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Tumor suppressor gene Tumor suppressor gene I. History of tumor suppressor gene 1. Cell hybridization 2. Human genetics II. Identify of suppressor genes III. Suppressor genes: 1 Retinoblastoma (Rb) 2. P53 3. APC 4. Deleted in colon carcinoma (DCC) 5. Neurofibromatosis tumor suppressor Tumor suppressor gene gene (NF-1) 6. Wilms tumor (WT) 7. Others (KLF6, PTEN) IV. tumor metastasis suppressor gene--Nm23, CRMP-1 V. tumor metastasis promotion gene—RhoC, chemokine, CXCR4, CCR7, PRL-3. Tumour-suppressor genes. Cells have brakes, called tumour-suppressor genes. These keep cell numbers down, either by inhibiting progress through the cell cycle and thereby preventing cell birth, or by promoting programmed cell death (also called apoptosis). Tumor suppressor genes • Genes whose loss contributes to cancer are classified as tumor suppressor genes because when they function normally they help to suppress tumors • Normal functions of tumor suppressor genes is to suppress cellular growth , promote cellular death • Also known as anti-oncogenes Cell hybridization CA N Normal bronchial cell Mucoepidermoid • Finite lifespan Lung carcinoma cell • Non-tumorigenic • Tumorigenic • Immortal CA/N • Finite lifespan • Non-tumorigenic Human Genetics LOH: 6Q21, gastric cancer 7Q31, prostate cancer 17Q, ovarian cancer Human Genetics Current opinion in genetics & develop. 10:81-93, 2000. Identify of suppressor genes 1. Construction of subtractive library 2. Differential display 3. c-DNA microarray 4. Proteomic approach Retinoblastoma (Rb) gene 1. Familial (40%): mean age 14 months, bilateral (appeared in both eyes), average 3 independent tumors have family history, prezygotic mutation--95% tumor within 7 year period. 2. Sporadic: no family history, unilateral (one eye). mean age 30 months, only one tumor. Solely in postzygotic 2 independent events must have occurred in the Rb gene. One mutation-- growth selection advantage to induce 2nd mutation. • White glow or glint in one or both eyes • Have white pupils in pictures • Has crossed or misaligned eyes pRb and retinoblastoma The disease; retinoblastoma The protein; pRb TSSTTT LXCXE proteins (HDAC, E7) E2F (no LXCXE motif) A/B pocket SSS A B SSSSS TT C-term NLS cyclin docking Retinoblastoma (Rb) gene 3. 180 kb DNA, 4.7 kb mRNA, 928 amino acid, - 105 KD protein (MW 110-114 KD), different degrees of phosphorylation located on chromosome 13. 4. Phosphonuclear protein, has DNA binding ability suggest a role in transcriptional regulation 5. DNA tumor virus association. Adenovirus E1A, SV40 large T antigen, human papilloma virus (Hpv) E7 oncoproteins form complex. Inactive Rb gene by these oncoproteins to transform cells. 6. Mutant Rb protein fail to bind large T antigen. Retinoblastoma (Rb) gene 7. E7 protein of the non oncogenic human papilloma viruses (HPV6B, HPV11) bind p105-Rb with lower affinity than the oncogenic HPV 16, 18 p E2F homo-or hetero-dimer C-myc, myb,cdc2 Rb TTTCGCGC Rb/E2F Rb and cell cycle entry Mitogens Sherr (2000) Cancer Research 60:3689-3695 CDK 4/6 Cyclin D P E2F Rb P P Rb S phase entry + E2F CDK 2 Cyclin E Cyclin E E2F Cyclin E gene Stephen Taylor 4/10/02 BS324: Molecular Biology of Cancer. Lecture 3: The Cell Cycle, Slide: 15 Retinoblastoma (Rb) gene 8. One of the most well-characterized proteins that interacts with Rb is the transcription factor E2F. E2F binds to unphosphorylated Rb. Upon phosphorylation of Rb, E2F is no longer able to form a complex with Rb and thus dissociates. Free E2F is then able to activate a number of target genes. E2F recognizes and binds to a consensus sequence of TTTCGCGC, which is found in the promoters of a number of genes that are involved in regulating cell growth, including c-myc, myb, cdc2, dihydrofolate reductase, thymidine kinase, and the E2F promoter itself. Retinoblastoma (Rb) gene 9. underphosphorylated in G1, becomes heavily phosphorylated just prior to the G1 to S transition, remains phosphorylated in S, G2, and most of M, and reverts to an under phosphorylated state at or before the M-G1 transition G1/G0 S Active Rb Unphospho. cdc2kinase G2 Rb-p, inactive M Retinoblastoma (Rb) gene 10. All 3 viral oncoproteins (T-Ag, E1A, E7) bind to the underphosphorylated (active form) form of Rb protein 11. Rb is active in growth suppression only in G0 and G1 (under phosphorylated), and is phosphorylated and rendered inactive for the remainder of the cell cycle. Retinoblastoma (Rb) gene 12. Inactivation of Rb (or P53), 3 mechanisms: (i) mutation gene itself (ii) phosphorylation (iii) by binding to the viral oncoprotein (T-Ag, E1A, E7) 13. Introduce Rb gene into Rb cell line (no Rb protein) (i) inability to form colonies in softagar (ii) inability to form tumors in nude mice Deacetylation removes acetyl groups from histone tails, causing the histones to wrap more tightly around the DNA and interfering with the transcription of genes by blocking access by transcription factors. Treatments Current: -Emulation (removal of eye) -Radiation Future: -to shrink the retinoblastoma so it can be treated with a laser freezing and local plague. Prognosis • Emulation, lost of the eye. 40% chances of loosing both eyes • Untreated, retinoblastoma is almost always fatal Rb Enhanced Mdm2 activity inhibits pRB function via ubiquitin-dependent degradation *The EMBO Journal (2005) 24, 160–169 P53: both oncogene and tumor suppressor gene • it is mutated in about half of all human cancers • it was initially identified as a tumor specific nuclear antigen of molecular weight 53kDa • isolation of the gene from tumor cells yielded an oncogene: when it was transfected into normal cells it could transform them together with ras • when the gene was isolated from normal cells, it was discovered that the tumor derived gene was mutated, and when the wild-type was transfected into tumor cells it stopped their growth, ie it was a tumor suppressor gene P53 gene 1. P53 (1970) was found initially through its association with SV40 large T oncoprotein in virus transformed cells it acts as a negative regulator of cell growth 2. P53 gene 16-20kb of DNA on the small (p) arm of chromosome 17 in human, 11 of mice 3. 2.2-2.5 kb mRNA producing 53 kd nuclear phosphoprotein 4. primary a.a. sequence (375 a.a.) - 3 distinct domain. The p53 pathway in response to DNA damage ATM(DNA-dependent protein kinase) No DNA damage DNA Damage Ionizing radiation ATM ( DNA-dependent protein kinase; Rad 3) PPP p53 Mdm2 Blocks transactivation Targets for degredation p53 Mdm2 PPP PPP p53 P53 is unstable and is degraded by a ubiquitindependent mechanism. Phosphorylation in response to DNA damage prevents association with Mdm2 and stabilizes p53. Ataxia telangiectasia– mutated gene (ATM) is a 350-kDa protein whose function is defective in the autosomal recessive disorder ataxia telangiectasia (AT). Structure of P53 The domain structure of p53 and binding partners Transactivation May help to stabilise p53 Hsp70 TBP These interactions promote transcription Oligomerisation/ Nuclear Localisation/Export p53 SV40 T antigen Blocks p53 function 95% of mutations in p53 found in cancer cells lie within this domain TAF70 TAF31 TFIIH These interactions block p53 transcriptional activation Sequence specific DNA binding MDM2 E1B55 •p53 is a tetramer, which does not have an exposed nuclear export signal (NES), therefore the NLS predominates and p53 remains nuclear. •p53 monomers have an exposed NES which is more active than the NLS therefore p53 is cytoplasmic where it is targeted for rapid degradation. •Mutations which influence oligomerisation of p53 influence its subcellular localisation and therefore activity. P53 gene 5. Mouse and human proteins share 80% homology at a.a. level. murine p53 blocked the binding of DNA polymerase to SV40 large T antigen. SV40 DNA replication was blocked by p53. 6. Detected in all cells, present at low levels, half life 6-20 min. Mutations have been shown to increase the stability of p53 protein, to alter the conformation of the protein and to result in complex formation with a HSP 70. p53 tumor suppressor P53 is a transcription factor which monitors the state of DNA. It inhibits cell cycle progression if there is damage. Following DNA damage (e.g. by radiation), p53 levels rise, and proliferating cells arrest in G1. This allows time for DNA repair prior to the next round of replication. P53 mediated cell cycle arrest is mediated by stimulation of expression of p21CIP1, the cyclin kinase inhibitor. p53 tumor suppressor The functional expression of the gene p53 increases the sensitivity of the expressing cells to activation of programmed death induced by a wide variety of damaging agents. Such a universally resistant genotype would provide a great selective advantage to any cell so affected. For example, Mice with both copies of p53 knocked out develop multiple malignancies, Mutation in p53 is associated with many human cancers. P53 arrests cells in the G1 stage of the cell cycle if there is damage to the DNA; this arrest is to allow repair. If repair doesn’ t occur, the cell undergoes apoptosis. P53 gene 7. Mutant p53 protein levels in transformed cells are elevated 5-100 fold, half life becomes many hours. Wt p53 assemble into homotetramers and higher order homo-oligomeric structures. 8. mutant p53 + ras oncogene can transform cells but not wt p53 9. p53 is found in oligomeric complex with oncoprotein SV40 large T antigen, and adenovirus E1b P53 gene 10. SV40 large T, adenovirus E1b form complex with wt p53 and inactive wt p53. Papilloma virus E6 + p53 --- proteolytic pathway 11. p53 is documented as the most frequently mutated gene in human cancer (e.g. bladder, liver, brain, breast, lung, colon) 12. p53 and Rb show several parallels: (i) growth suppressing proteins found in the nucleus (ii) both are targeted for sequestration (destruction) by the oncoproteins of SV40, adenovirus, and human papillomavirus. P53 gene (iii) both proteins must be eliminated from the cell's growthsuppressing pathway in order for full viral transformation to occur. 13. Point mutations create carcinogenic p53. Viral oncogenes and p53 network (Nature 408:306, 2000) P14 ARF 1. p14ARF arrests the cell cycle in a p53-dependent manner 2. p14ARF binds to MDM2 and promotes the rapid degradation of MDM2. 3. ARF-mediated MDM2 degradation is associated with MDM2 modification and concurrent p53 stabilization. (Cell 92: 725, 1998) P53 gene 1. Acetylation of lysine or phosphorylation of serine near the carboxy terminus of p53 can enhance the binding of p53 to DNA. 2. Phosphorylation of the amino terminus of p53 does not affect its DNA binding, but does affect its affinity for MDM2 and subsequently leading to degradation of p53. 3. p14ARF binds to MDM2 and inhibits its activity. Nature 408:306, 2000 The p53 network Mediators of p53 function 1. p21 (waf1/cip1) is a cyclin kinase inhibitor p21 can bind to the cyclin/CDK complex and inhibit its kinase activity p21 p53 p21 gene promoter p21 Cyclin/Cdk complex -inactivated -G1 arrest 2. p53 also induces proteins involved in DNA repair. P53 network-cell cycle inhibition 1. P53 protein stimulates the p21 WAF/CIP1, an inhibitor of cyclin-dependent kinase (CDKs). CDK are key regulator of the cell cycle. 2. p21 WAF/CIP1 inhibit both the G1 to S and G2 to mitosis. 3. P53 protein stimulates 14-3-3which sequesters cyclinB1-CDK1 complexes, help to maintain a G2 block. 4. Reprimo can also arrest cells in G2 phase. P53 network-Apoptosis 1. Bax apoptosis-inducing protein. P53 stimulates Bax but inhibits Bcl-2. 2. NOXA and p53AIP1 genes are activated by p53. These proteins induce apoptosis when over-expressed. 3. P53 mediators induced apoptosis include TNT receptor, Fas, PIDD, toxic reactive oxygen etc. p53 and the DNA Damage Response DNA Lesion x Stabilisation of p53 which normally has a half life of 20 minutes p53 WAF/CIP1 gene - transcriptional activation by p53 p21 cyclin CDK Kinase activity Review on p53: Cell 88 p323 (1997) Apoptosis DNA Repair cyclin p21 CDK No kinase activity No phosphorylation of Rb therefore no release of E2F-1 therefore cell remains in G1 allowing time for DNA repair. Go G1 M S G2 BAX which promote apoptosis Putative signal pathway of p53 P53 pathway 1 P53 block RPA(replication protein A)replication 2. P53p21-CIP arrest cdk kinase cell cycle 3. GADD 45 (growth arrest DNA damage)/p21 can bind to PCNA (proliferating cell nuclear antigen) and inhibit DNA replication. 4. Wtp53 bax apoptosis bcl2 ONCOGENE CHECKPOINT P19 ARF and p53 ARF = Alternative Reading Frame. Both p16 and p19 are in the Ink 4 locus. --Ink 4 locus mice—tumor prone but viable. Many tumors have large deletions and would delete p19 and p16. INK 4 Locus: p16 and p19 Sherr (2001) Cell:106:531) • Immortal MEFS • RAS-susceptible • Spontaneous tumors • Acceleration of Myc induced B-Cell Lymphoma • No melanoma • Normal MEFS • RAS-resistant • ?Spontaneous tumors •No acceleration of Mycinduced B-Cell Lymphoma • Melanoma • Immortal MEFS • RAS-susceptible • Spontaneous tumors • Acceleration of Mycinduced B-Cell Lymphoma • No Melanoma P16/p19 1. P16-INK4a acts as an inhibitor of cyclin D1dependent kinases 4 or 6 and prevents the phosphorylation of Rb, thereby maintaining an active Rb and blocking the exit from the G1phase. 2. P19ARF inhibits cell growth by interacting with MDM2, thereby blocking MDM2mediated degradation of the p53 protein and neutralizing MDM2’ s inhibition of p53 activity. p53 Pathway DNA Damage ATM DNA-PK ??? Oncogenic Stimuli (e.g.E1A, MYC) p53 BAX p21 mdm2 P19 ARF MD M2 Ub Ub Ub p53 Tumor Suppressor Genes p53, p19 From Sharpless and DePinho (1999) Current Opinions in Genetics and Dev. 9:22 Oncogenes MDM2 DEGRADATION Intersection of p53 and RB Pathways Dimerization and processing of procaspase-9 by redox stress in mitochondria.J Biol Chem. 2004 Jan 27 EMBO J. 2004 Jan 28;23(2):460-72. Epub 2004 Jan 08. Coupling of caspase-9 to Apaf1 in response to loss of pRb or cytotoxic drugs is cell-type-specific. P53 and RB Crosstalk p53 Ink 4 P19-ARF p16 Bax E2F1 mdm2 RB Cyclin D CDK4 BCL2 Caspases E2F1 Apoptosis S-Phase The human p73 promoter: characterization and identification of functional E2F binding sites. Neoplasia. 2002 MayJun;4(3):195-203. Apoptosis P19 ARF p73 1. E2F1 induces phosphorylation of p53 that is coincident with p53 accumulation and apoptosis. Mol Cell Biol. 2002 Aug;22(15):5308-18. MDM2/Rb Enhanced Mdm2 activity inhibits pRB function via ubiquitin-dependent degradation The EMBO Journal (2005) 24, 160– 169. The central acidic domain of MDM2 is critical in inhibition of retinoblastoma-mediated suppression of E2F and cell growth. J Biol Chem. 2004 Dec 17;279(51):53317-22. APC adenomatous polyposis coli Tumour suppressor genes located in the 5q21 region on the long arm of chromosome 5. The mutation of these genes is associated with familial adenomatous polyposis (apc stands for adenomatous polyposis coli) and gardner's syndrome, as well as some sporadic colourectal cancers. MSH Multigene family coding for proteins involved in mismatch repair. Homologous to S. cerevisiae MutS . Included in family are MSH1, MSH2, hMSH2, hMLH1, hPMS1, hPMS2 and probably GTBP. Wnt Multigene family encoding various secreted signaling molecules important in morphogenesis. First member was Drosophila wingless , but many vertebrate homologues are now known. Wnt -1 induces accumulation of -catenin and plakoglobin and affects the association of APC tumour suppressor protein with catenin. plakoglobin Polypeptide (83 kD) present at cell-cell but not cellsubstratum contacts. Associated with desmosomes and with adherens junctions: soluble 7S form present in cytoplasm. APC (Adenomatosis Polyposis Coli) • An autosomal dominant polyposis syndrome in which the colon contains few to thousands of adenomatous polyps, often occurring by age 15 to 25. •Protein in cytoplasm degrades B-catenin, a signaltransduction protein that can enter the nucleus and activate transcription •B-catenin is also important in cell-cell adhesion - therefore role in invasion as well (Proteins associated with the cytoplasmic domain of uvomorulin and presumably involved in linking to the cytoskeleton. ( -catenin 102 kD; -catenin 88 kD; -catenin 80 kD)) Uvomorulin Glycoprotein (120 kD) originally defined as the antigen responsible for eliciting antibodies capable of blocking compaction in early mouse embryos (at the morula stage), and inhibiting calciumdependent aggregation of mouse teratocarcinoma cells. May be the mouse equivalent of LCAM, the chick cell adhesion molecule. Colon Cancer -common Polyps in familial polyposis coli polyps FAP (Familial Adenomatous Polyposis) -rare -inherited -associated with benign adenomatous polyps in early adulthood -some polyps progress to invasiveness APC •SIGNAL TRANSDUCTION INHIBITORS •named for rare familial condition - hundreds to thousands of precancerous colonic polyps, at least one of which will progress to cancer by young adulthood (one allele inherited, one acquired) - but also seen in most sporadic colon carcinoma. APC The APC tumor suppressor is encoded by the FAP locus In 1991, Kinzler and Groden identified the tumor suppressor APC encoded by the FAP locus. Bert Vogelstein The tumor suppressor APC What does APC do? -Interacts with -catenin (cadherin-based cellular adhesion). -Then the Wnt signaling pathway was discovered in Drosophila -is loss of APC sufficient to cause polyp formation? APC The APC gene, mutational spectrum, clinical correlates, and APC protein structure 1. The conventional form of the APC gene contains 15 exons, with the most 3’exon containing over three-quarters of the 8,535 bp of coding sequence. 2. Most APC mutations occur within the central third of the gene, designated the mutation cluster region. This region contains two of the most commonly found mutations, 5-bp deletions creating stop codons at positions 1061 and 1309, and a nucleotide polymorphism (ASH) in the Ashkenazi Jewish population . 3. Regions of the gene where mutations are associated with congenital hypertrophy of the retinal pigmented epithelium (CHRPE) and desmoid tumors (aggressive fibromatosis) are shown. The WNT signaling pathway; absence of Wnt signal cell Wnt receptor: Frizzled; 7-pass transmembrane Free -catenin is destabilized by binding to the destruction complex -glycogen synthase kinase 3 -axin/conductin -APC APC binds to -catenin and GSK3 GSK3phosphorylates -catenin P--catenin is ubiquinated and destroyed by the proteosome WNT signaling pathway; presence of Wnt signal Presence of Wnt: GSK3is inactivated -catenin is stabilized -catenin shuttles to the nucleus -catenin binds to the TCF-family of transcription factors and serves as an essential co-activator APC Wnt/-catenin signaling: target genes Gene Organism/system Direct/Indirect c-myc human colon cancer yes Cyclin D human colon cancer yes Tcf-1 human colon cancer PPARdelta human colon cancer c-jun human colon cancer fra-1 human colon cancer uPAR human colon cancer yes yes yes yes ? up/down up up Ref. He 1998 Tetsu 1999 Shtutman 1999 up up up up up Roose 1999 He TC, et al 1999 Mann B, 1999 Mann B, 1999 Mann B, 1999 So, just another signaling pathway that controls cell cycle. Deleted in Colon Carcinoma (DCC) Gene: Tumour suppressor genes located in the 18q21 region of human chromosome 18. The absence of these genes is associated with the formation of colourectal cancer (dcc stands for deleted in colourectal cancer). The products of these genes show significant homology to neural cell adhesion molecules and other related cell surface glycoproteins. Deleted in Colon Carcinoma (DCC) Gene: 1. Allele losses on chromosome 18q21 in colorectal carcinoma not adenomas 2. 70% colon cancer, DCC reduced expression, point mutation, insertion, deletion. 3. Genomic DNA--1000 kb, amino acid--190 Kd transmembrane phosphoprotein cell surface receptor. Deleted in Colon Carcinoma (DCC) Gene: 4 Ligand for DCC is Netrin (Cell 87:175, 1996). Netrins are chemoattractants for commissural axons in the vertebrate spinal cord, but the mechanisms through which they produce their effects are unknown. 5. DCC mRNA is present in a variety of normal tissue including colonic mucosa, but undetectable in 90% of colon tumor cell lines. Netrin Genes identified in studies of vertebrate neuronal development. Netrins are chemotropic for embryonic commisural neurones: netrin 1 is secreted by the floorplate, whereas netrin 2 is distributed ventrally except for the floorplate. The netrins are homologous to the product of unc 6, a gene identified in studies of neuronal development of the worm, Caenorhabditis elegans. Deleted in Colon Carcinoma (DCC) Gene: 6. Gene encodes a member of the immunoglobulin superfamily with homology to neural cell adhesion molecules that presumably regulates cell behavior through interation with other cells • Kruppel-like factor 6 (KLF6) is a zinc finger transcription factor of unknown function. Here, we show that the KLF6 gene is mutated in a subset of human prostate cancer. • Loss-of-heterozygosity analysis revealed that one KLF6 allele is deleted in 77% (17 of 22) of primary prostate tumors. • Sequence analysis of the retained KLF6 allele revealed mutations in 71% of these tumors. Functional studies confirm that whereas wildtype KLF6 up-regulates p21 (WAF1/CIP1) in a p53-independent manner and significantly reduces cell proliferation, tumor-derived KLF6 mutants do not. Our data suggest that KLF6 is a tumor suppressor gene involved in human prostate cancer. KLF6 (Kruppel-like factor) Frequent inactivation of the tumor suppressor Kruppel-like factor 6 (KLF6) in hepatocellular carcinoma. Hepatology. 2004 Nov;40(5):1047-52. A new role for the Kruppel-like transcription factor KLF6 as an inhibitor of c-Jun protooncoprotein function. Oncogene. 2004 Oct 28;23(50):8196-205 PTEN:phosphatase and tensin homolog deleted on chromosome ten; MMAC1/PTEN; TEP-1) TEP1:TGFa-regulated and epithelial cell-enriched phosphatase).Also termed PTEN or MMAC1 (mutated in multiple advanced cancers 1). A protein tyrosine phosphatase with homology to tensin, is a tumour-suppressor gene on chromosome 10q23. Somatic mutations in PTEN occur in multiple tumours, most markedly glioblastomas. Germ-line mutations in PTEN are responsible for Cowden disease (CD), a rare autosomal dominant multiple-hamartoma syndrome. Mutated in MMAC1/PTEN (multiple advanced cancers 1/phosphatase and tensin) homologue. Cowden disease (Cowden is the family name of the first reported case) (also called multiple hamartoma syndrome (MHS)), autosomal dominant inherited condition characterized by multiple hamartomas and neoplasms of ectodermal, mesodermal and endodermal origin. It occurs mainly in white persons and the mean age at the time of the diagnosis is 41 years. Tensin Actin-binding component of focal adhesions and submembranous cytoskeleton. Has SH2 domain and can be tyrosine phosphorylated; speculated that it may link signalling systems with the cytoskeleton. The mechanisms controlling neural stem cell proliferation are poorly understood. Here we demonstrate that the PTEN tumor suppressor plays an important role in regulating neural stem/progenitor cells in vivo and in vitro. Pten encodes phosphatase. Mice lacking PTEN exhibited enlarged, histoarchitecturally abnormal brains, which resulted from increased cell proliferation, decreased cell death, and enlarged cell size. • Neurosphere cultures revealed a greater proliferation capacity for tripotent Pten -/- central nervous system stem/progenitor cells, which can be attributed, at least in part, to a shortened cell cycle. • However, cell fate commitments of the progenitors were largely undisturbed. Our results suggest that PTEN negatively regulates neural stem cell proliferation. • PTEN phosphatase promotes apoptosis by preventing Akt activation, antagonises the anti-apoptotic effect of PI3K. Structure of PTEN • The N-terminal-phosphatase domain (amino acids 1-185) is shown with the catalytic core. • The C-terminal domain (amino acids 186- 403) C2 domain -lipid-binding PEST domains-regulate protein stability PDZ domain-is important in protein-protein interactions. CK2 phosphorylation sites -are important for stability PTEN negatively regulates PKB/Akt-mediated cell survival PTEN/Mdm2/P53 summary Oncogenes and tumor suppressors work together to achieve the full malignant phenotype Tumor suppressors are proteins that play a role in controling cell cycle, in check-point control and in maintenace of a differentiated phenotype Loss of tumor suppressor genes lead to cell cycle defects such as loss of check point control Inherited mutations in tumor suppressor genes predisposes the individual to cancer Tumor cell invasion and metastasis Molecular aspects of invasion A. Invasion-suppressor genes • E-cadherin • Tissue inhibitors of metalloproteinases (TIMPS) • plasminogen activator inhibitors (PAIs) • Anti-metastatic gene nm23 Summary of literatures 1. Association of nm23-H1 allelic deletions with distant metastases in colorectal carcinoma (Lancet 1991; 338: 722-24. ) 2. A low nm23H-1 gene expression identifying high malignancy human melanomas (Melanoma Research 1994, 4, p. 179-184 ) 3. Levels of nm23 Messenger RNA in metastatic malignant Melanomas: Inverse Correlation to Disease Progressions (Cancer Res. 52, 60886091, 1992 ) Molecular aspects of invasion B. Invasion-Promoter Genes • Lytic enzymes ( Collagenase) • Motility factors (epithelial mesenchymal transition EMT) , extracellular matrix(ECM)remodeling • Interleukin-1(IL-1) • hepatocyte growth factor (HGF), Scatter factor (SF)- receptor, c-Met Epithelial cells (left) are tightly interconnected in sheets by numerous cell-cell interactions; their organization is determined by the basement membrane (lower left). During epithelial-mesenchymal transition (EMT), epithelial cells become independent of their neighbors and can move freely (center). In this way, tumors derived from epithelial cells become motile and may invade lymph or blood vessels (right). Phenotype of tumor progression Molecular mechanism of cancer invasion Tumor metastasis suppressor gene Nm23(nonmetastatic protein 23) CRMP-1 The Tumor Metastasis Suppressor Gene Drg-1 Downregulates the Expression of Activating Transcription Factor 3 in Prostate Cancer The expression of the KAI1 gene, a tumor metastasis suppressor, is directly activated by p53 [Expression of tumor metastasis-suppressor gene KiSS-1 and matrix metalloproteinase-9 in portal vein tumor thrombus of hepatocellular carcinoma] TSLC1 is a tumor suppressor gene associated with metastasis in nasopharyngeal carcinoma. KAI1/CD82, a tumor metastasis suppressor Tumor metastasis suppressor gene---nm23 1. nm23 is a tumor metastasis associated gene. 2. nm23 RNA levels were highest in cells and tumors of relatively low metastatic potential in the following systems. (i) murine k-1735 metanoma cell lines (ii) N-nitrosomethylurea - induced rat mammary carcinomas (iii) human breast carcinoma (iv) human hepatoma Tumor metastasis suppressor gene---nm23 (v) human melanoma 3. nm23 is homologous to NDP kinase. Nucleoside diphosphate kinase catalyzes a transfer of the terminal phosphate of 5' - triphosphate nucleotides to 5' diphosphate nucleotides (RNA or DNA). 4. Encode a 17 kd nuclear and cytoplasmic protein. Tumor metastasis suppressor gene---nm23 5. Human nm23-H1---chromosome 17. 6. Amino acid sequence contain leucine repeats, basic amino acid region, suggestive of a leucine zipper involved in transcriptional regulation. Tumor metastasis suppressor gene---nm23 NDPK(Nucleoside diphosphate kinase)是細胞中負責 nucleosides triphosphate生合成(biosynthesis)的酵素, 在in vitro的酵素活性分析,NDPK能將所有 nucleosides diphosphate磷酸化為nucleosides triphosphate。因此NDPK是DNA生合成途徑中的一個 重要酵素,在細胞中負責製造DNA 合成的原料 NDPK是由nm23基因所合成,除了nm23-H1及nm23H2之外,到目前為止又有DR-nm23、nm23-H4、 nm23-H5、nm23-H6等四個isoforms被發現。研究顯 示nm23 mRNA及protein在一些human tumor cell的表 現都較正常細胞為少;而在會轉移的tumor cell中, NDPK的活性比在不會轉移的tumor cells為低,所以 nm23 基因被推測為一個tumor metastasis suppressor gene。在其他研究中也顯示nm23的基因產物可以磷 酸化small GDP-binding protein成為small GTP-binding protein,此活化過程被認為可能是NDPK在調控細胞 生理現象的一個重要的步驟。 • After transfecting and over-expressing CRMP-1 in highly invasive CL 1 –5 cells,the cells were assessed morphologically and with an in vitro invasion assay. • CRMP-1 expression in 80 lung cancer specimens was determined by real-time quantitative RT-PCR. • Expression of CRMP-1 was inversely associated with invasive activity in the cell J Natl. Cancer Inst;93: 1392. 2001 • CRMP-1-transfected CL 1 –5 cells became rounded and lower in vitro invasive activity than untransfected cells. • Real-time RT-PCR of lung cancer specimens showed that reduced expression of CRMP-1 was associated with advanced disease, lymph node metastasis, early postoperative relapse, and shorter survival. • Conclusions: CRMP-1 appears to be involved in cancer invasion and metastasis and may be an invasion-suppressor gene. Tumor metastasis promotion gene • PRL-3 • Chemokine, CXCR4, CCR7. • RhoC 癌症轉移所造成的死亡率約為90%。對於癌症如何開始, 科學界已經有相當的認識;但是對於癌症如何轉移,是否 由於部分基因啟動或失去所造成、是否與細胞內的訊息傳 導有關。翰霍普金斯醫學院的Kenneth Kinzler, Bert Vogelstein 等幾位科學家們,由1995年開始在『由腸癌轉 移到肝臟的癌細胞』中,廣泛搜尋其基因表現情形,他們 發現,在癌症病程中無論癌細胞或是正常細胞均有部分基 因會被過度表現或是抑制,這情形隨細胞種類不同而異, 相當複雜而很難找到規則性。但是有一個名為PRL-3的酵 素,卻相當的有規則性:該酵素不會在正常細胞中表現, 而普遍在轉移的癌細胞中被大量表現! To gain insights into the molecular basis for metastasis, we compared the global gene expression profile of metastatic colorectal cancer with that of primary cancers, benign colorectal tumors, and normal colorectal epithelium. Among the genes identified, the PRL-3 protein tyrosine phosphatase gene was of particular interest. • It was expressed at high levels in each of 18 cancer metastases studied but at lower levels in nonmetastatic tumors and normal colorectal epithelium. • In 3 of 12 metastases examined, multiple copies of the PRL-3 gene were found within a small amplicon located at chromosome 8q24.3. • These data suggest that the PRL(phosphatase of regenerating liver)-3 gene is important for colorectal cancer metastasis and provide a new therapeutic target for these intractable lesions. PRL-3 PRL-3 and PRL-1 promote cell migration, invasion, and metastasis. Cancer Res. 2003 Jun 1;63(11):2716-22 Expression of PRL-3 phosphatase in human gastric carcinomas: close correlation with invasion and metastasis. Pathobiology. 2004;71(4):176-84 Chemokines Chemokines, grouped into CXC and CC subfamilies based on the arrangement of the two NH2-terminal cysteine residues, are small secreted proteins that regulate the chemotactic response for a variety of cells . These ligands and receptors have been predominantly investigated on lymphoid cells. receptors, cxcr4 • Seven-transmembrane G-protein-coupled receptors for chemokines. They also function as fusion cofactors for T-cell-tropic HIV-1 strains. • CXCR4 is a chemokine receptor that, together with its natural ligand stromal-derived factor-1 (SDF-1), is involved in the regulation of leukocyte migration as well as other immunological and developmental processes. In addition, CXCR4 has been identified as a cofactor for HIV entry into T cells . • CCR7 is prevalent in various subsets of T cells and DCs. Most individuals infected with human immunodeficiency virus type 1 (HIV-1) initially harbor macrophage-tropic, non-syncytium-inducing (M-tropic, NSI) viruses that may evolve into T-cell-tropic, syncytium-inducing viruses (T-tropic, SI) after several years. For HIV type 1 (HIV-1) to infect a cell, the viral envelope (env) protein must bind to CD4 and mediate fusion between the viral envelope and host cell membrane. Fusion occurs only when both CD4 and an appropriate coreceptor are expressed on the host cell surface; CD4 alone is not sufficient for viral infection. Recently, members of the chemokine receptor family have been shown to serve as HIV-1 coreceptors. Macrophage tropic (M-tropic) strains of HIV-1 use the chemokine receptor CCR5, and T cell tropic (T-tropic) strains require the expression of CXCR4 in conjunction with CD4 for membrane fusion and infection to occur. In addition, other chemokine receptors such as CCR2b and CCR3 can function as coreceptors for some viruses, and some viruses can use more than one chemokine receptor . 1. Breast cancer is characterized by a distinct metastatic pattern involving the regional lymph nodes, bone marrow, lung and liver. 2. Tumour cell migration and metastasis share many similarities with leukocyte trafficking, which is critically regulated by chemokines and their receptors. 3. The chemokine receptors CXCR4 and CCR7 are highly expressed in human breast cancer cells, malignant breast tumors and metastases. 4. Their respective ligands CXCL12/SDF-1a and CCL21/6Ckine exhibit peak levels of expression in organs representing the first destinations of breast cancer metastasis. 5. In vivo, neutralizing the interactions of CXCL12/CXCR4 significantly impairs metastasis of breast cancer cells to regional lymph nodes and lung. 6. Malignant melanoma, which has a similar metastatic pattern as breast cancer but also a high incidence of skin metastases, shows high expression levels of CCR10 in addition to CXCR4 and CCR7. 7. Our findings indicate that chemokines and their receptors have a critical role in determining the metastatic destination of tumor cells. CXCR4 Expression of CXCR4 predicts poor prognosis in patients with malignant melanoma Clin Cancer Res. 2005 Mar 1;11(5):1835-41. Silencing of CXCR4 blocks breast cancer metastasis *Cancer Res. 2005 Feb 1;65(3):967-71. RhoC • RhoC GTPase is a member of the Ras-homology family of small GTP-binding proteins and is responsible for cytoskeletal reorganization during cellular motility . • RhoC belongs to a highly homologous subfamily comprised of RhoA, RhoB, and RhoC . Although these family members have >90% sequence homology to one another, their roles in the cell are distinct. • They use an in vivo selection scheme to select highly metastatic melanoma cells. By analysing these cells on oligo-DNA arrays, • They define a pattern of gene expression that correlates with progression to a metastatic phenotype. • They show enhanced expression of several genes involved in extracellular matrix assembly and of a second set of genes that regulate, either directly or indirectly, the actinbased cytoskeleton. • One of these, the small GTPase RhoC, enhances metastasis when overexpressed, whereas a dominantnegative Rho inhibits metastasis. • Analysis of the phenotype of cells expressing dominantnegative Rho or RhoC indicates that RhoC is important in tumour cell invasion. RhoC Genomic analysis reveals RhoC as a potential marker in hepatocellular carcinoma with poor prognosis. Br J Cancer. 2004 Jun 14;90(12):2349-55. RhoC induces differential expression of genes involved in invasion and metastasis in MCF10A breast cells. Breast Cancer Res Treat. 2004 Mar;84(1):3-12 • RhoC regulates many cellular function, such as cytoskeletal organization, cell motility. • The genomic approach allows us to identify families of genes involved in a process, not just single genes, and can indicate which molecular and cellular events might be important in complex biological processes such as metastasis.