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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review GDF15 (growth differentiation factor 15) Shantibhusan Senapati, Ajay P Singh, Surinder K Batra Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, 985870 Nebraska Medical Center, Durham Research center 7005, Omaha, NE 68198-5870, USA (SS, APS, SKB) Published in Atlas Database: April 2008 Online updated version: http://AtlasGeneticsOncology.org/Genes/GDF15ID40701ch19p13.html DOI: 10.4267/2042/44426 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2009 Atlas of Genetics and Cytogenetics in Oncology and Haematology Identity Protein Other names: MIC-1 (macrophage inhibitory cytokine-1); NAG-1; NRG-1; PDF (prostate derived factor); PLAB; PTGF-β; PTGFB HGNC (Hugo): GDF15 Location: 19p13.11 Description The premature GDF/PDF/MIC-1 protein consists of 308 amino acids that contain a 29 amino acid signal peptide, a 167 amino acid propeptide, and a 112 amino acid mature protein. The mature protein is secreted as a homodimer linked by disulfide bonds and is released from the propeptide following intracellular cleavage at RXXR furine-like cleavage site. The mature peptide of GDF-1/MIC-1 contains two additional cysteine residues in addition to the seven conserved cysteines necessary for the cysteine knot, a structural hallmark of this TGF-β superfamily. The exact function of these two additional cysteine residues is still unknown. The propeptide has a consensus N-linked glycosylation site in it. Unlike all other TGF-β superfamily members, MIC-1 mature peptide can be correctly folded and secreted without a propeptide. The propeptide plays a novel role in proteosomal targeting of the monomeric precursor and ensures that only dimeric precursor exists in the endoplasmic reticulum. DNA/RNA Note In the genome, the GDF15 gene is localized on chromosome 19 in the region p13.1-13.2. The macrophage inhibitory cytokine (MIC-1) DNA sequence is 2,746 bp long and consists of two exons separated by an intron. A conserved TATA-like motif (TATAAA) is present nearer to the start codon. Transcription The expression of GDF15/MIC-1 is upregulated by IL1β, TNFa, IL2, MCSF, TGFβ and p53. Androgen also regulates the expression of GDF15/MIC-1 in vitro and in vivo. In prostate cancer cells, calcitriol induces GDF15/MIC-1 expression. Furthermore, it has been shown that the basal transcription of MIC-1 gene is regulated by Sp1 and Sp3. Shows the genomic organization of GDF15 gene. Atlas Genet Cytogenet Oncol Haematol. 2009; 13(3) 204 GDF15 (growth differentiation factor 15) Senapati S, et al. Shows the structural organization and processing of GDF15 protein. RXXR-motif for cleavage; N, amino-terminal region; C, cysteine. Expression Implicated in GDF15/PDF/MIC-1 is expressed at high levels in placenta, adult prostate, skin and at a low level in several other tissues including colon, kidney and fetal brain. Various Cancers Disease GDF15/MIC-1 over expression is associated with different cancers, including gastric, pancreatic, prostate and colorectal cancer. It has been shown that measurement of serum GDF15/MIC-1 level aids in the diagnosis of prostrate and pancreatic cancer. Prognosis Recently, a direct association of elevated serum GDF15/MIC-1 and metastatic prostrate, colorectal, and breast cancer has been reported. Additionally, higher serum GDF15/MIC-1 level was correlated with higher incidence of lymph node metastasis and shorter relapse and shorter overall survival period. Oncogenesis The oncogenic property of GDF15/MIC-1 in different cancer has been reported. In prostrate cancer, it promotes AR-positive prostrate cancer cell proliferation trough the activation of ERK1/ ERK2 signal pathway. Additionally, GDF15 promotes the drug resistance property of prostrate cancer cells. The role of GDF15/MIC-1 in promoting the invasive property of gastric cancer cells has been reported. This may be due to GDF15/MIC-1 mediated up-regulation of Uroki-nase-type plasminogen activator system. In contrast, some studies have reported an antitumorigenic role of GDF15/MIC-1 in colon, breast and glioblastoma cell lines. Most of these reports suggest a Localisation MIC-1 is an extracelluarly localized secretory protein. Function GDF15/MIC-1 plays diverse biological functions in varied cellular context. It has been proposed that GDF15/MIC-1 can regulate the late phase macrophage activation by inhibiting TNF-a as an autocrine/paracrine regulatory molecule. Its role in the early stages of endochondrial bone formation, hematopoietic development, embryonic implanta-tion and placental function has been reported. Animal studies have shown the role of GDF15/ MIC-1 as a central regulator of appetite and body weight. For midbrain dopaminergic neurons, GDF15/MIC-1 acts as a both neurotrophic and neuroprotective factor, in vitro and in vivo. A role of GDF15/MIC-1 in cancer progression has also been reported by impacting on cell signaling. Homology It shares a significant homology with the GDF15 gene of Pan troglodytes, Bos Taurus and Canis lupus familiaris. In addition, it is also similar to Gdf15 gene of Mus musculus and Rattus norvegicus. Atlas Genet Cytogenet Oncol Haematol. 2009; 13(3) 205 GDF15 (growth differentiation factor 15) Senapati S, et al. role of GDF15/MIC-1 in the induction of apoptosis via both p53-dependent and independent mechanisms. 1 (MIC-1) in glioblastoma cells independently of p53 and HIF1. Oncogene. 2002 Jun 20;21(27):4212-9 Thalassemia Graichen R, Liu D, Sun Y, Lee KO, Lobie PE. Autocrine human growth hormone inhibits placental transforming growth factorbeta gene transcription to prevent apoptosis and allow cell cycle progression of human mammary carcinoma cells. J Biol Chem. 2002 Jul 19;277(29):26662-72 Disease Expanded erythroid compartment secrete high level of GDF15, which leads to iron overload in thala-ssemia syndromes by inhibiting hepcidin expression. Karan D, Kelly DL, Rizzino A, Lin MF, Batra SK. Expression profile of differentially-regulated genes during progression of androgen-independent growth in human prostate cancer cells. Carcinogenesis. 2002 Jun;23(6):967-75 References Karan D, Chen SJ, Johansson SL, Singh AP, Paralkar VM, Lin MF, Batra SK. Dysregulated expression of MIC-1/PDF in human prostate tumor cells. Biochem Biophys Res Commun. 2003 Jun 6;305(3):598-604 Bootcov MR, Bauskin AR, Valenzuela SM, Moore AG, Bansal M, He XY, Zhang HP, Donnellan M, Mahler S, Pryor K, Walsh BJ, Nicholson RC, Fairlie WD, Por SB, Robbins JM, Breit SN. MIC-1, a novel macrophage inhibitory cytokine, is a divergent member of the TGF-beta superfamily. Proc Natl Acad Sci U S A. 1997 Oct 14;94(21):11514-9 Lee DH, Yang Y, Lee SJ, Kim KY, Koo TH, Shin SM, Song KS, Lee YH, Kim YJ, Lee JJ, Choi I, Lee JH. Macrophage inhibitory cytokine-1 induces the invasiveness of gastric cancer cells by up-regulating the urokinase-type plasminogen activator system. Cancer Res. 2003 Aug 1;63(15):4648-55 Paralkar VM, Vail AL, Grasser WA, Brown TA, Xu H, Vukicevic S, Ke HZ, Qi H, Owen TA, Thompson DD. Cloning and characterization of a novel member of the transforming growth factor-beta/bone morphogenetic protein family. J Biol Chem. 1998 May 29;273(22):13760-7 Bauskin AR, Brown DA, Kuffner T, Johnen H, Luo XW, Hunter M, Breit SN. Role of macrophage inhibitory cytokine-1 in tumorigenesis and diagnosis of cancer. Cancer Res. 2006 May 15;66(10):4983-6 Böttner M, Laaff M, Schechinger B, Rappold G, Unsicker K, Suter-Crazzolara C. Characterization of the rat, mouse, and human genes of growth/differentiation factor-15/macrophage inhibiting cytokine-1 (GDF-15/MIC-1). Gene. 1999 Sep 3;237(1):105-11 Chen SJ, Karan D, Johansson SL, Lin FF, Zeckser J, Singh AP, Batra SK, Lin MF. Prostate-derived factor as a paracrine and autocrine factor for the proliferation of androgen receptorpositive human prostate cancer cells. Prostate. 2007 Apr 1;67(5):557-71 Bauskin AR, Zhang HP, Fairlie WD, He XY, Russell PK, Moore AG, Brown DA, Stanley KK, Breit SN. The propeptide of macrophage inhibitory cytokine (MIC-1), a TGF-beta superfamily member, acts as a quality control determinant for correctly folded MIC-1. EMBO J. 2000 May 15;19(10):2212-20 Huang CY, Beer TM, Higano CS, True LD, Vessella R, Lange PH, Garzotto M, Nelson PS. Molecular alterations in prostate carcinomas that associate with in vivo exposure to chemotherapy: identification of a cytoprotective mechanism involving growth differentiation factor 15. Clin Cancer Res. 2007 Oct 1;13(19):5825-33 Moore AG, Brown DA, Fairlie WD, Bauskin AR, Brown PK, Munier ML, Russell PK, Salamonsen LA, Wallace EM, Breit SN. The transforming growth factor-ss superfamily cytokine macrophage inhibitory cytokine-1 is present in high concentrations in the serum of pregnant women. J Clin Endocrinol Metab. 2000 Dec;85(12):4781-8 Tanno T, Bhanu NV, Oneal PA, Goh SH, Staker P, Lee YT, Moroney JW, Reed CH, Luban NL, Wang RH, Eling TE, Childs R, Ganz T, Leitman SF, Fucharoen S, Miller JL. High levels of GDF15 in thalassemia suppress expression of the iron regulatory protein hepcidin. Nat Med. 2007 Sep;13(9):1096101 Baek SJ, Horowitz JM, Eling TE. Molecular cloning and characterization of human nonsteroidal anti-inflammatory drugactivated gene promoter. Basal transcription is mediated by Sp1 and Sp3. J Biol Chem. 2001 Sep 7;276(36):33384-92 This article should be referenced as such: Albertoni M, Shaw PH, Nozaki M, Godard S, Tenan M, Hamou MF, Fairlie DW, Breit SN, Paralkar VM, de Tribolet N, Van Meir EG, Hegi ME. Anoxia induces macrophage inhibitory cytokine- Atlas Genet Cytogenet Oncol Haematol. 2009; 13(3) Senapati S, Singh AP, Batra SK. GDF15 (growth differentiation factor 15). Atlas Genet Cytogenet Oncol Haematol. 2009; 13(3):204-206. 206