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Published on: January 21, 2012
Inactivation of the Rb pathway and overexpression of both isoforms of E2F3 are obligate events in bladder tumours
C D Hurst1, D C Tomlinson, S V Williams
1Cancer Research UK Clinical Centre, Leeds Institute of Molecular Medicine, St James's University Hospital, Leeds, UK.
Abstract:
E2F3 and CDKAL1 are candidate genes from the 6p22 region frequently amplified in bladder cancer. Expression of E2F3 isoforms (E2F3a and b) and CDKAL1 were examined and modulated in 6p22-amplified bladder cell lines. Eight lines with amplification showed overexpression of both E2F3 isoforms and CDKAL1. shRNA-mediated knockdown of CDKAL1 had no effect on proliferation. Knockdown of E2F3a or E2F3b alone induced antiproliferative effects, with the most significant effect on proliferation being observed when both isoforms were knocked down together. As E2Fs interact with the Rb tumour suppressor protein, Rb expression was analysed. There was a striking relationship between 6p22.3 amplification, E2F3 overexpression and lack of Rb expression. This was also examined in primary bladder tumours. Array-CGH detected 6p22.3 amplification in 8/91 invasive tumours. Five were studied in more detail. Four showed 13q14.2 loss (including RB1) and expressed no Rb protein. In the fifth, 13q was unaltered but the CDKN2A locus was deleted. This tumour was negative for p16 and positive for Rb protein. As p16 is a negative regulator of the Rb pathway, its loss represents an alternative mechanism for inactivation. Indeed, a phospho-specific Rb antibody showed much Rb protein in a hyperphosphorylated (inactive) form. We conclude that inactivation of the Rb pathway is required in addition to E2F3 overexpression in this subset of bladder tumours.
Insights
Amplification of the 6p22 region in bladder cancer leads to overexpression of E2F3, inhibiting proliferation. Inactivation of the Retinoblastoma (Rb) pathway is also crucial for tumor development in these cases.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The 6p22 chromosomal region contains candidate genes E2F3 and CDKAL1, frequently amplified in bladder cancer.
- E2F3 isoforms (E2F3a and E2F3b) and CDKAL1 expression were investigated in bladder cancer cell lines with 6p22 amplification.
Purpose of the Study:
- To examine the role of E2F3 and CDKAL1 in bladder cancer proliferation.
- To investigate the relationship between 6p22 amplification, E2F3 overexpression, and Retinoblastoma (Rb) pathway inactivation in bladder tumors.
Main Methods:
- shRNA-mediated knockdown of CDKAL1 and E2F3 isoforms in bladder cancer cell lines.
- Analysis of Rb protein expression and phosphorylation status.
- Array comparative genomic hybridization (Array-CGH) to detect 6p22.3 amplification in primary bladder tumors.
Main Results:
- Overexpression of both E2F3 isoforms and CDKAL1 was observed in 6p22-amplified bladder cancer cell lines.
- Knockdown of E2F3a or E2F3b, particularly together, significantly inhibited proliferation; CDKAL1 knockdown had no effect.
- A strong correlation was found between 6p22.3 amplification, E2F3 overexpression, and loss of Rb expression in both cell lines and primary tumors.
- Primary tumors with 6p22.3 amplification showed either loss of RB1 (leading to no Rb protein) or deletion of CDKN2A (leading to inactive Rb protein via p16 loss).
Conclusions:
- E2F3 overexpression is a key driver of proliferation in a subset of bladder cancers with 6p22 amplification.
- Inactivation of the Rb pathway, through RB1 loss or CDKN2A deletion, is a necessary co-event for tumor development in these cases.
- Targeting E2F3 and the Rb pathway presents potential therapeutic strategies for bladder cancer.
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