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Published on: March 30, 2019
Simultaneous downregulation of CDK inhibitors p18(Ink4c) and p27(Kip1) is required for MEN2A-RET-mediated mitogenesis
P P Joshi1, M V Kulkarni, B K Yu
1Department of Biological Sciences, Purdue Cancer Center, Purdue University, West Lafayette, IN, USA.
Abstract:
Multiple endocrine neoplasia type 2A (MEN2A) is predisposed by mutations in the RET proto-oncogene. Low expression of the cyclin-dependent kinase inhibitor (CDKI) p27(Kip1) is present in thyroid tumors, and recent evidence demonstrates p27 downregulation by the active RET mutant, RET/PTC1, found in papillary thyroid carcinoma. This implicates decreased p27 activity as an important event during thyroid tumorigenesis. However, p27(-/-) mice develop MEN-like tumors only in combination with loss of another CDKI, p18(Ink4c). This suggests that p18 and p27 functionally collaborate in suppression of tumorigenesis, that loss of both is critical in the development of MEN tumors and that both p18 and p27 are regulated by RET. We report that induction of the constitutively active MEN2A-specific RET mutant, RET2A(C634R), correlates with reduced p18/p27, and elevated cyclin D protein levels, leading to increased CDK activity, increased pRb phosphorylation and proliferation under growth arrest conditions. Mechanistically, RET2A represses p18/p27 mRNA levels while elevating cyclin D1 mRNA levels. RET2A expression also correlates with decreased p27 protein stability. RET2A-mediated regulation of p18 and p27, but not of cyclins D1 and D2, requires functional mitogen-activated protein kinase signaling. Additionally, RET2A-dependent p18 repression is required and sufficient to increase cell proliferation. Perhaps most significantly, MEN2A adrenal tumors also display these changes in cell cycle expression profile, demonstrating the biological relevance of our cell culture studies. Our results demonstrate for the first time that RET2A regulates p18, and suggest that loss of not only p27 but also of p18 expression is a key step in MEN tumorigenesis.
Insights
Mutations in the RET proto-oncogene cause Multiple Endocrine Neoplasia type 2A (MEN2A). This study shows RET2A regulates both p18 and p27, key tumor suppressors, crucial for MEN2A development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Multiple Endocrine Neoplasia type 2A (MEN2A) is linked to RET proto-oncogene mutations.
- Reduced p27(Kip1) expression is observed in thyroid tumors, with RET/PTC1 downregulating p27.
- Loss of both p27 and p18(Ink4c) is critical for MEN tumor development, suggesting collaborative tumor suppression.
Purpose of the Study:
- To investigate the role of the MEN2A-specific RET mutant, RET2A(C634R), in regulating cell cycle inhibitors p18 and p27.
- To elucidate the mechanism by which RET2A influences p18 and p27 expression and its impact on cell proliferation.
- To determine the in vivo relevance of these findings in MEN2A adrenal tumors.
Main Methods:
- Utilized cell culture models expressing the RET2A(C634R) mutant.
- Analyzed mRNA and protein levels of p18, p27, and cyclins D1/D2.
- Assessed CDK activity, pRb phosphorylation, and cell proliferation.
- Investigated the role of mitogen-activated protein kinase (MAPK) signaling.
- Examined cell cycle gene expression in MEN2A adrenal tumors.
Main Results:
- RET2A(C634R) induction led to decreased p18 and p27 levels, and increased cyclin D, CDK activity, pRb phosphorylation, and proliferation.
- RET2A repressed p18/p27 mRNA and decreased p27 protein stability, while increasing cyclin D1 mRNA.
- MAPK signaling was required for RET2A-mediated regulation of p18 and p27, but not cyclins D1/D2.
- RET2A-dependent p18 repression was sufficient to drive cell proliferation.
- MEN2A adrenal tumors exhibited similar cell cycle expression profiles.
Conclusions:
- RET2A directly regulates p18 expression, in addition to p27.
- The coordinated downregulation of p18 and p27 by RET2A is a key event in MEN2A tumorigenesis.
- Targeting RET2A-mediated regulation of these CDKIs may offer therapeutic strategies for MEN2A.
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