Heterozygous inactivation of tsc2 enhances tumorigenesis in p53 mutant zebrafish

Seok-Hyung Kim1, Marie L Kowalski, Robert P Carson

  • 1Department of Neurology and Vanderbilt Kennedy Center for Research on Human Development, Vanderbilt University, Nashville, TN 37232, USA.

Insights

Tuberous sclerosis complex (TSC) rarely causes malignancy due to TSC1/TSC2 gene function. A new zebrafish model reveals TSC2 and p53 mutations promote malignant tumors, treatable with mTORC1 inhibitors.

Area of Science:

  • Oncology
  • Genetics
  • Developmental Biology

Background:

  • Tuberous sclerosis complex (TSC) is a genetic disorder caused by mutations in TSC1 or TSC2 genes, leading to dysregulated mTORC1 signaling and benign tumor formation.
  • While TSC is associated with benign growths, the mechanisms underlying malignant transformation in cancers with increased mTOR signaling remain unclear.
  • Understanding the genetic factors driving benign-to-malignant cell transition is crucial for cancer pathogenesis research.

Purpose of the Study:

  • To investigate the role of TSC2 and p53 in cancer progression using a novel zebrafish model.
  • To explore the interplay between TSC2, mTORC1 signaling, and p53 in tumorigenesis.
  • To assess the therapeutic potential of mTORC1 inhibition in TSC-associated and related cancers.

Main Methods:

  • Generation of a zebrafish model with compound heterozygous mutations in tsc2 and p53.
  • Comparative analysis of tumor formation, mTORC1 signaling, and expression of angiogenesis factors (Hif1-α, Hif2-α, Vegf-c) between tsc2 heterozygous, p53 mutant, and compound tsc2;p53 mutant zebrafish.
  • Treatment of zebrafish with the mTORC1 inhibitor rapamycin to evaluate tumor response.

Main Results:

  • Compound tsc2;p53 mutant zebrafish developed malignant tumors across multiple organs, unlike tsc2 heterozygous mutants.
  • Tumorigenesis and mTORC1 signaling were significantly enhanced in compound tsc2;p53 mutants compared to p53 mutants alone.
  • Increased expression of Hif1-α, Hif2-α, and Vegf-c was observed in compound mutants, correlating with enhanced angiogenesis.
  • Rapamycin treatment led to rapid tumor shrinkage and reduced tumor vascularity in both p53 and compound mutant zebrafish.

Conclusions:

  • The study establishes a novel zebrafish model demonstrating the interaction between tsc2, mTORC1, and p53 in promoting malignant tumor progression.
  • These findings may explain the rarity of malignancies in individuals with TSC.
  • The results suggest that TSC1/TSC2 mutations could influence cancer development in non-TSC individuals and highlight the potential of mTORC1 inhibitors as a therapeutic strategy.

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