Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Department of Genetics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Cancer Discov. 2021 Aug;11(8):2094-2111. doi: 10.1158/2159-8290.CD-20-1228. Epub 2021 Apr 10.
Pancreatic ductal adenocarcinoma (PDAC) is almost uniformly fatal and characterized by early metastasis. Oncogenic mutations prevail in 95% of PDAC tumors and co-occur with genetic alterations in the tumor suppressor in nearly 70% of patients. Most alterations are missense mutations that exhibit gain-of-function phenotypes that include increased invasiveness and metastasis, yet the extent of direct cooperation between effectors and mutant p53 remains largely undefined. We show that oncogenic effectors activate CREB1 to allow physical interactions with mutant p53 that hyperactivate multiple prometastatic transcriptional networks. Specifically, mutant p53 and CREB1 upregulate the prometastatic, pioneer transcription factor , activating its transcriptional network while promoting WNT/β-catenin signaling, together driving PDAC metastasis. Pharmacologic CREB1 inhibition dramatically reduced and β-catenin expression and dampened PDAC metastasis, identifying a new therapeutic strategy to disrupt cooperation between oncogenic and mutant p53 to mitigate metastasis. SIGNIFICANCE: Oncogenic and mutant p53 are the most commonly mutated oncogene and tumor suppressor gene in human cancers, yet direct interactions between these genetic drivers remain undefined. We identified a cooperative node between oncogenic effectors and mutant p53 that can be therapeutically targeted to undermine cooperation and mitigate metastasis..
胰腺导管腺癌 (PDAC) 几乎普遍致命,其特征是早期转移。95%的 PDAC 肿瘤存在致癌基因突变,近 70%的患者存在肿瘤抑制基因的遗传改变。大多数改变是错义突变,表现出功能获得表型,包括侵袭性和转移增加,但效应物与突变 p53 之间的直接合作程度在很大程度上仍未定义。我们表明,致癌效应物激活 CREB1 以允许与突变 p53 的物理相互作用,从而过度激活多个促转移转录网络。具体来说,突变 p53 和 CREB1 上调促转移的先驱转录因子 ,激活其转录网络,同时促进 WNT/β-连环蛋白信号通路,共同驱动 PDAC 转移。药理学 CREB1 抑制显著降低了 和 β-连环蛋白的表达,抑制了 PDAC 的转移,确定了一种新的治疗策略,以破坏致癌 和突变 p53 之间的合作,减轻转移。意义:致癌 和突变 p53 是人类癌症中最常见的突变致癌基因和肿瘤抑制基因,但这些遗传驱动因素之间的直接相互作用仍未定义。我们确定了致癌效应物和突变 p53 之间的一个合作节点,可通过治疗靶向破坏合作并减轻转移。