TuMoR SuPPRESSOR GENES IN HuMAN CANCER CANCER DRUG DISCOVERY AND DEVELOPMENT Beverly A. Teicher, Series Editor Thmor Suppressor Genes in Human Cancer, edited by David E. Fisher, 2001 Matrix Metalloproteinase Inhibitors in Cancer Therapy, edited by Neil J. Clendeninn and KrzysztofA ppelt, 2001 Farnesyltransferase Inhibitors in Cancer and Cardiovascular Therapy, edited by Said M Sebti and Andrew Hamilton, 2001 Platinum-Based Drugs in Cancer Therapy, edited by Lloyd R. Kelland and Nicholas P. Farrell, 2000 Apoptosis and Cancer Chemotherapy, edited by John A. Hickman and Caroline Dive, 1999 Signal Transduction and Cell Cycle Inhibitors in Cancer Therapy, edited by J. Silvio Gufkind, 1999 Antifolate Drugs in Cancer Therapy, edited by Ann L. Jackman, 1999 Antiangiogenic Agents in Cancer Therapy, edited by Beverly A. Teicher, 1999 Anticancer Drug Development Guide: Preclinical Screening, Clinical Trials, and Approval, edited by Beverly A. Teicher, 1997 Cancer Therapeutics: Experimental and Clinical Agents, edited by Beverly A. Teicher, 1997 TUMOR SUPPRESSOR GENES IN HUMAN CANCER Edited by E. DAVID FISHER, MD, PhD Dana Farber Cancer Institute, Harvard Medical School, Boston, .MA * Springer Science+ Business Media, LLC © 2001 Springer Science+Business Media New York Originally published by Humana Press Inc. in 2001. Softcover reprint of the hardcover 1st edition 2001 For additional copies, pricing for bulk purchases, and/or information about other Humana titles, contact Humana at the above address or at any of the following numbers: Tel: 973-256-1699; Fax: 973-256-8341; Email:[email protected] or visit our Website at http:/l humanapress.com All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise without written permission from the Publisher. All articles, comments, opinions, conclusions, or recommendations are those of the author( s) , and do not necessarily reflect the views of the publisher. Cover illustration: The cover shows the histologic appearance of a Wilm's tumor stained with hematoxylin and eosin (purple) or immunostained for the Wilm's tumor suppressor protein (black and white inset). Cover photos were generously provided by Scott Granter, MD, Department of Pathology, Brigham and Women's Hospital, Boston, MA. Cover design by Patricia F. Cleary. Due diligence has been taken by the publishers, editors, and authors oft his book to ensure the accuracy of the information published and to describe generally accepted practices. The contributors herein have carefully checked to ensure that the drug selections and dosages set forth in this text are accurate in accord with the standards accepted at the time of publication. Notwithstanding, as new research, changes in government regulations, and knowledge from clinical expe rience relating to drug therapy and drug reactions constantly occurs, the reader is advised to check the product information provided by the manufacturer of each drug for any change in dosages or for additional warnings and contraindications. This is of utmost importance when the recommended drug herein is a new or infrequently used drug. It is the respon sibility of the health care provider to ascertain the Food and Drug Administration status of each drug or device used in their clinical practice. The publisher, editors, and authors are not responsible for errors or omissions or for any conse quences from the application of the information presented in this book and make no warranty, express or implied, with respect to the contents in this publication. For additional copies, pricing for bulk purchases, and/or information about other Humana titles, contact Humana at the above address or at any of the following numbers: Tel.: 973-256-1699; Fax: 973-256-8341; E-mail: [email protected] or visit our Website: http://humanapress.com This publication is printed on acid-free paper.~ ANSI Z39.48-1984 (American National Standards Institute) Permanence of Paper for Printed Library Materials. Photocopy Authorization Policy: Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Springer Science+B usiness Media, LLC ., provided that the base fee of US $8.00 per copy, plus US $00.25 per page, is paid directly to the Copyright Clearance Center at 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license from the CCC, a separate system ofp ayment has been arranged and is acceptable to Springer Science+Business Media, LLC. The fee code for users of the Transactional Reporting Service is: [0-89603-807-6/0 I $8.00 + $00.25]. Library of Congress Cataloging-in-Publication Data Tumor suppressor genes in human cancer I edited by David E. Fisher. p.; cm.--(Cancer drug discovery and development) Includes bibliographical references and index. ISBN 978-1-61737-198-1 ISBN 978-1-59259-230-2 (eBook) DOI 10.1007/978-1-59259-230-2 I. Antioncogenes. I. Fisher, David E. (David Erich) II. Series. [DNLM: I. Genes, Suppressor, Tumor. 2. neoplasms--genetics. QZ 202 T9248 2000] RC268.43 .T8634 2000 00-027593 61699'4042--dc21 CIP PREFACE The war against cancer has seen enormous successes, but also painful frustra tion. While rnaj or conceptual breakthroughs have been made in our understanding of how cell proliferation is regulated, the translation of this information into effective treatment discoveries has lagged terribly behind. Modern molecular oncology has begun to inch closer to treatment-related questions because the pathways under study are now known to regulate events such as cell death, the precise goal of cancer treatment. Because tumor suppressor biology has not yet translated into a therapy-oriented discipline, the purpose of Tumor Suppressor Genes in Human Cancer is to present a view of the current field which simulta neously highlights the clinically relevant directions which have already emerged while stimulating the discovery of new ones. Through the detailed presentation of tumor suppressor genes with a molecular biological and genetic perspective, two paradigms emerge: 1) a finite number of discrete pathways exist into which tumor suppressors and dominant oncogenes reside and 2) cancer biology rests heavily on both regulators of cell proliferation and cell death. In the current climate of informatics, genomics, and molecularly driven drug discovery, cancer research holds greater promise than ever. Tumor Suppressor Genes in Human Cancer first sets the stage by presenting the back ground of systems for the study of tumor suppressor genes as well as the fields of apoptotic cell death and cancer drug discovery. The second section of Tumor Suppressor Genes in Human Cancer proceeds to present detailed analyses of major tumor suppressors and, most important, the pathways into which they fit. The intended audience is the student of cancer biology, from those engaged in graduate or medical education to clinicians or drug development professionals seeking to understand the context of cancer cell biology and its promise for thera peutic gains in the coming years. The concept that individual genes underlie the biology of malignant transfor mation hearkens back to the early 1900s with the discovery by Peyton Rous of avian sarcomas that were caused by infectious viruses. Many decades later, the identification of the Src oncogene placed into focus the notion of the dominant oncogene, a factor whose inappropriate activation confers cellular changes asso ciated with malignant transformation. Alfred Knudsen predicted the existence of a second class of oncogenes whose contribution to cancer is recessively inherited. His hypothesis was based upon clinical observations of cancer risk in familial cancer inheritance patterns and the notion that disease predisposition may repre sent a multi-hit phenomenon with loss-of-function mutations contributing to the malignant phenotype. Thus the concept of tumor suppressor gene was born and has been abundantly validated by observations that span bench to bedside. The most striking validation of the tumor suppressor concept comes from the discovery of inactivating mutations or deletions of candidate genes in cancer v vi Preface prone families. Originally discovered for retinoblastoma, the list has been dra matically extended to include p53, pl6/Ink4a/ARF, the NF family, DNA mis match repair genes, Wilms, von Hippel Lindau, Fanconi Anemia, and other genes. In these cases heterozygous germline disruption of a single allele is associated with cancer predisposition in affected family members. Loss of heterozygosity is frequently observed at the genetic locus within tumors that develop in affected individuals. Mechanisms for tumor suppressor inactivation are diverse and are still being discovered today. For example, in addition to traditional loss of func tion mutations or deletions, the more recently appreciated inactivating mecha nisms include transcriptional silencing (e.g., p16/lnk4a), targeted protein degradation (e.g., p53), and functional disruption oft umor suppressing gene activi ties (e.g., bcl-2 or Mdm2). These diverse mechanisms of tumor suppressor inac tivation highlight one of the most striking breakthroughs in cancer biology, the discovery of discrete pathways in which dominantly acting and tumor suppress ing genes converge. The functional convergence ofd ominant oncogenes and tumor suppressor genes in cellular growth or survival pathways represents such a powerful clue in the puzzle of carcinogenesis that the ability to fit into a known growth regulatory pathway has become a virtual requirement for a gene's acceptance as a true cancer modifier. Moreover much of the data defining these interactions stemmed from the convergence of clinically derived questions with more basic laboratory sci ence. For example, the retinoblastoma tumor suppressor was found to be targeted by multiple dominant oncogenes discovered through the analysis of animal DNA tumor viruses. The e~istence of additional interactions between tumor suppres sors and dominant oncogenes has cemented the notion that key cellular pathways produce the phenotypes associated with cancer, and the homeostatic regulators of these pathways are potent and common targets of carcinogenic disruption. The pathways that tumor suppressor genes modulate in cancer have been found to cluster around regulation of the cell cycle, cell death, growth factor signaling, DNA damage responses, and other stress responses. Nearly all tumor suppressors are thought to act through modulation of one (or several) of these pathways. Cell cycle regulation has been the traditional pathway thought to be targeted in the etiology of cancer. More recent observations have added a dramatic new dimen sion to this view in suggesting that cell survival pathways exist as distinct, geneti cally selected entities and may profoundly influence behaviors we associate with malignancy. Either dysregulated growth or inefficient death (or both) are strongly associated with tumorigenesis. The current revolution in molecular oncology has been fueled largely by the ability to place individual cancer genes within such functional pathways ofknown importance. Perhaps more important, these func tional classifications have in some cases led to investigations that relate more than ever before to cancer treatment. The study of cancer cell death carries with it the hope of intervening in the very same process for therapeutic benefit. Rarely has a field of fundamental basic Preface vii science become so mainstream in biologic inquiry while simultaneously focusing on questions of direct therapeutic importance. The interface between research on cell death and clinical ramifications of that work is well illustrated by the actions of tumor suppressor genes, many of which are now recognized to regulate cell survival. Tumor Suppressor Genes in Human Cancer is not an attempt to fully synthe size cancer biology and treatment, since the field has not arrived at a stage where such a synthesis is yet possible. However the convergence of new technologies suggests that the coming years will begin to see treatment discoveries more directly interface with basic research. Genomics and systematic gene expression tech nologies will provide thorough catalogs of information whose discovery cur rently occupies substantial research effort. Linkage of these catalogs to clinical data including treatment responses (pharmacogenomics) promises to dramati cally alter drug discovery and treatment design. The pillar of this revolution is the basic biology of disease, and tumor suppressor genes lie at the core of that pillar. David E. Fisher CONTENTS Preface ............................................................................................................................ v Contributors ................................................................................................................... xi PART I. ANALYSIS AND CLINICAL IMPLICATIONS OF TUMOR SuPPRESSOR GENES 1 Animal Models for Tumor Suppressor Genes ................................. 3 Jordan A. Kreidberg and Thomas A. Natoli 2 Viral Oncoproteins as Probes for Tumor Suppressor Function ..... 29 Srikumar P. Chellappan 3 Tumor Suppressors in Metastasis ................................................... 49 Taoujik Ouatas, Melanie T. Hartsough, and Patricia S. Steeg 4 Apoptosis: Machinery ofC ell Death in Development and Cancer .... 79 Jinyan Du and David E. Fisher 5 Drug Discovery in Oncology ........................................................ 10 3 Alex Matter PART II. TUMOR SUPPRESSOR pATHWAYS 6 Retinoblastoma Protein in Growth Control and Differentiation ................................................................ , ... 131 Lilia Stepanova and J. Wade Harper 7 p53 Tumor Suppressor Protein ..................................................... 159 Margaret Ashcroft and Karen H. Vousden 8 p16 Tumor Suppressor .................................................................. 183 Alexander Kamb and Ken McCormack 9 DNA Mismatch Repair in Tumor Suppression ............................ 197 Guo-Min Li, Scott McCulloch, and Liya Gu 10 PTEN: Regulator ofP hosphoinositide 3-Kinase Signal Transduction .................................................................. 231 Jen Jen Yeh and William R. Sellers 11 Neurofibromatoses ........................................................................ 253 Andre Bernards and Andrea I. McClatchey 12 Von Hippel-Lindau Disease: Clinical and Molecular Aspects ... 281 Othon lliopoulos and William G. Kaelin, Jr. 13 Wilms' Tumor: A Developmental Anomaly ................................. 307 Aswin L. Menke and Nick D. Hastie 14 Fanconi Anemia Pathway and Cancer Susceptibility .................. 351 Yanan Kuang, Irene Garcia-Higuera, Eric Nisbet-Brown, Anna Savoia, and Alan D. D'Andrea Index ........................................................................................................................... 371 ix CONTRIBUTORS MARGARET AsHCROFT, PHD • ABL Basic Research Program, NCI-FCRDC, Frederick, MD ANDRE BERNARDS, PHD • Massachusetts General Hospital Cancer Center and Harvard Medical School, Charlestown, MA SRIKUMAR P. CHELLAPPAN, PHD • Department of Pathology, College of Physicians and Surgeons, Columbia University, New York, NY ALAN D. D'ANDREA, MD • Division of Pediatric Oncology, Dana Farber Cancer Institute, and Department ofP ediatrics, Harvard Medical School, Boston, MA JINY AN Du • Division ofP ediatric Hematology and Oncology and Graduate Program in Biological and Biomedical Sciences, Harvard Medical School, Children's Hospital, and Dana Farber Cancer Institute, Boston, MA DAVID E. FISHER, MD, PHD • Division of Pediatric Hematology and Oncology and Graduate Program in Biological and Biomedical Sciences, Harvard Medical School, Children's Hospital, and Dana Farber Cancer Institute, Boston, MA IRENE GARCIA-HIGUERA, PHD • Division of Pediatric Oncology, Dana Farber Cancer Institute, and Department ofP ediatrics, Harvard Medical School, Boston, MA LIY A Gu, PHD • Department of Pathology and Laboratory Medicine, University ofK entucky, Lexington, KY J. WADE HARPER, PHD • Verna and Marrs McLean Department ofB iochemistry, Baylor College ofM edicine, Houston, TX MELANIE T. HARTSOUGH, PHD • Women's Cancers Section, Laboratory of Pathology, Division of Clinical Sciences, National Cancer Institute, Bethesda, MD NICK D. HASTIE, PHD • MRC Human Genetics Unit, Western General Hospital, Edinburgh, UK 0THON ILIOPOULOS, MD • Dana Farber Cancer Institute and Harvard Medical School, Boston, MA WILLIAM G. KAELIN, JR., MD • Howard Hughes Medical Institute, Boston, MA ALEXANDER KAMB, PHD • Arcaris, Salt Lake City, UT JoRDAN A. KREIDBERG, MD, PHD • Department of Medicine, Children's Hospital, and Department ofP ediatrics, Harvard Medical School, Boston , MA Y ANAN KuANG, PHD • Division ofP ediatric Oncology, Dana Farber Cancer Institute, and Department ofP ediatrics, Harvard Medical School, Boston, MA Guo-MIN LI, PHD • Department ofP athology and Laboratory Medicine, Markey Cancer Center, and the Graduate Center for Toxicology, and Multidisciplinary Ph.D. Program in Nutritional Sciences, University ofK entucky, Lexington, KY ALEX MATTER, MD • Oncology Research, Novartis Pharma AG, Basel, Switzerland ANDREA I. McCLATCHEY, PHD • Massachusetts General Hospital Cancer Center and Harvard Medical School, Charlestown, MA KEN McCoRMACK, PHD • Arcaris, Salt Lake City, UT ScoTT McCuLLOCH, PHD • Graduate Center for Toxicology, University of Kentucky, Lexington, KY AswiN L. MENKE, PHD • MRC Human Genetics Unit, Western General Hospital, Edinburgh, UK xi xii Contributors THOMAS A. NATOLI, PHD • Department ofMedicine, Children's Hospital, and Department ofP ediatrics, Harvard Medical School, Boston, MA ERIC NISBET-BROWN, MD, PHD • Division ofP ediatric Oncology, Dana Farber Cancer Institute, and Department ofP ediatrics, Harvard Medical School, Boston, MA TAOUFIK OuATAS, PHD • Women's Cancers Section, Laboratory ofP athology, Division of Clinical Sciences, National Cancer Institute, Bethesda, MD ANNA SAVOIA, MD • Division of Pediatric Oncology, Dana Farber Cancer Institute, and Department ofP ediatrics, Harvard Medical School, Boston, MA WILLIAM R. SELLERS, MD • The Departments ofA dult Oncology and Internal Medicine, Dana Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, Boston, MA PATRICIA S. STEEG, PHD • Women 's Cancers Section, Laboratory ofP athology, Division of Clinical Sciences, National Cancer Institute, Bethesda, MD LILIA STEPANOVA, PHD • Verna and Marrs McLean Department of Biochemistry, Baylor College ofM edicine, Houston, TX KAREN H. VousDEN, PHD • ABL Basic Research Program, NCI-FCRDC, Frederick, MD JEN JEN YEH, MD • The Departments of Adult Oncology and Internal Medicine, Dana Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, and the Department ofS urgery, Boston University Medical Center, Boston, MA