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β-catenin confers resistance to PI3K and AKT inhibitors and subverts FOXO3a to promote metastasis in colon cancer Nature Medicine 18, 892–901 (2012) Speaker: 郭佩芳 Commentator: 洪澤民 老師 1 Colon cancer is a leading cause of death 2 CA CANCER J CLIN 2011;61:69–90 Regulation of FOXO transcription factors by the PI3K-AKT pathway. Oellerich M F , Potente M Circulation Research . 2012;110:1238-1251 3 PI3K - AKT signaling inhibitor inhibit cell growth and induce apoptosis • Recent developments in anti-cancer agents targeting PI3K, Akt and mTORC1/2. Recent Pat. Anticancer Drug Discov. 6, 210–236 (2011) • Akt/protein kinase B signaling inhibitor-2, a selective small molecule inhibitor of Akt signaling with antitumor activity in cancer cells overexpressing Akt Cancer Res. 64, 4394–4399 (2004) • Novel phosphatidylinositol 3-kinase inhibitor NVP-BKM120 induces apoptosis in myeloma cells and shows synergistic anti-myeloma activity with dexamethasone J Mol Med (Berl) (2011) 4 β-catenin bind Tcf/Lef to promote the transcription of Wnt target genes Tumorigenesis , metastasis Annu. Rev. Cell Dev. Biol. 2004. 20:781–810 5 β-catenin enhance FOXO transcriptional activity and interacted with FOXO3a In DLD-1 cells Science 308, 1181–1184 (2005) 6 Motivation Wnt/β-catenin modulates the function of PI3K/AKT inhibitors through regulating FOXO3a activity in colon cancer . PIK3 inhibitor Wnt AKT β-catenin Other effects (such as metastasis) FOXO3a Cell death Tumorigenesis 7 Specific Aims • Aim1:Nuclear FOXO3a and β-catenin concentrations in colon cancer • Ami2:β-catenin diverts FOXO3a-induced apoptosis to metastasis • Ami3:FOXO3a and β-catenin co-regulate metastasisrelevant genes • Ami4:AKT inhibition induces metastasis cooperating with β-catenin • Ami5:β-catenin confers resistance to PI3K and AKT inhibitors 8 High nuclear concentrations of FOXO3a and β-catenin correlate with metastatic stage in patients with colon cancer. r: nuclear colocalization ratio n : the number of cases R : coefficient of correlation r.u. : relative units patient 1 patient 2 patient 3 9 High nuclear concentrations of FOXO3a and β-catenin correlate with shorter survival in patients with colon cancer. High : 25.7 months median survival time, n=58 Low: 33.7 months median survival time ,n=55 High : 21.03 months median survival time, n=11 Low: 28.9 months median survival time ,n=102 10 summary • High nuclear concentrations of FOXO3a and βcatenin correlate with metastatic stage and poor survival in patients with colon cancer. 11 Specific Aims • Aim1:Nuclear FOXO3a and β-catenin concentrations in colon cancer • Ami2:β-catenin diverts FOXO3a-induced apoptosis to metastasis • Ami3:FOXO3a and β-catenin co-regulate metastasisrelevant genes • Ami4:AKT inhibition induces metastasis cooperating with β-catenin • Ami5:β-catenin confers resistance to PI3K and AKT inhibitors 12 Inducible nuclear expression of FOXO3a and b-catenin 4-hydroxy-tamoxifen mRNA FOXO3A ER FOXO3a overexpression In nuclear pLHCX-HA-FOXO3a(A3):ERTM β-catenin -S33Y IRSE mRNA eGFP doxycycline β-catenin overexpression In nuclear pSIN-TRE-Flag-β-cateninS33Y-IRES-GFP IRSE : Internal ribosome entry site eGFP : enhance GFP 13 FOXO3a and β-catenin modulate colon cancer cell proliferation and apoptosis. DLD-1 human colon cells 4OHT : 4-hydroxy-tamoxifen DOX : doxycycline DLD-1Fβ-C7 cells 14 FOXO3a and β-catenin modulate colon cancer cell proliferation and apoptosis. CDKN1A (p21CIP1): FOXO3a target gene LEF1 : TCF target gene 15 FOXO3a and β-catenin modulate colon cancer cell proliferation and apoptosis. subcutaneously with DLD-1Fβ cells in nude mice Nuclear FOXO3a and β-catenin inhibit colon cancer cell proliferation and apoptosis. eGFP+ : β-catenin enhanced GFP 16 Nuclear FOXO3a and β-catenin drive cell scattering. Scatter : cell dispersion 4OHT+DOX 17 Nuclear FOXO3a and β-catenin drive cell metastasis. HT29Fβ cells injected in the cecum walls of the nude mice Primary colon cancer 18 summary • Nuclear β-catenin inhibits FOXO3a-induced apoptosis and promotes metastasis of colon cancer cells. Specific Aims • Aim1:Nuclear FOXO3a and β-catenin concentrations in colon cancer • Ami2:β-catenin diverts FOXO3a-induced apoptosis to metastasis • Ami3:FOXO3a and β-catenin co-regulate metastasisrelevant genes • Ami4:AKT inhibition induces metastasis cooperating with β-catenin • Ami5:β-catenin confers resistance to PI3K and AKT inhibitors 20 FOXO3a and β-catenin regulate a defined gene expression program. 21 FOXO3a and β-catenin regulate a defined gene expression program. Dev. Biol. 308, 485–493 (2007) Gene Expr. Patterns 2, 17–22 (2002) 22 FOXO3a and β-catenin regulate a defined gene expression program. 23 summary • Nuclear FOXO3a and β-catenin induces expression of metastasis-related genes. Specific Aims • Aim1:Nuclear FOXO3a and β-catenin concentrations in colon cancer • Ami2:β-catenin diverts FOXO3a-induced apoptosis to metastasis • Ami3:FOXO3a and β-catenin co-regulate metastasisrelevant genes • Ami4:AKT inhibition induces metastasis cooperating with β-catenin • Ami5:β-catenin confers resistance to PI3K and AKT inhibitors 25 AKT inhibition by API-2 promotes metastasis of cells with high nuclear β-catenin content. 26 AKT inhibition by API-2 promotes metastasis of cells with high nuclear β-catenin content. DOX/API-2 27 AKT inhibition by API-2 promotes metastasis of cells with high nuclear β-catenin content. BLI : bioluminescence API-2+DOX Primary colon cancer bioluminescence signal DOX+API-2 28 Summary • Treatment of Akt inhibitor induces metastasis when nuclear β-catenin expression is increased. Specific Aims • Aim1:Nuclear FOXO3a and β-catenin concentrations in colon cancer • Ami2:β-catenin diverts FOXO3a-induced apoptosis to metastasis • Ami3:FOXO3a and β-catenin co-regulate metastasisrelevant genes • Ami4:AKT inhibition induces metastasis cooperating with β-catenin • Ami5:β-catenin confers resistance to PI3K and AKT inhibitors 30 High nuclear β-catenin concentrations confer resistance to PI3K and AKT inhibitors in colon cancer patient-derived cells. subcutaneous injection in nonobese diabetic severe combined immunodeficient (NOD-SCID) mice XAV-939: Wnt/ β-catenin inhibitor LY-2940002 : PI3K inhibitors BKM120: PI3K inhibitors API-2 : : AKT inhibitors 31 High nuclear β-catenin concentrations confer resistance to PI3K and AKT inhibitors in colon cancer patient-derived cells. 32 High nuclear β-catenin concentrations confer resistance to PI3K and AKT inhibitors in colon cancer patient-derived cells. 33 Conclusion Tankyrase inhibtor : XAV-939 Nature Medicine 18, 854–856 (2012) 34 Discussion • On the contrary, most studies have defined FOXO proteins as tumor suppressors, as they induce cell-cycle arrest and apoptosis. Oncogene 27, 2276–2288 (2008) Nat. Rev. Mol. Cell Biol. 8, 440–450 (2007) • The combined knockdown of FOXO1, FOXO3 and FOXO4 in mice is responsible for tumor initiation Cell 128, 309–323 (2007) • Foxo3a drives proliferation in anaplastic thyroid carcinoma via transcriptional regulation of cyclin A1 Journal of cell science ,2012 Jun 20 35 Thank you for your addition !! 36 S-12 37 S-12 38