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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review CARD8 (caspase recruitment domain family, member 8) Frank A Kruyt Department of Medical Oncology, VU University Medical Center, 1081 HV Amsterdam, The Netherlands Published in Atlas Database: May 2007 Online updated version: http://AtlasGeneticsOncology.org/Genes/CARD8ID913ch19q13.html DOI: 10.4267/2042/16963 This work is licensed under a Creative Commons Attribution-Non-commercial-No Derivative Works 2.0 France Licence. © 2007 Atlas of Genetics and Cytogenetics in Oncology and Haematology that contain the caspase-associated recruitment domain (CARD) in their carboxy-termini that acts as a proteinprotein interaction interface. A 431 amino acids CARD8 protein of 48-kDa (TUCAN-48) has been best studied and more recently a 54-kDa isoform (TUCAN54, 487 amino acids) was identified sharing the same CARD motif but with a different stretch of 80 aminoterminal residues. In the amino terminal part of the protein a NAC/DEFCAP/CARD7 homology domain is present. Identity Hugo: CARD8 Other names: CARDINAL; DACAR; DKFZp779L0366; KIAA0955; MGC57162; NDPP1; TUCAN Location: 19q13.32 DNA/RNA Description Expression The CARD8 gene contains 13 exons spanning over approximately 30 kb of genomic DNA. Normal tissue: wide and differential expression at mRNA level in tissues; present in heart, brain, lung, muscle, spleen, ovary; high in kidney, testis and spinal cord; absent in liver. Cancer: the CARD8 (48 kDa) protein is differentially expressed in cancer. High levels of CARD8 expression were found in tumor cell lines, including breast, prostate, ovarian and colon cancer cells as well as high expression in non-small cell lung cancer (NSCLC) cells and with hardly detectable expression in normal lung, in contrast to a lack of expression in small-cell lung cancer cell lines. In tumor specimens from patients CARD8 expression has been demonstrated in colon cancer and non-small cell lung cancer. Transcription At least 5 transcripts have been identified generated by alternative splicing that together with different start codon usage yield different CARD8 isoforms. Gene products encoded by exons 1 to 13 and 5 to 13 yield TUCAN/CARD8-54-kDa and TUCAN/CARD8-48kDa, respectively. Protein Description The CARD8 gene encodes different CARD8 isoforms Schematic representation of two CARD8 variants. The CARD domain, the NAC/DEFCAP/CARD7 homology domain, and the aminoterminal residues that differ between the isoforms are indicated. Atlas Genet Cytogenet Oncol Haematol. 2007;11(4) 294 CARD8 (caspase recruitment domain family, member 8) Kruyt FA The 54-kDa CARD8 isoform has a different expression profile when compared to TUCAN/CARD8-48. For example a number of breast cancer cell lines do not express TUCAN/CARD8-54, although some of them express TUCAN/CARD8-48. Expression also varies widely among different tumor cell lines with high levels in colon cancer cells. Implicated in Colon cancer Prognosis TUCAN/CARD8 expression has been analyzed by immunohistochemistry in paraffin-embedded colon cancer specimens (N=102) derived from patients with clinical stage II that were surgically treated. TUCAN/CARD8 staining was stronger in colon cancer cells when compared to normal cells in 64% of the 102 specimens examined. Scoring staining intensity revealed a significant correlation between high TUCAN/CARD8 expression in tumor cells and shorter patient survival. Localisation In MCF-7 cells overexpressed CARD8 localized to both the cytoplasmic and nuclear compartment. In specimens derived from colon cancer cells a predominant cytoplasmic expression was found, whereas in NSCLC tumor samples CARD8 was either exclusively nuclear or cytoplasmic or present in both compartments. Non-small cell lung cancer (NSCLC) Function Prognosis The expression of TUCAN/CARD8 has been determined by immunohistochemistry in tumor specimens derived from NSCLC patients (N=49, stage III and IV) that received neoadjuvant or palliative chemotherapy. TUCAN/CARD8 expression was detected in 69% of the samples, showing exclusively cytoplasmic (27%) or nuclear (11%) staining, or in both compartments (31%). No correlation between response to chemotherapy or expression/ localization was found, although, cytoplasm-only staining NSCLC samples predicted shorter survival, suggesting a possible prognostic value. CARD8 belongs to the CARD family of proteins that play a role in apoptosis regulation and NF-kB signaling associated with the innate or adaptive immune response. For example the binding of CARDs present in caspase-9 and Apaf-1 mediate the assembly of the apoptosome in which caspase-9 is activated. CARD motifs have different binding selectivity towards each other and the presence of additional structural/ functional domains in the various CARD-containing proteins may also determine the choice of interaction partner. In literature there is some controversy on the function of CARD8. Some reports mention an apoptosis inhibitory function of CARD8 involving its CARDdependent binding to procaspase-9, whereas others did not find an association between CARD8 and caspase-9 and instead found either pro-apoptotic activity of CARD8 and associations with the inflammatory caspase-1 or the regulatory subunit of IkB kinase (NEMO) thereby suppressing NF-kB activation. Also an interaction between the p53-responsive gene DRAL (FLH2) and CARD8 has been reported resulting in the suppression of NF-kB activation. Furthermore, TUCAN/CARD8-54 was found to inhibit chemotherapy-induced caspase-9 activation and Fas ligand-induced caspase-8 activation. Based mainly on its proposed anti-apoptotic activity CARD8 is considered as a possible therapeutic target for cancer. Inflammatory bowel disease (IBD) Disease Crohn’s disease and ulcerative colitis. Prognosis Patients with IBD (Crohn’s disease (CD) and ulcerative colitis) and healthy individuals were genotyped for SNP. A significant association between a TUCAN SNP and CD was found. However, in other reports this association was not confirmed, rejecting TUCAN/CARD8 as a possible susceptibility gene for IBD. References Bouchier-Hayes L, Conroy H, Egan H, Adrain C, Creagh EM, MacFarlane M, Martin SJ. CARDINAL, a novel caspase recruitment domain protein, is an inhibitor of multiple NF-kappa B activation pathways. J Biol Chem 2001;276:44069-44077. Homology CARD family proteins. Pathan N, Marusawa H, Krajewska M, Matsuzawa S, Kim H, Okada K, Torii S Kitada S, Krajewski S, Welsh K, Pio F, Godzik A, Reed JC. TUCAN, an antiapoptotic caspaseassociated recruitment domain family protein overexpressed in cancer. J Biol Chem 2001;276:32220-32229. Mutations Somatic Ten single nucleotide polymorphisms (SNPs) across TUCAN/CARD8 have been identified in healthy persons and patients suffering from inflammatory bowl disease. Atlas Genet Cytogenet Oncol Haematol. 2007;11(4) Bouchier-Hayes L, Martin SJ. CARD games in apoptosis and immunity. EMBO Rep 2002;3:616-621. (Review). Stilo R, Leonardi A, Formisano L, Di Jeso B, Vito P, Liguoro D. TUCAN /CARDINAL and DRAL participate in a common pathway for modulation of NF-kappaB activation. FEBS Lett 2002;521:165-179. 295 CARD8 (caspase recruitment domain family, member 8) Kruyt FA Zhang H, Fu W. NDPP1 is a novel CARD domain containing protein which can inhibit apoptosis and suppress NF-kB activation. Int J Oncol 2002;20:1035-1040. McGovern DP, Butler H, Ahmad T, Paolucci M, van Heel DA, Negoro K, Hysi P, Ragoussis J, Travis SP, Cardon LR, Jewell DP. TUCAN (CARD8) genetic variants and inflammatory bowel disease. Gastroenterology 2006;131:1190-1196. Razmara M, Srinivasula SM, Wang L, Poyet JL, Geddes, DiStefano PS, Bertin J, Alnemri ES. CARD-8 protein, a new CARD family member that regulates caspase-1 activation and apoptosis. J Biol Chem 2003;277:13952-13968. Fisher SA, Mirza MM, Onnie CM, Soars D, Lewis CM, Prescott NJ, Mathew CG, Sanderson J, Forbes A, Todhunter C, Donaldson P, Mansfield J. Combined Evidence From Three Large British Association Studies Rejects TUCAN/CARD8 as an IBD Susceptibility Gene. Gastroenterology 2007;132:20782080. Damiano JS, Reed JC. CARD proteins as therapeutic targets in cancer. Curr Drug Targets 2004;5:367-374. (Review). Yamamoto M, Torigoe T, Kamiguchi K, Hirohashi Y, Nakanishi K, Nabeta C, Asanuma H, Tsuruma T, Sato T, Hata F, Ohmura T, Yamaguchi K, Kurotaki T, Hirata K, Sato N. A novel isoform of TUCAN is overexpressed in human cancer tissues and suppresses both caspase-8- and caspase-9-mediated apoptosis. Cancer Res 2005;65:8706-8714. Franke A, Rosenstiel P, Balschun T, Von Kampen O, Schreiber S, Sina C, Hampe J, Karlsen TH, Vatn MH; The IBSEN Study Group; Solberg C. No Association Between the TUCAN (CARD8) Cys10Stop Mutation and Inflammatory Bowel Disease in a Large Retrospective German and a Clinically Well-Characterized Norwegian Sample. Gastroenterology 2007;132:2080. Checinska A, Giaccone G, Hoogeland BS, Ferreira CG, Rodriguez JA, Kruyt FA. TUCAN/CARDINAL/CARD8 and apoptosis resistance in non-small cell lung cancer cells. BMC Cancer 2006;6:166. This article should be referenced as such: Kruyt FA. CARD8 (caspase recruitment domain family, member 8). Atlas Genet Cytogenet Oncol Haematol.2007; 11(4):294-296. Checinska A, Oudejans JJ, Span SW, Rodriguez JA, Kruyt FA, Giaccone G. The expression of TUCAN, an inhibitor of apoptosis protein, in patients with advanced non-small cell lung cancer treated with chemotherapy. Anticancer Res 2006;26:3819-3824. Atlas Genet Cytogenet Oncol Haematol. 2007;11(4) 296