Human Oncology and Pathogenesis Program, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Sci Signal. 2013 Mar 26;6(268):ra20. doi: 10.1126/scisignal.2003483.
The clinical efficacy of tyrosine kinase inhibitors supports the dependence of distinct subsets of cancers on specific driver mutations for survival, a phenomenon called "oncogene addiction." We demonstrate that PUMA and BIM are the key apoptotic effectors of tyrosine kinase inhibitors in breast cancers with amplification of the gene encoding human epidermal growth factor receptor 2 (HER2) and lung cancers with epidermal growth factor receptor (EGFR) mutants. The BH3 domain containing proteins BIM and PUMA can directly activate the proapoptotic proteins BAX and BAK to permeabilize mitochondria, leading to caspase activation and apoptosis. We delineated the signal transduction pathways leading to the induction of BIM and PUMA by tyrosine kinase inhibitors. Inhibition of the mitogen-activated or extracellular signal-regulated protein kinase kinase (MEK)-extracellular signal-regulated kinase (ERK) pathway caused increased abundance of BIM, whereas antagonizing the phosphoinositide 3-kinase (PI3K)-AKT pathway triggered nuclear translocation of the FOXO transcription factors, which directly activated the PUMA promoter. In a mouse breast tumor model, the abundance of PUMA and BIM was increased after inactivation of HER2. Moreover, deficiency of Bim or Puma impaired caspase activation and reduced tumor regression caused by inactivation of HER2. Similarly, deficiency of Puma impeded the regression of EGFR(L858R)-driven mouse lung tumors upon inactivation of the EGFR-activating mutant. Overall, our study identified PUMA and BIM as the sentinels that interconnect kinase signaling networks and the mitochondrion-dependent apoptotic program, which offers therapeutic insights for designing novel cell death mechanism-based anticancer strategies.
酪氨酸激酶抑制剂的临床疗效支持了特定癌症亚群对生存所需特定驱动突变的依赖性,这种现象被称为“癌基因成瘾”。我们证明,在 HER2 基因扩增的乳腺癌和 EGFR 突变的肺癌中,PUMA 和 BIM 是酪氨酸激酶抑制剂诱导细胞凋亡的关键效应因子。BH3 结构域蛋白 BIM 和 PUMA 可以直接激活促凋亡蛋白 BAX 和 BAK,使线粒体通透,导致 caspase 激活和细胞凋亡。我们描绘了酪氨酸激酶抑制剂诱导 BIM 和 PUMA 的信号转导途径。MEK-ERK 途径(丝裂原激活或细胞外信号调节激酶激酶)的抑制导致 BIM 丰度增加,而 PI3K-AKT 途径的拮抗则触发 FOXO 转录因子的核易位,直接激活 PUMA 启动子。在一个小鼠乳腺癌肿瘤模型中,HER2 失活后,PUMA 和 BIM 的丰度增加。此外,Bim 或 Puma 的缺失会削弱 caspase 的激活,并减少因 HER2 失活引起的肿瘤消退。同样,Puma 的缺失会阻碍 EGFR(L858R)驱动的小鼠肺肿瘤在 EGFR 激活突变失活时的消退。总的来说,我们的研究确定了 PUMA 和 BIM 作为连接激酶信号网络和线粒体依赖性凋亡程序的哨兵,这为设计基于新型细胞死亡机制的抗癌策略提供了治疗上的启示。