TP53, CDKN2A/P16, and NFE2L2/NRF2 regulate the incidence of pure- and combined-small cell lung cancer in mice.

TP53, CDKN2A/P16, and NFE2L2/NRF2 regulate the incidence of pure- and combined-small cell lung cancer in mice.
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DOI:
10.1038/s41388-022-02348-0
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发表时间:
2022-06
期刊:
影响因子:
8
通讯作者:
Weissman, Bernard E.
Weissman, Bernard E.
中科院分区:
医学1区
文献类型:
--
作者:
Hamad, Samera H.;Montgomery, Stephanie A.;Simon, Jeremy M.;Bowman, Brittany M.;Spainhower, Kyle B.;Murphy, Ryan M.;Knudsen, Erik S.;Fenton, Suzanne E.;Randell, Scott H.;Holt, Jeremiah R.;Hayes, D. Neil;Witkiewicz, Agnieszka K.;Oliver, Trudy G.;Ben Major, M.;Weissman, Bernard E.

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Studies have shown that Nrf2E79Q/+ is one of the most common mutations found in human tumors. To elucidate how this genetic change contributes to lung cancer, we compared lung tumor development in a genetically-engineered mouse model (GEMM) with dual Trp53/p16 loss, the most common mutations found in human lung tumors, in the presence or absence of Nrf2E79Q/+. Trp53/p16-deficient mice developed combined-small cell lung cancer (C-SCLC), a mixture of pure-SCLC (P-SCLC) and large cell neuroendocrine carcinoma. Mice possessing the LSL-Nrf2E79Q mutation showed no difference in the incidence or latency of C-SCLC compared with Nrf2+/+ mice. However, these tumors did not express NRF2 despite Cre-induced recombination of the LSL-Nrf2E79Q allele. Trp53/p16-deficient mice also developed P-SCLC, where activation of the NRF2E79Q mutation associated with a higher incidence of this tumor type. All C-SCLCs and P-SCLCs were positive for NE-markers, NKX1–2 (a lung cancer marker) and negative for P63 (a squamous cell marker), while only P-SCLC expressed NRF2 by immunohistochemistry. Analysis of a consensus NRF2 pathway signature in human NE+-lung tumors showed variable activation of NRF2 signaling. Our study characterizes the first GEMM that develops C-SCLC, a poorly-studied human cancer and implicates a role for NRF2 activation in SCLC development.
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