Zou M, Baitei E Y, Al-Rijjal R A, Parhar R S, Al-Mohanna F A, Kimura S, Pritchard C, Binessa H A, Alzahrani A S, Al-Khalaf H H, Hawwari A, Akhtar M, Assiri A M, Meyer B F, Shi Y
Department of Genetics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Department of Cell Biology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Oncogene. 2016 Apr 14;35(15):1909-18. doi: 10.1038/onc.2015.253. Epub 2015 Oct 19.
The BRAF(V600E) mutation is found in approximately 40% of papillary thyroid cancers (PTC). Mice with thyroid-specific expression of Braf(V600E) (TPO-Braf(V600E)) develop PTC rapidly with high levels of serum thyroid-stimulating hormone (TSH). It is unclear to what extent the elevated TSH contributes to tumor progression. To investigate the progression of Braf(V600E)-induced PTC (BVE-PTC) under normal TSH, we transplanted BVE-PTC tumors subcutaneously into nude and TPO-Braf(WT) mice. Regression of the transplanted tumors was observed in both nude and TPO-Braf(WT) mice. They were surrounded by heavy lymphocyte infiltration and oncogene-induced senescence (OIS) was demonstrated by strong β-gal staining and absence of Ki-67 expression. In contrast, BVE-PTC transplants continued to grow when transplanted into TPO-Braf(V600E) mice. The expression of Trp53 was increased in tumor transplants undergoing OIS. Trp53 inactivation reversed OIS and enabled tumor transplants to grow in nude mice with characteristic cell morphology of anaplastic thyroid cancer (ATC). PTC-to-ATC transformation was also observed in primary BVE-PTC tumors. ATC cells derived from Trp53 knockout tumors had increased PI3K/AKT signaling and became resistant to Braf(V600E) inhibitor PLX4720, which could be overcome by combined treatment of PI3K inhibitor LY294002 and PLX4720. In conclusion, BVE-PTC progression could be contained via p53-dependent OIS and TSH is a major disruptor of this balance. Simultaneous targeting of both MAPK and PI3K/AKT pathways offer a better therapeutic outcome against ATC. The current study reinforces the importance of rigorous control of serum TSH in PTC patients.
约40%的甲状腺乳头状癌(PTC)中可检测到BRAF(V600E)突变。甲状腺特异性表达Braf(V600E)(TPO - Braf(V600E))的小鼠会迅速发展为PTC,并伴有高水平的血清促甲状腺激素(TSH)。目前尚不清楚TSH升高在多大程度上促进肿瘤进展。为了研究正常TSH水平下Braf(V600E)诱导的PTC(BVE - PTC)的进展情况,我们将BVE - PTC肿瘤皮下移植到裸鼠和TPO - Braf(WT)小鼠体内。在裸鼠和TPO - Braf(WT)小鼠中均观察到移植肿瘤的消退。肿瘤周围有大量淋巴细胞浸润,通过强烈的β - gal染色和Ki - 67表达缺失证明存在癌基因诱导的衰老(OIS)。相反,将BVE - PTC移植到TPO - Braf(V600E)小鼠体内时,肿瘤会继续生长。在经历OIS的肿瘤移植中,Trp53的表达增加。Trp53失活逆转了OIS,并使肿瘤移植能够在裸鼠中生长,具有未分化甲状腺癌(ATC)的特征性细胞形态。在原发性BVE - PTC肿瘤中也观察到了PTC向ATC的转变。源自Trp53基因敲除肿瘤的ATC细胞PI3K/AKT信号传导增加,并对Braf(V600E)抑制剂PLX4720产生耐药性,联合使用PI3K抑制剂LY294002和PLX4720可克服这种耐药性。总之,BVE - PTC的进展可通过p53依赖的OIS得到控制,TSH是这种平衡的主要破坏因素。同时靶向MAPK和PI3K/AKT途径对ATC具有更好的治疗效果。本研究强化了严格控制PTC患者血清TSH水平的重要性。