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Published on: December 13, 2018
Interaction between MYC and MCL1 in the genesis and outcome of non-small-cell lung cancer
Thaddeus D Allen1, Chang Qi Zhu, Kirk D Jones
1G.W. Hooper Research Foundation, University of California, San Francisco, USA. Thaddeus.Allen@ucsf.edu
Abstract:
MYC exerts both positive and negative functions in cancer cells, such that its procancerous effects are unmasked only after its anticancer effects are blocked. Here we used multiple mouse models of lung adenocarcinoma to identify genetic events that can cooperate with MYC activation to promote the genesis of non-small-cell lung cancer (NSCLC), the most common form of lung cancer in humans. MYC overexpression targeted to pulmonary alveolar cells was sufficient to induce lung adenomas and carcinomas. Tumorigenesis was assisted by either spontaneous mutations in Kras or experimental introduction of activated RAS, but investigations revealed that additional events were required to circumvent apoptosis, one of the most significant negative functions exerted by MYC. We determined that overexpression of the antiapoptotic protein MCL1 was sufficient to circumvent apoptosis in this setting. Previous clinical studies have indicated that prognosis of human NSCLC is not associated with MCL1, despite its overexpression in many NSCLCs. In reexamining the prognostic value in this setting, we found that MCL1 overexpression does correlate with poor patient survival, but only when accompanied by MYC overexpression. Our findings therefore produce a convergence of mouse and human results that explain how MCL1 can block an important negative consequence of MYC overexpression in both experimental models and clinical cases of NSCLC.
Insights
MYC activation drives lung cancer, but its negative effects are overcome by MCL1. This explains how MCL1 and MYC co-overexpression predicts poor survival in non-small cell lung cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- MYC has dual roles in cancer, with pro-cancer effects emerging when anti-cancer functions are inhibited.
- Non-small cell lung cancer (NSCLC) is a common malignancy where MYC's role is complex.
- Apoptosis is a key negative function of MYC that needs to be circumvented for tumor progression.
Purpose of the Study:
- To identify genetic events cooperating with MYC in non-small cell lung cancer (NSCLC) development.
- To investigate the role of MCL1 in overcoming MYC-induced apoptosis in lung cancer.
- To re-evaluate the prognostic significance of MCL1 in human NSCLC.
Main Methods:
- Utilized multiple mouse models of lung adenocarcinoma with MYC overexpression.
- Introduced Kras mutations or activated RAS to study tumorigenesis.
- Assessed the role of MCL1 in preventing apoptosis in MYC-driven lung cancer.
- Correlated MCL1 and MYC expression with patient survival data in human NSCLC.
Main Results:
- MYC overexpression in mouse lung cells induced adenomas and carcinomas.
- Tumorigenesis was enhanced by Kras/RAS mutations but required additional events to bypass apoptosis.
- MCL1 overexpression effectively circumvented MYC-induced apoptosis in experimental models.
- MCL1 overexpression correlated with poor patient survival in NSCLC, but only when MYC was also overexpressed.
Conclusions:
- MCL1 can block the pro-apoptotic function of MYC, facilitating NSCLC development.
- The combined overexpression of MYC and MCL1 is a significant predictor of poor prognosis in human NSCLC.
- These findings reconcile experimental and clinical observations regarding MYC and MCL1 in lung cancer.
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