Ganglioneuromas and renal anomalies are induced by activated RET(MEN2B) in transgenic mice

D A Sweetser1, G J Froelick, A M Matsumoto

  • 1Pediatric Oncology, Fred Hutchinson Cancer Research Center, Seattle, Washington 98105, USA.

Oncogene
|February 19, 1999
PubMed

Insights

Multiple endocrine neoplasia type 2B (MEN2B) is linked to RET receptor tyrosine kinase mutations. This study created transgenic mice modeling MEN2B, revealing neuroglial tumors and unexpected renal malformations.

Area of Science:

  • Genetics
  • Oncology
  • Developmental Biology

Background:

  • Multiple endocrine neoplasia type 2B (MEN2B) is an autosomal dominant disorder.
  • MEN2B is caused by a specific mutation (Met918-->Thr) in the RET receptor tyrosine kinase, leading to medullary thyroid carcinoma, pheochromocytomas, and ganglioneuromas.
  • Other RET gene mutations cause MEN2A, familial medullary thyroid carcinoma, and Hirschsprung disease.

Purpose of the Study:

  • To create a mouse model for MEN2B using a dopamine beta-hydroxylase promoter to express RET(MEN2B).
  • To investigate the development of tumors and other abnormalities in the sympathetic nervous system, enteric nervous system, and adrenal medulla.

Main Methods:

  • Generation of DbetaH-RET(MEN2B) transgenic mice.
  • Histological analysis of tumors and tissues.
  • Assessment of signaling pathways, including MAP kinase phosphorylation.

Main Results:

  • DbetaH-RET(MEN2B) mice developed benign neuroglial tumors in the sympathetic nervous system and adrenal glands, similar to human ganglioneuromas.
  • The enteric nervous system was unaffected.
  • Unexpectedly, high expression levels of DbetaH-RET(MEN2B) led to renal malformations analogous to those seen in Ret loss-of-function mutations.
  • Phosphorylated MAP kinase levels were not elevated in the RET(MEN2B)-induced tumors, suggesting alternative pathogenic pathways.

Conclusions:

  • The DbetaH-RET(MEN2B) mouse model recapitulates key features of MEN2B, including neuroglial tumor formation.
  • The study highlights a potential role for alternative signaling pathways in MEN2B pathogenesis.
  • The unexpected development of renal malformations suggests a complex interplay between RET signaling and kidney development, potentially involving both gain-of-function and loss-of-function effects.