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CREB3L2-PPARgamma fusion mutation identifies a thyroid signaling pathway regulated by intramembrane proteolysis
Weng-Onn Lui1, Lingchun Zeng, Victoria Rehrmann
1Department of Pathology, University of Chicago Medical Center, Chicago, Illinois 60637, USA.
Abstract:
The discovery of gene fusion mutations, particularly in leukemia, has consistently identified new cancer pathways and led to molecular diagnostic assays and molecular-targeted chemotherapies for cancer patients. Here, we report our discovery of a novel CREB3L2-PPARgamma fusion mutation in thyroid carcinoma with t(3;7)(p25;q34), showing that a family of somatic PPARgamma fusion mutations exist in thyroid cancer. The CREB3L2-PPARgamma fusion encodes a CREB3L2-PPARgamma fusion protein that is composed of the transactivation domain of CREB3L2 and all functional domains of PPARgamma1. CREB3L2-PPARgamma was detected in <3% of thyroid follicular carcinomas. Engineered overexpression of CREB3L2-PPARgamma induced proliferation by 40% to 45% in primary human thyroid cells, consistent with a dominant oncogenic mechanism. Wild-type CREB3L2 was expressed in the thyroid as a bZIP transcription factor with a transmembrane domain that has flanking S1P and S2P proteolytic cleavage sites. Native CREB3L2 was cleaved to nuclear CREB3L2 by regulated intramembrane proteolysis in normal thyroid cells that expressed the S1P and S2P proteases. Nuclear CREB3L2 stimulated transcription 8-fold from the EVX1 cyclic AMP (cAMP) response element in the absence of cAMP, whereas CREB3L2-PPARgamma inhibited transcription 6-fold from EVX1 in the same experiments. CREB3L2-PPARgamma also inhibited 4-fold the expression of thyroglobulin, a native cAMP-responsive gene, in primary thyroid cells treated with thyroid-stimulating hormone. Our findings identify a novel CREB3L2-PPARgamma gene fusion mutation in thyroid carcinoma and reveal a thyroid signaling pathway that is regulated by intramembrane proteolysis and disrupted in cancer.
Insights
Scientists discovered a new CREB3L2-PPARgamma gene fusion in thyroid cancer, disrupting normal cell signaling. This finding advances understanding of thyroid carcinoma and potential targeted therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Gene fusions are key in identifying cancer pathways and developing targeted therapies.
- Somatic gene fusions, including those involving PPARgamma, are implicated in various cancers.
- Thyroid carcinoma research seeks to uncover novel mutations for improved diagnostics and treatments.
Purpose of the Study:
- To report the discovery of a novel CREB3L2-PPARgamma gene fusion mutation in thyroid carcinoma.
- To investigate the oncogenic mechanism of the CREB3L2-PPARgamma fusion protein.
- To elucidate the role of CREB3L2 and its intramembrane proteolysis in thyroid cell signaling.
Main Methods:
- Identification of the CREB3L2-PPARgamma fusion via cytogenetic analysis (t(3;7)(p25;q34)).
- Characterization of the fusion protein's domains and oncogenic activity through engineered overexpression in human thyroid cells.
- Analysis of wild-type CREB3L2 processing via intramembrane proteolysis and its transcriptional activity.
- Assessment of CREB3L2-PPARgamma's impact on gene expression (EVX1, thyroglobulin) in thyroid cells.
Main Results:
- A novel CREB3L2-PPARgamma fusion mutation was identified in a subset of thyroid follicular carcinomas.
- The fusion protein, CREB3L2-PPARgamma, demonstrated dominant oncogenic activity, inducing significant cell proliferation.
- Wild-type CREB3L2 undergoes regulated intramembrane proteolysis, yielding a nuclear form that regulates gene transcription.
- CREB3L2-PPARgamma inhibited key thyroid-specific gene expression, including thyroglobulin, and altered EVX1 transcription.
Conclusions:
- The CREB3L2-PPARgamma fusion represents a newly identified oncogenic driver in thyroid carcinoma.
- Regulated intramembrane proteolysis of CREB3L2 is a critical thyroid signaling pathway disrupted by this fusion.
- This discovery opens avenues for molecular diagnostics and targeted therapeutic strategies for thyroid cancer.
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