MYC激活与Pten缺失共同作用足以引发基因组不稳定和致命性转移性前列腺癌。

Combined MYC Activation and Pten Loss Are Sufficient to Create Genomic Instability and Lethal Metastatic Prostate Cancer.

作者信息

Hubbard Gretchen K, Mutton Laura N, Khalili May, McMullin Ryan P, Hicks Jessica L, Bianchi-Frias Daniella, Horn Lucas A, Kulac Ibrahim, Moubarek Michael S, Nelson Peter S, Yegnasubramanian Srinivasan, De Marzo Angelo M, Bieberich Charles J

机构信息

Department of Biological Sciences, University of Maryland, Baltimore County, Baltimore, Maryland. Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Department of Biological Sciences, University of Maryland, Baltimore County, Baltimore, Maryland.

出版信息

Cancer Res. 2016 Jan 15;76(2):283-92. doi: 10.1158/0008-5472.CAN-14-3280. Epub 2015 Nov 10.

Abstract

Genetic instability, a hallmark feature of human cancers including prostatic adenocarcinomas, is considered a driver of metastasis. Somatic copy number alterations (CNA) are found in most aggressive primary human prostate cancers, and the overall number of such changes is increased in metastases. Chromosome 10q23 deletions, encompassing PTEN, and amplification of 8q24, harboring MYC, are frequently observed, and the presence of both together portends a high risk of prostate cancer-specific mortality. In extant genetically engineered mouse prostate cancer models (GEMM), isolated MYC overexpression or targeted Pten loss can each produce early prostate adenocarcinomas, but are not sufficient to induce genetic instability or metastases with high penetrance. Although a previous study showed that combining Pten loss with focal MYC overexpression in a small fraction of prostatic epithelial cells exhibits cooperativity in GEMMs, additional targeted Tp53 disruption was required for formation of metastases. We hypothesized that driving combined MYC overexpression and Pten loss using recently characterized Hoxb13 transcriptional control elements that are active in prostate luminal epithelial cells would induce the development of genomic instability and aggressive disease with metastatic potential. Neoplastic lesions that developed with either MYC activation alone (Hoxb13-MYC) or Pten loss alone (Hoxb13-Cre∣Pten(Fl/Fl)) failed to progress beyond prostatic intraepithelial neoplasia and did not harbor genomic CNAs. By contrast, mice with both alterations (Hoxb13-MYC∣Hoxb13-Cre∣Pten(Fl/Fl), hereafter, BMPC mice) developed lethal adenocarcinoma with distant metastases and widespread genome CNAs that were independent of forced disruption of Tp53 and telomere shortening. BMPC cancers lacked neuroendocrine or sarcomatoid differentiation, features uncommon in human disease but common in other models of prostate cancer that metastasize. These data show that combined MYC activation and Pten loss driven by the Hoxb13 regulatory locus synergize to induce genomic instability and aggressive prostate cancer that phenocopies the human disease at the histologic and genomic levels.

摘要

基因不稳定是包括前列腺腺癌在内的人类癌症的一个标志性特征,被认为是转移的驱动因素。在大多数侵袭性原发性人类前列腺癌中发现了体细胞拷贝数改变(CNA),并且转移灶中此类改变的总数会增加。经常观察到包含PTEN的10号染色体q23缺失以及包含MYC的8号染色体q24扩增,两者同时存在预示着前列腺癌特异性死亡的高风险。在现有的基因工程小鼠前列腺癌模型(GEMM)中,单独的MYC过表达或靶向性Pten缺失均可产生早期前列腺腺癌,但不足以诱导高穿透性的基因不稳定或转移。尽管先前的一项研究表明,在一小部分前列腺上皮细胞中将Pten缺失与局灶性MYC过表达相结合在GEMM中具有协同作用,但转移灶的形成还需要额外的靶向性Tp53破坏。我们假设,使用最近鉴定的在前列腺管腔上皮细胞中活跃的Hoxb13转录控制元件驱动MYC过表达和Pten缺失相结合,将诱导具有转移潜能的基因组不稳定和侵袭性疾病的发展。单独通过MYC激活(Hoxb13-MYC)或单独通过Pten缺失(Hoxb13-Cre∣Pten(Fl/Fl))产生的肿瘤性病变未能进展到前列腺上皮内瘤变以上,并且没有基因组CNA。相比之下,同时具有这两种改变的小鼠(Hoxb13-MYC∣Hoxb13-Cre∣Pten(Fl/Fl),以下简称BMPC小鼠)发生了伴有远处转移的致死性腺癌以及广泛的基因组CNA,这些与Tp53的强制破坏和端粒缩短无关。BMPC癌症缺乏神经内分泌或肉瘤样分化,这些特征在人类疾病中不常见,但在其他发生转移的前列腺癌模型中很常见。这些数据表明,由Hoxb13调控位点驱动的MYC激活和Pten缺失相结合可协同诱导基因组不稳定和侵袭性前列腺癌,在组织学和基因组水平上模拟人类疾病。

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