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Atlas of Genetics and Cytogenetics
in Oncology and Haematology
INIST-CNRS
OPEN ACCESS JOURNAL
Gene Section
Review
TGFBR3 (transforming growth factor, beta
receptor III)
Catherine E Gatza, David Rawson, Gerard C Blobe
Department of Medicine, Department of Pharmacology and Cancer Biology, Duke University Medical
Center, 354 LSRC, B wing, Research Drive, Box 91004, Durham NC 27708, USA (CEG, DR, GCB)
Published in Atlas Database: May 2012
Online updated version : http://AtlasGeneticsOncology.org/Genes/TGFBR3ID42541ch1p33.html
DOI: 10.4267/2042/48151
This article is an update of :
Gatza CE, Blobe GC. TGFBR3 (transforming growth factor, beta receptor III). Atlas Genet Cytogenet Oncol Haematol 2009;13(3):225228.
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence.
© 2012 Atlas of Genetics and Cytogenetics in Oncology and Haematology
apparent molecular weight of 180 to 300 kDa due to
these
glycosaminoglycan
post-translational
modifications.
TbetaRIII contains a class I PDZ binding motif and a
beta-arrestin2 interacting motif in the cytoplasmic
domain, as well as a ZP-1 (zona pellucida) domain in
the extracellular domain.
The
cytoplasmic
domain
of
TbetaRIII
is
phosphorylated by TbetaRII.
TbetaRIII also undergoes ectodomain shedding to
produce soluble TbetaRIII (sTbetaRIII).
Identity
Other names: BGCAN,
TGFR-3
HGNC (Hugo): TGFBR3
Location: 1p22.1
Betaglycan,
TbetaRIII,
DNA/RNA
Description
The TGFbetaR3 gene encodes 16 exons.
Expression
Transcription
The human TGFBR3 gene has two promoters, a
proximal promoter and a distal promoter and produces
a 4,2 kb mRNA. TGF-beta1 has been demonstrated to
down regulate TbetaRIII expression through direct
inhibition of the proximal TbetaRIII promoter.
TbetaRIII is ubiquitously expressed on nearly all cell
types.
Some cell types, including endothelial and
hematopoietic cells, appear to have low to no TbetaRIII
expression. The level of TbetaRIII expression is cell
type specific.
Protein
Localisation
Description
TbetaRIII exists as a transmembrane protein in the cell
membrane and as a secreted protein, known as soluble
TbetaRIII (sTbetaRIII), which can be detected in the
extracellular matrix and serum.
TbetaRIII is an 853 amino acid transmembrane
proteoglycan, which contains a short 41 amino acid
cytoplasmic domain. TbetaRIII is a proteoglycan, with
glycosaminoglycan (GAG) side chain modifications
(S535 and S546) composed of heparin and chondroitin
sulfate. The TbetaRIII core has predicted molecular
weight of 100 kDa, however fully processed TbetaRIII
migrates at an
Atlas Genet Cytogenet Oncol Haematol. 2012; 16(10)
Function
TbetaRIII is a member of the TGF-beta superfamily
signaling pathways, which have essential roles in
mediating cell proliferation, apoptosis, differentiation,
and migration in most human tissues.
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TGFBR3 (transforming growth factor, beta receptor III)
Gatza CE, et al.
Structure of TbetaRIII. TbetaRIII consists of a large extracellular domain, which has multiple sites of glycan modification, including Nand O-glycans, and glycosaminoglycan side chains, a hydrophobic transmembrane domain, and a short cytoplasmic domain. TbetaRIII
interacts with the scaffolding proteins beta-arrestin2, via phosphorylation of amino acid site Thr841 in the cytoplasmic domain, and with
GIPC via the PDZ domain.
TbetaRIII is the most abundantly expressed TGF-beta
superfamily receptor and functions as a TGF-beta
superfamily co-receptor, by binding the TGF-beta
superfamily members, TGF-beta1, TGF-beta2, or TGFbeta3, inhibin, BMP-2, BMP-4, BMP-7, and GDF-5
and presents these ligand to their respective signaling
receptors to activate or repress (in the case of inhibin)
TGF-beta1, BMP, or activin signaling to the Smad
transcription factors. For example, in the case of TGFbeta1, 2, or 3, TbetaRIII presents ligand to the TGFbeta type II receptor (TbetaRII). Once bound to ligand,
TbetaRII then recruits and transphosphorylates the
TGF-beta type I receptor (TbetaRI), activating its
kinase function and leading to the phosphorylation of
Smad2/3. Phosphorylation of Smad2 and Smad3 leads
to formation of a complex with Smad4, and
accumulation of this complex in the nucleus, where
along with co-activators and co-repressors they regulate
Atlas Genet Cytogenet Oncol Haematol. 2012; 16(10)
the transcription of genes involved in proliferation,
angiogenesis, apoptosis, and differentiation. In addition
to regulating receptor mediated Smad signaling,
TbetaRIII also mediates ligand dependent and
independent p38 pathway signaling. TbetaRIII can also
undergo ectodomain shedding to generate soluble
TbetaRIII (sTbetaRIII), which binds and sequesters
TGF-beta superfamily members to inhibit their
signaling. Although sTbetaRIII expression has been
demonstrated to correlate with the cell surface
expression of TbetaRIII, little is known about the
regulation of sTbetaRIII production. TbetaRIII
shedding may be mediated in part by the membrane
type matrix metalloproteases (MT-MMP) MT1-MMP
and/or MT3-MMP, and plasmin, a serine proteinase
which has been shown to cleave the extracellular
domain of TbetaRIII. In addition, TbetaRIII shedding is
modulated by pervanadate, a tyrosine phosphatase
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TGFBR3 (transforming growth factor, beta receptor III)
Gatza CE, et al.
inhibitor. Supporting this, TAPI-2, a MT-MMP and
ADAM protease inhibitor, has been shown to inhibit
TbetaRIII shedding. The regulation of TbetaRIII
expression is sufficient to alter TGF-beta signaling. The
cytoplasmic domain of TbetaRIII interacts with GIPC,
a PDZ-domain containing protein, which stabilizes
TbetaRIII cell surface expression and increases TGFbeta signaling. The interaction between TbetaRIII and
GIPC also plays an important role in TbetaRIII
mediated inhibition of TGF-beta signaling, cell
migration, and invasion during breast cancer
progression. The cytoplasmic domain of TbetaRIII is
phosphorylated by TbetaRII, which results in TbetaRIII
binding to the scaffolding protein beta-arrestin2. The
TbetaRIII/beta-arrestin2 interaction results in the cointernalization of beta-arrestin2/TbetaRIII/ TbetaRII
and the down-regulation of TGF-beta signaling. The
interaction between TbetaRIII and beta-arrestin2
regulates BMP signaling as well as TGF-beta signaling.
TbetaRIII complexes with ALK6, a BMP type I
receptor, in a beta-arrestin2 dependent manner to
mediate the internalization of ALK6 and stimulation of
ALK6 specific BMP signaling events. Through its
interaction with beta-arrestin2, TbetaRIII negatively
regulates NFκ-B signaling in the context of breast
cancer, regulates epithelial cellular adhesion to
fibronectin, fibrillogenesis, and focal adhesion
formation via regulation of alpha5beta1 internalization
and trafficking to nascent focal adhesions, activates
Cdc42, to alter the actin cytoskeleton and suppresses
migration in normal and cancerous ovarian epithelial
cells. During development, TbetaRIII has an important
role in the formation of the atrioventricular cushion in
the heart. Consistent with an important role for
TbetaRIII during development, TGFbetaR3 null mice
are embryonic lethal due to heart and liver defects.
TGFbetaR3 has been recently identified as a tumor
suppressor in multiple types of human cancers,
including breast, lung, ovarian, pancreatic and prostate
cancer. The loss of TGFbetaR3 in these cancer types
correlates with disease progression, and results in
increased motility and invasion in vitro and increased
invasion and metastasis in vivo.
(HFLT). Mutations in TbetaRIII have not been found in
other human cancers.
Implicated in
Breast cancer
Disease
Breast cancer is the second leading cause of cancer
death in women, exceeded only by lung cancer in the
United States. Types of breast cancer include ductal
carcinoma in situ (DCIS), lobular carcinoma in situ
(LCIS), and invasive or infiltrating ductal carcinoma
(IDC).
Prognosis
The current five year survival rate for breast cancer is
98% for localized cancer, 80% for regional cancer, and
27% for metastatic disease with distant spread.
Oncogenesis
TbetaRIII loss occurs relatively early in mammary
carcinogenesis, with loss beginning in the pre-invasive
state of DCIS. The degree of TbetaRIII loss correlates
with breast cancer progression and with a decrease in
patient survival. TbetaRIII loss in breast cancer is due
to LOH (loss of heterozygosity) at the TGFbetaR3 gene
locus and potential transcriptional down regulation of
TbetaRIII by increased levels of TGF-beta in the tumor
microenvironment. Restoring TbetaRIII expression
inhibits tumor invasion, angiogenesis, and metastasis in
vivo. TbetaRIII functions, in part, through the
production of sTbetaRIII by ectodomain shedding,
which antagonizes TGF-beta signaling, leading to a
decrease in invasiveness and angiogenesis in vivo. In
addition, the TbetaRIII cytoplasmic domain,
specifically the interaction with GIPC, is required for
TbetaRIII mediated inhibition of breast cancer
progression. TbetaRIII also functions as a tumor
suppressor in non-tumorigenic mammary epithelial
cells through the inhibition of NFkappa-B mediation
repression of E-cadherin. Loss of TbetaRIII in nontumorigenic mammary epithelial cells leads to
increased invasive capabilities due to up-regulated
NFkappa-B activity and loss of E-cadherin expression.
Homology
Colorectal cancer
TbetaRIII shares several regions of homology with the
superfamily co-receptor, endoglin, with 2 regions of
homology in the extracellular domain, a large domain
near the amino terminus with 21% homology, and a
shorter domain near the sites of GAG modification with
50% homology. In addition, their cytoplasmic domains
share 70% homology.
Disease
Colon cancer is the third most commonly diagnosed
cancer in in men and women in the United States and is
the third leading cause of death in men and women.
Prognosis
The five year survival rate for colon cancer by stage is:
stage 1: 93%, stage II: 78%, stage III: 64%, and stage
IV: 8%.
Oncogenesis
Evidence suggests that TbetaRIII may promote colon
cancer progression. In contrast to other cancer types,
TbetaRIII expression is unaltered at the mRNA level
and increases at the protein level in human colon
Mutations
Somatic
There is a high rate of rearrangements at the TGFBR3
locus in myxoinflammatory fibroblastic sarcomas
(MIFS) and hemosiderotic fibrolipomatous tumors
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Restoration of TbetaRIII expression in vitro decreases
cell growth and proliferation rates in myeloma cells and
is associated with significantly increased levels of the
cyclin-dependent kinase inhibitors p21 and p27.
Expression of TbetaRIII also decreases adhesion to
bone marrow stromal cells and increases homotypic
adhesion among myeloma cells. Lastly, restoration of
TbetaRIII expression in myeloma cells significantly
inhibits cell motility in a ligand-independent manner.
cancer. Increasing TbetaRIII expression in colon cancer
cells enhances ligand mediated phosphorylation of p38
and the Smad proteins and increase cell proliferation in
response to ligand stimulation, inhibiting ligand
mediated induction of p21 and p27. In addition,
increasing TbetaRIII expression enhances cell
migration, anchorage-independent growth, resistance to
ligand and chemotherapeutic induced apoptosis and
modestly enhances tumorigenicity in a xenograft model
of colon cancer. Reciprocally, silencing endogenous
TbetaRIII inhibited ligand induced migration. These
data support a role for TbetaRIII as a mediator of colon
cancer progression.
Myxoinflammatory fibroblastic sarcoma
(MIFS) and hemosiderotic
fibrolipomatous tumor (HFLT)
Disease
Myxoinflammatory fibroblastic sarcoma (MIFS) and
hemosiderotic fibrolipomatous tumor (HFLT) are rare
types of low-grade sarcoma that typically present as
painless, slow-growing masses in the soft tissue of
distal extremities.
Prognosis
Prognosis is very good for both tumor types. MIFS has
a local recurrence rate of 22-67%, but distant
metastasis is very rare, observed in less than 2% of all
reported cases. A case series of HFLT showed a local
recurrence rate of 33%, but no occurrences of
metastasis.
Oncogenesis
MIFS and HFLT share a high incidence of
t(1;10)(p22;q24) translocations, with the breakpoint at
1p22 mapped to the TGFBR3 locus.
Cytogenetic analysis has shown a high rate of
rearrangements at the TGFBR3 locus in both tumor
types, possibly indicating a shared mechanism of
pathogenesis that involves TbetaRIII for these two rare
sarcomas.
Hepatocellular carcinoma
Disease
Hepatocellular carcinoma (HCC) is the most common
type of primary liver cancer, the 5th most common
cancer worldwide and the 3rd leading cause of cancer
deaths worldwide. The vast majority of cases arise in
the setting of pre-existing liver disease, which can
result from viral hepatitis, alcohol use, or toxin
exposure.
Prognosis
5-year survival rates are quite poor (<12%), due in part
to the often-advanced stage of disease at diagnosis, and
the ineffectiveness of standard chemotherapeutic
treatments.
Oncogenesis
TbetaRIII may function as a tumor suppressor in HCC.
TGFBR3 expression is decreased in the progression
from normal tissue to precancerous lesion to invasive
carcinoma, based on DNA microarray data and qRTPCR analysis. This decreased expression does not
appear to be a result of mutations in the TGFBR3 gene,
and HCC samples also showed a low rate of loss of
heterozygosity for TGFBR3, indicating that other
mechanisms are likely responsible for its downregulation.
Oral squamous cell carcinoma (OSCC)
Disease
Oral squamous cell carcinoma (OSCC) is the most
common type of malignant oral lesion (>90%). It is
thought to arise in a stepwise process, from normal
epithelium to premalignant lesions such oral
leukoplakia, to carcinoma in situ, and finally to
invasive carcinoma.
Prognosis
Five-year survival for OSCC is roughly 50%, with
females having a significantly higher survival rate than
males.
Oncogenesis
TbetaRIII expression is significantly down-regulated at
the protein level in OSCC compared to normal
epithelium - roughly 50% of cancer specimens show
low or absent TbetaRIII expression. Decreased
expression correlates with disease progression, and
TbetaRIII loss appears to be an early event in
carcinogenesis.
Multiple myeloma
Disease
Multiple myeloma (MM) is the second most common
hematologic malignancy. Most frequently arising in
older individuals, it accounts for 10-15% of
hematologic malignancies and 1-2% of all human
cancers.
Prognosis
MM is generally regarded as incurable, with a poor 5year survival rate of 31%.
Oncogenesis
TbetaRIII likely acts as a tumor suppressor in multiple
myeloma. TbetaRIII mRNA expression is downregulated during MM progression, decreasing from
normal bone marrow to MGUS to MM, and TbetaRIII
also has decreased expression at the protein level in
human MM specimens compared to normal bone
marrow controls.
Atlas Genet Cytogenet Oncol Haematol. 2012; 16(10)
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TbetaRIII is also significantly decreased in cancerassociated fibroblasts compared to normal fibroblasts.
Ovarian cancer
Disease
Ovarian cancer is the fifth leading cause of cancer
death among women in the United States. The majority
of ovarian cancers are ovarian epithelial carcinomas or
malignant germ cell tumors.
Prognosis
The overall five year survival rate is 45% for ovarian
cancer. The five year survival rate is 70% for patients
with regional disease. However the lack of effective
treatments for metastatic disease and the aggressive
nature of this disease results in a 30% survival rate for
those with metastatic disease.
Oncogenesis
TbetaRIII has been characterized as a tumor suppressor
in ovarian cancer. TbetaRIII expression is decreased or
lost in epithelial derived ovarian cancer at both the
mRNA and protein level due to epigenetic silencing
which is progressive with increasing tumor grade.
TbetaRIII inhibits ovarian cancer cell invasiveness and
migration. TbetaRIII specifically promotes the antimigratory action of inhibin and inhibin-mediated
repression of matrix metalloproteinases, which play a
role in the invasive and metastatic potential of tumor
cells.
Non-small cell lung cancer (NSCLC)
Disease
Lung cancer is the leading cause of death of both males
and females in the United States. Non-small cell lung
cancer accounts for 87% of all lung cancers.
Prognosis
The five year survival rate for all stages of lung cancer
is 15%. The survival rate is 49% for localized disease;
however few cases are identified at this stage.
Oncogenesis
TbetaRIII has been characterized as a tumor suppressor
in non-small cell lung cancer. Expression of TbetaRIII
is lost in the majority of non-small cell lung cancer
(NSCLC) at both the mRNA expression level and the
protein level. Loss of heterozygosity (LOH) occurs in
38,5% of NSCLC human specimens and correlates with
decreased TbetaRIII expression, suggesting that LOH
is one mechanism of loss of TbetaRIII expression. Loss
of TbetaRIII expression correlates with NSCLC
progression and increasing tumor grade, with a trend
towards decreased survival. The loss of TbetaRIII
results in a functional increase in cellular migration,
invasion, and anchorage independent growth of lung
cancer cells. TbetaRIII regulates cellular invasion and
motility in lung cancer in part through the generation of
sTbetaRIII, although the mechanism of these effects
remains unclear.
Pancreatic cancer
Disease
Pancreatic cancer is the fourth leading cause of cancer
death in the Unites States, with incidence levels closely
matching the death rate. The majority of pancreatic
cancers are adenocarcinomas, while endocrine
pancreatic cancer is rare.
Prognosis
Pancreatic cancer has a low survival rate, with the
median survival rate being four to six months and a five
year survival rate of less than 5%. The 5 year survival
rate for local disease is 20%. This low survival rate is
due to delayed diagnosis caused by a lack of symptoms
until the cancer is locally invasive or metastatic, a lack
of effective screening tests, and ineffective treatments.
Oncogenesis
TbetaRIII may function as a tumor suppressor in
pancreatic cancer.
The genomic locus for TGFBR3 is deleted in 49% of
human pancreatic cancers. Loss of TbetaRIII
expression at the message and protein level correlates
with worsening tumor grade in human pancreatic
cancer specimens. In a pancreatic model of epithelial to
mesenchymal transition (EMT), TbetaRIII expression
is lost at the mRNA and protein levels. The loss of
TbetaRIII protein expression occurs before the loss of
E-cadherin and cytoskeletal reorganization, both
markers of early EMT, and correlates with increased
invasion and motility, hallmarks of EMT. The ability of
TbetaRIII to suppress invasion and motility is partially
mediated by sTbetaRIII.
Prostate cancer
Disease
Prostate cancer is the most commonly diagnosed
malignancy in men and the third leading cause of
cancer-related deaths among men in the United States.
Prognosis
The five year survival rate for all stages of prostate
cancer is near 99%. The five year survival rate for local
and regional disease approaches 100%.
Oncogenesis
TbetaRIII has been characterized as a tumor suppressor
in prostate cancer. Expression of TbetaRIII is lost or
decreased in the majority of human prostate cancers at
both the mRNA and protein level, due to the loss of
heterozygosity at the TbetaRIII locus and epigenetic
regulation of the TbetaRIII promoter. Loss of TbetaRIII
correlates with advancing tumor stage and an increased
probability of prostate-specific antigen (PSA)
recurrence. Restoring TbetaRIII expression in prostate
cancer cells decreases cell motility and cell invasion in
vitro and tumorigenicity in vivo. The loss of TbetaRIII
is a common event in human prostate cancer cells and
is important for tumor progression through effects on
cell motility, invasiveness, and tumorigenicity.
Atlas Genet Cytogenet Oncol Haematol. 2012; 16(10)
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Gatza CE, et al.
membrane type matrix metalloprotease-1. J Biol Chem. 2004
Feb 27;279(9):7721-33
Renal cell carcinoma (RCC)
Disease
RCC is the most common form of kidney cancer. There
are several subtype of RCC including clear cell RCC,
papillary RCC, chromophobe RCC, and collecting duct
RCC.
Prognosis
The 5 year survival rate for all stages of renal cell
carcinoma is 65,5%. There is a lack of effective
treatments for metastatic RCC and the 5 year survival
rate is 9,5% for metastatic disease.
Oncogenesis
Loss of TbetaRIII at both the mRNA and the protein
level occurs in all RCC tumor stages. Loss of TbetaRIII
RNA expression is an early event in RCC and leads to
a partial loss of TGF-beta responsiveness and
attenuation of TGF-beta signaling. The sequential loss
of TbetaRII after TbetaRIII loss leads to complete
TGF-beta resistance and a more aggressive, metastatic
RCC phenotype. Restoring TbetaRIII expression in the
presence of TbetaRII, leads to enhanced TGF-beta
signaling, restoration of growth inhibition, and the loss
of anchorage independent growth over that observed
with TbetaRII alone.
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transforming growth factor-β receptor inhibits proliferation,
migration, and adhesion in human myeloma cells. Mol Biol
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