PHF21B as a candidate tumor suppressor gene in head and neck squamous cell carcinomas Silvia R Rogatto Faculty of Medicine – Botucatu – SP AC Camargo Cancer Center – SP – BRAZIL [email protected] National Institutes of Science and Technology - INCT TOTAL:122 SP: 44 INCITO - National Institute of Science and Technology in Oncogenomics Luiz Paulo Kowalski, Sergio Verjovsky-Almeida, Silvia Regina Rogatto, Dirce M Carraro, Helena P Brentani, Maria Izabel W Achatz, Fabio O Ferreira, Ademar Lopes, Eduardo Abrantes, Eduardo N Pereira Lima, Antonio Hugo M Campos, Diogo F C Patrão, Alex Fiorino, Erika M Monteiro Santos, José Vassalo, Samuel Aguiar Junior, Carla Rosenberg, Ana Cristina Krepischi,, Eduardo Moraes Reis, Aline Silva, Maria do Rosário D.O. Latorre, Cristovam Scapulatempo, Alexandra Brentani, Ana Luiza Viana, Paulo E Mangeon Elias, Eliana B de Araujo, André Lopes Carvalho, Edmundo Mauad, Luciano Souza Viana, Marcos Duarte de Mattos, José R Fígaro Caldeira, Rogério H Saad, Maria A Custódio Domingues, Patricia Pintor dos Reis, Claudia A Rainho, Marcos Venício Alves Lima, Sérgio Joaçaba, Rosane Santana, Ilce M de Syllos Cólus, Emmanuel Dias Netto, Diana Noronha Nunes, Fernando Augusto Soares, Maria Mitzi Brentani, Vilma Regina Martins, Glaucia N. Hajj, Tiago G. dos Santos, Michele Christine Landemberger, Elisa Napolitano Ferreira, Bianca Garcia Lisboa, Rafael Malagoli, Martín Roffé, Sandra D. Linde , João Duprat P. Neto Hereditary Cancer Syndromes and Familial Aggregation of Cancer Screening of mutations and copy number variations (CNVs) in Hereditary Cancer Syndrome and Familial Aggregations: Colorectal Cancer - Lynch Syndrome, Breast and Ovarian Carcinoma, Li-Fraumeni Syndrome, Familial Adenomatous Polyposis and Familial Melanoma Exome sequencing, RNAseq and Methylome: sporadic and hereditary tumors - breast , colorectal, head neck, thyroid, melanoma TOTAL - 985 Hallmarks of Hereditary Cancer Predisposition Syndromes Younger patients Family history of cancer: with the same or related types of cancer Multiple primary cancer HNSCC no alcohol and tobacco users 5-10% cases: Hereditary predisposition 2005 D22S273 – 22q13.3 qPCR: loss Family history of HNC OR = 42.6 for current smokers, heavy drinkers with family history 2008 OR = 7.2 among subjects with family history, alcohol and tobacco users 2009 NM_138415 PHF21B 13 exons – PHD zinc finger domain 22q13.3 deletion Shorter survival Family history association 2014 Bertonha et al, 2014 Reis et al, 2002b Reis et al, 2002 LOH in 22q in HNC Putative TSG 2002 Bergamo et al, 2005 1995 Garavello et al, 2008 Lange et al, 2002 Yu et al, 2002 RR=1.97 Foulkes et al, 1995 Cooper et al 1995 RR=3.5 TP16 mutations in two families with HNSCC Familial factors play a role in the etiology of HNC. Negri et al, 2009 1st degree relatives HNSCC History of oral and pharyngeal ca and laryngeal ca is a strong determinant of oral and pharyngeal ca risk, independent from tobacco and alcohol. PHF21B as a putative tumor supressor gene PHF21B encodes the PHD finger protein 21B, composed of 531 amino acids (NP_612424.1) with no previously established function Eligibility criteria absence of previous histological diagnosis of any cancer type tumor larger than 1 cm in size availability of complete clinicopathological data Exclusion Criteria Lip, nasopharynx, thyroid and salivary gland tumors patients having systemic predisposing diseases, such as Epidermolysis bullosa, Xeroderma pigmentosum, Juvenile papillomatosis and Fanconi’s anemia. Familial history of cancer at least 2 first-degree relatives in the family affected with HNC and/or other related cancers age of cancer onset lower than 45 years old in at least one of the affected family members and/or the proband any age at onset when the HNC patient reported no tobacco and/or alcohol consumption or other related well-known etiological factor HNSCC-associated tumors: bladder, uterine/cervical melanoma breast, stomach, (Negri et al., 2009). kidney, cancers urinary and skin 75 HNC patients * 1st degree relatives 40 family history cancer 18: at least 2 affected relatives by HNC 10: at least 1 tobacco associated tumor in affected relatives Other cancer sites: 5 colon* 1 Thyroid* 2 Pancreas* 1 Prostate* 1 Lymphoma 3 Breast* 2 Skin cancer* 10: 1 affected relative with other tumor type than HNC. 7 had at least 1 first degree relative HNC Association between chromosome 22 deletions and family cancer history based on the two- hit hypothesis of tumor suppressor inactivation To investigate potential mechanism of gene inactivation: SANGER SEQUENCING PHF21B mutations were assessed in 26 paired samples (normal and tumor) Exons 6, 7, and 8, encoding for the PHD domain Exons 3, 9 ,10 and 11 The absence of mutations in the PHD domain of the PHF21B gene are in accordance with the literature for other genes encoding proteins containing the same domain, such as the inhibitor of growth (ING) family. Based on this result: the promoter methylation, could be associated with PHF21B down-regulation. transcript variant 1 NM_138415.4 NM_001135862.2 transcript variant 2 transcript variant 3 NM_001242450. The PHF21B gene and its flanking regions are highly GCrich. This island spans 3336 bp, including the 5' region, with the first two exons of this gene overlapping three alternative splicings. Characterization of promoter-associated CpG island of PHF21B REGION 1 overlaps and is associated with an active promoter as suggested by: 1. the enrichment of histone marks (H3K4me3 and H3K27Ac) 2. DNaseI hypersensitive site 3. transcription factor binding sites 4. Pol2 occupancy Breast cancer cell lines HNSCC cell lines Pharmacologic DNA methylation inhibition: High expression levels after 5-AzadC in 2 cell lines Colon cancer cells Effect of epigenetic Biological inhibition: treatment with 5-Aza-dC on PHF21B gene DNA methylation in HCT116 cells was inversely expression correlated with PHF21B gene DKO cells (unmethylated) expressed the gene PHF21B 50% 0% Subcellular distribution of endogenous and transfected PHF21B: Endogenous and transfected PHF21B localize to the nucleus: transcriptional control Cellular resistance to cisplatin Overexpression of PHF21B reduced the migratory ability Homo sapiens complex locus PHF21B, encoding PHD finger protein 21B PHD motif recognizes methylated lysines in histone N-terminal polypeptides PHF21B transcripts potentially produce several proteins with no sequence overlapped Adapted from Lallous N & Ramón-Maiques S (2011) Proteins are expected to have molecular functions (metal ion binding, protein binding, histone mark reader, zinc ion binding) and to localize in nucleus No phenotype has yet been reported to our knowledge in vivo function is yet unknown 2009/50262-6 2012/ 04370-4 Brazilian National Institute of Science and Technology in Oncogenomics (FAPESP 2008/57887- 9 and CNPq 573589/08-9)