Related Experiment Video
Updated: Oct 30, 2025

Utilizing 18F-FDG PET/CT Imaging and Quantitative Histology to Measure Dynamic Changes in the Glucose Metabolism in Mouse Models of Lung Cancer
Published on: July 21, 2018
PPP2R4 dysfunction promotes KRAS-mutant lung adenocarcinoma development and mediates opposite responses to MEK and
Bob Meeusen1, Emanuela Elsa Cortesi2, Judit Domènech Omella1
1Laboratory of Protein Phosphorylation & Proteomics, Dept. Cellular & Molecular Medicine, KU Leuven, B-3000, Leuven, Belgium; KU Leuven Cancer Institute (LKI), B-3000, Leuven, Belgium.
Abstract:
KRAS-mutant lung adenocarcinomas represent the largest molecular subgroup of non-small cell lung cancers (NSCLC) and are notorious for their dismal survival perspectives. To gain more insights in etiology and therapeutic response, we focused on the tumor suppressor Protein Phosphatase 2A (PP2A) as a player in KRAS oncogenic signaling. We report that the PP2A activator PTPA (encoded by PPP2R4) is commonly affected in NSCLC by heterozygous loss and low-frequent loss-of-function mutation, and this is specifically associated with poorer overall survival of KRAS-mutant lung adenocarcinoma patients. Reduced or mutant PPP2R4 expression in A549 cells increased anchorage-independent growth in vitro and xenograft growth in vivo, correlating with increased Ki67 and c-MYC expression. Moreover, KrasG12D-induced lung tumorigenesis was significantly accelerated in Ppp2r4 gene trapped mice as compared to Ppp2r4 wild-type. A confined kinase inhibitor screen revealed that PPP2R4-depletion induced resistance against selumetinib (MEK inhibitor), but unexpectedly sensitized cells for temsirolimus (mTOR inhibitor), in vitro and in vivo. Our findings underscore a clinically relevant role for PTPA loss-of-function in KRAS-mutant NSCLC etiology and kinase inhibitor response.
Insights
Loss of the Protein Phosphatase 2A (PP2A) activator PTPA (PPP2R4) worsens survival in KRAS-mutant lung cancer. This loss impacts tumor growth and response to kinase inhibitors like MEK and mTOR inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- KRAS-mutant lung adenocarcinomas (NSCLC) have poor prognoses.
- Protein Phosphatase 2A (PP2A) is a tumor suppressor involved in KRAS signaling.
- The PP2A activator PTPA (PPP2R4) is frequently altered in NSCLC.
Purpose of the Study:
- Investigate the role of PTPA (PPP2R4) in KRAS-mutant NSCLC.
- Determine the impact of PTPA alterations on patient survival and tumor behavior.
- Explore the effect of PTPA loss on response to kinase inhibitors.
Main Methods:
- Analysis of PPP2R4 genetic alterations and expression in NSCLC patient cohorts.
- In vitro studies using A549 cells with reduced or mutant PPP2R4.
- In vivo xenograft and genetically engineered mouse models (KrasG12D).
- Kinase inhibitor screening (MEK and mTOR inhibitors).
Main Results:
- Heterozygous loss and mutations in PPP2R4 are associated with poorer survival in KRAS-mutant lung adenocarcinoma patients.
- Reduced PPP2R4 expression promotes anchorage-independent growth, xenograft growth, and elevates Ki67 and c-MYC levels.
- Ppp2r4 deficiency accelerates KrasG12D-induced lung tumorigenesis in mice.
- PPP2R4 depletion confers resistance to MEK inhibitors (selumetinib) but sensitizes to mTOR inhibitors (temsirolimus).
Conclusions:
- Loss-of-function of PTPA (PPP2R4) is a clinically relevant event in KRAS-mutant NSCLC.
- PTPA alterations influence tumor progression and affect therapeutic strategies involving kinase inhibitors.
- Targeting PP2A signaling pathways may offer new therapeutic avenues for KRAS-mutant NSCLC.
Related Concept Videos
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
PI3K/mTOR/AKT Signaling Pathway
The Ras Gene
Ras is a...
Abnormal Proliferation
MAPK Signaling Cascades
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...

