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Updated: Mar 7, 2026

Reconstruct Human Retinoblastoma In Vitro
Published on: October 11, 2022
Phosphorylation of pRb: mechanism for RB pathway inactivation in MYCN-amplified retinoblastoma
Kathryn G Ewens1, Tricia R Bhatti2,3, Kimberly A Moran1
1Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Abstract:
A small, but unique subgroup of retinoblastoma has been identified with no detectable mutation in the retinoblastoma gene (RB1) and with high levels of MYCN gene amplification. This manuscript investigated alternate pathways of inactivating pRb, the encoded protein in these tumors. We analyzed the mutation status of the RB1 gene and MYCN copy number in a series of 245 unilateral retinoblastomas, and the phosphorylation status of pRb in a subset of five tumors using immunohistochemistry. There were 203 tumors with two mutations in RB1 (RB1-/- , 83%), 29 with one (RB1+/- , 12%) and 13 with no detectable mutations (RB1+/+ , 5%). Eighteen tumors carried MYCN amplification between 29 and 110 copies: 12 had two (RB1-/- ) or one RB1 (RB1+/- ) mutations, while six had no mutations (RB1+/+ ). Immunohistochemical staining of tumor sections with antibodies against pRb and phosphorylated Rb (ppRb) displayed high levels of pRb and ppRb in both RB1+/+ and RB1+/- tumors with MYCN amplification compared to no expression of these proteins in a classic RB1-/- , MYCN-low tumor. These results establish that high MYCN amplification can be present in retinoblastoma with or without coding sequence mutations in the RB1 gene. The functional state of pRb is inferred to be inactive due to phosphorylation of pRb in the MYCN-amplified retinoblastoma without coding sequence mutations. This makes inactivation of RB1 by gene mutation or its protein product, pRb, by protein phosphorylation, a necessary condition for initiating retinoblastoma tumorigenesis, independent of MYCN amplification.
Insights
High MYCN amplification can drive retinoblastoma (RB1) tumor growth even without RB1 gene mutations. In these cases, the pRb protein is inactivated by phosphorylation, highlighting RB1 inactivation as crucial for tumor initiation.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Retinoblastoma (RB1) is a pediatric eye cancer.
- RB1 gene mutations are common in retinoblastoma.
- A unique subgroup lacks RB1 mutations but shows MYCN amplification.
Purpose of the Study:
- Investigate alternative pRb inactivation pathways in retinoblastoma.
- Determine the role of MYCN amplification in RB1 tumors.
- Clarify RB1 inactivation mechanisms in retinoblastoma tumorigenesis.
Main Methods:
- Analyzed RB1 mutation status and MYCN copy number in 245 retinoblastomas.
- Assessed pRb and phosphorylated pRb (ppRb) levels via immunohistochemistry in five tumors.
- Correlated MYCN amplification with RB1 mutation status and pRb phosphorylation.
Main Results:
- 13% of tumors had no detectable RB1 mutations (RB1+/+).
- Six RB1+/+ tumors exhibited high MYCN amplification (29-110 copies).
- RB1+/+ and RB1+/- tumors with MYCN amplification showed high pRb and ppRb levels, unlike RB1-/- tumors.
Conclusions:
- High MYCN amplification occurs in retinoblastoma with or without RB1 mutations.
- Phosphorylation inactivates pRb in MYCN-amplified retinoblastoma lacking RB1 mutations.
- RB1 inactivation (mutation or phosphorylation) is essential for retinoblastoma initiation, irrespective of MYCN amplification.
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