Molecular Pathology 本文へジャンプ
Research: Murakami Yoshinori M.D. Ph.D.


Research on the Mechanisms of Cancer Development

Genetic alterations in human cancer


Alterations in specific genes, including oncogenes and tumor suppressor genes, are involved in multistage carcinogenesis of human tumors. Examination of epidermal growth factor receptor (EGFR) in lung adenocarcinoma (ADC) revealed that EGFR mutations occurred frequently in non-invasive bronchioloalveolar carcinoma (60%) as well as its metastasis to the brain. A mutant EGFR (delE746-A750), but not a wild type EGFR, phosphorylated AKT and STAT3 after serum starvation in in vitro study. The MYO18B gene was previously isolated as a candidate lung tumor suppressor in this institute. Yeast two-hybrid screening identified Sug1, a 19S regulator subunit of the 26S proteasome, as a binding partner of MYO18B, suggesting that MYO18B is a substrate for proteasomal degradation.

To elucidate the genetic and genomic alterations, oligonucleotide array-based CGH (comparative genomic hybridization) was applied to various human cancers. A homozygous deletion at the DOCK8 locus at chromosome 9p24 was detected in a lung cancer cell line, providing another candidate of lung tumor suppressor. Analysis of nodule in nodule-type hepatocellular carcinoma (HCC) newly identified genetic inactivation of the APC gene in HCC. The analysis of esophageal squamous cell carcinoma (ESCC) revealed that amplification of the CCND1 gene and homozygous deletion of the p16 gene associated with ESCC progression. Somatic mutation of KEAP1, whose product induces phase II enzymes, was also detected in lung cancer in collaboration with other groups.

Non-homologous end joining (NHEJ) repair and homologous recombinational repair (HRR) are the two main activities to repair the DNA double-strand break (DSB) in vertebrates. Therefore, a plasmid-based system to assess both NHEJ and HRR was developed to investigate the role of these repair activities in human carcinogenesis. The germline polymorphisms and mutations implicated in cancer susceptibilities or drug responses were analyzed and novel methods for genomic data analysis were developed in collaboration with National Cancer Center Hospital and other institutes. A part of the single nucleotide polymorphism (SNP) data was publicized from a database (www.gemdbj.nibio.go.jp).

Epigenetic mechanisms of carcinogenesis

Methylation of CpG islands (CGIs) is deeply involved in human carcinogenesis. Some cancer cells show high incidence of aberrant DNA mehylation, known as the CpG island methylator phenotype (CIMP), and the finding of increased rates of de novo methylation in some cancer cells that lead to induction of dense methylation in CGIs would provide important information in understanding the mechanisms of CIMP. In liver carcinogenesis, epigenetic-instability-dependent HCC, showing frequent epigenetic aberrations but no chromosomal instability, was newly categorized.

Methylation-sensitive-representational difference analysis (MS-RDA) that was originally developed in this institute identified the peroxiredoxin 2 (PRDX2), a negative regulator of platelet-derived growth factor signaling, as one of the silenced genes in melanoma. Combinatorial analyses of chemical genomic screening using a demethylating agent, 5-aza-2’-deoxycytidine, with expression microarray was also useful to identify genes methylated and silenced in various cancers. These include the very low density lipoprotein receptor (VLDLR) and the MTSS1, a metastasis receptor, in gastric cancer and the UCHL1, a regulator of cellular ubiquitin levels, in colorectal cancer.

Significance of aberrant DNA methylation in multistage carcinogenesis was also investigated in organ specific manner. In kidney, the incidence of methylated CpG islands was significantly higher in non-tumorous renal tissues from patients with renal cell carcinoma (RCC) than in normal renal tissues from patients without RCC. Degree of CpG methylation in non-tumorous renal tissues from RCC patients was correlated with a higher histological grade of corresponding RCCs. Furthermore, degree of CpG methylation in RCCs was correlated with various malignant features of RCCs as well as the poor prognosis of the patients. In pancreas, the incidence and the degree of methylation in tumor-related genes were significantly higher in pancreatic duct epithelia with inflammation or pancreatic intraepithelial neoplasias (PanINs) than in pancreatic duct epithelia without inflammation. Ductal carcinoma showed frequent methylation of the BRCA1, APC, p16 and TIMP-3 genes, where considerable heterogeneity in the degree of methylation was observed. In addition, degree of DNA methylation was correlated with expression level of DNA methyltransferase 1 (DNMT1). These findings indicate that aberrant DNA methylation is involved in multistage carcinogenesis of the kidney and pancreas from a precancerous condition to malignant progression. In human stomach, MS-RDA was applied to intestinal metaplasia (IM) and the ZIK1, ZNF141, KAL1, and FGF14 genes were identified as methylated and down-regulated genes in glands with IM. An independent ZIK1 methylation in physically distant glands in IM suggests that methylation of specific genes could also play a role in disorders with polyclonal origins.

Methylation analyses of specific tumor suppressor genes revealed that the tumor suppressor TSLC1/IGSF4, previously identified in this institute, was inactivated by methylation in 44% of lung ADC, providing a possible indicator of poor prognosis of the patients. Another candidate tumor suppressor, DAL-1/4.1B, that binds to TSLC1/IGSF4, was also frequently methylated in lung ADC as well as RCC. These results coupled with other findings suggest that the cascade including TSLC1/IGSF4 and DAL-1/4/1B as essential components is involved in various cancers as well as spermatogenesis.

Gene expression analysis of human tumors and tumor suppressor cascades.

Expression microarray analyses in combination with laser capture microdissection were performed in various human cancers to categorize tumors into several subtypes or to identify novel tumor markers as well as possible therapeutic targets. Analysis of AML harboring chromosomal translocations revealed that t(8;21)-AML and inv(16)-AML showed very similar profiles in gene expression, suggesting that AML1-MTG8 and CBFb-MYH11 chimeric proteins affect a common cascade of leukemogenesis. Expression profiling of pretreatment biopsy specimens from 33 ESCC patients identified 57 and 120 genes that correlate with short-term and long-term survival, respectively.

An advanced microarray data analysis using a boosted fuzzy classifier could classify ESCC with intramural metastasis, a subtype with poorer prognosis, and identified CDK6 as a possible novel diagnostic marker for ESCC. Gene expression analyses were also performed in surgical specimens from lung ADC, neuroblastoma, soft tissue sarcoma, and gastric cancer to identify profiles specific to each disease. A part of the expression profile data is available at the database (www.gemdbj.nibio.go.jp).
Since altered expression of microRNA (miRNA) would provide another molecular mechanism important in human carcinogenesis, expression profile of miRNA was examined in lung and colon cancers and possible diagnostic and prognostic markers were identified in lung cancer.

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