Biological charakterization of the receptors for Transforming Growth Factor-ß

Transforming growth factor-ß (TGF-ß) reguliert eine Vielzahl zellulärer Funktionen, wie Proliferation, Differenzierung und Apoptose. Über membrangebundene Serin/Threonin-Kinase-Rezeptoren werden TGF-ß Signale durch Phosphorylierung an Smad-Proteine, die intrazellulären Signaltransduktoren, weitergeleitet, die im Kern die Transkription spezifischer Gene modulieren. Obwohl die drei TGF-ß Isoformen, TGF-ß1, -ß2 und -ß3, äußerst homologe Proteine sind, unterscheiden sich die Phänotypen ihrer Genknockouts stark. Variabilität und Spezifität können auf vielerlei Arten und Ebenen der TGF-ß Signalübertragung erreicht werden. In der vorliegenden Arbeit wird eine alternativ gespleißte Variante des TGF-ß Typ II Rezeptors (TßRII), TßRII-B, charakterisiert. Dieser Rezeptor ist, im Gegensatz zum bisher bekannten TßRII, in der Lage alle drei TGF-ß Isoformen hochaffin zu binden und in Abwesenheit eines unterstützenden Typ III Rezeptors (TßRIII) Signale über den Smad-Pathway weiterzuleiten. TßRII-B ist außerdem fähig ligandenabhängig mit den verschiedenen TGF-ß Rezeptortypen zu Oligomerisieren. Erste Hinweise auf Besonderheiten der TGF-ß2 Bindung an TßRII-B wurden mittels verschiedener zellbiologischer Ansätzen gewonnen. Aus Untersuchungen zur gewebespezifischen Expression des Rezeptors geht hervor, daß TßRII-B, im Vergleich zu TßRII, ein distinktes Expressionsmuster aufweist und v.a. in TGF-ß2-beeinflußten Geweben nachgewiesen werden kann. In diesen Erkenntnissen spiegelt sich die Bedeutung dieses Rezeptors für eine TGF-ß Isoform-spezifische Signalübertragung wider. Der zweite Teil der vorliegenden Arbeit beschäftigt sich mit der Rolle von TGF-ß und seinen Rezeptoren bei der Entstehung von Tumoren. B-Zellen einiger Patienten mit chronischer lymphatischer Leukämie (B-CLL), der häufigsten Form adulter Leukämie in westlichen Ländern, zeigen Resistenz gegenüber TGF-ß-vermittelter Wachstumsinhibierung und ein verändertes Expressionsmuster der TGF-ß Rezeptoren an ihrer Zelloberfläche. In dieser Arbeit wird die Identifizierung und Charakterisierung zweier Mutationen innerhalb der putativen Signalpeptidsequenz des TGF-ß Typ I Rezeptors (TßRI) in B-Zellen TGF-ß resistenter CLL-Patienten beschrieben. Hierbei handelt es sich um einen Aminosäure-Austausch (L12Q) und eine ‚in-frame‘ Alanin-Deletion (A8) innerhalb einer aus 9 Alaninen bestehenden Sequenz. Es konnte gezeigt werden, daß diese Mutationen zwar keinen Einfluß auf Oberflächenexpression und Komplexbildungseigenschaften des TßRI haben, jedoch TGF-ß stimulierte Reportergeninduktion verringern, was eine kausale Beziehung bei der Entwicklung TGF-ß resistenter B-CLL-Zellen vermuten läßt. Ein Auftreten von Mutationen innerhalb der 9-Alanin-Sequenz des TßRI korreliert mit TGF-ß Insensitivität von B-CLL Zellen. Obwohl noch weitere Studien benötigt werden, um den präzisen molekularen Mechanismus zu verstehen, der zu TGF-ß Resistenz in B-CLL Zellen führt, kann spekuliert werden, daß TßRI Mutationen das Voranschreiten von B-CLL und evtl. anderen Tumorarten unterstützen. Gezieltes Screenen nach TßRI Signalpeptidsequenz Mutationen könnte demnach als prognostischer Indikator für Tumorprogression eingesetzt werden.Transforming growth factor-ß (TGF-ß) regulates a variety of cellular functions like proliferation, differentiation and apoptosis. It signals through membrane-bound serine/threonine kinase receptors, which upon stimulation phosphorylate Smad proteins, the intracellular signaltransducers, and thereby trigger their nuclear translocation and transcriptional activity. Although the three mammalian TGF-ß isoforms, TGF-ß1, -ß2 and –ß3, are highly homologous proteins, the phenotypes of their genknockouts reveal striking differences. Variability and specificity can be achieved on different levels of the TGF-ß signaltransduction. In this work an alternatively spliced variant of the TGF-ß type II receptor (TßRII), TßRII-B, is characterized, which in contrast to TßRII binds and mediates signaling of all TGF-ß isoforms. This signaling occurs via the Smad pathway and is independent of any supporting type III receptor (TßRIII). Therefore interaction and oligomerization of TßRII-B with the TGF-ß isoforms as well as the different TGF-ß receptor types was analyzed in detail. Furthermore we defined the characteristics of TGF-ß2 binding to TßRII-B. Expression studies demonstrate that TßRII-B expression is restricted to cells originating from tissues where the TGF-ß2 isoform has a predominant role. All that reflects the importance of this receptor splice-variant in TGF-ß isoform-specific signaling. The second part of this work focuses on the role of TGF-ß and its receptors in tumor development. B cell chronic lymphocytic leukemia (B-CLL) is the most common lymphoid cancer in Western societies, and is also currently incurable. B-cells from some B-CLL patients are resistant to the growth inhibitory effects of TGF-ß and show a different expression pattern of TGF-ß receptors at their cell surface. In this work the identification and characterization of two mutations within the putative signal sequence of the tßrI gene in B-cells from TGF-ß resistant B-CLL patients is described. Thereby a single aminoacid substitution (L12Q) is accompanied by an ‘in frame’ single alanine deletion within an 9-alanine stretch. It could be shown that this mutations do not mediate the apparent loss of functional TßRI in TGF-ß resistant B-CLL, but they attenuate reporter gene induction stimulated by TGF-ß, suggesting a causal relationship in the development of TGF-ß resistant B-CLL. The appearance of mutations within the 9-alanine stretch of the TßRI correlated with and predicted for B-CLL patient insensitivity to TGF-ß. Although more studies are needed to ascertain the precise molecular mechanism leading to TGF-ß resistance in B-CLL cells, it is tempting to speculate that these TßRI mutations may promote the progression of B-CLL and other cancers from their indolent to active states. This suggests that screening for TßRI signal sequence mutations can be employed as a prognostic indicator of B-CLL patient sensitivity to TGF-ß

CCND1/CyclinD1 status in metastasizing bladder cancer: a prognosticator and predictor of chemotherapeutic response

The CCND1 gene encodes the protein CyclinD1, which is an important promoter of the cell cycle and a prognostic and predictive factor in different cancers. CCND1 is amplified to a substantial proportion in various tumors, and this may contribute to CyclinD1 overexpression. In bladder cancer, information about the clinical relevance of CCND1/CyclinD1 alterations is limited. In the present study, amplification status of CCND1 and expression of CyclinD1 were evaluated by fluorescence in situ hybridization and immunohistochemistry on tissue microarrays from 152 lymph node-positive urothelial bladder cancers (one sample each from the center and invasion front of the primary tumors, two samples per corresponding lymph node metastasis) treated by cystectomy and lymphadenectomy. CCND1 amplification status and the percentage of immunostained cancer cells were correlated with histopathological tumor characteristics, cancer-specific survival and response to adjuvant chemotherapy. CCND1 amplification in primary tumors was homogeneous in 15% and heterogeneous in 6% (metastases: 22 and 2%). Median nuclear CyclinD1 expression in amplified samples was similar in all tumor compartments (60-70% immunostained tumor nuclei) and significantly higher than in non-amplified samples (5-20% immunostained tumor nuclei; P<0.05). CCND1 status and CyclinD1 expression were not associated with primary tumor stage or lymph node tumor burden. CCND1 amplification in primary tumors (P=0.001) and metastases (P=0.02) and high nuclear CyclinD1 in metastases (P=0.01) predicted early cancer-related death independently. Subgroup analyses showed that chemotherapy was particularly beneficial in patients with high nuclear CyclinD1 expression in the metastases, whereas expression in primary tumors and CCND1 status did not predict chemotherapeutic response. In conclusion, CCND1 amplification status and CyclinD1 expression are independent risk factors in metastasizing bladder cancer. High nuclear CyclinD1 expression in lymph node metastases predicts favorable response to chemotherapy. This information may help to personalize prognostication and administration of adjuvant chemotherapy

Her2 amplification is significantly more frequent in lymph node metastases from urothelial bladder cancer than in the primary tumours

Her2, an alias for the protein of v-erb-b2 erythroblastic leukemia viral oncogene homolog 2, neuro/glioblastoma derived oncogene homolog (avian), might be an attractive therapeutic target in metastasising bladder cancer. Genotype and phenotype of primary tumours and their metastases may differ

Type III TGF-β receptor-independent signalling of TGF-β2 via TβRII-B, an alternatively spliced TGF-β type II receptor

Transforming growth factor-β (TGF-β) signals through membrane-bound serine/threonine kinase receptors, which upon stimulation phosphorylate Smad proteins and thereby trigger their nuclear translocation and transcriptional activity. Although the three mammalian isoforms of TGF-β are highly homologous at the level of sequence, analysis of their in vivo function by gene knockouts revealed striking differences, suggesting no significant functional redundancy between TGF-β1, -2 and -3. While signal transduction by TGF-β1 has been well characterized, receptor binding and activation by the TGF-β2 isoform is less well understood. Here, we show that TβRII-B, an alternatively spliced variant of the TGF-β type II receptor, is a TGF-β2 binding receptor, which mediates signalling via the Smad pathway in the absence of any TGF-β type III receptor (TβRIII). L6 cells lacking endogenous TβRIII as well as TβRII-B do not respond to TGF-β2. Transfection of these cells with TβRII-B restores TGF-β2 sensitivity. The expression of TβRII-B is restricted to cells originating from tissues such as bone where the isoform TGF-β2 has a predominant role. This reflects the importance of this receptor in TGF-β isoform-specific signalling

Prevalence and prognostic significance of TMPRSS2-ERG gene fusion in lymph node positive prostate cancers.

BACKGROUND TMPRSS2-ERG gene fusion is the most frequent genetic alteration in prostate cancer. However, information about its distribution in lymph node positive prostate cancers and the prognostic significance in these advanced tumors is unknown. METHODS Gene fusion status was determined by fluorescence in situ hybridization on a tissue-microarray constructed from 119 hormone-naïve nodal positive, surgically treated prostate cancers containing samples from the primary tumors and corresponding lymph node metastases. Data were correlated with various tumor features (Gleason score, stage, cancer volume, nodal tumor burden) and biochemical recurrence-free, disease-specific, and overall survival. RESULTS TMPRSS2-ERG fusion was detected in 43.5% of the primary tumors. Conversely, only 29.9% of the metastasizing components showed the fusion. Concordance in TMPRSS2-ERG status between primary tumors and metastases was 70.9% (Kappa 0.39); 20.9% and 8.1% of the patients showed the mutation solely in their primary tumors and metastases, respectively. TMPRSS2-ERG fusion was not correlated with specific histopathological tumor features but predicted favorable biochemical recurrence-free, disease-specific and overall survival independently when present in the primary tumor (P < 0.05 each). CONCLUSION TMPRSS2-ERG fusion is more frequent in primary prostate cancer than in corresponding metastases suggesting no selection of fusion-positive cells in the metastatic process. The gene fusion in primary tumors independently predicts favorable outcome

Morphological and molecular characteristics of HER2 amplified urothelial bladder cancer.

Several (pre-) clinical trials are currently investigating the benefit of HER2-targeted therapy in urothelial bladder cancer (UBC). Patients with HER2 amplified UBC could potentially profit from these therapies. However, little is known about histomorphology, HER2 protein expression patterns and occurrence of alterations in the HER2 gene in their tumors. Among 150 metastasizing primary UBC, 13 HER2 amplified tumors were identified. Their histopathological features were compared with 13 matched, non-amplified UBC. HER2 protein expression was determined by immunohistochemistry. The 26 tumors were screened for mutations in exons 19 and 20 of the HER2 gene. UBC with HER2 amplification presented with a broad variety of histological variants (median 2 vs. 1), frequently featured micropapillary tumor components (77 % vs. 8 %) and demonstrated a high amount of tumor associated inflammation. Immunohistochemically, 10 of 13 (77 %) HER2 amplified tumors were strongly HER2 protein positive. Three tumors (23 %) were scored as HER2 negative. One of the HER2 amplified tumors harbored a D769N mutation in exon 19 of the HER2 gene; all other tested tumors were wild type. In conclusion, HER2 amplified UBC feature specific morphological characteristics. They frequently express the HER2 protein diffusely and are, therefore, promising candidates for HER2 targeted therapies. The detection of mutations at the HER2 locus might add new aspects to molecular testing of UBC

Her2 alterations in muscle-invasive bladder cancer: Patient selection beyond protein expression for targeted therapy.

Although the introduction of novel targeted agents has improved patient outcomes in several human cancers, no such advance has been achieved in muscle-invasive bladder cancer (MIBC). However, recent sequencing efforts have begun to dissect the complex genomic landscape of MIBC, revealing distinct molecular subtypes and offering hope for implementation of targeted therapies. Her2 (ERBB2) is one of the most established therapeutic targets in breast and gastric cancer but agents targeting Her2 have not yet demonstrated anti-tumor activity in MIBC. Through an integrated analysis of 127 patients from three centers, we identified alterations of Her2 at the DNA, RNA and protein level, and demonstrate that Her2 relevance as a tumor driver likely may vary even within ERBB2 amplified cases. Importantly, tumors with a luminal molecular subtype have a significantly higher rate of Her2 alterations than those of the basal subtype, suggesting that Her2 activity is also associated with subtype status. Although some of our findings present rare events in bladder cancer, our study suggests that comprehensively assessing Her2 status in the context of tumor molecular subtype may help select MIBC patients most likely to respond to Her2 targeted therapy