Hedgehog pathway dysregulation contributes to the pathogenesis of human gastrointestinal stromal tumors via GLI-mediated activation of KIT expression

Autor: Tang, Chih-Min, Lee, Tracy E, Syed, Sabriya A, Burgoyne, Adam M, Leonard, Stephanie Y, Gao, Fei, Chan, Jonathan C, Shi, Eileen, Chmielecki, Juliann, Morosini, Deborah, Wang, Kai, Ross, Jeffrey S, Kendrick, Michael L, Bardsley, Michael R, Siena, Martina De, Mao, Junhao, Harismendy, Olivier, Ordog, Tamas, Sicklick, Jason K
Rok vydání: 2016
Předmět:
Messenger
Drug Resistance
Arsenicals
Arsenic Trioxide
2.1 Biological and endogenous factors
Aetiology
Cancer
Gastrointestinal Neoplasms
Tumor
Nuclear Proteins
Oxides
imatinib-resistant
Proto-Oncogene Proteins c-kit
Imatinib Mesylate
RNA Interference
Drug
Biotechnology
Receptor
Signal Transduction
GIST
Gastrointestinal Stromal Tumors
Cell Survival
Oncology and Carcinogenesis
Nerve Tissue Proteins
Antineoplastic Agents
Zinc Finger Protein Gli2
Transfection
Zinc Finger Protein GLI1
Cell Line
Dose-Response Relationship
Promoter Regions
Rare Diseases
Genetic
Clinical Research
Zinc Finger Protein Gli3
Genetics
Humans
Cilia
neoplasms
Neoplastic
Binding Sites
ICC
Platelet-Derived Growth Factor alpha
Interstitial Cells of Cajal
digestive system diseases
Gene Expression Regulation
Mutation
RNA
Neoplasm
Digestive Diseases
GLI
Zdroj: Oncotarget, vol 7, iss 48
Popis: Gastrointestinal stromal tumors (GIST) arise within the interstitial cell of Cajal (ICC) lineage due to activating KIT/PDGFRA mutations. Both ICC and GIST possess primary cilia (PC), which coordinate PDGFRA and Hedgehog signaling, regulators of gastrointestinal mesenchymal development. Therefore, we hypothesized that Hedgehog signaling may be altered in human GIST and controls KIT expression. Quantitative RT-PCR, microarrays, and next generation sequencing were used to describe Hedgehog/PC-related genes in purified human ICC and GIST. Genetic and pharmacologic approaches were employed to investigate the effects of GLI manipulation on KIT expression and GIST cell viability. We report that Hedgehog pathway and PC components are expressed in ICC and GIST and subject to dysregulation during GIST oncogenesis, irrespective of KIT/PDGFRA mutation status. Using genomic profiling, 10.2% of 186 GIST studied had potentially deleterious genomic alterations in 5 Hedgehog-related genes analyzed, including in the PTCH1 tumor suppressor (1.6%). Expression of the predominantly repressive GLI isoform, GLI3, was inversely correlated with KIT mRNA levels in GIST cells and non-KIT/non-PDGFRA mutant GIST. Overexpression of the 83-kDa repressive form of GLI3 or small interfering RNA-mediated knockdown of the activating isoforms GLI1/2 reduced KIT mRNA. Treatment with GLI1/2 inhibitors, including arsenic trioxide, significantly increased GLI3 binding to the KIT promoter, decreased KIT expression, and reduced viability in imatinib-sensitive and imatinib-resistant GIST cells. These data offer new evidence that genes necessary for Hedgehog signaling and PC function in ICC are dysregulated in GIST. Hedgehog signaling activates KIT expression irrespective of mutation status, offering a novel approach to treat imatinib-resistant GIST.
Databáze: OpenAIRE