Department of Pathology, The University of Alabama at Birmingham, Birmingham, Alabama 35294-0017, USA.
Am J Pathol. 2013 Mar;182(3):646-67. doi: 10.1016/j.ajpath.2012.11.017. Epub 2013 Jan 13.
Patients with neurofibromatosis type 1 (NF1) develop benign plexiform neurofibromas that frequently progress to become malignant peripheral nerve sheath tumors (MPNSTs). A genetically engineered mouse model that accurately models plexiform neurofibroma-MPNST progression in humans would facilitate identification of somatic mutations driving this process. We previously reported that transgenic mice overexpressing the growth factor neuregulin-1 in Schwann cells (P(0)-GGFβ3 mice) develop MPNSTs. To determine whether P(0)-GGFβ3 mice accurately model human neurofibroma-MPNST progression, cohorts of these animals were monitored through death and were necropsied; 94% developed multiple neurofibromas, with 70% carrying smaller numbers of MPNSTs. Nascent MPNSTs were identified within neurofibromas, suggesting that these sarcomas arise from neurofibromas. Although neurofibromin expression was maintained, P(0)-GGFβ3 MPNSTs exhibited Ras hyperactivation, as in human NF1-associated MPNSTs. P(0)-GGFβ3 MPNSTs also exhibited abnormalities in the p16(INK4A)-cyclin D/CDK4-Rb and p19(ARF)-Mdm-p53 pathways, analogous to their human counterparts. Array comparative genomic hybridization (CGH) demonstrated reproducible chromosomal alterations in P(0)-GGFβ3 MPNST cells (including universal chromosome 11 gains) and focal gains and losses affecting 39 neoplasia-associated genes (including Pten, Tpd52, Myc, Gli1, Xiap, and Bbc3/PUMA). Array comparative genomic hybridization also identified recurrent focal copy number variations affecting genes not previously linked to neurofibroma or MPNST pathogenesis. We conclude that P(0)-GGFβ3 mice represent a robust model of neurofibroma-MPNST progression useful for identifying novel genes driving neurofibroma and MPNST pathogenesis.
患有神经纤维瘤病 1 型 (NF1) 的患者会出现良性丛状神经纤维瘤,这些肿瘤经常进展为恶性外周神经鞘瘤 (MPNST)。一种能够准确模拟人类丛状神经纤维瘤-MPNST 进展的基因工程小鼠模型将有助于确定驱动这一过程的体细胞突变。我们之前报道过,在 Schwann 细胞中过度表达生长因子神经调节蛋白-1 的转基因小鼠 (P(0)-GGFβ3 小鼠) 会发展为 MPNST。为了确定 P(0)-GGFβ3 小鼠是否准确模拟人类神经纤维瘤-MPNST 进展,对这些动物进行了死亡监测和尸检;94%的动物发展出了多发性神经纤维瘤,其中 70%的动物携带数量较少的 MPNST。在神经纤维瘤中发现了新生的 MPNST,表明这些肉瘤源自神经纤维瘤。尽管神经纤维瘤抑制蛋白的表达得以维持,但 P(0)-GGFβ3 MPNST 表现出 Ras 过度激活,类似于人类 NF1 相关的 MPNST。P(0)-GGFβ3 MPNST 还表现出 p16(INK4A)-cyclin D/CDK4-Rb 和 p19(ARF)-Mdm-p53 通路的异常,与人类对应物相似。阵列比较基因组杂交 (CGH) 显示 P(0)-GGFβ3 MPNST 细胞中存在可重复的染色体改变 (包括普遍的 11 号染色体增益) 和影响 39 个肿瘤相关基因的局灶性增益和缺失 (包括 Pten、Tpd52、Myc、Gli1、Xiap 和 Bbc3/PUMA)。阵列比较基因组杂交还鉴定出影响先前与神经纤维瘤或 MPNST 发病机制无关的基因的复发性局灶拷贝数变异。我们得出结论,P(0)-GGFβ3 小鼠代表了一种用于鉴定驱动神经纤维瘤和 MPNST 发病机制的新基因的强大的神经纤维瘤-MPNST 进展模型。
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