| Clayton Foundation Biochemical lnstitute. Department of Chemistry. 
              The University ofTexas Austin. Texas 78712. USA  It appears to me that finally. a glimmcr ofinsight is to be seen 
              in the basic mechanism of oncogcnic transformation. The emcrging 
              picturc is based on fundamental observations from a large number 
              of sources. Wc hayc becn privilcged to scc the results of some ofthc 
              currently brightest rescarch in the mosaic during this workshop. 
              The framcwork for thc cmerging picture is based on thc recognition 
              within recent years that cellular differentiation is a social event 
              among cells in which one cell typc triggers the differentiation 
              of another. This principle hardly would have been a rcvelation to 
              thc early embryologists. Perhaps the foremost. tcchnically accessiblc 
              problem of biology at this time is to undcrstand the specific biochemical 
              mcchanisms by which these processes are implcmented within the cell. 
             The Emerging Field Theory  Certain cells excrt their function in inducing differentiation 
              in target cells eithcr through cell-to-cell physical contact or 
              from a distance. In both cascs. specific substances. frequently 
              glycoproteins. from one cell interact with highly specific rccertors 
              on the target cclls. If the triggcring substance is releascd from 
              the cell it may be commonly known as a growth substance or hormone. 
              These factors may be active at chemically incredibly low concentration". 
              At this mceting Malcolm Moore has rcrorted that lactoferrin acts 
              as a falctor for thc growth ofcolonies of myeloid cells and that 
              the activc component is cffective at concentrations of 10 -14M! 
              For the differentiation falctors to be effective at thesc concentrations. 
              the binding constant fo)r interaction with the rcccptor must bc 
              cxtremely largc. In most cases it appears that binding of' no more 
              than a few moleculcs per target cell is adequate to clicit thc response. 
              In general. a special systcm will bc required to amplify the signal 
              rcceived at thc cell surfalcc to a level that it can bc cffective 
              on intracellular rcactions. It is not clear whether or not part 
              or all ofthc differentiation factor molecules themsclyes must be 
              somehow transported to the nuclcus to cffect transcri ptional con 
              trol. Thc rcla tion of the cell ular com ponen ts in volyed are 
              schematically derictcd in Fig. I. A proper relation in time diuring 
              develormcnt as well as space is implicit in the scheme. Differentiation 
              may occur only during a transient period when cells exhibiting the 
              appropriate recognition sites arc exposed to the 326 Hardcsty. B 
              
 
   
 Fig.l. Diagramatic rcpresentalion of the cellular components 
              and reactions involved in differcntiation
 proper signal molecules. Undifferentiated cells may be maintained 
              in the adult organism. then triggered to differentiate into a mature 
              or terminal cell type in which cell division is limited or completely 
              stopped. Differentiation of blood cells provides a classical example 
              of such a system. ThUS the function of the cellular genome during 
              differentiation might be equated more correctly with a library than 
              a computer. Information stored in the DNA is expressed when the 
              proper request is received rather than at a fixed point in a freerunnIng 
              program. Recent evidence appears to indicate that at least in some 
              and probably most situations. the immediate. causal alteration that 
              results in oncogenic transformation involves a lesion in the information 
              retrieval system rather than DNA itself. Theoretically the lesion 
              might occur at any point from the differentiation factors themselves 
              to the synthesis of a new protein. A number ofspecific mechanisms 
              can be envisioned. I divide them into four classes based on the 
              location of the lesion :  I. Defective or Deficient Differentiation Factors  A differentiating cell might not be exposed to the proper factors, 
              perhaps because oftime-space relationships with other cells or because 
              ofa lesion in the cells producing the appropriate differentiation 
              factor(s). In this case the oncogenic cell might be normal in its 
              capacity to recognize and respond to differentiation factors which 
              are not present in its environment. Certain teratocarcinoma appear 
              to be excellent candidates for this class. Exciting experiments 
              involving implantation of normal embryonic and teratocarcinoma cells 
              into pseudo-pregnant mice to form normal, chimeric or allophenic 
              progeny strongly support such a model (K. Illmensee, and B. Mintz, 
              1976). Hopefully, additional successful experiments in this area 
              will be reported shortly.  II. Defective Recognition Sites  Another theoretically possible situation might involve numerically 
              inadequate or defective recognition sites on the target cell. Chemically 
              inert, surface reactive materials such as asbestos may function 
              as carcinogens by this mechanism. Such cells might be induced to 
              differentiate if the concentration of the critical factors could 
              be elevated to a level at which they could induce a nonproliferative 
              state. There are a number of reports involving leukemias that may 
              reflect this situation (L. Sachs, 1974; R. C. Gallo et al., 1977) 
              or possible Type I defects. Certain neuroblastomas that can be stimulated 
              to differentiate with cAMP (K. N. Prasad and A.W. Hsie, 1971) may 
              fall into this category. Neuroblastomas that can be stimulated to 
              differentiate in the presence ofglia cells (C. P. Reynolds and J. 
              R. Perez-Polo, 1975) and pheochromocytomas in which neurite proliferation 
              can be stimulated with nerve growth factor (A. S. Tischler and L. 
              A. Greene, 1975) might involve lesions at the level of either the 
              differentiation factor or the cellular receptor.  III. Defective Intracellular Signal Transmission  The next level of lesion that can be envisioned involves transmission 
              of the signal received at the cell surface to the transcriptional 
              and translational machinery of the cell. Some virus-induced transformation 
              appears to provide an example of a lesion at this level. Rat kidney 
              cells that have been transformed by Rous sarcoma virus can be caused 
              to revert to a normal phenotype by inhibiting protein synthesis, 
              presumably by blocking the synthesis of an unstable product of the 
              transforming gene (J.F. Ash et al., 1976). The src gene appears 
              to code for a protein kinase that may interfere with intracellular 
              control mechanisms as mentioned below and considered by Ray Erikson 
              at this meeting. It appears that avian and murine leukemia virus 
              carry transforming genes that are quite different from the src gene 
              and code for other proteins that may disrupt the intracellular transmission 
              of the signal in different ways. Murine erythroid cells transformed 
              by Friend leukemia virus provide a system that may belong to this 
              class. Differentiation can bc induced in these cells by the simple 
              expedient ofgrowing them in tissue culture in the presence of dimethylsulfooxide 
              (C. Friend et al., 1971) or a number ofother aprotic solven ts. 
              In all of the examples given above the transformed cells can be 
              induced to undergo differentiation if they arc exposedi to the proper 
              external stimulus. The block in differentiation can be overcome! 
              In effect, the cells can be cured of their "transformed" condition! 
              The point of fundamental importance is that transformation has not 
              involved an irreversible loss of genetic information or a structural 
              change in DNA that precludes further differentiation.  IV. Defective Malignant Cell DNA  Yet another class of oncogenic transformation may involve structural 
              alterations of DNA so that the af fected cells lack genetic information 
              required foor terminal differentiation. Certain genetically determined 
              cancers may fall into this class. However. it should be noted that 
              some imaginal disc tumors of Drosophila that clearly are inherited 
              according to the principles ofMendelian genetics may revert to a 
              differentiating state (E. Gateff , 1978a). Genetically inherited 
              imaginal disc tumors fall into two classes. THose that appear to 
              be irreversibly transformed and others that are capable ofdifferentiation 
              when they develop in close contact with wild type cells (E. Gateff, 
              1978 b). It appears likely that the latter class may involve a mutation 
              that affects the production of a differentiation substance produced 
              in non-malignant cells and thus probably should be classified as 
              a Type I transformation. X-ray induced leukemias may provide another 
              example ofa Type IV transformation in which radiation has resulted 
              in damage of genes required fo)r a late stage of differentiation 
              which has occurred in an undifferentiated cell type. The damage 
              may not be expressed for a relatively long time until the defective 
              cells are induced to start along a differentiation pathway. Thus 
              transfo)rmation resulting from changes in the DNA of the malignant 
              cells fat 11 into a fundamentally different category than the three 
              classes considered above. in that they involve seemingly irreversible 
              loss of essential genetic information.  Session Highlights  Peter Duesberg 
 Dr. Duesberg presented evidence from technically elegant experiments 
              indicating that the transforming capability ofavian acute leukemia 
              virus MC29 and avian carcinoma virus MH2 is related to a specific 
              1,5-2,0 kilobase nucleotide sequence and that the sequence is not 
              closely related to that ofthe src gene ofRous sarcoma virus, The 
              nucleotide sequence appears to be near the gag gene which is located 
              at the 5'-end of independently replicating virus. The results demonstrate 
              clearly the technical capacity of existing techniq ues to study 
              the structure of transforming genes. Dr. Duesberg suggested the 
              intriguing possibility that transforming genes of these viruses 
              may be host cell genes that have been integrated into the viral 
              genome. They may code foor regulating proteins. such as protein 
              kinases, that no longer respond to the normal cellular control systems. 
              Dr. Duesberg's findings were co}mplimented by results presented 
              by Thomas Graf who reported that a specific transfOrming gene in 
              avian erythroblastosis virus appears to be distinct from the transforming 
              genes ofboth the avian acute leukemia virus and the Rous sarcoma 
              virus. Dr. Graf also indicated that the transforming genes of avian 
              erythroblastosis virus and avian myelocytomatosis virus may bc acquired 
              host cell genes that function in hemopoetic differentiation. He 
              suggested that the product of these genes may induce leukemic transformation 
              by a non-functional interaction with a cellular receptor. there 
              by competitively inhibiting the unmodified differentiation product 
              of the host cell.
 Ray Erikson
 Perhaps the most exciting development in recent years in the area 
              of the mechanism of transfoormation are the results from Dr. Erikson's 
              laboratory. involving characterization ofthe src gene product. His 
              group has used immunOlogical procedures to detect the protein formed 
              from the src gene of avian sarcoma virus. Ofparamount importance 
              is the observation that the protein appears to be a protein kinase 
              that will phosphorylate IgG. It is likely that phosphorylation ofIgG 
              is an in vitro artifact. Thus far. there is no direct demonstration 
              ofwhat the substrate(s) in vivo for the kinase might be. however. 
              there is strong indirect evidence suggesting that polymerization 
              ofcytoskeletal elements might be involved. Phosphorylation ofa cytoskeletal 
              protein appears to cause depolymcrization of the cytoskelctal elements 
              (W. Birchmeier and J. Singer. 1977) resulting in changes in the 
              cell membrane that may trigger the physiological changes characteristic 
              of the transformed state. An initiation factor ofprotein synthesis. 
              elF-2. also appcars to be a possible candidatc for the natural substrate 
              of such a kinase. Clearly more work is required to firmly establish 
              the src gene product as a protein kinase, however the data appear 
              to be sufficiently reliable at this point to make this an extremely 
              promising and no doubt intensely competitive area fo)r future work. 
              Considered togehter. these and data from other sources appear to 
              indicate that peptide(s) foormed from specific nucleotide sequences. 
              transforming genes. carried by certain types of virus is the immediate 
              causal agent for oncogenic transformation. There appears to be nothing 
              special about the virus itselfor the transforming genes beyond their 
              capacity to code for these special proteins. Furthermore. the nucleotidc 
              sequence of the transforming genes are different and apparently 
              code for different peptides. It appears likely that these products 
              will cause transfo)rmation by different spccific mechanisms.
 Gisela Kramer 
 Data indicating that the src gene product is a protein kinase, has 
              evoked special interest in this area. Dr. Kramer has described cAMP-independent 
              protein kinases that inhibit translation in Friend leukemia cells 
              and rabbit reticulocytes. Activity ofcAMP-dependent protein kinases 
              is promoted by binding of cAMP to the regulatory subunit thereby 
              causing it to dissociate from the catalytic subunit of the holoenzyme. 
              However. virtually nothing is known about the molecular mechanism 
              by which cAMP-independent kinases are regulated. The so-called heme-controlled 
              repressor, HCR from rabbit reticulo 330 Hardesty. B cytes is held 
              in an inactive from in the presence ofheme. Protein kinase activity 
              with high specificity for an initiation factor ofprotein synthesis. 
              elF-2, and inhibitory activity for protein synthesis. is generated 
              in the absence of heme both in vitro and in intact cells. An elF-2 
              specific protein kinase that appears not to be regulated by heme 
              has been isolated from Friend leukemia cells that have not been 
              stimulated to differentiate by dimethylsulfoxide. It has been speculated 
              that this kinase might be involved in the block in differentiation. 
              It is not known whether or not the kinase is coded by the viral 
              or host cell genome. After stimulation by dimethylsulfoxide. Friend 
              cells appear to gain the capacity to be regulated by heme.
 Ian Kerr 
 Dr. Kerr described what appears to be a different type of system 
              to amplify the signal received at the cell surf ace. He has shown 
              that interferon treatment ofintact cells potentiates the synthesis 
              ofan adenine trinucleotide with a very unusual 2'- to 5'-phosphodiester 
              linkage. Double-stranded RNA also is involved in the synthesis of 
              this compound. Interferon is a species-specific glycoprotein that 
              appears to have highly specific cell surface receptors. The target 
              for the unusual adenine trinucleotide is not known but may be a 
              ribonuclease that has been implicated frequently in interferon action. 
              Also. interferon appears to activate a cAMP-independent, e1F-2 specific 
              protein kinase that is physically distinguishable from the heme-controlled 
              repressor. The physiological relation between the trinucleotide 
              and the protein kinase is unclear. Experimentally interferon provides 
              one ofthe most useful. and biochemically well-characterized examples 
              of an intracellular regulatory system that is triggered bya specific 
              interaction at the cell surface. The interferon system may come 
              to serve as a model for this type ofcontrol.
 Gebhard Koch 
 One of the fundamental conceptual problems of translational control 
              involve.s specificity for the synthesis ofspecific proteins. How 
              can phosphorylation of a peptide initiation factor that apparently 
              is used during the translation ofall mRNA species differentially 
              affect the synthe.sis of specific proteins? A partial answer to 
              this question has come from Dr. Koch's laboratory. His group has 
              shown that different species ofmRNA are translated with very different 
              efficiencies. The relative proportion of products formed from different 
              m RNA's can be altered by changing parameters such as salt concentration 
              that affect the overall rate of the synthetic reaction. For instance 
              viral mRNA tvpically is translated with high efficiency relative 
              to cellular proteins. However, a reduction in the overall rate of 
              protein synthesis frequently causes a dramatic reduction in the 
              relative proportion ofviral and host cell proteins that are formed.
 The Future  I believe any detailed prediction of future developments in molecular 
              biologv and biochemistry are likely to be wrong or at least incomplete, 
              probably to a major extent. However, there are key problems that 
              must receive continual consideration. and several areas that appear 
              to be ripe for investigation. The concepts inherent in the mechanism 
              of normal differentiation reflected in Fig. I will be tested and 
              retested in many systems in the forthcoming years. The most crucial 
              problem for an understanding of normal differentia tion is the molecular 
              mechanism(s) by which signals received at the cell surface activate 
              transcription from specific genes. Is part or all of the protein 
              differentiation factor taken into the cell and used in the activation 
              process itself perhaps at the DNA level as appears to be the case 
              with steroid hormones. or are intermediate reactions involved? For 
              most systems, the physical and chemical characterization of the 
              differentiation factors and their specific receptors presents a 
              severe technical problem in working with the very small quantities 
              that are available. In many cases the assay systems used to monitor 
              isolation are not quantitative and are no more than marginally satisfactory. 
              This presents a formidable problem, especially when the biological 
              response depends on two or more specific components, as frequently 
              appears to be the case. The development of better assay systems. 
              especially in vitro systems involving specific biochemical reactions 
              rather than the response of intact cells. is critical to satisfactory 
              progress in this area. Wi th respect to the seq uence of in tracell 
              ular reactions triggered by growth substances. two problems or areas 
              stand out as being both technically feasible and crucially important. 
              The first problem involves the mechanism by which signals received 
              at the cell surface are amplified and transmitted to target reactions 
              in the cytoplasm and nucleus. It appears that there are likely to 
              be a number of alternative mechanisms to cascade systems involving 
              protein kinases for amplification of the signal received at the 
              cell surface. The small nucleotide described by Ian Kerr that is 
              produced as part of the interferon and double-stranded RNA system 
              seems to be part of such a system. It is likely that other types 
              of amplification mechanisms will be found. The second problem involves 
              regulation of cAMP-independent protein kinases. A number and perhaps 
              a great many cAMP-independent protein kinases may be involved in 
              amplification and transmission of cell surface signals. The enzyme 
              system that is activated by double-stranded RNA and interferon is 
              an excellent example. What is the specific molecular mechanism by 
              which such enzymes are activated and do they function in cascade 
              sequences? Wi th respect to transformed cells, the search for differen 
              tia tion factors and conditions with which transformed cells can 
              be induced to either stop dividing or differentiate to a non-dividing 
              form appears to be the key problem. However it is frought with technical 
              limitations that may limit progress until they are resolved. The 
              transforming genes and their products are ripe for investigation 
              and an investigative effort will be made in a number of laboratories. 
              Are transforming genes really cellular genes that have been integrated 
              into a viral genome in such away that they no longer respond to 
              the normal control systems within the cell? What is the biochemical 
              mechanism by which the product of transforming genes disrupt differentiation 
              and induce the physiological changes associated with transformation? 
              It appears possible that the next Wilsede workshop may include hard 
              answers to some of these problems and a consideration of substantiated 
              models of the molecular mechanism by which oncogenic transformation 
              occurs. Eventually, I believe such insight will provide the basis 
              tor a rational therapy to cure leukemia at the cellular level.  References  Ash. J F. Vogt P K Singcr S .I Rcyersion from transformed to mrmal 
              phenotype by inhibition of protein synthesis in rat kidncv cells 
              infected with a tempcraturc-scnsitivc mutant of Rous sarcoma virus 
              Proc Nat Acad Sci USA 73, 3603-3607 ( 1976 ) Birchmeier W. Singer. .IOn thc mcchanism of A TP-induccd shapc changes 
              in human erythro CvtC mem branes II The role ofATP .I Cell Biologv 
              73,647--659 ( 1977)
 Friend. C Scher W. Holland. .I G Sato. T Hcmoglobin synthesis in 
              murine virus-induced leukemia cells in vitro Stimulation ofcrythroid 
              differcntiation by dimethyl sulfoxide Proc Nal Acad Sci USA 68, 
              378-382 ( 1971)
 Gallo. R C Saxinger W C. Gallagher R f- Gillespie D H Aulakh. (J 
              S Wang-Staal. F. Ruscetti. f- Reitz M S Some ideas on the origin 
              of leukemia in man and recent evidence for the presence of type-C 
              viral rclated information In Origin of human cancer Hiatt. H. Watson 
              .I Winstein..I (eds). pp 1253-1285 Cold Spring Cold Spring Harbor 
              Laboratory 1977
 Gateff, E: Malignant and benign neoplasms of Drosophila melanogaster 
              In. Genetics and biology of Drosophila. Wright T R. F. A5hburner. 
              M (eds). pp. 187-275 London. New York Academic Press ( 1978 a)
 Gateff. E.. Malignant neoplasms ofgenetic origin in Drosophila melanogaster. 
              Science 200,1448 to 1459 (1978b)
 Illmensee. K, Mintz. B Totipotency and normal differentiation ofsingle 
              teratocarcinoma cells cloned by injection into blastocyst5. Proc 
              Nat Acad Sci. USA 73,549-553 ( 1976 )
 Prasad. K N. Hsie. A W.. Morphologic differentiation of mouse neuroblastoma 
              cells induced in vitro by dibutvrvl adenosine 3'.5'-cyclic monophosphate 
              Nature New Biology 233, 141 142 (1971)
 Reynolds. C P.. Perez-Polo. J. R. Human neuroblasto)ma Glial induced 
              morphological dif ferentiation Neuroscience Letters 1,91-97 (1975) 
              Sachs. L Control of growth and differentiation in normal hematopoietic 
              and leukemic cells In . Control of proliferation in animal cells 
              Clarkson. B. Baserga. R (eds.). pp 915-925 Cold Spring Harbor Cold 
              Spring Habor Laboratory ( 1974 )
 Tischler. AS., Greene. LA. Nerve growth factor-induced process fo)rmation 
              by cultured rat pheochromocytoma cells. Nature 258,341-342 ( 1975)
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