Addiction of Merkel cell carcinoma to MUC1-C identifies a potential new target for treatment

Yoshihiro Morimoto1, Atsushi Fushimi1, Nami Yamashita1

  • 1Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.

Oncogene
|June 10, 2022
PubMed

Insights

MUC1-C oncogenic protein drives Merkel cell carcinoma (MCC) progression by regulating key pathways and transcription factors. Targeting MUC1-C inhibits MCC growth, revealing it as a promising therapeutic target for this aggressive cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Merkel cell carcinoma (MCC) is an aggressive neuroendocrine cancer with limited treatment options.
  • The role of the MUC1-C oncogenic protein in MCC has not been previously established.
  • Understanding MCC pathogenesis is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the expression and function of MUC1-C in Merkel cell carcinoma.
  • To determine the role of MUC1-C in regulating signaling pathways and transcription factors critical for MCC.
  • To evaluate MUC1-C as a potential therapeutic target for MCC.

Main Methods:

  • Analysis of MUC1-C expression in MCC tumors and cell lines (MCPyV-positive and -negative).
  • Investigated MUC1-C interactions with MYCL and its regulation of pluripotency and neuroendocrine transcription factors.
  • Assessed the impact of MUC1-C targeting on MCC cell survival, DNA replication stress, p53 pathway, and apoptosis.
  • Evaluated the effect of genetic and pharmacological MUC1-C inhibition on MCC self-renewal and tumorigenicity.

Main Results:

  • MUC1-C is broadly expressed in MCC, with higher levels in MCPyV-positive tumors.
  • MUC1-C regulates common signaling pathways involved in RNA synthesis, processing, and transport in both MCC subtypes.
  • MUC1-C interacts with MYCL, induces key pluripotency and neuroendocrine transcription factors, and suppresses apoptosis and DNA replication stress.
  • Targeting MUC1-C inhibits MCC self-renewal and tumorigenicity.

Conclusions:

  • Merkel cell carcinoma cells are dependent on MUC1-C for survival and progression.
  • MUC1-C plays a critical role in regulating essential cellular processes in MCC.
  • MUC1-C represents a promising therapeutic target for Merkel cell carcinoma treatment.

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