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Book reading chapter 1st December 2006 Overview • Definition • The first two tumor-suppressor genes identified: Rb (Retinoblastoma and the “two-hit hypothesis”) and p53 • Mechanisms of inactivation of tumor suppressor genes • Other examples (NF-1 and VHL) • Key points and criteria to define a tumor suppressor gene • Anti-oncogenes • The genes affected by mutations in cancer are often divided into two classes: genes that have gain-of-function (activating) mutations in cancer are known as oncogenes; and genes for which both alleles have loss-of-function (inactivating) mutations in cancer are known as tumor suppressor genes. • The unifying feature of tumor suppressor genes is the fact that: normally they function to reduce the likelihood of cancer development (Weinberg) • They are called Gatekeeper genes to distinguish from Caretaker genes • Tumor suppressor genes are recessive at the cellular level, since complete loss of function is needed to reveal phenotype • Germline mutations of tumor suppressor genes function dominantly at the organismic level, predisposing the carrier to early onset of disease. The normal role is to suppress increases in cell number either by suppressing proliferation or by triggering apoptosis. Table of tumor suppressor genes Name Chrom. location Familial cancer syndrome Sporadic cancer Function of the protein RUNX3 1q36 - Gastric carcinoma TF co-factor FHIT 3p14.2 - Many types Hydrolase RASSF1A 3p21.3 - Many types Multiple TGFBR2 3p2.2 HNPCC Colon, gastric, pancreatic carcinomas TGF-β receptor VHL 3p25 von Hippel-Lindau Renal cell carcinoma Ubiquitination of HIFα APC 5p21 Familial adenomatous polyposis coli Colorectal, pancreatic, stomach and prostate carcinomas β- catenin degradation NKX3.1 8p21 - Prostate carcinoma Homeobox TF p16ink4a 9p21 Familial melanoma Many types CDK inhibitor p14ARF 9p21 - All types p53 stabilizer PTEN 9q34 Cowden’s disease, breast and gastrointestinal carcinomas Glioblastoma; prostate, breast and thyroid carcinomas PIP3 phosphatase WT1 10q23.3 Wilms tumor Wilms tumor TF RB 11p13 Retinoblastoma, osteosarcoma Retinoblastoma; sarcomas; bladder, breast and lung carcinomas Transcriptional repression; control E2F TP53 17p13.1 Li-Fraumeni syndrome Many types TF NF-1 17q11.2 Neurofibromatosis type 1 Colon carcinoma, astrocytoma, breast, ovarian, prostate Ras-GAP By The biology of cancer, Weinberg Knudson and the “two-hit hypothesis” • • • • • An introduction to genetic analysis, Griffith et al. Rare, aggressive chilhood tumor of retina 60% of cases are sporadic and unilateral, whereas the remaining 40% are familial bilateral In 1971 Knudson proposed the “two-hit hypothesis”. This mean that 2 successive mutation (hits) are needed to turn a normal cells into a tumor one In hereditary or familial retinoblastoma, one parent transmits a mutated allele. The child is heterozygose for this gene. Then a second mutation occur in the second allele of the same gene leading to LOH (Loss Of Heterozygosity, loss of the second allele) and cancer. In non-hereditary or sporadic retinoblastoma, allele inherited by both parents are wt. Then a mutation occur in one copy of the gene (first hit), which is followed by the mutation or loss of the second allele (second hit), leading to LOH. The “two-hit hypothesis” In both forms of Retinobalstoma, tumor development requires that both copies of the gene must be inactivated for cancer to occur. 2 HITS • Tumor suppressor genes are recessive at the cellular level, since complete loss of function (both copies inactivated) is needed to develop the tumor. • Germline mutations of tumor suppressor genes function dominantly at the organismic level, predisposing to early and more serious tumor development. Mechanisms for eliminating the wt copies of tumor suppressor genes • Mutations (frequency about 10-6 per cell generation) • Mitotic recombination (reciprocal exchange of information between paired homologous chromosomes one of which carries the mutant allele) LOH if 1 allele of the tumor suppressor gene is already mutated Frequency about 10-4-10-5 per cell generation • Gene conversion (during DNA replication the DNA pol initially begins to use a strand as a template for synthesis of a daughter strand of DNA, after DNA pol continue the replication by jumping to the homologous chromosome, and then jump again to the first one). If the first template is mutated LOH Non reciprocal exchange. • Breaking off (deletion) an entire chromosome region Hemizygosity (one copy left) • Promoter methylation (epigenetic mechanism) Mitotic recombination Gene conversion DNA replication Promoter methylation as a mechanism for tumor suppressor gene inactivation Methylation is the covalent attachment of methyl groups to cystoine bases. • In mammalian methylation occurs at the CpG site. • When methylation occurs in the proximity of a gene promoter, it can cause repression of transcription of the associated gene. • Is reversible. Examples: • In sporadic retinoblastoma Rb promoter is found to be methylated. • Runx3 (implicated in stomach cancer development) is found to be methylated in 45-60% of these cancer but it’s never inactivated by mutation. • RARβ2 in breast cancer. Rb • Rb family includes Rb, p107 and p130. • pRb family proteins negatively regulates the cell proliferation by repressing the transcription of the genes for cell cycle progression. • Rb phosphorylation fluctuates throughout the cell cycle: • In G0and early G1 pRB is underphosphorylated and in complex with E2F TFs and their partner proteins DP, repressing transcription. E • Upon phosphorylation (on Ser and Thr) by cyclinD-cdk4-6 and cyclin Ecdk2 complexes, pRb release E2FDP complexes that induce the transcription of genes required for the entry in S phase. • In mitosis pRb is dephosphorylated by PP1α2 Modern genetic analysis, Griffith et al. The Rb signaling pathway The Rb signaling in human cancers IINK4A loss % CycD1 and CDK4 overexpression RB loss % Small cell lung 15 5% cycD1 80 Non-small cell lung 58 Pancreatic 80 Breast 31 50% cycD1 Glioblastoma 60 40% cdk4 T-ALL 75 Cancer types Mantle cell lymphomas 20-30 90% cycD1 Table 7.2 of Pelegaris book INK4A (p16), INK4B (p15), KIP1 (p27), RB Tumor suppressor genes CDK4, cyclin D1 Oncogenes p53 • • • • • • • • TAD SH3 BD DNA binding core domain NLSoligo NRD The guardian of the genome Second tumor suppressor genes identified Its inactivation is found in more than a half of tumors Transcription factor Sensor of multiple cellular stresses (e.g., UV, X-ray, carcinogens, oncogenic stresses) Regulates: cell cycle arrest, apoptosis and DNA repair. Mdm2 is the negative regulator of p53 (E3 ligase activity so involved in p53 ubiquitination) Li-Fraumeni syndrome is characterized by the inheritance of a p53 mutated allele Inactivation occur through: mis-sense mut deletion binding to viral proteins (T-antigen from SV-40 or E6 from HPV) degradation by Mdm2 (often over-expressed in tumors) Link: http:///www.iarc.fr/p53 the database of p53 mutations The current version of the database is R11, released in October 2006. The R11 release contains 23,544 somatic mutations, 376 germline mutations and functional data on more than 2300 mutant proteins. The p53 signaling pathway Giono and Manfredi, J. of Cellular Phys. (2006) NF-1 • • • Neurofibromin Neurofibromatosis type 1, which is a familial cancer syndrome associated with mutation in the NF-1 gene NF-1 is a Ras-GAP (GTPase –activating protein), forces Ras to convert itself from the activated form (GTP-bound) to its inactive form (GDPbound) Molecular biology of the cell, Alberts et al. pVHL • • Associated with von Hippel-Lindau syndrome (vascularization of retina, hemangioblastoma,...) Main function of pVHL protein is the inhibition of HIF-1 (Hipoxia-inducible factor-1) Futile cycle Targeted therapy for metastatic renal cell carcinoma , Patel et al., BJC (2006) Tumor suppressor genes: Key points 1. Tumor suppressor genes’ loss usually affects cell phenotype only when both copies are lost in a cell (recessive at the cellular level). Haploinsufficiency can occur. 2. The loss can occur either through genetic mutation or the epigenetic silencing via promoter methylation. 3. Inactivation (by mutation or methylation) of one copy may be followed by other mechanisms that facilitate loss of the other gene copy (LOH through mitotic recombination, deletion of a chromosomal region, gene conversion) 4. Tumor suppressor genes regulate cell proliferation through different mechanisms (very different biological activities). Tumor suppressor genes: Key points 5. The unifying theme is the fact that the loss of each one of these increases the likelihood that a cell will undergo neoplastic transformation. 6. When mutant (defective) copies of tumor suppressor genes are inherited in the germ line, there’s often increased susceptibility to cancers (Hereditary retinoblastoma and Li-Fraumeni syndrome) dominant effect at the organismic level. 7. Discovery of tumor suppressors helps to understand familial cancers since oncogenes function in a dominant way at the cellular level, mutant alleles are likely to perturb the embryo development. 8. Tumor suppressor genes are called Gatekeepers, since they are involved in the regulation of cell proliferation. Do not confuse with Caretaker genes involved in maintenance of genome integrity. Candidate tumor suppressor genes: Criteria • Expression reduced or absent in cancer cells. Maybe it reflects only the actions of normal differentiation or maybe it is only a consequence of cancer and not a cause. Restoration of expression of tumor suppressor gene may lead to reversion of the phenotype only because of a too high level of expression. Normal counterpart is very important and also difficult to define!! • Genetic criteria. LOH in many tumor cell genomes and the derived protein should have clear inactivating mutations. • Promoter methylation There are cases in which LOH doesn’t occur (ex Runx3). • • Knock out of a candidate in the mouse germline (tool for validation) Functional criterion THE VERY EXISTENCE OF A TUMOR SUPPRESSOR GENE BECOMES APPARENT ONLY WHEN IT IS ABSENT