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mTORC1-mediated downregulation of COX2 restrains tumor growth caused by TSC2 deficiency
Hongwu Li1,2, Fuquan Jin3,4, Keguo Jiang3,5
1Department of Otorhinolaryngology, Head & Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Abstract:
Tuberous sclerosis complex (TSC), caused by loss-of-function mutations in the TSC1 or TSC2 gene, is characterized by benign tumor formation in multiple organs. Hyperactivation of mammalian target of rapamycin complex 1 (mTORC1) is the primary alteration underlying TSC tumors. By analyzing Tsc2-null mouse embryonic fibroblasts (MEFs) and rat uterine leiomyoma-derived Tsc2-null ELT3 cells, we detected evidence for the involvement of cyclooxygenase 2 (COX2) as a downstream target of mTORC1 in the development of TSC tumors. We showed that loss of TSC2 led to decreased COX2 expression through activation of an mTORC1/signal transducer and activator of transcription 3 (STAT3) signaling pathway. Overexpression of COX2 promoted proliferation and tumoral growth of Tsc2-null cells. COX2 knockdown inhibited the proliferation of the control cells. COX2 enhanced Tsc2-null cell growth through upregulation of interleukin-6 (IL-6). In addition, rapamycin in combination with celecoxib, a COX2 inhibitor, strongly inhibited Tsc2-deficient cell growth. We conclude that downregulation of COX2 exerts a protective effect against hyperactivated mTORC1-mediated tumorigenesis caused by the loss of TSC2, and the combination of rapamycin and celecoxib may be an effective new approach to treating TSC.
Insights
Tuberous sclerosis complex (TSC) tumors involve hyperactive mTORC1 signaling. Loss of TSC2 reduces cyclooxygenase 2 (COX2), promoting tumor growth. Combining rapamycin and celecoxib may treat TSC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Tuberous sclerosis complex (TSC) is a genetic disorder characterized by benign tumor formation in multiple organs.
- Hyperactivation of the mammalian target of rapamycin complex 1 (mTORC1) pathway is a key driver of TSC-associated tumorigenesis.
- Loss-of-function mutations in TSC1 or TSC2 genes underlie TSC pathogenesis.
Purpose of the Study:
- To investigate the role of cyclooxygenase 2 (COX2) as a downstream target of mTORC1 in TSC.
- To explore the therapeutic potential of targeting the mTORC1/COX2 pathway in TSC.
Main Methods:
- Analysis of Tsc2-null mouse embryonic fibroblasts (MEFs) and Tsc2-null ELT3 cells.
- Assessment of COX2 expression and its regulation by the mTORC1/STAT3 signaling pathway.
- Evaluation of the effects of COX2 modulation and combination therapy (rapamycin and celecoxib) on cell proliferation and tumor growth.
Main Results:
- Loss of TSC2 led to decreased COX2 expression via mTORC1/STAT3 activation.
- COX2 overexpression promoted proliferation and growth of Tsc2-null cells, partly through IL-6 upregulation.
- COX2 knockdown inhibited proliferation in control cells.
- Combined treatment with rapamycin and celecoxib significantly inhibited Tsc2-deficient cell growth.
Conclusions:
- Downregulation of COX2 offers protection against mTORC1-mediated tumorigenesis in TSC2-deficient cells.
- Combination therapy with rapamycin and celecoxib shows promise as a novel therapeutic strategy for TSC.
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