p16INK4A and p14ARF tumor suppressor pathways are deregulated in malignant rhabdoid tumors
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Updated: Jun 1, 2026

Tumorsphere Derivation and Treatment from Primary Tumor Cells Isolated from Mouse Rhabdomyosarcomas
Published on: September 13, 2019
Sriram Venneti1, Paul Le, Daniel Martinez
1Division of Neuropathology, Department of Pathology and Laboratory Medicine, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA.
Abstract:
Malignant rhabdoid tumors (MRTs) are aggressive tumors associated with mutations in the SMARCB1 gene. In experimental systems, the loss of SMARCB1 is hypothesized to alter p16(INK4A) pathways resulting in the repression of tumor suppressors. To determine whether these pathways are deregulated in human MRT, we used immunohistochemistry on tissue microarrays to evaluate p16(INK4A)/E2F1/RB and p14(ARF)/MDM2/p53 pathways in 25 atypical teratoid/rhabdoid tumors (AT/RT) and 11 non-CNS MRT. p16(INK4A) was negative or showed focal weak expression. p16(INK4A) downstream targets CDK4/cyclin D1/ppRB were variably expressed at moderate to low levels; E2F1 was negative. Unexpectedly, p14(ARF) expression was seen in many cases, which correlated positively with p53 and inversely with MDM2 immunostaining in AT/RT. TP53 mutational analysis in 19 of 25 AT/RT and in 8 of 11 non-CNS MRT cases showed point mutations in only 3 AT/RT cases, suggesting that p53 expression was driven mainly by p14(ARF). Finally, nucleophosmin, a protein that stabilizes p53, was positive in most cases and colocalized with p53. Together, these data suggest that, in MRT, there is deregulation not only of p16(INK4A) but also of the p14(ARF) pathway. These results provide insights into cell cycle deregulation in the pathogenesis of human MRT and may aid in the design and evaluation of potential therapies for these tumors.
Insights
Malignant rhabdoid tumors (MRTs) show deregulated cell cycle pathways, specifically involving p16INK4A and p14ARF. This deregulation offers insights into tumor development and potential therapeutic targets for aggressive MRTs.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Malignant rhabdoid tumors (MRTs) are aggressive neoplasms linked to SMARCB1 gene mutations.
- Loss of SMARCB1 is hypothesized to disrupt tumor suppressor pathways, including p16INK4A.
- Understanding cell cycle deregulation is crucial for MRT pathogenesis and treatment.
Purpose of the Study:
- To investigate the status of p16INK4A/E2F1/RB and p14ARF/MDM2/p53 pathways in human MRTs.
- To determine if these pathways are deregulated in atypical teratoid/rhabdoid tumors (AT/RT) and non-CNS MRTs.
- To correlate pathway alterations with TP53 mutational status and nucleophosmin expression.
Main Methods:
- Immunohistochemistry was performed on tissue microarrays from 25 AT/RT and 11 non-CNS MRT cases.
- Evaluation included markers for p16INK4A, E2F1, RB, p14ARF, MDM2, p53, and nucleophosmin.
- TP53 mutational analysis was conducted on a subset of tumor samples.
Main Results:
- p16INK4A expression was low or absent, with variable expression of its downstream targets.
- p14ARF was frequently expressed, correlating positively with p53 and inversely with MDM2 in AT/RT.
- TP53 mutations were infrequent, suggesting p53 expression is primarily driven by p14ARF; nucleophosmin was frequently positive and colocalized with p53.
Conclusions:
- Human MRTs exhibit deregulation of both the p16INK4A and p14ARF cell cycle pathways.
- These findings provide critical insights into the molecular pathogenesis of MRTs.
- The identified pathway alterations may inform the development of novel therapeutic strategies for MRTs.
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