treated without siRNA molecules (MEL parental) and exposed to HMBA were also included in this experimental design as control. The kinetics of cell growth (D), differentiation (F) and dead (E) cells was assessed as shown in <xref rid="f6-ijo-47-01-0303" ref-type="fig">Fig. 6</xref> and described in Materials and methods. Simultaneously and at time intervals shown (B and C), isolation of total cytoplasmic RNA was carried out to assess the expression of <italic>RPS5</italic> (B) by RT-PCR. The assessment of &#x003B2;-actin mRNA (C) was also performed and used as control. Note that RPS5 gene expression levels were low (0 h) upon addition of HMBA and then recovered afterwards to much higher levels. The data shown are from a representative experiment repeated at least twice and the data represent the mean of two independent measurements.</p></caption>
<graphic xlink:href="IJO-47-01-0303-g07.gif"/></fig></floats-group></article>
