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.

Cancer Letters
|July 3, 2021
PubMed

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.

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