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HDMX regulates p53 activity and confers chemoresistance to 3-bis(2-chloroethyl)-1-nitrosourea
Genglin Jin1, Stephen Cook, Bo Cui
1Department of Pathology, Pediatric Brain Tumor Foundation Institute and Preston Robert Tisch Brain Tumor Center at Duke, Duke University Medical Center, Durham, North Carolina 27710, USA.
Abstract:
Glioblastoma multiforme (GBM) is one of the deadliest tumors afflicting humans, and the mechanisms of its onset and progression remain largely undefined. Our attempts to elucidate its molecular pathogenesis through DNA copy-number analysis by genome-wide digital karyotyping and single nucleotide polymorphism arrays identified a dramatic focal amplification on chromosome 1q32 in 4 of 57 GBM tumors. Quantitative real-time PCR measurements revealed that HDMX is the most commonly amplified and overexpressed gene in the 1q32 locus. Further genetic screening of 284 low- and high-grade gliomas revealed that HDMX amplifications occur solely in pediatric and adult GBMs and that they are mutually exclusive of TP53 mutations and MDM2 amplifications. Here, we demonstrate that HDMX regulates p53 to promote GBM growth and attenuates tumor response to chemotherapy. In GBM cells, HDMX overexpression inhibits p53-mediated transcriptional activation of p21, releases cells from G0 to G1 phase, and enhances cellular proliferation. HDMX overexpression does not affect the expression of PUMA and BAX proapoptotic genes. While in GBM cells treated with the chemotherapeutic agent 1,3-bis(2-chloroethyl)-1-nitrosourea (BCNU), HDMX appears to stabilize p53 and promote phosphorylation of the DNA double-stranded break repair protein H2AX, up-regulate the DNA repair gene VPX, stimulate DNA repair, and confer resistance to BCNU. In summary, HDMX exhibits bona fide oncogenic properties and offers a promising molecular target for GBM therapeutic intervention.
Insights
HDMX gene amplification drives glioblastoma multiforme (GBM) growth by inhibiting p53. This study reveals HDMX promotes proliferation and chemotherapy resistance, identifying it as a potential therapeutic target for GBM.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Glioblastoma multiforme (GBM) is a highly lethal brain tumor with poorly understood molecular pathogenesis.
- Identifying key genetic alterations is crucial for understanding GBM development and finding new treatments.
Purpose of the Study:
- To investigate the role of genetic amplifications in GBM.
- To identify novel molecular targets for GBM therapy.
Main Methods:
- Genome-wide digital karyotyping and SNP arrays for DNA copy-number analysis.
- Quantitative real-time PCR to measure gene expression.
- Genetic screening across 284 gliomas.
- Functional assays in GBM cells to assess HDMX impact on p53, cell cycle, proliferation, apoptosis, and chemotherapy response.
Main Results:
- A focal amplification at chromosome 1q32 was identified in 4% of GBM tumors.
- HDMX was found to be the most frequently amplified and overexpressed gene in this locus.
- HDMX amplifications were specific to GBM and mutually exclusive with TP53 mutations and MDM2 amplifications.
- HDMX overexpression inhibited p53 activity, promoting GBM cell proliferation and resistance to chemotherapy (BCNU).
Conclusions:
- HDMX acts as an oncogene in GBM by dysregulating p53.
- HDMX promotes GBM growth and confers resistance to chemotherapy.
- HDMX represents a promising molecular target for novel GBM therapeutic strategies.
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