Abstract | BACKGROUND: The great majority of sporadic vestibular schwannomas (VSs) are due to the mutations of the NF2 gene encoding merlin. Sporadic VSs exhibit variable growth patterns and only a small fraction of the tumours are fast-growing; however, the underlying mechanisms remain undefined. METHODS:
DNA sequencing and dosage analysis were used to identify the NF2 mutation status in sporadic schwannomas. The expression and sub-cellular localization of merlin and p53-MDM2 were assessed by immunoblotting, qRT-PCR and immunofluorescence. In vitro and in vivo studies were performed to reveal the effects of Nutlin-3 (a MDM2 inhibitor) and/or MG-132(a proteasome inhibitor) on schwannomas. The proliferation of schwannoma cells was assessed by CCK-8 assay, EdU staining and Flow cytometry analysis. FINDINGS: Double genetic hits of NF2 tended to occur in fast-growing tumours, characterized by the absence of merlin. The deregulation of p53-MDM2 was demonstrated to mediate merlin-deficient tumour growth, characterized by a nuclear accumulation of stabilized MDM2, contributing to a nuclear export of p53 for degradation. Nutlin-3 blocked the proliferation of schwannoma cells via a cooperative recovery of merlin and p53, accompanied by the shuttling of both proteins from the cytoplasm to the nucleus. We further demonstrated a difference in the sensitivity to Nutlin-3 between schwannoma cells with and without merlin expression. Nutlin-3 combined with MG-132 narrowed this between-group difference and triggered stronger inhibitory effects on the growth of schwannomas through coordinated reactivation of p53. INTERPRETATION: These findings present treatment strategies directed on the pathogenesis of sporadic schwannomas. FUND: National Natural Science Foundation of China.
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Authors | Hongsai Chen, Lu Xue, He Huang, Hantao Wang, Xiaoman Zhang, Weidong Zhu, Zhigang Wang, Zhaoyan Wang, Hao Wu |
Journal | EBioMedicine
(EBioMedicine)
Vol. 36
Pg. 252-265
(Oct 2018)
ISSN: 2352-3964 [Electronic] Netherlands |
PMID | 30274821
(Publication Type: Journal Article)
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Copyright | Copyright © 2018 The Authors. Published by Elsevier B.V. All rights reserved. |
Chemical References |
- Antineoplastic Agents
- Imidazoles
- Piperazines
- Tumor Suppressor Protein p53
- nutlin 3
- Proteasome Endopeptidase Complex
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Topics |
- Animals
- Antineoplastic Agents
(pharmacology)
- Cell Line, Tumor
- Cell Survival
(drug effects, genetics)
- Disease Models, Animal
- Drug Synergism
- Gene Expression Regulation, Neoplastic
- Genes, Neurofibromatosis 2
- High-Throughput Nucleotide Sequencing
- Humans
- Imidazoles
(pharmacology)
- Mice
- Mutation
- Neurilemmoma
(genetics, metabolism, pathology)
- Piperazines
(pharmacology)
- Proteasome Endopeptidase Complex
(metabolism)
- Protein Binding
- Protein Stability
- Proteolysis
- Tumor Suppressor Protein p53
(genetics, metabolism)
- Xenograft Model Antitumor Assays
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