HDAC6 differentially regulates autophagy in stem-like versus differentiated cancer cells
AUTOPHAGY
Authors: Sharif, Tanveer; Martell, Emma; Dai, Cathleen; Ghassemi-Rad, Mohammad Saleh; Hanes, Mark Robert; Murphy, Patrick J.; Margam, Nandini N.; Parmar, Hirendrasinh B.; Giacomantonio, Carman A.; Duncan, Roy; Lee, Patrick W. K.; Gujar, Shashi
Abstract
Cancer stem-like cells (CSCs), a small population of pluripotent cells residing within heterogeneous tumor mass, remain highly resistant to various chemotherapies as compared to the differentiated cancer cells. It is being postulated that CSCs possess unique molecular mechanisms, such as autophagic homeostasis, that allow CSCs to withstand the therapeutic assaults. Here we demonstrate that HDAC6 inhibition differentially modulates macroautophagy/autophagy in CSCs as compared to that of differentiated cancer cells. Using human and murine CSC models and differentiated cells, we show that the inhibition or knockdown (KD) of HDAC6 decreases CSC pluripotency by downregulating major pluripotency factors POU5F1, NANOG and SOX2. This decreased HDAC6 expression increases ACTB, TUBB3 and CSN2 expression and promotes differentiation in CSCs in an apoptosis-independent manner. Mechanistically, HDAC6 KD in CSCs decreases pluripotency by promoting autophagy, whereas the inhibition of pluripotency via retinoic acid treatment, POU5F1 or autophagy-related gene (ATG7 and ATG12) KD in CSCs decreases HDAC6 expression and promotes differentiation. Interestingly, HDAC6 KD-mediated CSC growth inhibition is further enhanced in the presence of autophagy inducers Tat-Beclin 1 peptide and rapamycin. In contrast to the results observed in CSCs, HDAC6 KD in differentiated breast cancer cells downregulates autophagy and increases apoptosis. Furthermore, the autophagy regulator p-MTOR, upstream negative regulators of p-MTOR (TSC1 and TSC2) and downstream effectors of p-MTOR (p-RPS6KB and p-EIF4EBP1) are differentially regulated in CSCs versus differentiated cancer cells following HDAC6 KD. Overall these data identify the differential regulation of autophagy as a molecular link behind the differing chemo-susceptibility of CSCs and differentiated cancer cells.
TSC2pathogenic variants are predictive of severe clinical manifestations in TSC infants: results of the EPISTOP study
GENETICS IN MEDICINE
Authors: Ogorek, Barbara; Hamieh, Lana; Hulshof, Hanna M.; Lasseter, Kathryn; Klonowska, Katarzyna; Kuijf, Hugo; Moavero, Romina; Hertzberg, Christoph; Weschke, Bernhard; Riney, Kate; Feucht, Martha; Scholl, Theresa; Krsek, Pavel; Nabbout, Rima; Jansen, Anna C.; Benova, Barbora; Aronica, Eleonora; Lagae, Lieven; Curatolo, Paolo; Borkowska, Julita; Sadowski, Krzysztof; Domanska-Pakiela, Dorota; Janson, Stef; Kozlowski, Piotr; Urbanska, Malgorzata; Jaworski, Jacek; Jozwiak, Sergiusz; Jansen, Floor E.; Kotulska, Katarzyna; Kwiatkowski, David J.
Abstract
Purpose To perform comprehensive genotyping ofTSC1andTSC2in a cohort of 94 infants with tuberous sclerosis complex (TSC) and correlate with clinical manifestations. Methods Infants were enrolled at age <4 months, and subject to intensive clinical monitoring including electroencephalography (EEG), brain magnetic resonance imaging (MRI), and neuropsychological assessment. Targeted massively parallel sequencing (MPS), genome sequencing, and multiplex ligation-dependent probe amplification (MLPA) were used for variant detection inTSC1/TSC2. Results Pathogenic variants inTSC1orTSC2were identified in 93 of 94 (99%) subjects, with 23 inTSC1and 70 inTSC2. Nine (10%) subjects had mosaicism. Eight of 24 clinical features assessed at age 2 years were significantly less frequent in those withTSC1versusTSC2variants including cortical tubers, hypomelanotic macules, facial angiofibroma, renal cysts, drug-resistant epilepsy, developmental delay, subependymal giant cell astrocytoma, and median seizure-free survival. Additionally, quantitative brain MRI analysis showed a marked difference in tuber and subependymal nodule/giant cell astrocytoma volume forTSC1versusTSC2. Conclusion TSC2pathogenic variants are associated with a more severe clinical phenotype than mosaicTSC2orTSC1variants in TSC infants. Early assessment of gene variant status and mosaicism might have benefit for clinical management in infants and young children with TSC.