Genomic Activation of PPARG Reveals a Candidate Therapeutic Axis in Bladder Cancer

Jonathan T Goldstein1, Ashton C Berger1, Juliann Shih1

  • 1The Broad Institute of MIT and Harvard, Cambridge, Massachusetts.

Cancer Research
|September 20, 2017
PubMed

Insights

Activating alterations in the PPARG or RXRA genes drive bladder cancer. Inhibiting PPARG (peroxisome proliferator-activated receptor gamma) activity reduced cancer cell proliferation, suggesting PPARG as a potential therapeutic target.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • The PPARG gene, encoding the nuclear receptor PPARγ, is implicated in bladder cancer development.
  • PPARG activation in bladder cancer can occur through gene amplification, mutation, or mutation of its heterodimeric partner, RXRA.

Purpose of the Study:

  • To investigate the role of PPARG and RXRA alterations in bladder cancer.
  • To identify a specific gene expression signature associated with PPARG/RXRA activation.
  • To evaluate the therapeutic potential of targeting PPARG in bladder cancer.

Main Methods:

  • Analysis of gene expression signatures in bladder cancers with PPARG or RXRA alterations.
  • Pharmacologic inhibition and genetic ablation of PPARG activity in bladder cancer cells.
  • Assessment of cancer cell proliferation following PPARG inhibition.

Main Results:

  • Activating alterations in PPARG or RXRA lead to a distinct gene expression profile in bladder cancers.
  • Inhibition of PPARG activity, via pharmacologic or genetic means, effectively suppressed the proliferation of PPARG-activated bladder cancer cells.

Conclusions:

  • PPARG and RXRA alterations are key drivers in a subset of bladder cancers.
  • Targeting PPARG represents a promising preclinical strategy for bladder cancer therapy.

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