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Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
p53 suppresses type II endometrial carcinomas in mice and governs endometrial tumour aggressiveness in humans
Peter J Wild1, Kristian Ikenberg, Thomas J Fuchs
1Institute of Surgical Pathology, University Hospital Zurich, Zurich, Switzerland.
Abstract:
Type II endometrial carcinomas are a highly aggressive group of tumour subtypes that are frequently associated with inactivation of the TP53 tumour suppressor gene. We show that mice with endometrium-specific deletion of Trp53 initially exhibited histological changes that are identical to known precursor lesions of type II endometrial carcinomas in humans and later developed carcinomas representing all type II subtypes. The mTORC1 signalling pathway was frequently activated in these precursor lesions and tumours, suggesting a genetic cooperation between this pathway and Trp53 deficiency in tumour initiation. Consistent with this idea, analyses of 521 human endometrial carcinomas identified frequent mTORC1 pathway activation in type I as well as type II endometrial carcinoma subtypes. mTORC1 pathway activation and p53 expression or mutation status each independently predicted poor patient survival. We suggest that molecular alterations in p53 and the mTORC1 pathway play different roles in the initiation of the different endometrial cancer subtypes, but that combined p53 inactivation and mTORC1 pathway activation are unifying pathogenic features among histologically diverse subtypes of late stage aggressive endometrial tumours.
Insights
TP53 gene inactivation and mTORC1 pathway activation are key drivers in aggressive endometrial cancers. These molecular changes, found in both type I and type II subtypes, predict poor patient survival and are crucial for tumor development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Type II endometrial carcinomas are aggressive tumors often linked to TP53 gene inactivation.
- Understanding the molecular drivers of endometrial cancer subtypes is crucial for developing effective therapies.
Purpose of the Study:
- To investigate the role of Trp53 deficiency and mTORC1 pathway activation in endometrial tumorigenesis.
- To analyze the prevalence and prognostic significance of these molecular alterations in human endometrial carcinomas.
Main Methods:
- Utilized a mouse model with specific deletion of Trp53 in the endometrium.
- Examined histological changes and developed tumors in the mouse model.
- Analyzed mTORC1 pathway activation and p53 status in 521 human endometrial carcinoma samples.
Main Results:
- Trp53 deletion in mice recapitulated human type II endometrial carcinoma precursor lesions and subtypes.
- mTORC1 pathway activation was frequent in precursor lesions and tumors, indicating genetic cooperation with Trp53 deficiency.
- mTORC1 pathway activation was observed in both type I and type II endometrial cancer subtypes.
- Both mTORC1 pathway activation and p53 status independently predicted poor patient survival.
Conclusions:
- Combined p53 inactivation and mTORC1 pathway activation are unifying pathogenic features in aggressive, late-stage endometrial tumors.
- These molecular alterations play distinct roles in initiating different endometrial cancer subtypes.
- Targeting the mTORC1 pathway alongside addressing p53 status may offer therapeutic strategies for aggressive endometrial cancers.
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