Abstract
Glioblastoma (GBM) is a highly lethal brain tumour presenting as one of two subtypes with distinct clinical histories and molecular profiles. The primary GBM subtype presents acutely as a high-grade disease that typically harbours mutations in EGFR, PTEN and INK4A/ARF (also known as CDKN2A), and the secondary GBM subtype evolves from the slow progression of a low-grade disease that classically possesses PDGF and TP53 events. Here we show that concomitant central nervous system (CNS)-specific deletion of p53 and Pten in the mouse CNS generates a penetrant acute-onset high-grade malignant glioma phenotype with notable clinical, pathological and molecular resemblance to primary GBM in humans. This genetic observation prompted TP53 and PTEN mutational analysis in human primary GBM, demonstrating unexpectedly frequent inactivating mutations of TP53 as well as the expected PTEN mutations. Integrated transcriptomic profiling, in silico promoter analysis and functional studies of murine neural stem cells (NSCs) established that dual, but not singular, inactivation of p53 and Pten promotes an undifferentiated state with high renewal potential and drives increased Myc protein levels and its associated signature. Functional studies validated increased Myc activity as a potent contributor to the impaired differentiation and enhanced renewal of NSCs doubly null for p53 and Pten (p53(-/-) Pten(-/-)) as well as tumour neurospheres (TNSs) derived from this model. Myc also serves to maintain robust tumorigenic potential of p53(-/-) Pten(-/-) TNSs. These murine modelling studies, together with confirmatory transcriptomic/promoter studies in human primary GBM, validate a pathogenetic role of a common tumour suppressor mutation profile in human primary GBM and establish Myc as an important target for cooperative actions of p53 and Pten in the regulation of normal and malignant stem/progenitor cell differentiation, self-renewal and tumorigenic potential.
MeSH Terms
Animals
Brain Neoplasms/genetics,pathology
Cell Differentiation
Cell Proliferation
Gene Expression Regulation
Glioblastoma/genetics,pathology
Glioma/genetics,pathology
Humans
Immunohistochemistry
Mice
Neoplastic Stem Cells/metabolism,pathology
Neurons/metabolism,pathology
PTEN Phosphohydrolase/genetics,metabolism
Proto-Oncogene Proteins c-myc/genetics,metabolism
Tumor Suppressor Protein p53/genetics,metabolism
Chemicals
Myc protein, mouse
Proto-Oncogene Proteins c-myc
Tumor Suppressor Protein p53
PTEN Phosphohydrolase
PTEN protein, human
Pten protein, mouse
Authors & Affiliations
20 authors, click to expand affiliations / ORCID
Zheng Hongwu
Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts 02115, USA.
Ying Haoqiang
Yan Haiyan
Kimmelman Alec C
Hiller David J
Chen An-Jou
Perry Samuel R
Tonon Giovanni
Chu Gerald C
Ding Zhihu
Stommel Jayne M
Dunn Katherine L
Wiedemeyer Ruprecht
You Mingjian J
Brennan Cameron
Wang Y Alan
Ligon Keith L
Wong Wing H
Chin Lynda
DePinho Ronald A
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