PP2A inhibition is a common event in colorectal cancer and its restoration using FTY720 shows promising therapeutic
Ion Cristóbal1, Rebeca Manso, Raúl Rincón
1Authors' Affiliations: Translational Oncology Division, Health Research Institute and Oncology Department, University Hospital "Fundación Jiménez Díaz," Autonomous University of Madrid; Pathology Department, IIS "Fundación Jiménez Díaz," Madrid, Spain; and Medical Oncology Department, University Hospital of Vigo, Vigo, Spain.
Abstract:
Protein phosphatase 2A (PP2A) is a tumor suppressor that regulates many signaling pathways crucial for cell transformation. In fact, decreased activity of PP2A has been reported as a recurrent alteration in many types of cancer. Here, we show that PP2A is frequently inactivated in patients with colorectal cancer, indicating that PP2A represents a potential therapeutic target for this disease. We identified overexpression of the endogenous PP2A inhibitors SET and CIP2A, and downregulation of regulatory PP2A such as PPP2R2A and PPP2R5E, as contributing mechanisms to PP2A inhibition in colorectal cancer. Moreover, we observed that its restoration using FTY720 impairs proliferation and clonogenic potential of colorectal cancer cells, induces caspase-dependent apoptosis, and affects AKT and extracellular signal-regulated kinase-1/2 activation status. Interestingly, treatment with FTY720 showed an additive effect with 5-fluorouracil, SN-38, and oxaliplatin, drugs used in standard chemotherapy in patients with colorectal cancer. These results suggest that PP2A activity is commonly decreased in colorectal cancer cells, and that the use of PP2A activators, such as FTY720, might represent a potential novel therapeutic strategy in colorectal cancer.
Insights
Protein phosphatase 2A (PP2A) is often inactive in colorectal cancer. Restoring PP2A activity with FTY720 shows promise as a novel therapeutic strategy, enhancing chemotherapy effectiveness.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Protein phosphatase 2A (PP2A) is a critical tumor suppressor involved in cell transformation.
- Reduced PP2A activity is a common finding in various cancers, including colorectal cancer.
- PP2A dysregulation presents a potential therapeutic target in oncology.
Purpose of the Study:
- To investigate the role of PP2A inactivation in colorectal cancer.
- To explore PP2A restoration as a therapeutic strategy for colorectal cancer.
- To evaluate the efficacy of FTY720 in combination with standard chemotherapeutic agents.
Main Methods:
- Analysis of PP2A activity and its regulatory proteins in colorectal cancer patient samples.
- Treatment of colorectal cancer cells with FTY720 to assess effects on proliferation, apoptosis, and signaling pathways (AKT, ERK1/2).
- Combination studies of FTY720 with 5-fluorouracil, SN-38, and oxaliplatin.
Main Results:
- PP2A is frequently inactivated in colorectal cancer, linked to increased SET/CIP2A and decreased PPP2R2A/PPP2R5E.
- FTY720 treatment inhibited colorectal cancer cell proliferation and clonogenic potential.
- FTY720 induced apoptosis and modulated AKT and ERK1/2 signaling, showing additive effects with chemotherapy drugs.
Conclusions:
- PP2A inactivation is a common event in colorectal cancer.
- Restoring PP2A activity with FTY720 demonstrates anti-cancer effects in colorectal cancer models.
- FTY720, as a PP2A activator, represents a potential novel therapeutic approach for colorectal cancer, possibly enhancing existing treatments.
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