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TPL2 enforces RAS-induced inflammatory signaling and is activated by point mutations
Paarth B. Dodhiawala, … , Andrea Wang-Gillam, Kian-Huat Lim
Paarth B. Dodhiawala, … , Andrea Wang-Gillam, Kian-Huat Lim
Published June 23, 2020
Citation Information: J Clin Invest. 2020;130(9):4771-4790. https://doi.org/10.1172/JCI137660.
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Research Article Inflammation Oncology

TPL2 enforces RAS-induced inflammatory signaling and is activated by point mutations

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Abstract

NF-κB transcription factors, driven by the IRAK/IKK cascade, confer treatment resistance in pancreatic ductal adenocarcinoma (PDAC), a cancer characterized by near-universal KRAS mutation. Through reverse-phase protein array and RNA sequencing we discovered that IRAK4 also contributes substantially to MAPK activation in KRAS-mutant PDAC. IRAK4 ablation completely blocked RAS-induced transformation of human and murine cells. Mechanistically, expression of mutant KRAS stimulated an inflammatory, autocrine IL-1β signaling loop that activated IRAK4 and the MAPK pathway. Downstream of IRAK4, we uncovered TPL2 (also known as MAP3K8 or COT) as the essential kinase that propels both MAPK and NF-κB cascades. Inhibition of TPL2 blocked both MAPK and NF-κB signaling, and suppressed KRAS-mutant cell growth. To counter chemotherapy-induced genotoxic stress, PDAC cells upregulated TLR9, which activated prosurvival IRAK4/TPL2 signaling. Accordingly, a TPL2 inhibitor synergized with chemotherapy to curb PDAC growth in vivo. Finally, from TCGA we characterized 2 MAP3K8 point mutations that hyperactivate MAPK and NF-κB cascades by impeding TPL2 protein degradation. Cancer cell lines naturally harboring these MAP3K8 mutations are strikingly sensitive to TPL2 inhibition, underscoring the need to identify these potentially targetable mutations in patients. Overall, our study establishes TPL2 as a promising therapeutic target in RAS- and MAP3K8-mutant cancers and strongly prompts development of TPL2 inhibitors for preclinical and clinical studies.

Authors

Paarth B. Dodhiawala, Namrata Khurana, Daoxiang Zhang, Yi Cheng, Lin Li, Qing Wei, Kuljeet Seehra, Hongmei Jiang, Patrick M. Grierson, Andrea Wang-Gillam, Kian-Huat Lim

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Figure 4

High TPL2 expression is poorly prognostic in PDAC.

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High TPL2 expression is poorly prognostic in PDAC.
(A) IHC images repres...
(A) IHC images representing high and low staining H-scores for TPL2 and p-IRAK4 with and without HALO analysis markup. H-score = 3 × (% of strongly stained area) + 2 × (% of moderately stained area) + 1 × (% of weakly stained area). (B) Spearman (r) correlation plot of TPL2 and p-IRAK4 H-scores from tissue microarray (TMA) analysis of 313 tissue specimens from 157 PDAC patients, represented in A. (C) Kaplan-Meier plot comparing survival of patients with high vs. low TPL2 protein expression based on analysis of TMA above. Of the patients with survival data, those who died within 1 month of surgery were excluded from the analysis. (D) Graph depicting MAP3K8 (TPL2) expression in normal human pancreas versus PDAC tissue. Data for normal pancreas tissue is from the Genotype-Tissue Expression (GTEx) project and PDAC expression was from the pancreatic adenocarcinoma TCGA PanCancer Atlas study. P values are from unpaired, 2-sided t test. Outliers (5 in normal, 3 in PDAC) were removed by ROUT, Q = 0.1%. (E) Graph of overall survival (OS) of TCGA PDAC patients separated into short- and longer-surviving cohorts using median OS of approximately 15.5 months. (F) Graph comparing MAP3K8 mRNA expression in longer- vs. short-surviving patients defined in E. P values are from unpaired, 2-sided t test. All 178 (out of 185) TCGA PDAC samples with mRNA expression data were analyzed. (G) Graph comparing months of OS of patients with high (Z score > 1, n = 22) versus low (Z score < 1, n = 28) MAP3K8 expression based on analysis of TCGA Firehose Legacy data set. P values from Kruskal-Wallis test. ****P < 0.0001; ***P < 0.0002.

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