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Atlas of Genetics and Cytogenetics
in Oncology and Haematology
OPEN ACCESS JOURNAL AT INIST-CNRS
Gene Section
Review
ANG (angiogenin, ribonuclease, RNase A family, 5)
Shouji Shimoyama
Gastrointestinal Unit, Settlement Clinic, 4-20-7, Towa, Adachi-ku, Tokyo, 120-0003, Japan (SS)
Published in Atlas Database: June 2010
Online updated version : http://AtlasGeneticsOncology.org/Genes/ANGID635ch14q11.html
DOI: 10.4267/2042/44976
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence.
© 2011 Atlas of Genetics and Cytogenetics in Oncology and Haematology
belongs to the RNAse superfamily, being
35% identical and 68% homologous to the pancreatic
RNAse A sequence. The overall crystal structure of
ANG shows a similarity to, but the biological actions of
ANG differ distinctly from those of RNAse A. ANG
possesses two distinct regions: a ribonucleolytic and a
noncatalytic site, both being critical for angiogenic
activity. Besides the ribonucleolytic activity, ANG
differs from RNAse A in noncatalytic activities such as
interactions with endothelial and smooth muscle cells
and subsequent cellular responses in the events of
neovascularization, including basement membrane
degradation, signal transduction, and nuclear
translocation.
Identity
Other names: ALS9; HEL168;
MGC71966; RNASE4; RNASE5
HGNC (Hugo): ANG
Location: 14q11.2
MGC22466;
DNA/RNA
Expression
ANG mRNA is expressed in a wide spectrum of cells
including neoplastic cells as well as normal epithelial
cells, fibroblasts, peripheral blood cells, and vascular
endothelial cells.
Localisation
Starts at 2152336 and ends at 2162345 in NCBI reference
sequence NT_026437.12. Gene map locus is available at NCBI
Nucleotide. Total length of ANG DNA is 10010 nucleotides. The
coding region starts at 2162723 and ends at 2162166 including
stop codon TAA.
Strikingly, ANG localizes freely in the circulation, and
is translocated into the nucleus. Nuclear translocation
of ANG triggers subsequent cell proliferation.
However, the precise mechanisms for why serum ANG
is inactive and continuous angiogenesis does not take
place remain unknown.
Protein
Description
Function
The amino acid sequence is available at NCBI protein
locus AAA51678. It consists of a signal peptide from
amino acid 1 to 24 and a mature peptide from amino
acid 25 to 147.
ANG is a basic, single chain potent blood-vessel
inducing protein with a molecular weight of 14 kDa
which was originally discovered in conditioned media
of a human colon carcinoma cell line HT-29. ANG
Atlas Genet Cytogenet Oncol Haematol. 2011; 15(3)
I. Ribonuclease activity
The catalytic activity of ANG is several orders of
magnitude weaker than that of RNAse A, this being
partly due to the partial occupation of the pyrimidinebinding pocket of RNAse A by glutamine-117 residue
so that the substrate binding is compromised. Key
amino acids for the ribo-
244
ANG (angiogenin, ribonuclease, RNase A family, 5)
Shimoyama S
The secondary structure elements of human ANG are depicted by purple boxes. The numbers on the upper and lower sides of each
element indicate respectively the beginning and end amino acid residue positions (Acharya et al., 1994). The whole amino acid
sequences are shown below and the signal peptide sequences (1-24) are enclosed by box. The H elements form helix structure (Acharya
et al., 1994). Key amino acids for the ribonucleolytic activity of ANG (His13, Lys40, and His114) are indicated by plus (+) signs, and
residues necessary for angiogenesis (60-68 and 109) are underlined.
suggesting that the ANG-fibulin-1 complex modulates
new blood vessel formation and stabilization.
2) Signal transduction
Besides the 42 kDa ANG receptor, a 170 kDa molecule
later found on the endothelial surface is responsible for
signal transduction, an important process leading to cell
proliferation. ANG activates several secondary
message cascades such as extracellular signal related
kinase 1/2 (ERK1 and ERK2), protein kinase B/Akt,
and stress-associated protein kinase/c-Jun N-terminal
kinase (SAPK/JNK).
3) Nuclear translocation
The nuclear mechanisms underlying the function of
ANG remain elusive. Internalization could involve cell
surface ANG binding to proteins as well as to other
molecules such as proteoglycans, followed by
endocytosis. In this event, ANG interacts directly with
intracellular protein alpha-actinin-2 followed by
translocation into the nucleus through the nuclear pore
in a passive manner. After nuclear retention, ANG
binds to carrier proteins through a sequence 29IMRRRGL-35 (nuclear localization signal) of ANG
and to the ANG-binding element of ribosomal DNA
(CTCT repeats) and subsequently, stimulates ribosomal
RNA transcription. Nuclear translocation is essential
for cell proliferation since it is considered a third
messenger and promotes gene activation and
transcription events, and inhibition of the nuclear
translocation of angiogenin abolishes ANG-induced
angiogenesis. Interestingly, the expression of cell
surface receptors responsible for internalization as well
as for the nuclear translocation of ANG also depends
on the cell density.
nucleolytic activity of ANG are His13, Lys40, or
His114 of ANG, a catalytic triad, but mutations of
these amino acids also reduce ANG induced
angiogenesis, suggesting that the ribonucleolytic
activity of ANG, although weak, is necessary for the
angiogenic activity of ANG. Furthermore, several
arginines are essential for ribonucleolytic and
angiogenic activities.
II. Angiogenic activity
In addition to the catalytic activity, cell binding sites
which encompass residues 60-68 of the surface loop as
well as asparagine-109 are necessary for angiogenesis.
The variants undergoing alterations of these residues
lack any angiogenic activity while the enzymatic
activity remains intact. Inversely, replacing the surface
loop in RNAse A (residues 59-73) with the
corresponding region of ANG (residue 57-70) bestows
a neovascularization activity to the RNAse A.
1) Basement membrane degradation
Amino acid residues from Lys60 to Asn68 of the ANG
constitute a cell surface receptor binding site.
Accordingly, a 42 kDa endothelial cell surface protein
was identified as an ANG binding protein, which was
later found to be a smooth muscle type alpha-actin. The
ANG-actin complex dissociates from the cell surface
and activates a tissue type plasminogen activator, thus
accelerating degradation of the basement membrane
and extracellular matrix that allows endothelial cells to
penetrate or migrate through the extracellular matrix
more easily, an initial step of neovascularization.
Furthermore, fibulin-1, an important molecule for
stabilization of the blood vessel wall, binds to ANG,
Atlas Genet Cytogenet Oncol Haematol. 2011; 15(3)
245
ANG (angiogenin, ribonuclease, RNase A family, 5)
Shimoyama S
III. Roles of ANG in physiological angiogenesis
The above biological events, which are distinct from
those of RNAse A, are regulated tightly by the cell
density-dependent expression of ANG receptors. The
discovery of the uniquely regulated expression of ANG
receptors provides us with the following conceivable
mechanisms for ANG related angiogenesis. In the
region where neovascularization is required, ANG
binds to the endothelial surface 42 kDa receptor, and
the ANG-42 kDa receptor complex dissociates from the
cell surface and stimulates proteolytic activity, thus
facilitating the penetration of endothelial cells through
the extracellular matrix. After the leading cells migrate
away, the endothelial cell density in the vicinity of
migrating cells might be sparse, and such cell sparsity
triggers the endothelial proliferation machinery that
includes signal transduction, ANG internalization, and
nuclear translocation. A 170 kDa receptor is one of the
receptors responsible for this orchestrated process.
Once the microenvironment is filled up with the
sufficient amount of endothelial cells and the vascular
network is established, such cell proliferating events
diminish. Therefore, the above cell density dependent
biological events are intelligent mechanisms where the
proliferation machinery and subsequent angiogenic
switch are on when neovascularization is needed while
they are off to prevent unwanted angiogenesis.
establishment or metastasis of human tumors in
athymic mice. These compounds include a monoclonal
antibody, antisense oligonucleotides complementary to
the AUG translational start site region of ANG,
translocation blocker, enzymatic inhibitor targeting
ANG enzymatic active site, ANG binding polypeptide
complementary to the receptor binding site of ANG,
and internalization pathway blocker.
Female breast cancer
Disease
Female breast cancer is globally the most common
cancer with an annual incidence of 1,15 million
worldwide. It is also the leading cause of death, with a
mortality rate of 133 per million. Breast cancer
incidence rates have increased in most geographic
regions.
Prognosis
The ANG level in sera and the roles of ANG in breast
cancer patients seem to be conflicting. Some studies
found significantly increased serum ANG in breast
cancer patients in comparison with normal controls
while other studies failed to find such a difference. The
serum ANG level is significantly decreased after breast
cancer resection, suggesting that the source of ANG is
at least in part the breast cancer cells. However, there is
conflicting evidence concerning the role of ANG. The
correlation between ANG expression in tissue or in sera
and patient survival was inverse, neutral, or even
positive. The absence of any increase in serum ANG
levels in early stage breast cancer patients suggests that
ANG may have clinical implications when breast
cancer progresses to the advanced stage.
Homology
Of the 123 amino acids of human ANG, 43 (35%) and
25 are respectively identical to human pancreatic
RNAse or to other RNAse, and 16 are conservative
replacements, constituting an overall homology of
68%.
Pancreas cancer
Implicated in
Disease
The pancreas is composed of exocrine (acinar glands
and pancreas duct) and endocrine (islets of Langerhans)
components. Both can give rise to malignant
neoplasms, but adenocarcinoma arising from the
pancreatic ducts is representative of all pancreatic
cancers.
Prognosis
Pancreatic cancer is one of the most aggressive diseases
with most cancers already in later stages at
presentation, the 5-year survival rate being around 5%
both in USA and in Europe. Investigations concerning
ANG expression in pancreatic cancer are scarce. ANG
in sera is elevated in pancreatic cancer patients as
compared with healthy volunteers, and increased ANG
mRNA in tissue or increased ANG in sera has been
correlated with cancer aggressiveness. In addition, the
involvement of ANG in the cancer microenvironment
has been suggested by findings of the ANG expression
in chronic pancreatitis adjacent to pancreatic cancer but
not in pure chronic pancreatitis. Cancer derived
fibroblasts also express ANG.
Various cancers
Note
There is growing evidence that increased ANG
expression in tissue and/or in sera is correlated with
tumor aggressiveness. These facts are explained at least
in part by the hypothesis that ANG in malignancy plays
roles in the proliferation and migration of malignant
cells, mimicking endothelial cell behavior during
physiological angiogenesis. As described earlier, ANG
could activate proteolytic activity, so that ANGexpressing malignant cells are allowed to invade
through the extracellular matrix and enter into the
bloodstream. In addition, the continuous translocation
of ANG to the nucleus of HeLa cells in a cell densityindependent manner suggests that cancer cells are also
targets for ANG, and that ANG per se is a contributing
factor for sustained cell growth and the constant supply
of ribosomes, a characteristic of malignant cells.
Several ANG antagonists have been introduced and
some have proved to be effective inhibitors for the
Atlas Genet Cytogenet Oncol Haematol. 2011; 15(3)
246
ANG (angiogenin, ribonuclease, RNase A family, 5)
Shimoyama S
the disease is a strong predictor of survival, suggesting
that early detection is needed for improvement in
treatment outcomes.
Prognosis
Immunoreactivity in lung cancer tissue is correlated
with tumor size and positive nodal involvement.
Recently, the detection of ANG in exhaled breath
condensate has been achieved, and breath based ANG
may help in the early detection of lung cancer.
Cytogenetics
DNA damage in 14q11.2 was found in asbestosexposed lung cancer patients.
Gastric cancer
Disease
Gastric cancer, the third most common cancer and the
second leading cause of cancer death among men,
arises in an estimated one million new cases in both
sexes worldwide. Gastric cancer is anatomically
classified as noncardia and cardia cancers, and the
former incidence has declined while the latter incidence
has increased. Helicobacter pylori infection is one of
the risk factors for noncardia cancer. Adenocarcinomas
account for a large majority of gastric cancer histologic
diagnoses.
Prognosis
The 5-year survival rate of gastric cancer in Japan is
double that of the United States and Europe. The better
treatment outcomes are ascribed partly to the social
screening program that attempts to capitalize on the
benefit of early detection, and partly to systematic
lymph node dissection. ANG in sera is increased in
gastric cancer patients and is decreased by resection,
suggesting gastric cancer to be a source of ANG.
Increased mRNA expression in gastric cancer tissues or
increased serum ANG levels is correlated with cancer
progression, proliferation ability, and poor patient
prognosis.
Liver cancer
Disease
The global incidence and mortality rate of liver cancer
is ranked among top 5 (in men) and top 10 (in women)
cancer types. The hepatitis B virus and hepatitis C virus
are the most important risk factors for liver cancer.
Histologic classification separates hepatocellular
carcinoma (HCC) (liver cell origin) from
cholangiocarcinoma, which arises from intrahepatic
bile ducts. HCC is the most common histology of liver
cancer which is characterized by vigorous
neovascularization.
Prognosis
The serum ANG is increased in hypervascular
hepatocellular carcinoma. The serum ANG level
decreases after therapy but again increases at
recurrence, suggesting the usefulness of serum ANG
measurement for monitoring the disease and prediction
of patient survival. However, other investigators found
a neutral correlation between serum ANG and survival.
The ANG immunoreactivity is correlated with poorer
histological differentiation.
Cytogenetics
14q11.2 is found to be highly amplified in
hepatoblastoma.
Colorectal cancer
Disease
Colon cancer is the fourth most commonly diagnosed
cancer and fourth most frequent cause of cancer death
among men. Colon cancer incidence rates have
increased in most parts of the world. Typically, there is
a pathologic evolution from benign adenomas to cancer
(adenoma-carcinoma sequence), so that colorectal
cancer screening aims to detect lesions at the adenoma
stage and interrupt the adenoma carcinoma sequence,
ultimately reducing colorectal cancer incidence and
mortality.
Prognosis
Colorectal cancer exhibits increased serum ANG
concentration, and the degree of elevation is correlated
with cancer progression. ANG message expression in
colorectal cancer tissue has also been correlated with
poor patient survival.
Cytogenetics
Overexpression of the 14q11.1-14q11.2 product was
observed in a colon adenocarcinoma cell line.
Prostate cancer
Disease
Prostate cancer is the second most frequently diagnosed
cancer among men. Prognosis is excellent for early
stage disease while it is poor for those diagnosed with
advanced cases, pointing to the benefit of earlier
diagnosis. Measurement of prostate specific antigen
helps to detect biologically indolent prostate cancer.
Prognosis
The immunoreactivity of ANG is more evident
according to prostate epithelial cells evolution from a
benign to an invasive phenotype. In vitro analyses
using prostate cancer cell line have elucidated that
ANG is one of the elements responsible for
tumorigenicity and tumor growth. Furthermore, serum
ANG is more increased in hormone-refractory patients
than in healthy controls.
Lung cancer
Disease
Lung cancer is the most frequently diagnosed cancer
among men. The mortality rate is the highest among
men and the second highest among women worldwide.
Cigarette smoking is the most important risk factor for
lung cancer. The main histologic types of lung cancer
are adenocarcinoma, squamous cell carcinoma, large
cell carcinoma, and small cell carcinoma. The stage of
Atlas Genet Cytogenet Oncol Haematol. 2011; 15(3)
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ANG (angiogenin, ribonuclease, RNase A family, 5)
Shimoyama S
overwhelmingly the most common. The majority of
cancers of the kidney are renal cell carcinomas, which
arise from renal tubules. On the other hand, cancer of
the renal pelvis designated as transitional cell
carcinoma comprises the minority.
Prognosis
The serum level of ANG is increased in renal cell
carcinoma and bladder cancer; however, the increase in
serum ANG level does not correlate with patient
survival for renal cell carcinoma. On the other hand,
increased serum ANG or ANG message in urothelial
cancer correlates with poor patient survival or cancer
progression. Recently, ANG in the urine has been
found to be increased in bladder cancer patients.
Leukemia
Disease
Leukemias are malignancies that affect blood-forming
stem cells in the bone marrow. Leukemia, a
heterogeneous group of malignancies, is classified into
several subtypes according to the major cell type such
as acute lymphoblastic leukemia (ALL), chronic
lymphoblastic leukemia (CLL), acute myeloid
leukemia (AML), chronic myeloid leukemia (CML),
etc. Acute types refer to cancers arising in immature
stem cells while chronic types refer to cancers arising
in mature stem cells.
Prognosis
The ANG level in sera was increased in AML and
CML, although other investigators failed to find such
correlation. In sharp contrast to the clinical significance
of serum ANG in other solid tumors, elevated serum
ANG in AML and CML is correlated with better
patient survival.
Cytogenetics
14q11.2 is one of the risk foci for ALL.
Melanoma
Disease
Melanoma is placed as the leading cause of skin cancer
death and its incidence has dramatically increased over
the last ten years. It is characterized as having a
notorious resistance to currently available therapies so
that early detection and intervention is needed.
Prognosis
Survival clearly worsens with increasing tumor
thickness. Thin lesions exhibit excellent survival
outcomes while the MST of patients with advance
cases is around 8 months. The ANG in sera is increased
in melanoma patients, and increased serum ANG
correlates with malignancy potential, accordingly,
ANG contributes directly to A375 melanoma cell
proliferation. However, other investigators failed to
find such a correlation.
Hodgkin and non-hodgkin lymphomas
Disease
Lymphomas, malignancies of the lymphoid cells, are
divided on the basis of their pathologic features into
Hodgkin lymphoma (HL) and non-Hodgkin lymphoma
(NHL). HL almost always develops in a lymph node or
other lymphoid structure and spread to nearby nodes.
HL is characterized by the presence of Hodgkin Reed
Sternberg cells. It is one of the most common cancers
diagnosed in younger persons. The proportions of
patients being diagnosed below 50 years old accounts
for 60%. NHL occurs in more elderly patients in the
context of HIV-related immunosuppression. NHL with
HIV shows extensively poorer survivals than those
without HIV.
Prognosis
In sharp contrast to the other solid malignancies, serum
ANG concentrations in patients with HL or NHL are
less than or the same as those in healthy controls.
Increased serum ANG renders no or an inverse impact
on survival in NHL patients.
Cytogenetics
One subtype of NHL experiences multiple
translocations at 14q11.2.
Gynecological cancers
Disease
Cancers of the uterus and ovary are respectively the
second and the sixth most frequently diagnosed cancer
among women. Cancer of the uterus is further
classified as cancer of the cervix and corpus, and
cancer of the cervix uteri shows the highest incidence
among the three gynecological malignancies. Cancer of
the cervix uteri can be attributed to persistent infection
with carcinogenic genotypes of human papilloma virus.
The three most common histological types of cancer of
the cervix uteri are squamous, adenosquamous, and
adenocarcinoma. Adenocarcinoma is the most common
histology of cancer of the corpus uteri and ovary.
Women with ovarian cancer have poorer survival rates
than those with other gynecological cancers.
Prognosis
Serum ANG is significantly increased in ovarian cancer
patients, while other studies failed to find such a
difference. Increased serum ANG concentration is
correlated with cancer progression in ovary and cervix
uteri.
Cytogenetics
Gains on 14q11.2 are associated with chemoresistant
ovarian cancer.
Kidney and bladder cancer
Disease
Kidney and bladder cancers are placed among the top
ten cancer types in both sexes. Cancer of the urinary
bladder most commonly originates in the urothelium,
the epithelium that lines the bladder. Bladder cancer
incidence is significantly higher in males than in
females. There are three major histologic types of
bladder cancer: transitional cell carcinoma, squamous
cell carcinoma, and adenocarcinoma, the former being
Atlas Genet Cytogenet Oncol Haematol. 2011; 15(3)
248
ANG (angiogenin, ribonuclease, RNase A family, 5)
Shimoyama S
Moroianu J, Riordan JF. Nuclear translocation of angiogenin in
proliferating endothelial cells is essential to its angiogenic
activity. Proc Natl Acad Sci U S A. 1994 Mar 1;91(5):1677-81
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