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Atlas of Genetics and Cytogenetics in Oncology and Haematology INIST-CNRS OPEN ACCESS JOURNAL Gene Section Review RPS6KA6 (Ribosomal Protein S6 Kinase, 90kDa, Polypeptide 6) Tuoen Liu, Shousong Cao Department of Internal Medicine, Division of Oncology, Washington University School of Medicine, St Louis, Missouri, United States (TL), Department of Medicine, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, New York 14263, United States (SC) Published in Atlas Database: October 2013 Online updated version : http://AtlasGeneticsOncology.org/Genes/RPS6KA6ID43481chXq21.html DOI: 10.4267/2042/53645 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2014 Atlas of Genetics and Cytogenetics in Oncology and Haematology Review on RPS6KA6, with data on DNA/RNA, on the protein encoded and where the gene is implicated. contains 22 exons that span approximately 75 kb of genomic DNA and are located on cosmids E1, H22 and G9 in a telomeric to centromeric orientation (Yntema et al, 1999; Dümmler et al., 2005; Kantojärvi et al., 2011). Identity Protein Other names: PP90RSK4, RSK4 HGNC (Hugo): RPS6KA6 Location: Xq21.1 Note Human RPS6KA6 gene codes for the protein RSK4, a serine- threonine kinase with 745 amino acids, also a member of the 90 kDa ribosomal S6 kinase (RSK) family which includes other three members RSK1, RSK2 and RSK3 (Yntema et al., 1999; Dümmler et al., 2005; Anjum and Blenis, 2008; Serra et al., 2013). Abstract DNA/RNA Description The human RPS6KA6 gene is located at Xq21, and The basic structure of the RSK4. The RSK4 protein includes two kinases domains: amino-terminal kinase domain (NTKD) and carboxyl-terminal kinase domain (CTKD), a linker region and amino- and carboxyl-terminal tails. The NTKD is responsible for substrate phosphorylation and CTKD regulates sutophosphorylation of the RSK4. The two kinase domains are connected by a linker region which is about 100 amino acids containing essential regulatory domains including hydrophobic and turn motifs, involved in the activation of NTKD. An ERK-docking motif, known also as the D domain, is located in the carboxyl-terminal tail (Dümmler et al., 2005; Anjum and Blenis, 2008; Romeo et al., 2012). Atlas Genet Cytogenet Oncol Haematol. 2014; 18(5) 330 RPS6KA6 (Ribosomal Protein S6 Kinase, 90kDa, Polypeptide 6) Liu T, Cao S The activation of the RSK4 family protein. All RSK family membranes including RSK4 are involved in MAPK pathways and can be activated by various molecules including growth factors, neurotransmitters, hormones, phorbol esters. First, activation of cell surface receptors creates docking site for adaptor molecules like growth factor receptor-bound protein-2 (GRB2). GRB2 links the receptor to the guanine nucleotide-exchange factor son of sevenless (SOS). SOS catalyses GDP release and GTP binding to the small G-protein Ras. The GTP-bound Ras then binds to the Raf protein kinases. Upon the activation of Raf, it activates MAPK kinase (MEK), then downstream extracellular signal-regulated kinase (ERK). All four RSK family members are directly phosphorylated and activated by ERK1/2. RSKs are also phosphorylated by 3'-phosphoinositide-dependent kinase-1 (PDK1) which is a serine-threonine kinase. Activated RSKs can then phosphorylate their substrates via serine and threonine sites (Anjum and Blenis, 2008). Description Expression RSK4 is a serine- threonine kinase and there are six phosphorylation sites in RSK4: Ser232, Thr368, Ser372, Ser389, Thr581, and Ser742. Upon activation of the cell surface receptors, ERK first bound to the ERK-docking motif in the carboxylterminal and phosphorylates Ser372 in the linker region and Thr581 in the CTKD. Phosphorylation of Thr581 activates CTK which autophosphorylates RSK4 at Ser389 in the linker region. Phosphorylation of Ser389 recruites and activiates PDK1 which phosphorylates Ser232 in NTKD. After dissociation of PDK1 from RSK, the Ser386 phosphorylated motif interacts with NTKD and activates the NTK in synergy with phosphorSer232. The phosphorylation of Ser372 increases the activity of NTK. Thr368 is phosphorylated by ERK and Ser742 can be phosphorylated by activated NTK, which leads to the association of RSK and ERK, serving as an inhibitory feedback mechanism to "shut off" the process (Dümmler et al., 2005). The CTKD activity of RSK1, RSK2 and RSK4 can be regulated by the irreversible inhibitor, pyrrolopyrimidine FMK (Z-VAD-FMK, benzyloxycarbonyl-Val-Ala-DL-Aspfluoromethylketone) (Romeo et al., 2012). RSK4 expression is low in both mouse and human embryonic and adult tissues compared with other three RSK family members. RSK4 mRNA was detected in the brain, cerebellum, heart, kidney and skeletal muscle, but not in other tissues such as lung, liver, pancreas and adipose. Specifically, RSK4 was found to be ubiquitously expressed at a low level through mouse development, and it is more highly expressed in specific phases of embryogenesis such as egg cylinder, gastrula and organ genesis (Kohn et al., 2003; Lleonart et al., 2006; Romeo et al., 2012). Atlas Genet Cytogenet Oncol Haematol. 2014; 18(5) Localisation RSK is predominantly located in cytosol, and contrary to other RSKs, its expression is relatively low and does not significantly accumulate in the nucleus after mitogenic stimulation (Dümmler et al., 2005; Romeo et al., 2012). Function Recent studies showed RSK4 can be either oncogenic or tumor suppressive depending on many factors, and Cyclin D1 inhibited RSK4 expression and serum starvation enhanced the inhibition. 331 RPS6KA6 (Ribosomal Protein S6 Kinase, 90kDa, Polypeptide 6) Liu T, Cao S RSK4 can induce cellular senescence which is mediated by p21. Also, inhibition of RSK4 causes bypass of cellular senescence induced by stress or oncogene, suggesting RSK4 inhibition may be an important factor in facilitating cell transformation. (LópezVicente et al., 2011). shRNA against RPS6KA6 bypassed p53-dependent G1 cell cycle arrest and suppressed mRNA expression of cyclin-dependent kinase inhibitor p21cip1, suggesting RSK4 is needed for growth arrest induced by p53 (Berns et al., 2004). In addition, RSK4 is identified to be an inhibitor of fibroblast growth factor (FGF)-Ras-ERK signal transduction. RSK4 plays an inhibitory role during embryogenesis by suppressing receptor tyrosine kinase signaling (López-Vicente et al., 2009). pathway inhibitors may overcome the resistance mediated by RSK4 in breast cancer (Serra et al., 2013). Colon, kidney cancer and melanoma Note RSK4 is down-regulated in colon carcinomas, renal cell carcinomas and colon adenomas. Overexpression of RSK4 induced cell arrest and senescence features in normal fibroblasts and malignant colon carcinoma cell lines. In addition, RSK4 is up-regulated in both replicative and stress-induced senescence and RSK4 inhibition induces senescence resistance in colon carcinoma cells, suggesting RSK4 may be a tumor suppressor gene by regulating senescence induction and inviting cell proliferation in colon carcinogenesis and renal cell carcinomas (Myers et al., 2004). RSK4 expression causes Sunitinib resistance in kidney carcinoma and melanoma cells, thus, RSK4 may be a potential resistance marker in Sunitinib therapy and a potential target for new drug development to overcome Sunitinib resistance (Llenaont et al., 2006; Bender and Ullrich, 2012). Homology The RSK family members share 73-80% amino acids similarity to each other and are mostly different in their amino- and carboxyl-terminal sequences (Romeo et al., 2012). Difference from other RSK members whose activation needs the stimulation by growth factors, RSK4 can be constitutively activated under serumstarved condition without growth factor. The constitutive activation is due to constitutive phosphorylation of Ser232, Ser372 and Ser389 (Dümmler et al., 2005). PDK1 is required for mitogenic stimulation of RSK1-3, however, RSK4 does not appear to require PDK1 to maintain its high basal activity (Romeo et al., 2012). Unlike other three family members, RSK4 expression can disrupt mouse mesoderm formation induced by the FGF-Ras-ERK signaling pathway (Myers et al., 2004). Endometrial cancer Note RSK4 is frequently hypermethylated in endometrial cancer and RSK4 methylation is significantly associated with tumor grade, with higher grade tumors having lower levels of methylation. Thus, RSK4 appears to be epigenetically silenced in endometrial cancer as evidenced by hypermethylation (Dewdney et al., 2011). X-linked mental retardation Note RPS6KA6 gene is commonly deleted in complex X-linked mental retardation patients (Yntema et al., 1999). Implicated in Breast cancer Autism spectrum disorder Note RSK4 is highly expressed and has anti-invasive and anti-metastatic activities in breast cancer. Exogenous expression of RSK4 resulted in decreased breast cancer cell proliferation and increased accumulation of cells in G0-G1 phase of the cell cycle, also with enhanced expression several tumor suppressor genes: retinoblastoma protein, retinoblastoma-associated 46 kDa protein (RbAp46), and p21 protein (Thakur et al., 2007; Thakur et al., 2008). In addition, RSK4 expression enhances breast cancer cell survival upon PI3K/mTOR inhibitors treatment through inhibition of apoptosis and up-regulation of protein translation. Adding MEK- or RSK-specific inhibitors can overcome the RSK4 mediated resistance, thus, combination of RSK and PI3K Atlas Genet Cytogenet Oncol Haematol. 2014; 18(5) Note RPS6KA6 plays a role in brain development and could be associated with mental retardation. RSP6KA6 is located in the chromosomal region, which is commonly deleted in males with mental retardation. Its mutation may be associated with autism spectrum disorders (Kantojärvi et al., 2011). AIDS Note SNP rs5968255, located at human Xq21.1 in a conserved sequence element near the RPS6KA6 and CYLC1 genes, was identified as a significant genetic determinant of AIDS progression in HIV infected women. 332 RPS6KA6 (Ribosomal Protein S6 Kinase, 90kDa, Polypeptide 6) Liu T, Cao S activities of ribosomal protein S6 kinase 4 in breast cancer cells. Clin Cancer Res. 2008 Jul 15;14(14):4427-36 However, whether RPS6KA6 gene is functionally involved in the observed phenotype is not clear (Siddiqui et al., 2009). López-Vicente L, Armengol G, Pons B, Coch L, Argelaguet E, Lleonart M, Hernández-Losa J, de Torres I, Ramon y Cajal S. Regulation of replicative and stress-induced senescence by RSK4, which is down-regulated in human tumors. Clin Cancer Res. 2009 Jul 15;15(14):4546-53 References Yntema HG, van den Helm B, Kissing J, van Duijnhoven G, Poppelaars F, Chelly J, Moraine C, Fryns JP, Hamel BC, Heilbronner H, Pander HJ, Brunner HG, Ropers HH, Cremers FP, van Bokhoven H. A novel ribosomal S6kinase (RSK4; RPS6KA6) is commonly deleted in patients with complex X-linked mental retardation. Genomics. 1999 Dec 15;62(3):332-43 Siddiqui RA, Sauermann U, Altmüller J, Fritzer E, Nothnagel M, Dalibor N, Fellay J, Kaup FJ, Stahl-Hennig C, Nürnberg P, Krawczak M, Platzer M. X chromosomal variation is associated with slow progression to AIDS in HIV-1-infected women. Am J Hum Genet. 2009 Aug;85(2):228-39 Kohn M, Hameister H, Vogel M, Kehrer-Sawatzki H. 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