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‘WAKING UP’ SILENCED p53 IN CANCER Min Lu1, Hilde Breyssens1, Victoria Salter1, Luca Tordella1, Mario Notara1, Shan Zhong1, Ying Hu1, Caroline Baer1, Indrika Ratnayaka1, Alex Sullivan1, Nicholas R. Brown2, Jane Endicott2, Stefan Knapp3,10, Benedikt M. Kessler4,10, Mark R. Middleton5, Christian Siebold6, E. Yvonne Jones6, Elena V. Sviderskaya7, Jonathan Cebon8, Thomas John8, Otavia L. Caballero9, Colin R. Goding1, and Xin Lu1 1Ludwig Institute for Cancer Research, 3Structural Genomics Consortium, 4Centre of Cellular and Molecular Physiology, 6Division of Structural Biology, 10Target Discovery Institute, Nuffield Department of Clinical Medicine, University of Oxford, Oxford OX3 7DQ, United Kingdom; 2Department of Biochemistry, University of Oxford, South Parks Road, Oxford, OX1 3QU, United Kingdom, 5Department of Oncology, Churchill Hospital, University of Oxford, Oxford OX3 7LE, United Kingdom, 7Cell Signaling Research Centre, Division of Biomedical Sciences, St George’s, University of London, SW17 0RE, United Kingdom, 8Ludwig Institute for Cancer Research, Austin Health, University of Melbourne, Victoria 3084, Australia, 9Ludwig collaborative laboratory, Johns Hopkins University School of Medicine, MD 21231, USA ASPP: Apoptosis Stimulating Protein of p53 SUMMARY p53 is a protein that is important for mediating cell death after DNA damage and consequently plays an important role in cancer cell death after chemotherapy. Currently, around 12 million people live with cancers containing wild-type (WT) but silenced p53. ‘Waking up’ silenced p53 represents a strategy with huge clinical potential but with significant challenges. We investigated whether in melanoma, a cancer type that typically retains WT p53 yet notoriously doesn’t respond to conventional chemotherapy, we could ‘wake-up’ p53 and kill cancerous cells. α α Pro Ankyrin SH3 ASPP1 Pro Ankyrin SH3 Pro We identify that cyclin B1/CDK1 phosphorylates iASPP 1, leading to iASPP nuclear localization 2 and p53 inhibition. Nuclear iASPP is enriched in melanoma metastasis and associates with poor patient survival. Most WT p53-expressing melanoma cell lines co-express high levels of phosphorylated nuclear iASPP and MDM2. iASPP Senescence ASPP2 (53BP2) Cell cycle arrest Ankyrin SH3 iASPP Apoptosis p53 Others… Bind partners: p53/p63/p73, ASPP1/2 NF-kB, YAP, Bcl2, PP1… Inhibition of nuclear iASPP and MDM2 with small molecules 3 restored p53 pro-apoptotic function 4. Concurrent p53 restoring and BRAFV600E inhibition achieved additive suppression in vitro and in vivo, presenting an alternative for melanoma therapy. Function Domains Why is nuclear iASPP bad news? It hijacks p53 ! iASPP in the nucleus is bad news in melanoma Cancer Only 2-15% patients survive in 5 years if melanoma cells transfer to other organs (metastasis) p53 is destroyed because of genetic mutations in 12 million people Transferred melanoma cells (metastasis) have more nuclear iASPP Healthy p53 is a failsafe commander that sits in the cell nucleus. It sends out various instructions to protect against cancer Patients with more nuclear iASPP have decreased survival rates Cancer p53 is not destroyed, but instead kept silent in 12 million people Rescue p53 by locking iASPP outside the nucleus and kill melanoma How does iASPP get into the nucleus and hijack p53? 1 R86 P85 R86 S84 Kill melanoma outside the body S84 Screen drugs from library Locked 1. iASPP is self-locked and can not enter nucleus. P85 iASPP locked Unlocked by phosphate Y814 Cell suicide Y814 Co-crystal shows interaction between N- and C-terminus of iASPP; Ser84 phosphorylation disrupts interaction * It is confirmed by IP that N-iASPP binds C-iASPP; phospho N-iASPP (also mimic N-iASPP-S84D/S113D) fails to binds C-iASPP (* data not shown). p53 causes cancer cells to commit suicide (apoptosis). Culture melanoma cells in dish Locked iASPP outside nucleus Healthy cell p53 wakes up, cells commit suicide iASPP outside the nucleus iASPP in the nucleus 3 2 Add drug to lock iASPP outside the nucleus Kill melanoma inside the body Unlocked iASPP inside nucleus Locked iASPP Unlocked iASPP 2. cyclin B1/CDK1 unlocks iASPP. 3. Nuclear driver is released. iASPP dedimerizes upon S84/S113 phospho iASPP locates in cytoplasm; iASPPS84D/S113D locates in nucleus * It is confirmed by kinase assay that it is cyclin B1/CDK1 phosphorylating iASPP on S84/S113. * It is confirmed that endogenous iASPP also trans-located into nucleus upon S84/S113 phospho. Mice with melanoma tumors p53 “wakes up” and tumors shrink An alternative for melanoma therapy 4 4. iASPP moves into nucleus and hijacks p53. p53 is kept silent. Free drug to lock iASPP iASPP Unlocked iASPP hijacks p53 p53 Melanoma cell References 1. Lu M., Breyssens H., et al. 2. Lu M., Zak J., et al. 3. Lu X, Lu M. et al. 4. Mccarthy N. p53 selectively binds phosphorylated slower-migrating iASPP (* also mimic iASPP-S84D/S113D) in melanoma lysates * Luciferase assay shows iASPP-S84D/S113D is more active than iASPP in inhibiting p53’s transcriptional activity on BAX, PIG3 and PUMA targets; * iASPP K.O. MEFs reintroduced with iASPP-S84DS113D is more resistant than iASPP to apoptosis by expressing less BAX, PIG3 and PUMA proteins. WT p53 is co-inhibited by p-iASPP and MDM2 : co-expression of p-iASPP, WT p53, high MDM2 : co-expression of iASPP, mutant p53, low MDM2 : no association among above proteins Restoring p53 Function in Human Melanoma Cells by Inhibiting MDM2 and Phosphorylated Nuclear iASPP. Cancer Cell. 2013, 23: 618-633. A code in Ankyrin repeats Domain Defines a Novel Nuclear import pathway. Cell. 2014 (Accepted in Feb. In press). IASPP Phosphorylation and Metastatic potential. World Intellectual Property Organization (Patent number: WO 2013131019). 2012. Tumour suppressors: Restoring function. Nat Rev Cancer (2013 Research Highlight). 2013, 13: 379. * Synergy of p-iASPP inhibitor and MDM2 inhibitor (Nutlin3) in reactivating p53 in melanoma in vitro and in vivo. * Addition of p53 reactivation and BRAFV600E inhibition (by first-line drug vemurafenib) in suppressing melanoma in vitro and in vivo. * Data not shown. Correspondence Min Lu Ludwig Institute for Cancer Research University of Oxford [email protected]