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Page 51

allied

academies

Journal of Gastroenterology and Digestive Diseases | Volume 3

May 25-26, 2018 | New York, USA

World Liver Conference 2018

A

berrant receptor tyrosine kinase (RTK) signaling is

essential during liver cancer evolution and resistance to

therapies. Using mouse genetics, we recently demonstrated

that a subtle increase of wild-type RTK levels leads to

cancer in sensitive tissues, illustrating how the shift towards

cancerogenesis can stem from a slight perturbation of

signaling dosage. In particular, when the Met RTK is slightly

enhanced in liver, mice (namely Alb-R26

Met

) spontaneously

develop hepatocellular carcinoma (HCC), which belong to

the so called “proliferative progenitors” subclass (

Fan et al.

Hepatology 2017 Nov;66(5):1644-1661

). To uncover new

genes that cooperate with RTKs during tumor initiation, we

combined the clinically-relevant

Alb-R26

Met

mice with the

Sleeping Beauty (SB)

transposon (

T2/ONC)

mutagenesis

system. Whereas neither

Alb-R26

Met

nor T2/onc-Alb-R26SB/+

mice developed tumors at 30 weeks of age,

T2/onc-Alb-

R26SB/

Met

mice (with enhanced Met in liver in addition to

active SB-driven mutagenesis) developed multiple liver

tumors, each carrying distinct genomic insertions. Analysis

of 251 independent tumors led to the identification of 285

putative cancer-related genes: some of them correspond to

knownproto-oncogenesortumorsuppressors,thusvalidating

the overall strategy we employed for cancer gene discovery;

other genes have not previously linked to cancer. Integrative

analysis with human data revealed that a large proportion of

identified genes are also altered in HCC patients. Moreover,

we compared our screen outcomes with those performed

in other tumor-sensitizing contexts and found 71 genes that

emerged specifically in our RTK-sensitized background.

In

vivo

assays established the functional relevance of several

new putative tumor suppressors. Overall, our screen strategy

identifies new functional mechanisms destabilizing liver

homeostasis and illustrates how a subtle increase in wild-

type RTK levels provides a permissive context for several

types of cooperative mechanisms leading to liver tumor

initiation.

A subtle increase in wild-type RTK levels provides a permissive context allowing multiple signaling

cooperators to initiate liver cancer

Y Fan

1

, S K Bazai

1

, F Daian

1

, S Richelme

1

, M Arechederra

1

, A Yim

1

, R Dono

1

, B Habermann

1

, D Largaespada

2

and

F Maina

1

1

Aix-Marseille University-CNRS-Developmental Biology Institute of Marseille (IBDM), Marseille (France)

2

Masonic Cancer Center, University of Minnesota, USA