NF-κB over-activation portends improved outcomes in HPV-associated head and neck cancer.

Autor:	Schrank TP; Department of Otolaryngology/Head and Neck Surgery, UNC, Chapel Hill, NC 27599, USA.; These authors contributed equally to this work., Prince AC; Department of Otolaryngology/Head and Neck Surgery, UNC, Chapel Hill, NC 27599, USA.; These authors contributed equally to this work., Sathe T; Department of Surgery, Otolaryngology, Yale, New Haven, CT 06519, USA.; Current address: Department of Surgery, Columbia University, New York, NY 10032, USA., Wang X; Department of Pharmacology and Bioengineering, University of Illinois at Chicago, Chicago, IL 60612, USA.; Bioinformatics Core, University of Illinois Cancer Center, Chicago, IL 60612, USA., Liu X; Department of Pharmacology and Bioengineering, University of Illinois at Chicago, Chicago, IL 60612, USA.; Bioinformatics Core, University of Illinois Cancer Center, Chicago, IL 60612, USA., Alzhanov DT; Department of Otolaryngology/Head and Neck Surgery, UNC, Chapel Hill, NC 27599, USA., Burtness B; Department of Medicine, Yale School of Medicine, New Haven, CT 06510, USA.; Yale Cancer Center, Yale School of Medicine, New Haven, CT 06510, USA., Baldwin AS; Department of Medicine, Yale School of Medicine, New Haven, CT 06510, USA.; Yale Cancer Center, Yale School of Medicine, New Haven, CT 06510, USA., Yarbrough WG; Department of Otolaryngology/Head and Neck Surgery, UNC, Chapel Hill, NC 27599, USA.; Lineberger Cancer Center, UNC, Chapel Hill, NC 27599, USA.; Department of Pathology and Laboratory Medicine, UNC, Chapel Hill, NC 27599, USA.; Senior authors., Issaeva N; Department of Otolaryngology/Head and Neck Surgery, UNC, Chapel Hill, NC 27599, USA.; Lineberger Cancer Center, UNC, Chapel Hill, NC 27599, USA.; Department of Pathology and Laboratory Medicine, UNC, Chapel Hill, NC 27599, USA.; Senior authors.
Jazyk:	angličtina
Zdroj:	Oncotarget [Oncotarget] 2022 May 24; Vol. 13, pp. 707-722. Date of Electronic Publication: 2022 May 24 (Print Publication: 2022).
DOI:	10.18632/oncotarget.28232
Abstrakt:	Evolving understanding of head and neck squamous cell carcinoma (HNSCC) is leading to more specific diagnostic disease classifications. Among HNSCC caused by the human papilloma virus (HPV), tumors harboring defects in TRAF3 or CYLD are associated with improved clinical outcomes and maintenance of episomal HPV. TRAF3 and CYLD are negative regulators of NF-κB and inactivating mutations of either leads to NF-κB overactivity. Here, we developed and validated a gene expression classifier separating HPV+ HNSCCs based on NF-κB activity. As expected, the novel classifier is strongly enriched in NF-κB targets leading us to name it the NF-κB Activity Classifier (NAC). High NF-κB activity correlated with improved survival in two independent cohorts. Using NAC, tumors with high NF-κB activity but lacking defects in TRAF3 or CYLD were identified; thus, while TRAF3 or CYLD gene defects identify the majority of tumors with NF-κB activation, unknown mechanisms leading to NF-kB activity also exist. The NAC correctly classified the functional consequences of two novel CYLD missense mutations. Using a reporter assay, we tested these CYLD mutations revealing that their activity to inhibit NF-kB was equivalent to the wild-type protein. Future applications of the NF-κB Activity Classifier may be to identify HPV+ HNSCC patients with better or worse survival with implications for treatment strategies. Competing Interests: CONFLICTS OF INTEREST Authors have no conflicts of interest to declare. (Copyright: © 2022 Schrank et al.)
Databáze:	MEDLINE
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