PAX8 and MECOM are interaction partners driving ovarian cancer
Melusine Bleu1, Fanny Mermet-Meillon1, Verena Apfel1
1Disease area Oncology, Novartis Institutes for Biomedical Research, Basel, Switzerland.
Abstract:
The transcription factor PAX8 is critical for the development of the thyroid and urogenital system. Comprehensive genomic screens furthermore indicate an additional oncogenic role for PAX8 in renal and ovarian cancers. While a plethora of PAX8-regulated genes in different contexts have been proposed, we still lack a mechanistic understanding of how PAX8 engages molecular complexes to drive disease-relevant oncogenic transcriptional programs. Here we show that protein isoforms originating from the MECOM locus form a complex with PAX8. These include MDS1-EVI1 (also called PRDM3) for which we map its interaction with PAX8 in vitro and in vivo. We show that PAX8 binds a large number of genomic sites and forms transcriptional hubs. At a subset of these, PAX8 together with PRDM3 regulates a specific gene expression module involved in adhesion and extracellular matrix. This gene module correlates with PAX8 and MECOM expression in large scale profiling of cell lines, patient-derived xenografts (PDXs) and clinical cases and stratifies gynecological cancer cases with worse prognosis. PRDM3 is amplified in ovarian cancers and we show that the MECOM locus and PAX8 sustain in vivo tumor growth, further supporting that the identified function of the MECOM locus underlies PAX8-driven oncogenic functions in ovarian cancer.
Insights
The transcription factor PAX8 interacts with MECOM proteins, including PRDM3, to regulate genes involved in cell adhesion. This interaction drives oncogenic transcriptional programs in ovarian and kidney cancers, impacting patient prognosis.
Area of Science:
- Molecular biology
- Cancer research
- Genomics
Background:
- The transcription factor PAX8 is essential for thyroid and urogenital development.
- PAX8 also plays an oncogenic role in renal and ovarian cancers.
- Mechanistic understanding of PAX8's oncogenic transcriptional programs is lacking.
Purpose of the Study:
- Investigate the molecular complexes PAX8 engages in to drive oncogenic transcriptional programs.
- Elucidate the role of MECOM locus proteins in PAX8-driven cancers.
Main Methods:
- In vitro and in vivo mapping of PAX8-PRDM3 interaction.
- Genomic site analysis of PAX8 binding.
- Gene expression profiling in cell lines, PDXs, and clinical cases.
- Analysis of MECOM locus amplification and its effect on tumor growth.
Main Results:
- PAX8 forms a complex with MECOM protein isoforms, including PRDM3.
- PAX8 and PRDM3 co-regulate a gene expression module involved in adhesion and extracellular matrix.
- This gene module correlates with PAX8 and MECOM expression and predicts worse prognosis in gynecological cancers.
- MECOM locus amplification and PAX8 drive tumor growth in vivo.
Conclusions:
- The MECOM locus, through its interaction with PAX8 and PRDM3, contributes to oncogenic transcriptional programs in ovarian and renal cancers.
- The identified PAX8-MECOM interaction is a key driver of PAX8-associated oncogenesis, particularly in ovarian cancer.
- This finding provides a mechanistic link between PAX8, MECOM, and cancer progression, with potential implications for patient stratification.
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