DOK2 inhibits EGFR-mutated lung adenocarcinoma

Alice H Berger1, Ming Chen, Alessandro Morotti

  • 1Cancer Genetics Program, Beth Israel Deaconess Cancer Center, Departments of Medicine and Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States of America.

Plos One
|November 21, 2013
PubMed

Insights

Loss of DOK2, a tumor suppressor, accelerates EGFR-driven lung adenocarcinoma. DOK2 normally inhibits RAS signaling, opposing mutated EGFR, and its loss promotes lung cancer growth.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Somatic mutations in the Epidermal Growth Factor Receptor (EGFR) proto-oncogene are prevalent in lung adenocarcinomas.
  • EGFR mutations are critical drivers for lung cancer initiation and progression.
  • DOK2 has been recently identified as a potential tumor suppressor gene in lung adenocarcinoma.

Purpose of the Study:

  • To investigate the association between DOK2 loss and EGFR mutations in human lung adenocarcinoma.
  • To determine if DOK2 loss cooperates with EGFR mutations in promoting lung tumorigenesis.
  • To elucidate the mechanism by which DOK2 loss impacts EGFR-mutant lung cancer.

Main Methods:

  • Analysis of genomic DOK2 loss in human lung adenocarcinoma samples.
  • Utilizing genetically engineered mouse models to test the hypothesis in vivo.
  • Investigating the molecular interaction between DOK2 and mutated EGFR signaling pathways.

Main Results:

  • Genomic loss of DOK2 is significantly associated with EGFR mutations in human lung adenocarcinoma.
  • Loss of DOK2 accelerates lung tumorigenesis driven by oncogenic EGFR in mouse models.
  • Loss of DOK2 does not accelerate lung tumorigenesis initiated by mutated KRAS.
  • DOK2 negatively regulates mutated EGFR signaling by inhibiting RAS activation.
  • EGFR mutation leads to DOK2 recruitment to EGFR, mediating inhibition of RAS pathway.

Conclusions:

  • DOK2 functions as a tumor suppressor in the context of EGFR-mutant lung adenocarcinoma.
  • Loss of DOK2 cooperates with EGFR mutations to promote lung tumorigenesis.
  • DOK2 plays a crucial role in a negative feedback loop opposing mutated EGFR signaling.

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