Microphthalmia-associated Transcription Factor Is a Critical Transcriptional Regulator of Melanoma Inhibitor of Apoptosis in Melanomas

Melanoma inhibitor of apoptosis (ML-IAP) is a potent inhibitor of apoptosis, which is highly expressed in melano-mas and likely contributes to their resistance to chemother-apeutic treatments. Herein, we show that the lineage survival oncogene microphthalmia-associated transcription factor (MITF) is a critical regulator of ML-IAP transcription in melanoma cells. The ML-IAP promoter contains two MITF consensus sites, and analysis of MITF and ML-IAP mRNA levels revealed a high correlation in melanoma tumor samples and cell lines. In reporter assays, MITF promoted a strong stimulation of transcriptional activity from the ML-IAP promoter, and MITF bound the endogenous ML-IAP promoter in melanoma cells by chromatin immunoprecipitation and electrophoretic mobility shift assay. Strikingly, small interfering RNA (siRNA)–mediated knockdown of MITF in melanoma cells led to a dramatic decrease in ML-IAP mRNA and protein levels, establishing that ML-IAP expression in melanoma cells is MITF dependent. Additionally, cyclic AMP–mediated induction of MITF expression in melanocytes resulted in increased ML-IAP expression, suggesting that melanocytes can express ML-IAP when MITF levels are heightened. Disruption of MITF by siRNA led to a decrease in melanoma cell viability, which could be rescued by ectopic expression of ML-IAP. Collectively, these findings implicate MITF as a major transcriptional regulator of ML-IAP expression in melanomas, and suggest that ML-IAP contributes to the prosurvival activity of MITF in melanoma progression.


Introduction
Inhibitor of apoptosis (IAP) proteins are a family of antiapoptotic regulators that block cell death in response to diverse stimuli through interactions with inducers and effectors of apoptosis (1).Melanoma IAP (ML-IAP; also known as Livin, KIAP, and BIRC7) is a potent antiapoptotic protein that is highly expressed in melanomas and other cancers, but not in most adult tissues (2)(3)(4)(5).IAP proteins inhibit apoptotic stimuli that signal either intrinsically, such as intracellular damage, or extrinsically, in the case of signaling via death receptor complexes, pathways (1).These stimuli lead to activation of caspases, cysteinedependent aspartyl-specific proteases that are critical for the execution of programmed cell death (6,7).X chromosome-linked IAP (XIAP) protein is an IAP family member that can bind to and potently inhibit caspase-3, caspase-7, and caspase-9 (8).After cells receive death stimuli, second mitochondria-derived activator of caspases (SMAC) is released from mitochondria into the cytosol where it binds to XIAP and abrogates its caspase-inhibitory activity (9,10).ML-IAP, on the other hand, seems to primarily exert its prosurvival properties by binding to SMAC via its conserved baculovirus IAP repeat (BIR) domain, overcoming SMAC antagonism of XIAP-mediated caspase inhibition, and thus effectively halting apoptosis (2,4,11).
At present, little is known about how ML-IAP tissue-and tumorspecific expression is achieved.In this study, we focused specifically on elucidation of a molecular mechanism for transcriptional regulation of ML-IAP in melanoma.Melanoma is a neoplasm that originates from melanocytes and is highly resistant to chemotherapeutic and radiological treatments (12).ML-IAP has been shown to be highly expressed in the majority of melanoma patient samples surveyed, as well as in a number of melanoma cell lines (2,13).However, in the same studies, ML-IAP expression was not detected in benign melanocytic proliferation or normal melanocytes (2,13).Mechanisms describing how ML-IAP expression may be up-regulated during melanocytic transformation have not yet been reported, although it is noteworthy that ML-IAP maps to 20q13.3, a region frequently amplified in melanomas (14).Understanding the regulation of ML-IAP expression in melanomas may contribute to the ongoing efforts to overcome resistance to apoptosis in melanoma through apoptosis-based therapeutics (15).
Microphthalmia-associated transcription factor (MITF) is a basic helix-loop-helix-leucine zipper protein (16).Nine different isoforms of MITF with various tissue specific expression patterns have been reported, including the melanocyte-specific isoform MITF-M (17).The MITF-M isoform is expressed specifically in melanocytes and melanomas where it transcriptionally regulates genes for melanogenesis, cell survival, and differentiation (16).A nonfunctional mutation of the Mitf gene in mice leads to a complete absence of melanocytes and consequent lack of coat color (16).In humans, MITF mutation causes Waardenburg syndrome type IIA, resulting in melanocyte deficiencies in the skin and inner ear, hypopigmentation, and deafness (18).The MITF gene is amplified in 15% to 20% of metastatic melanomas (19), and it is considered a lineage survival oncogene due to its requirement for melanocyte proliferation and differentiation and high expression level in the majority of melanomas (16,20).As a member of the MYC family of transcription factors, MITF binds to the consensus E box sequence CA(C/T)GTG (21)(22)(23) within target genes such as cyclin-dependent kinase 2 (CDK2) and the antiapoptotic factor BCL-2 (24,25).To date, both CDK2 and Bcl-2 have been implicated as important mediators of the effects of MITF on melanoma proliferation and survival (24,25).However, there are likely additional MITF targets that also contribute to the role of MITF in melanomas.
Here we report that the ML-IAP promoter contains two functional MITF binding sites and that ML-IAP and MITF-M mRNA levels are well correlated in melanoma patient samples and cell lines.We show that MITF binds to the ML-IAP promoter and transcriptionally regulates ML-IAP expression using luciferase reporter assays, chromatin immunoprecipitation, electrophoretic mobility shift assay, and small interfering RNA (siRNA) knockdown of MITF in melanoma cells.Additionally, up-regulation of MITF expression in melanocytes and melanoma cells was sufficient to elevate ML-IAP mRNA levels.Lastly, MITF modulation of ML-IAP expression was shown to play a vital role in melanoma cell survival.

Materials and Methods
Cell culture and media.A375, A2058, SK-MEL-28, and UACC62 human melanoma and Hek293T human embryonic kidney cells were obtained from American Type Culture Collection and maintained in 50:50 RPMI 1640/ DMEM with 10% fetal bovine serum (FBS).888 and 624 melanoma cells were maintained in DMEM with 10% FBS in the absence of antibiotics (as described in ref. 2).Normal human epidermal melanocytes were purchased from Cambrex and maintained in MBM-4 medium supplemented with the MGM-4 bullet kit (all Cambrex).
In situ hybridization.PCR primers were designed to amplify a 447bp fragment of human ML-IAP spanning nucleotides (nt) 21 to 447 of NM_139317.1 (upper, 5 ¶-CAAGTGCCTGCACCGTGGACC-3 ¶; lower, 5 ¶-GGGGAACCACTTGGCATGCTC-3 ¶) or a 451-bp fragment of human MITF spanning nt 1 to 450 of NM_ 000248 (upper, 5 ¶-ATGCTGGAAATGCTA-GAATAT-3 ¶; lower, 5 ¶-GACAGGCAACGTATTTGCCAT-3 ¶).Primers included extensions encoding 27-nt T7 or T3 RNA polymerase initiation sites to allow in vitro transcription of sense or antisense probes, respectively, from the amplified products.Formalin-fixed, paraffin-embedded sections (5 Am thick) were deparaffinized, deproteinated in 10 Ag/mL proteinase K for 45 min at 37jC, and further processed for in situ hybridization as previously described (26).[ 33 P]UTP-labeled sense and antisense probes were hybridized to the sections at 55jC overnight.Unhybridized probe was removed by incubation in 20 Ag/mL RNase A for 30 min at 37jC, followed by a high stringency wash at 55jC in 0.1Â SSC for 2 h and dehydration through a graded ethanol series.The slides were dipped in NTB nuclear track emulsion (Eastman Kodak), exposed in sealed plastic slide boxes containing dessicant for 4 wk at 4jC, developed, and counterstained with H&E.Hu-ML-IAP (P13P14) sequences align with ref sequence NM_139317.1 at nt 194 to 600, and Hu-MITF (p5P6) sequences align with ref sequence NM_000248.2,nt 122 to 571, according to the BLAST search.
Luciferase reporter assay.Hek293T cells, seeded at 8 Â10 5 per well in six-well dishes, were transfected the following day using Lipofectamine 2000 with ML-IAP reporter constructs, pTopglow, or pGL4.1 together with either pEGFP-MITF or pEGFP alone, or in combination with lymphoid enhancer factor-1 (LEF-1) or h-catenin S45Y constructs and pRL-Renilla (Promega).A total of 4 Ag of DNA were used for each transfection.Cell lysates were prepared 48 h posttransfection; the activities of firefly and Renilla luciferase were assayed using a Dual Luciferase kit (Promega) according to the manufacturer's instructions, and signals were normalized to the internal Renilla controls for transfection efficiency.
Electrophoretic mobility shift assays.Nuclear extracts from 624 cells were prepared using the NE-PER kit (Pierce) according to the manufacturer's instructions.Synthesis and biotin end-labeling of probes were carried out at Genentech, and single-stranded complementary oligos were annealed to produce the double-stranded probe.The sequences of the probe containing the MITF E1 site in the ML-IAP promoter used to detect sequence-specific MITF binding in vitro were 5 ¶-CGCTGCACAGAGCATGTGACCCCAGAGGCC and 5 ¶-GGCCTCTGGGGTCACATGCTCTGTGCAGCG.Binding reactions were done using the LightShift kit (Pierce).Briefly, 4 Ag of 624 nuclear extract and binding buffer were incubated on ice for 20 min in a volume of 20 AL, then the labeled probe (20 fmol) was added, and the reaction was allowed to incubate for an additional 20 min at room temperature.For competition and supershift analyses, unlabeled DNA probe (in 25-to 200-fold excess), anti-MITF antibody (Calbiochem; 1 Ag per reaction), or mouse immunoglobulin IgG1 (BD Biosciences; 1 Ag per reaction) was added to the reaction mixture during the initial 20-min incubation.The reaction products were separated on a 4% native polyacrylamide gel run in 0.5 Â Tris-borate EDTA.Following electrophoresis, the DNA-protein complexes were transferred onto nylon membranes and detected by chemiluminescence (LightShift kit, Pierce).
Viability and apoptosis assays.888 melanoma cells were seeded at a density of 5 Â 10 4 per well in 24-well plates or 1 Â 10 4 per well in 96-well plates and cotransfected with expression vectors and siRNA as described above.Twenty-four hours posttransfection, apoptosis was measured by analyzing caspase-3/caspase-7 activity using the Homogeneous ApoOne Caspase-3/7 Assay kit (Promega) according to the manufacturer's instructions.Cell viability was measured 48 h posttransfection by Neutral Red uptake as described (28).

MITF is a candidate transcriptional regulator of ML-IAP.
To identify transcription factors that could influence the melanoma-specific expression of ML-IAP, the putative promoter region encompassing 1 kb upstream of the translation start site  1A), herein referred to as site E1 and E2, respectively.
Because ML-IAP and MITF are both highly expressed in the majority of melanomas studied thus far (2, 13, 29), we sought to explore a potential similarity between ML-IAP and MITF transcript expression in normal skin and melanoma samples.Analysis of microarray expression data using Pearson's correlation coefficient revealed that there was a statistically significant linear relationship between ML-IAP and MITF expression in melanoma samples (r = 0.68, P = 0.00006, n = 29), whereas no correlation was detected in normal skin samples (Fig. 1B; Supplementary Table S1).In addition, specifically in melanomas but not in normal skin samples, transcript levels of ML-IAP correlated strongly with those of CDK2, a known transcriptional target of MITF in melanomas (ref.24; Supplementary Table S1).To further investigate the correlation between MITF and ML-IAP expression patterns, mRNA levels of ML-IAP and MITF-M, the melanocytespecific isoform of MITF, were surveyed in a panel of six melanoma cell lines by real-time PCR analysis.This analysis revealed a strong correlation between ML-IAP and MITF-M expression levels (Fig. 1C).
We extended our correlation analysis by evaluating the status of ML-IAP and MITF expression in archived melanoma patient samples by in situ hybridization.The concordance of MITF and ML-IAP expression was defined as follows: when (a) both genes are negative; (b) both genes are positive, irrespective of levels of positive signals; and (c) both genes are equivocal for expression.Samples positive for one gene but negative for the other are deemed nonconcordant.In 81% (58 of 72 total) of the melanoma cases surveyed, ML-IAP and MITF expression patterns were found to be significantly concordant (P = 0.00000003, Fisher's exact test; Fig. 2; Table 1).For the 19 cases that were scored as 2+ for MITF, 17 (89%) of those were also positive for ML-IAP (Supplementary Table S2).These data, together with the experimental findings presented below, strongly suggest that MITF is a critical regulator of ML-IAP expression.However, whereas 15% (11 of 72) of cases positive for MITF were negative for ML-IAP, 4% (3 of 72) of cases negative for MITF were positive for ML-IAP, indicating the possibility of additional mechanisms in the regulation of ML-IAP expression (Table 1 and Supplementary Table S2).Our discovery that MITF and ML-IAP expression is significantly correlated in human melanoma cells and tumor samples, together with the classification of MITF as a lineage survival oncogene, particularly in melanomas, suggested that MITF is a transcription factor well poised to regulate ML-IAP expression in melanoma.
MITF binds and regulates ML-IAP promoter.To assess whether MITF-M can directly regulate ML-IAP expression, luciferase reporter constructs containing the upstream ML-IAP region were transiently transfected into Hek293T cells with or without MITF-M.Cotransfection of MITF-M with ML-IAP promoter constructs containing either one (ML-IAP Pro 1) or two (ML-IAP Pro 2) MITF consensus sites resulted in strong reporter activation (Fig. 3A).This MITF-dependent transcriptional regulation required the presence of intact E box MITF binding sites because disrupting both E boxes simultaneously (ML-IAP Pro 2 M1 M2) or mutating the single E1 site in the shorter construct (ML-IAP Pro 1 M1) resulted in a complete loss of MITF-M-dependent regulation (Fig. 3A).It seems that both MITF sites contribute equally to the transcriptional regulation of ML-IAP, as evidenced by the similar MITF-M responsiveness of the two constructs in which either single MITF site is mutated (compare ML-IAP Pro 2 M1 and ML-IAP Pro 2 M2 in Fig. 3A).Similar results were also obtained when ML-IAP luciferase reporter constructs were cotransfected with MITF-M in 888 melanoma cells (Supplementary Fig. S1).Thus, MITF-M can bind to and regulate the ML-IAP promoter region in an E-box-dependent fashion.
To determine whether the endogenous ML-IAP promoter is bound by MITF, 888 cells were analyzed by a chromatin immunoprecipitation assay with an anti-MITF antibody.The MITF E1 site-containing region of the ML-IAP promoter was amplified from cross-linked chromatin from 888 cells that was immunoprecipitated with anti-MITF antibody but not with isotype control antibody, or no template control (Fig. 3B).PCR amplification with primers specific for the Hsp70 promoter region served as a negative control for the chromatin immunoprecipitation assay.Thus, MITF specifically binds the ML-IAP promoter region.None of the available antibodies recognize endogenous MITF in immunoblots, but we confirmed the functionality of the MITF antibody used in chromatin immunoprecipitation experiments by immunoprecipitating overexpressed GFP-MITF (Supplementary Fig. S2).Furthermore, MITF was shown to specifically bind to the ML-IAP promoter by an electrophoretic mobility shift assay (Fig. 3C).In summary, MITF was found to regulate the transcriptional activity of ML-IAP promoter reporter constructs in an E-box-dependent manner, bind to the ML-IAP promoter in vitro, and occupy the endogenous ML-IAP promoter in melanoma cells.
Up-regulation of MITF via activation of the cyclic AMP pathway in melanocytes leads to increased ML-IAP expression.In contrast to its wide expression in the majority of melanomas, ML-IAP is usually not expressed in benign melanocytic lesions and normal melanocytes (2,13).If MITF-M regulates ML-IAP expression in melanomas, then increasing the level of MITF-M in melanocytes could be sufficient to allow for ML-IAP expression in melanocytes.To this end, normal human epidermal melanocytes were treated with the cyclic AMP (cAMP) agonist forskolin.Forskolin mimics the action of natural signaling through the melanocortin receptor that up-regulates the cAMP pathway and increases MITF expression during melanocyte growth and differentiation (30).Following a 24-hour treatment with forskolin, ML-IAP mRNA levels increased >2-fold in normal human epidermal melanocytes, coincident with increased expression of MITF-M and CDK2 (Fig. 3D ).Therefore, ML-IAP expression in melanocytes can be induced via activation of the cAMP pathway, which also increases the expression of MITF-M, suggesting that ML-IAP is a target of MITF-M in melanocytes in response to signaling stimuli.
Expression of ML-IAP is not regulated by Wnt, DNA damage, or TNF-mediated signaling in melanoma cells.The Wnt/h-catenin signaling pathway has been implicated in the formation of malignant melanoma (31), in part, through its transcriptional regulation of the MITF-M promoter (32)(33)(34).MITF has also been shown to bind to and cooperate with h-catenin and LEF-1 in transcriptional regulation of target genes (27,35).Thus, we investigated whether Wnt signaling could contribute to ML-IAP expression in melanomas.Two potential LEF-1 consensus-binding sites CTTTG[A/T][A/T] were identified in the ML-IAP promoter region upstream from the MITF E1 and E2 sites at 483 bp (CTCTGAT; note mismatch at the third nucleotide position) and 1,303 bp (CTTTGAT) away from the ML-IAP translation start site.ML-IAP reporter constructs containing either one (ML-IAP Pro 3) or both LEF-1 sites (ML-IAP Pro 4), or lacking LEF-1 sites (ML-IAP Pro 2 and ML-IAP Pro 1), did not show any responsiveness when either a stabilized h-catenin mutant or LEF-1 was ectopically expressed alone, together, or with MITF-M (Fig. 4A).Moreover, treatment of melanoma cell lines with Wnt3a led to no appreciable change in ML-IAP mRNA levels as assessed by real-time PCR analysis (Supplementary Table S3).At the same time, mRNA levels of a bona fide target of Wnt signaling, Axin2 (36), were significantly elevated (Supplementary Table S3).
Both p53 and nuclear factor-nB family member transcription factors have been shown to regulate expression of several inhibitors of apoptosis (37)(38)(39).In addition, the ML-IAP promoter region contains potential binding sites for these transcription factors (data not shown).Therefore, ML-IAP mRNA levels were monitored in melanoma cells treated with either the DNA-damaging agent etoposide or TNFa.Although the mRNA levels of p21 and MCP-1, well-established p53 and nuclear factor-nB target genes, increased accordingly with treatment, ML-IAP levels were unchanged (Fig. 4B  and C).Thus, unlike our findings for MITF, ML-IAP expression was not affected by Wnt, p53, or TNF signaling in the melanoma cell lines surveyed.
ML-IAP transcription in melanoma cells is dependent on MITF.If ML-IAP is a true transcriptional target of MITF in melanoma cells, decreasing MITF expression should lead to concordant lower levels of ML-IAP mRNA and ML-IAP protein.To test this hypothesis, 888 melanoma cells were transiently transfected with multiple siRNAs targeting MITF.Significantly lower protein levels of ML-IAP, as well as that of the known MITF target gene CDK2, were observed with four of five MITF siRNAs tested or with a pool of all five MITF siRNAs (Fig. 5A).The siRNAmediated knockdown of MITF was confirmed for the four successful individual and pool siRNAs by real-time PCR to measure MITF-M mRNA levels (Fig. 5A).ML-IAP mRNA levels were also lowered significantly as assessed by real-time PCR analysis, as were those of CDK2 (Fig. 5A).MITF siRNA transfection of another melanoma cell line, 624, led to a sizeable decrease in ML-IAP protein and RNA levels as well (Fig. 5B).Additionally, transient overexpression of MITF-M in A2058 and UACC62 melanoma cells, both of which have very low expression levels of ML-IAP and MITF, was sufficient to induce increased ML-IAP mRNA levels (Supplementary Table S4).Thus, ML-IAP expression is MITF dependent and regulated by MITF at the transcriptional level in melanoma cells.
MITF and ML-IAP are critical for melanoma survival.Loss of MITF function, either by siRNA knockdown or expression of a dominant negative allele, leads to reduced melanoma growth and decreased melanocyte cell viability (25,40).If regulation of ML-IAP expression by MITF is required for melanoma cell viability, then overexpression of ML-IAP from a constitutive promoter should be able to rescue MITF siRNA-induced cell death.Indeed, transient cotransfection of ML-IAP measurably rescued the cell death induced by MITF siRNA in 888 melanoma cells (Fig. 5C).MITF knockdown-stimulated cell death was accompanied by elevated caspase activity and nuclear condensation, confirming its apoptotic nature (Fig. 5C and Supplementary Fig. S3A).Again, ectopic expression of ML-IAP inhibited these apoptotic features of MITF siRNA-induced cell death (Fig. 5C and Supplementary Fig. S3A).For ML-IAP to exert its Figure 3. MITF-M binds to the ML-IAP promoter and ML-IAP mRNA levels in melanocytes are affected by MITF-M up-regulation.A, MITF-M transcriptional activation of the ML-IAP promoter requires intact MITF-binding E box sequences.ML-IAP promoter constructs, with or without point mutations in the E1 and E2 MITF consensus sites, were cotransfected for 48 h with MITF-M or vector control into Hek293T cells.Firefly luciferase activities were normalized to Renilla luciferase activities, and the ratios between firefly and Renilla luciferase (Luc/Ren ) are shown.B, MITF binds to the endogenous ML-IAP promoter in melanoma cells.Chromatin immunoprecipitations from 888 melanoma cells transfected for 48 h with GFP-MITF were done as described in Materials and Methods.PCR products were resolved on a 3% agarose gel, and DNA from lysates before immunoprecipitation was used as a positive control.The E1 primer set specifically amplifies a region in the ML-IAP promoter including the MITF E1 site, whereas the Hsp70 primer set amplifies a region of the Hsp70 promoter region, which is included as a negative control.C, MITF binds to the ML-IAP promoter by electrophoretic mobility shift assay.An electrophoretic mobility shift assay shows sequence-specific DNA binding of MITF to the ML-IAP promoter site in vitro.Lane 1, biotinylated probe containing the ML-IAP E1 site in the absence of 624 cell nuclear extract; lane 2, binding of MITF in 624 nuclear extract to the biotinylated probe containing the ML-IAP E1 site.Excess unlabeled probe was used at increasing concentrations (25-, 50-, 100-, and 200-fold in lanes 3 -6, respectively) to compete out the bandshift.Addition of anti-MITF antibody, but not IgG1 control, was sufficient to supershift the complex (lanes 7 and 8).Asterisk, supershift, showing the specificity of the complex.D, cAMP increases expression of MITF-M and ML-IAP mRNA in melanocytes.Normal human embryonic melanocytes were stimulated for 24 h with the cAMP agonist forskolin; total RNA was extracted; ML-IAP, CDK2, and MITF-M transcript levels were measured by real-time PCR analysis; and expression levels were normalized to that of hRPL19.Columns, mean from duplicate experiments; bars, SE.
antiapoptotic function, it must retain a functional interaction with SMAC, which can be abolished by the mutation of aspartate to alanine at position 138 within the ML-IAP BIR domain (2,41).Notably, cotransfection of a flag-tagged ML-IAP harboring the D138A mutation was unable to rescue MITF siRNA-induced cell death in 888 melanoma cells, whereas in the same experiment, cotransfection of wild-type FLAG-ML-IAP led to a significant rescue of melanoma cell viability (Supplementary Fig. S3B).These data establish ML-IAP as a functionally important target of MITF, and suggest that ML-IAP contributes to the prosurvival effects of MITF-M in melanoma cells.

Discussion
In the present work, we identify ML-IAP as a new transcriptional target of MITF, a melanocyte master regulator and lineage survival oncogene in melanoma cells.
We report that MITF binds to and activates transcription from the ML-IAP promoter, and that ML-IAP expression is dependent on MITF-M in melanoma cells.Other candidate transcriptional regulators of ML-IAP including p53, nuclear factor nB, h-catenin, and LEF-1 were also explored.This is particularly relevant for h-catenin and LEF-1 because a recent study investigating the regulation of ML-IAP expression in non-small-cell lung cancer cells reported that ML-IAP is a target of h-catenin/T-cell factor signaling (42).However, the Wnt pathway did not enhance the transcriptional activation of ML-IAP or alter ML-IAP mRNA levels in reporter assays or by stimulation of the Wnt pathway in melanoma cells, likely reflecting differential regulation of ML-IAP in melanomas versus lung cancer cells.
Up-regulation of MITF expression, through stimulation of the cAMP pathway, led to a significant increase in ML-IAP mRNA levels in normal melanocytes.Treatment of melanocytes with cAMP-elevating agents has previously been shown to result in increased MITF expression (43), as well as up-regulation of target genes with somewhat paradoxically opposing functions.On one hand, cAMP pathway stimulation of MITF activity in melanocytes up-regulates the expression of hypoxia-inducible factor 1a (HIF1a) and the hepatocytye growth factor receptor MET, which promote cell survival (44,45).On the flip side, MITF also upregulates the inhibitors of cell cycle progression, p21 CIP1 and p16 INK4A (46,47).Likewise, in melanomas, MITF targets a number of genes with antagonistic behaviors, including genes such as CDK2 and BCL-2, which promote cell cycle progression and survival, as well as p21 CIP1 and p16 INK4A , which halt the cell cycle (24,25,46,47).The decision of whether MITF will exert a activates MITF-M-dependent or MITF-M-independent transcription of ML-IAP.ML-IAP promoter constructs were cotransfected with the indicated plasmids for 48 h in Hek293T cells.Firefly luciferase activities were normalized to Renilla luciferase activities, and the ratios between firefly and Renilla luciferase normalized to vector-transfected samples are shown.The h-catenin/LEF-1 responsive Topglow reporter is included as a positive control for transcriptional activation by h-catenin and LEF-1.B, DNA damage does not stimulate ML-IAP expression in melanoma cells.Indicated cell lines were treated with 10 Amol/L etoposide for 5 h.Total RNA was extracted, ML-IAP and p21 transcript levels were measured by real-time PCR analysis, and expression levels were normalized to that of hRPL19.n.d., not detected, undetectable mRNA levels in both untreated and treated samples.C, TNF signaling does not regulate ML-IAP levels in melanoma cells.Indicated cell lines were treated with 20 ng/mL TNFa for 5 h.Real-time PCR analysis for ML-IAP and MCP-1 mRNA levels was done as in B. n.d., mRNA levels in both untreated and treated samples was not detected.

Cancer Research
Cancer Res 2008; 68: (9).May 1, 2008 prosurivival or growth inhibitory effect in melanocytes and melanoma growth is not fully understood at present, but it is likely that the cellular context and microenvironment are important factors.Our studies suggest that MITF regulation of ML-IAP favors a prosurvival outcome in melanoma, and that ML-IAP may play a role in melanocytic transformation.
The high degree of correlation of ML-IAP and MITF mRNA levels we report in this study provokes the question about whether ML-IAP may be a useful biomarker in melanoma diagnosis.Currently, a MITF-specific antibody is clinically used as a highly sensitive immunohistochemical marker in melanoma diagnosis (48).However, the expression of MITF only serves as a melanocytic lineage marker and has no prognostic value in discriminating benign from malignant melanoma lesions (16).Perhaps, given the specific expression of ML-IAP in the majority of primary and metastatic lesions and the very infrequent expression of ML-IAP in benign melanocytic proliferation, using a combination of both anti-ML-IAP and anti-MITF antibodies could prove useful in the clinical diagnosis of melanoma.Interestingly, in primary cultures derived from melanoma patients, a correlation between ML-IAP expression and chemotherapeutic drug resistance has been reported (49).Whether the expression of ML-IAP in melanomas has any prognostic or therapeutic value needs to be addressed by future studies examining the influence of ML-IAP expression in melanoma on survival outcome in patients.
Melanoma is a highly aggressive cancer that is resistant to current anticancer treatments including chemotherapy and other strategies that require induction of apoptosis (12).We propose that the transcriptional regulation of ML-IAP by MITF plays an important role in promoting survival during melanocytic .MITF-M transcriptionally regulates endogenous ML-IAP in melanoma cells and MITF transcriptional regulation of ML-IAP is critical for melanoma survival.A, down-regulation of ML-IAP protein and mRNA levels by siRNA-mediated depletion of MITF in 888 melanoma cells.Melanoma cells were transfected with individual siRNA duplexes 1 to 5, or a pool of siRNAs 1 to 5 (denoted P), targeting MITF, or control siRNA.Left, 48 h posttransfection, cells were harvested and lysates were subject to Western blot analysis with anti-ML-IAP, anti-CDK2, and anti-actin antibodies.Right, 24 h posttransfection, total RNA was extracted, ML-IAP, CDK2, and MITF-M transcript levels were measured by real-time PCR analysis, and expression levels were normalized to hRPL19.B, ML-IAP protein and mRNA levels are lowered by siRNA-mediated depletion of MITF in 624 melanoma cells.Melanoma cells were transfected with a pool of MITF siRNAs (1-3 and 5 from A and B), targeting MITF, or control siRNA.Left, 48 h posttransfection, cells were harvested and lysates were subject to Western blot analysis as in A. Right, 24 h posttransfection, total RNA was extracted and real-time PCR analysis was done as in A. C, overexpression of a ML-IAP rescues loss of melanoma cell viability and increased caspase activity induced by MITF siRNA.Left, 888 melanoma cells were cotransfected with MITF or control siRNA and myc-tagged ML-IAP or vector DNA.Forty-eight hours posttransfection, lysates were prepared for Western blot analysis with anti-ML-IAP, anti-MYC, and anti-actin antibodies.Middle, cell viability was assessed by Neutral Red staining as described in Materials and Methods.Columns, mean from at least five independent experiments normalized to control siRNA-and vector DNA-trransfected cells; bars, SE.Right, caspase-3/caspase-7 activity was assayed 24 h after transfection.Columns, mean from at least five independent experiments normalized to control siRNA-and vector DNA-transfected cells expressed as relative fluorescent units (RFLU); bars, SE.
transformation and melanoma progression.ML-IAP has been proposed as a promising tumor-specific target in cancer therapy due to its powerful antiapoptotic function and preferential expression in a number of tumor types (15,50).Understanding the mechanism(s) of ML-IAP up-regulation during melanocytic transformation as well as the modulation of ML-IAP expression in melanoma cells may aid in designing therapies targeting ML-IAP in malignant melanomas.

Figure 1 .
Figure 1.MITF is a candidate transcriptional regulator of the human ML-IAP locus.A, schematic representation of the promoter region upstream of the human ML-IAP locus containing two MITF consensus E box elements, named E1 and E2.TSS, transcriptional start site.B, ML-IAP and MITF mRNA levels are well correlated in human melanomas, but not in normal skin.mRNA expression levels of MITF and ML-IAP from microarray data values were analyzed as described in Materials and Methods.Data plots of MITF versus ML-IAP expression in melanoma (open circles ) and normal skin (crosses ) samples are shown.The straight line represents the least squares regression line of MITF expression on ML-IAP expression in melanoma samples.Pearson's correlation coefficient (r) = 0.68, P = 0.00006; melanoma sample, n = 29; normal skin sample, n = 51.C, Correlation of ML-IAP and MITF-M mRNA levels in human melanoma cell lines.Total RNA was extracted, ML-IAP and MITF-M transcript levels were measured by real-time PCR analysis, expression levels were normalized to that of hRPL19 (human ribosomal protein L19), and relative abundance levels were calculated with 888 melanoma cells as the reference.

Figure 2 .
Figure 2. ML-IAP and MITF expression is concordant in human melanomas.A and B, in situ hybridization using 33 P-labeled RNA probes for MITF (A ) or ML-IAP (B) mRNA expression in tissue sections from the same melanoma tissue sample (ID #16148).C and D, corresponding H&E histology of melanoma tissue sections in A and B , respectively.

Figure 4 .
Figure 4. ML-IAP expression is not influenced by Wnt pathway transcription factors, DNA damage, or TNF-mediated signaling.A, neither h-catenin nor LEF-1activates MITF-M-dependent or MITF-M-independent transcription of ML-IAP.ML-IAP promoter constructs were cotransfected with the indicated plasmids for 48 h in Hek293T cells.Firefly luciferase activities were normalized to Renilla luciferase activities, and the ratios between firefly and Renilla luciferase normalized to vector-transfected samples are shown.The h-catenin/LEF-1 responsive Topglow reporter is included as a positive control for transcriptional activation by h-catenin and LEF-1.B, DNA damage does not stimulate ML-IAP expression in melanoma cells.Indicated cell lines were treated with 10 Amol/L etoposide for 5 h.Total RNA was extracted, ML-IAP and p21 transcript levels were measured by real-time PCR analysis, and expression levels were normalized to that of hRPL19.n.d., not detected, undetectable mRNA levels in both untreated and treated samples.C, TNF signaling does not regulate ML-IAP levels in melanoma cells.Indicated cell lines were treated with 20 ng/mL TNFa for 5 h.Real-time PCR analysis for ML-IAP and MCP-1 mRNA levels was done as in B. n.d., mRNA levels in both untreated and treated samples was not detected.

Figure 5
Figure 5. MITF-M transcriptionally regulates endogenous ML-IAP in melanoma cells and MITF transcriptional regulation of ML-IAP is critical for melanoma survival.A, down-regulation of ML-IAP protein and mRNA levels by siRNA-mediated depletion of MITF in 888 melanoma cells.Melanoma cells were transfected with individual siRNA duplexes 1 to 5, or a pool of siRNAs 1 to 5 (denoted P), targeting MITF, or control siRNA.Left, 48 h posttransfection, cells were harvested and lysates were subject to Western blot analysis with anti-ML-IAP, anti-CDK2, and anti-actin antibodies.Right, 24 h posttransfection, total RNA was extracted, ML-IAP, CDK2, and MITF-M transcript levels were measured by real-time PCR analysis, and expression levels were normalized to hRPL19.B, ML-IAP protein and mRNA levels are lowered by siRNA-mediated depletion of MITF in 624 melanoma cells.Melanoma cells were transfected with a pool of MITF siRNAs (1-3 and 5 from A and B), targeting MITF, or control siRNA.Left, 48 h posttransfection, cells were harvested and lysates were subject to Western blot analysis as in A. Right, 24 h posttransfection, total RNA was extracted and real-time PCR analysis was done as in A. C, overexpression of a ML-IAP rescues loss of melanoma cell viability and increased caspase activity induced by MITF siRNA.Left, 888 melanoma cells were cotransfected with MITF or control siRNA and myc-tagged ML-IAP or vector DNA.Forty-eight hours posttransfection, lysates were prepared for Western blot analysis with anti-ML-IAP, anti-MYC, and anti-actin antibodies.Middle, cell viability was assessed by Neutral Red staining as described in Materials and Methods.Columns, mean from at least five independent experiments normalized to control siRNA-and vector DNA-trransfected cells; bars, SE.Right, caspase-3/caspase-7 activity was assayed 24 h after transfection.Columns, mean from at least five independent experiments normalized to control siRNA-and vector DNA-transfected cells expressed as relative fluorescent units (RFLU); bars, SE.