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致癌性 PIK3CA 的多能性再激活导致乳腺肿瘤异质性。

Reactivation of multipotency by oncogenic PIK3CA induces breast tumour heterogeneity.

机构信息

Université Libre de Bruxelles, IRIBHM, Brussels B-1070, Belgium.

Institut Jules Bordet, Université Libre de Bruxelles, Brussels B-1000, Belgium.

出版信息

Nature. 2015 Sep 3;525(7567):119-23. doi: 10.1038/nature14665. Epub 2015 Aug 12.


DOI:10.1038/nature14665
PMID:26266985
Abstract

Breast cancer is the most frequent cancer in women and consists of heterogeneous types of tumours that are classified into different histological and molecular subtypes. PIK3CA and P53 (also known as TP53) are the two most frequently mutated genes and are associated with different types of human breast cancers. The cellular origin and the mechanisms leading to PIK3CA-induced tumour heterogeneity remain unknown. Here we used a genetic approach in mice to define the cellular origin of Pik3ca-derived tumours and the impact of mutations in this gene on tumour heterogeneity. Surprisingly, oncogenic Pik3ca(H1047R) mutant expression at physiological levels in basal cells using keratin (K)5-CreER(T2) mice induced the formation of luminal oestrogen receptor (ER)-positive/progesterone receptor (PR)-positive tumours, while its expression in luminal cells using K8-CReER(T2) mice gave rise to luminal ER(+)PR(+) tumours or basal-like ER(-)PR(-) tumours. Concomitant deletion of p53 and expression of Pik3ca(H1047R) accelerated tumour development and induced more aggressive mammary tumours. Interestingly, expression of Pik3ca(H1047R) in unipotent basal cells gave rise to luminal-like cells, while its expression in unipotent luminal cells gave rise to basal-like cells before progressing into invasive tumours. Transcriptional profiling of cells that underwent cell fate transition upon Pik3ca(H1047R) expression in unipotent progenitors demonstrated a profound oncogene-induced reprogramming of these newly formed cells and identified gene signatures characteristic of the different cell fate switches that occur upon Pik3ca(H1047R) expression in basal and luminal cells, which correlated with the cell of origin, tumour type and different clinical outcomes. Altogether our study identifies the cellular origin of Pik3ca-induced tumours and reveals that oncogenic Pik3ca(H1047R) activates a multipotent genetic program in normally lineage-restricted populations at the early stage of tumour initiation, setting the stage for future intratumoural heterogeneity. These results have important implications for our understanding of the mechanisms controlling tumour heterogeneity and the development of new strategies to block PIK3CA breast cancer initiation.

摘要

乳腺癌是女性最常见的癌症,由不同组织学和分子亚型的异质性肿瘤组成。PIK3CA 和 P53(也称为 TP53)是突变最频繁的两个基因,与不同类型的人类乳腺癌有关。PIK3CA 诱导肿瘤异质性的细胞起源和机制尚不清楚。在这里,我们使用遗传方法在小鼠中定义了 Pik3ca 衍生肿瘤的细胞起源,以及该基因突变对肿瘤异质性的影响。令人惊讶的是,在 K5-CreER(T2) 小鼠中用角蛋白(K)表达生理水平的致癌性 Pik3ca(H1047R)突变体诱导形成腔雌激素受体(ER)阳性/孕激素受体(PR)阳性肿瘤,而在 K8-CreER(T2) 小鼠中用 K8 表达该基因则产生腔 ER(+)PR(+)肿瘤或基底样 ER(-)PR(-)肿瘤。同时敲除 p53 和表达 Pik3ca(H1047R)加速了肿瘤的发展,并诱导了更具侵袭性的乳腺肿瘤。有趣的是,在单能基底细胞中表达 Pik3ca(H1047R)会导致类似腔的细胞,而在单能腔细胞中表达则会导致基底样细胞,然后进展为浸润性肿瘤。对 Pik3ca(H1047R)在单能祖细胞中表达后发生细胞命运转变的细胞进行转录谱分析表明,该基因在这些新形成的细胞中引发了深刻的致癌基因重编程,并确定了在 Pik3ca(H1047R)在基底细胞和腔细胞中表达时发生不同细胞命运转变的特征基因特征,这与起源细胞、肿瘤类型和不同的临床结果相关。总之,我们的研究确定了 Pik3ca 诱导肿瘤的细胞起源,并揭示了致癌性 Pik3ca(H1047R)在肿瘤起始的早期阶段在通常受谱系限制的群体中激活多能遗传程序,为未来的肿瘤内异质性奠定了基础。这些结果对我们理解控制肿瘤异质性的机制以及开发阻止 PIK3CA 乳腺癌发生的新策略具有重要意义。

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