Cell Growth & Differentiation Vol. 11, 501-506, September 2000
© 2000 American Association for Cancer Research
K562 Cells Resistant to Phorbol 12-Myristate 13-acetate-induced Growth Arrest: Dissociation of Mitogen-activated Protein Kinase Activation and Egr-1 Expression from Megakaryocyte Differentiation1
Candace Shelly,
Lilli Petruzzelli and
Roman Herrera2
Department of Cell Biology, Parke-Davis Pharmaceutical Research Division of Warner-Lambert Company, Ann Arbor, Michigan 48105 [C. S., R. H.], and Department of Internal Medicine, Division of Hematology/Oncology, University of Michigan and Veterans Affairs Medical Center, Ann Arbor, Michigan 48109 [L. P.]
Abstract
The K562 cell line undergoes megakaryocytic differentiation in response
to phorbol 12-myristate 13-acetate (PMA) stimulation. This event
correlates with mitogen-activated protein kinase activation, cell cycle
arrest, and expression of the Egr-1 transcription factor. We have
isolated K562 cells that are resistant to the growth-inhibitory action
of PMA. Molecular characterization demonstrates that PMA resistance is
downstream from PMA-induced activation of the mitogen-activated
protein kinase pathway. Although the levels of Egr-1 expression and
cyclic AMP-responsive element-binding protein phosphorylation are
comparable in wild-type and PMA-resistant clones in
response to PMA, the expression of megakaryocytic cell surface marker
CD41 is detected only in the wild-type cells. The lack of
differentiation of the PMA-resistant clones correlates with a
failure of the PMA-treated cells to induce dephosphorylation and
down-regulation of the retinoblastoma protein. These cells may
provide a useful model system to distinguish those events that
are connected to cell cycle arrest from those involved in the
differentiation program initiated by PMA.
Introduction
Megakaryocytic differentiation of K562 cells induced by
PMA3
mimics, in part, the physiological process that takes place in the bone
marrow in response to a variety of stimuli (1)
. The
differentiation process is characterized by changes in cell morphology,
adhesive properties, endomitosis, and expression of markers associated
with megakaryocytes as well as cell growth arrest (1, 2, 3, 4, 5, 6)
.
The signaling cascade that leads to PMA-induced cell cycle arrest,
polyploidy, and differentiation of K562 cells has been described in
part, and a role for PKC in the megakaryocyte differentiation process
has been established (7)
. Studies carried out with K562
cells revealed that PMA induces the translocation of specific isoforms
of PKC to particulate fractions (plasma and nuclear membranes), with a
subsequent reduction in the levels of the ßll PKC isoform and an
increase in the
PKC isoform (7)
. PMA treatment also
leads to the induction of transcription factors such as jun/fos
(8)
and of proto-oncogenes such as c-ski (9)
and c-sis (2)
. The induction of expression of Egr-1 by PMA
has been implicated in the differentiation process (10)
.
The mechanism of PMA-induced cell cycle arrest of leukemia cells is
partially understood. Treatment of these cells with PMA leads to
p53-independent expression of the cell cycle inhibitor
p21waf1/cip1 (11
, 12)
. In addition,
PMA treatment leads to the complex regulation of cdk2 (13)
and cyclin B/cdk1 (14)
activities as well as regulation in
the expression of cdc25 phosphatase (15)
.
The Raf/MAPK pathway is involved in cell cycle arrest in response to
PMA treatment of K562 cells (16, 17, 18)
and is likely to be
involved in the expression of p21waf1/cip1.
Taxol-induced expression of p21waf/cip1
requires c-raf-1 (19)
, and high-intensity Raf signaling in
fibroblasts causes growth arrest that is mediated by
p21waf/cip1 (20)
. In addition,
growth factor-mediated activation of MAPK leads to
p21waf/cip1 expression (21, 22, 23)
.
These observations support the hypothesis that in K562 cells,
PMA-induced activation of MAPK is required for cell cycle arrest and
megakaryocyte differentiation by regulating the expression of the
p21waf/cip1 and egr-1 genes.
We have begun to test this hypothesis by isolating K562 clones that are
resistant to PMA-induced growth arrest and differentiation downstream
from MAPK activation. Here we describe the properties of such clones
and show that PMA-induced growth arrest correlates with
dephosphorylation of the Rb protein. Furthermore, we demonstrate
that induction of Egr-1 expression is not sufficient to mediate
differentiation of K562 cells.
Results
Isolation of K562 Cells Resistant to PMA-induced Growth Inhibition.
PMA treatment of K562 cells leads to prolonged activation of the MAPK
pathway. This event is required for PMA-induced growth arrest and
megakaryocytic differentiation of these cells (16, 17, 18)
. We
sought to generate a population of K562 cells that are resistant to
PMA-induced growth arrest to further dissect the signaling events
associated with PMA stimulation of these cells. K562 cells were
randomly mutagenized with EMS and selected for their ability to grow in
the presence of PMA as described in "Materials and Methods." We
selected two clones (clones C1 and C4) from the resistant pool for
further characterization. Fig. 1A
depicts the growth curve of these cells in the presence and
absence of PMA. As seen in the Fig. 1
, the growth of wild-type K562
cells is markedly inhibited by PMA, whereas the growth of the isolated
clones is minimally affected by PMA. Cell cycle analysis of these cells
showed that the PMA-induced G1 arrest seen in
wild-type K562 cells is not present in the resistant clones (Table 1)
. In contrast, morphological analysis of these cells after PMA
treatment for 5 days did not reveal significant differences. The
well-documented polylobulation of the cell nucleus in response to PMA
is observed in both wild-type K562 cells and the resistant clones (Fig. 1B)
. At this time, it is not known whether the polylobulated
cells in the resistant clones are capable of cell division.

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Fig. 1. Growth and morphological characteristics of PMA-resistant clones.
A, growth curves of wild-type K562 cells and the EMS
mutagenized clones, C1 and C4, in the presence (, , and ) or
absence ( , , and ) of PMA (40 nM). The growth rate
of the cultured cells was determined as described in "Materials and
Methods." B, wild-type K562 or C1 and C4 clones were
treated with or without PMA (40 nM) for 4 days, affixed to
the slide by cytospin, and stained using the May-Grunwald procedure as
described in "Materials and Methods." The cells were analyzed and
photographed at x100 under light microscopy.
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Table 1 Cell cycle analysis of K562 cells and clones C1 and C4
Cell cycle analysis of K562 cells and two clones derived by mutation of
K562 was carried out as described in "Materials and Methods." Cells
were fixed and labeled with propidium iodide, and staining was obtained
by fluorescence-activated cell-sorting analysis as described in
"Materials and Methods."
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PMA-mediated Signaling in PMA-resistant K562 Cells.
To biochemically characterize the properties of the PMA-resistant K562
clones described above, we focused our studies on both early and late
events associated with PMA stimulation of these cells. It is known that
PMA stimulation of K562 cells leads to down-regulation of the
expression level of PKC (7)
and to increased expression of
Pyk2 (24)
. The levels of PKC and Pyk2 in the
mutated clones were compared with those of wild-type K562 cells in
response to PMA treatment. As seen in Fig. 2, A and B
, the response to long-term incubation of
the resistant cells with PMA is comparable to the response obtained in
wild-type cells. Down-regulation of PKC and enhanced expression of Pyk2
were observed in both the wild-type cell line and the resistant clones.
Because prolonged activation of MAPK is required for PMA-induced growth
inhibition of K562 cells, we compared the PMA-induced activation of
MAPK of the resistant clones with that of wild-type cells. As shown in
Fig. 2, C and D
, there is no significant
difference between the mutant and wild-type cells. Because MAPK
activation is intact in the PMA-resistant clones, it is likely that the
resistant phenotype is downstream of PMA-induced MAPK activation.

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Fig. 2. PMA-mediated signaling in PMA-resistant K562 cells. The effect of PMA
treatment on signal transduction pathways in both wild-type and
PMA-resistant K562 cells was studied by measuring the levels of PKC
(A) or Pyk2 (B) or the activation of the
MAPK pathway (C and D). Data presented in
D depict the C1 clone. Samples were processed as
described in "Materials and Methods."
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Comparison of Rb Phosphorylation in Wild-Type and Mutant K562
Cells.
The mechanism of PMA-induced growth arrest of wild-type K562 cells is
not fully understood. However, it has been proposed that PMA
stimulation leads to p53-independent expression of the cyclin
inhibitor p21waf/cip1 (25
, 26)
. As such,
one would expect a marked effect on the phosphorylation state of the
cell cycle regulator, Rb, because its phosphorylation state is
regulated by at least two distinct cyclin-cdk complexes
(27)
. Analysis of both the phosphorylated state and total
Rb protein was carried out to correlate its expression with the growth
properties of both wild-type and PMA-resistant K562 cells. As seen in
Fig. 3A
, PMA stimulation of wild-type K562 cells leads to
dephosphorylation and down-regulation of the Rb protein. Furthermore,
this effect is partially blocked by inhibition of the MEK/MAPK pathway
by the specific inhibitor PD098059 (28)
. In contrast, the
PMA-resistant cells fail to dephosphorylate or down-regulate Rb in
response to PMA. This pattern was also seen when the analysis was
carried out in synchronized cells (Fig. 3B)
. Because Rb
phosphorylation is regulated in part by the activities of cdk2 and cdk4
gene products (27)
, we analyzed the expression levels of
both of these enzymes in wild-type and PMA-resistant synchronized
cells. In wild-type K562 cells, expression of both cdk2 and cdk4
protein was modulated by PMA treatment (Fig. 3C)
. However,
close analysis of the time course of Rb dephosphorylation indicates
that Rb dephosphorylation occurs at earlier points than cdk4 or
cdk2 disappearance. We have detected a modest inhibition of cdk4
activity at early points of PMA treatment (data not shown). In
contrast, the resistant K562 cells failed to down-regulate either
protein in response to PMA, thus providing a molecular explanation for
the preserved phosphorylation of Rb observed in the PMA-resistant
cells.

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Fig. 3. Regulation of Rb phosphorylation and cdk2 and cdk4 expression by PMA.
Wild-type or PMA-resistant K562 clones were treated for 24 h with
or without PMA in the presence or absence of the MEK inhibitor
PD098059, and the level of phosphorylated and total Rb protein
(A) was analyzed by immunoblot as described in
"Materials and Methods." The analysis was also carried out in
synchronized cell cultures of both wild-type K562 and C1 cells treated
with or without PMA. Both phosphorylated Rb (B) and the
expression level of cdk2 and cdk4 (C) were analyzed.
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PMA-resistant Cells Fail to Differentiate.
The phenotypic changes associated with PMA treatment of K562
cells are consistent with differentiation toward the megakaryocytic
cell lineage (8)
. It has been proposed that expression of
the egr-1 gene mediates some of the
differentiation-associated changes induced by PMA (10)
. In
addition, it has been demonstrated that CREB phosphorylation is
associated with megakaryocyte differentiation (29)
.
Therefore, we studied the association between Egr-1 expression, CREB
phosphorylation, and differentiation of both wild-type and
PMA-resistant cells in response to PMA. As shown in Fig. 4A
, CREB phosphorylation is observed in both wild-type and
PMA-resistant clones in response to PMA. This event is not blocked by
the MEK inhibitor, a treatment that otherwise induces blockade of the
PMA-induced differentiation of wild-type K562 cells. Similarly, the
PMA-induced expression of Egr-1 is observed in both wild-type and
PMA-resistant K562 cells. However, this induction is partially
dependent on the activity of the MEK/MAPK pathway. The level of
expression correlates with the degree of MEK inhibition, as judged by
the level of activated MAPK (Fig. 4B)
.

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Fig. 4. PMA induced CREB phosphorylation or Egr-1 expression in wild-type or
PMA-resistant K562 cells. Wild-type or PMA-resistant K562 cells were
treated with or without PMA in the presence or absence of PD098059, and
the degree of CREB phosphorylation (A) or the induction
of Egr-1 expression (B) was analyzed as described in
"Materials and Methods."
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To assess the differentiation profile of the PMA-resistant K562 clones,
we measured the cell surface expression of one of the subunits of
gpIIbIIa, CD41, which is a marker for megakaryocyte differentiation. As
seen in the data presented in Fig. 5
, wild-type K562 cells express CD41 in response to PMA treatment.
The PMA-resistant clones, however, failed to express this cell surface
protein, suggesting that the PMA-induced differentiation of these cells
is blocked.

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Fig. 5. Cell surface expression of differentiation marker CD41. Wild-type K562
cells and the mutant clones were treated with DMSO or PMA for 6 days
before collection. Cells were stained with the control antibody ZPO-1
or with antibodies directed against CD41 and CD61. Bound antibody was
detected with FITC-conjugated goat antimouse antibody. Histograms of
the fluorescence intensity are reported for wild-type cells and for
mutant clones C1 and C4.
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Discussion
We have isolated K562 cells that are resistant to
PMA-induced growth inhibition. Although the exact molecular defect
that results in PMA resistance of these cells is unknown, the initial
signaling cascade initiated by PMA treatment is intact in the
PMA-resistant cells. Like wild-type K562 cells, the mutated clones
undergo prolonged and marked activation of the MAPK pathway,
down-regulation of PKC expression, and up-regulation of Pyk2
expression. These signaling events have been described previously as
being associated with PMA treatment of K562 cells (5
, 16, 17, 18
, 24)
. The resistant phenotype of these cells has been maintained
during successive passages (>40 passages); therefore, this phenotype
is likely to be due to a permanent mutation(s) induced by EMS.
The PMA-resistant phenotype is due to a failure of the cells to arrest
at the G1 stage of the cell cycle, a response
observed in wild-type K562 cells (Table 1)
. Furthermore, this blockade
appears to be downstream of MAPK activation because we observed
sustained MAPK activation in both the wild-type and mutant cell lines
(Fig. 2)
. It has been proposed that PMA-induced growth arrest of
leukemia cells is mediated by a p53-independent, MAPK-dependent pathway that regulates the expression of the cell cycle regulator
p21waf/cipi1 (11
, 12)
. As expected,
induction of p21waf/cip1 results in an
accumulation of dephosphorylated Rb protein, a critical regulator of
the G1-S-phase transition (30)
. Once
cells are stimulated to pass through G1 to S
phase, Rb is inactivated by phosphorylation mediated by cyclin
D/cdk4/cdk6 and cyclin E/cdk2 (27)
.
Our analysis of Rb phosphorylation and expression in both the wild-type
and PMA-resistant clones revealed that the most likely explanation for
the failure of the resistance clones to undergo growth arrest in
response to PMA stimulation is a lack of dephosphorylation of Rb (Fig. 3)
. The phosphorylation state of Rb is regulated by a cycle of kinases
and phosphatase activities (30)
. Therefore, a molecular
explanation for the above-mentioned observation awaits the analysis of
the expression and function of the known regulators of Rb
phosphorylation. Although it has been described that PMA induces
p21waf/cip1 in K562 cells, we have been unable to
obtain reproducible results regarding p21 expression under our
experimental conditions, thus precluding us from connecting the
PMA-resistant phenotype to a lack of p21waf/cip1
expression. Alternatively, because we detected minor changes in cdk4
activity at the early points, we favor a model in which the
PMA-resistant phenotype is due to a loss of PMA-modulated phosphatase
activity directed against the Rb protein.
One of the goals that we hope to accomplish with the isolation of these
PMA-resistant cells is to dissect the events correlated with the
expression of the differentiated phenotype associated with PMA
stimulation of K562 cells. Previous studies have shown that
megakaryocytic differentiation of K562 cells is regulated by expression
of the Egr-1 transcription factor (10)
, whereas HEL cell
differentiation correlates with selective phosphorylation at
Ser133 of CREB (29)
. Our analysis of
both Egr-1 expression and CREB phosphorylation in the PMA-resistant
clones revealed no difference from wild-type cells. However, when the
expression of the cell surface marker for megakaryocyte differentiation
was analyzed, those cells that are resistant to PMA failed to
differentiate. These results suggest that Egr-1 expression and CREB
phosphorylation are not sufficient to override the molecular
block induced by EMS treatment of these cells. Although the block could
be at the level of CD41 expression, the strict correlation between cell
growth arrest and differentiation (1
, 5
, 6
, 31)
makes this
possibility less likely. These results suggest that the blockade of
PMA-induced differentiation and cell cycle arrest is downstream from
the phosphorylation of CREB or Egr-1 expression and reinforces the
linkage between cell cycle arrest and differentiation of these cells.
Materials and Methods
Antibodies to phosphotyrosine (PY20) and
PKC (clone 3) used
for immunoprecipitation and immunoblotting were from Transduction
Laboratories (Lexington, KY). Antibody directed toward the
phosphorylated forms of Erk1 and Erk2 was from Promega (Madison,
WI), and phospho-specific Rb (Ser795) monoclonal
antibody was obtained from New England Biolabs (Beverly, MA).
Monoclonal antibodies directed against phosphotyrosine (4G10) and Pyk2
were from Upstate Biotechnology (Lake Placid, NY). Total Rb antibody
(G3-245) was obtained from PharMingen (San Diego, CA), and antibodies
directed against cdk2 (M2), cdk4 (H22), cyclin D1 (H295), Egr-1 (C19),
and total Rb (C15) were purchased from Santa Cruz Biotechnology (Santa
Cruz, CA).
K562 Cell Mutagenesis and Clone Isolation.
K562 cells (American Type Culture Collection; 5 x
105 cells/ml; 2 x 107
cells) were treated with 150 µg/ml EMS (Sigma, St. Louis, MO) for
48 h as described previously (32
, 33)
. After a
recovery period (34 days), the EMS-treated cells were cultured in
RPMI 1640 supplemented with 10% FCS in the presence of 50
nM PMA (Sigma). PMA was replaced every 2 days. After 79
days, PMA was withdrawn, and the cells were left to recover in RPMI
1640 supplemented with 10% FCS for approximately 1 month, by
which time their growth rate had recovered to near that of the
wild-type cells, with a 90% viability as determined by blue dextran
exclusion. These cells were then treated again with PMA (40
nM) for 2 days and seeded for single cell clone selection
in 96-well plates in the presence of 50 nM PMA. Positive
clones were selected by two additional rounds of this method to
ensure that they represented a single clone.
Growth Curve.
Wild-type K562 cells or the EMS-derived clones were grown in RPMI
1640 supplemented with 10% FCS in the presence or absence PMA
(40 nM). At the indicated times, the number of cells was
assessed. Duplicate samples were counted in triplicate on a Coulter Z1
Particle Counter (Coulter Corp., Hialeah, FL).
Cell Synchronization.
Cells (1 x 106) were incubated in the
presence of nocodazole (1 µg/ml) for 18 h. After washing
cells in RPMI 1640 supplemented with 10% FCS, cells were seeded
at 4 x 105 cells/ml and, after 4 h,
treated in the presence or absence of PMA (40 nM). Cells
were collected at the time of initial seeding after nocodazole
treatment (t = -4), at the time of addition of PMA
(t = 0) and then at 3, 6, 9, 12, and 24 h of
incubation. Cells were lysed into radioimmunoprecipitation assay buffer
as described previously (34)
, the protein concentration in
each sample was determined using the protein assay kit from Bio-Rad
(Hercules, CA), and an equal amount of protein was applied in each
sample subjected to SDS-PAGE.
Cytospin and May-Grunwald Staining.
Approximately 3 x 104 cells were spun onto
a microscope slide for 4 min at 800 rpm under medium acceleration in a
Cytospin 3 (Shandon, Pittsburgh, PA). After air drying, slides were
stained with May-Grunwald stain (Sigma) according to the
manufacturers instructions.
Immunoprecipitation and Immunoblotting.
Preparation of cell lysates, immunoprecipitation, and immunoblotting
were performed as described previously (18
, 24
, 34
, 35)
.
Cell Cycle Analysis and Differentiation Markers.
Cell cycle progression of wild-type and mutated K562 cells was analyzed
as described previously, and the data were processed using Multicycle
Software (Phoenix Flow Systems, San Diego, CA) as described previously
(24
, 36)
. Expression of differentiation marker CD41 was
assessed by flow cytometry according the methods described previously
(18
, 37)
.
Acknowledgments
We thank Lisa Cummins for help in preparing the manuscript.
Footnotes
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Supported in part by NIH Grants CA46592 (to the
University of Michigan-Comprehensive Cancer Center) and AR20557
(to the University of Michigan-Multipurpose Arthritic Center) and by
the University of Michigan-BRCF Core Flow Cytometry facility.
L. P. was supported by the American Society of Hematology. 
2 To whom requests for reprints should be
addressed, at Department of Cell Biology, Parke-Davis Pharmaceutical
Research Division of Warner-Lambert Company, Ann Arbor, MI 48105.
Phone: (734) 622-5963; Fax: (734) 622-5668; E-mail: Roman.Herrera{at}wl.com 
3 The abbreviations used are: PMA, phorbol
12-myristate 13-acetate; MAPK, mitogen-activated protein kinase; CREB,
cyclic AMP-responsive element-binding protein; Rb, retinoblastoma; PKC,
protein kinase C; cdk, cyclin-dependent kinase; EMS, methanesulfonic
acid ethyl ester; MEK, mitogen-activated protein/extracellular
signal-regulated kinase kinase. 
Received for publication 3/24/00.
Revision received 8/ 1/00.
Accepted for publication 8/ 3/00.
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