• Media type: E-Article
  • Title: Mechanisms of Targeting the MDM2-p53-FOXM1 Axis in Well-Differentiated Intestinal Neuroendocrine Tumors
  • Contributor: Briest, Franziska; Grass, Irina; Sedding, Dagmar; Möbs, Markus; Christen, Friederike; Benecke, Joana; Fuchs, Karolin; Mende, Stefanie; Kaemmerer, Daniel; Sänger, Jörg; Kunze, Almut; Geisler, Christina; Freitag, Helma; Lewens, Florentine; Worpenberg, Lina; Iwaszkiewicz, Sara; Siegmund, Britta; Walther, Wolfgang; Hummel, Michael; Grabowski, Patricia
  • Published: S. Karger AG, 2018
  • Published in: Neuroendocrinology, 107 (2018) 1, Seite 1-23
  • Language: English
  • DOI: 10.1159/000481506
  • ISSN: 0028-3835; 1423-0194
  • Origination:
  • Footnote:
  • Description: <b><i>Background/Aims:</i></b> The tumor suppressor p53 is rarely mutated in gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN) but they frequently show a strong expression of negative regulators of p53, rendering these tumors excellent targets for a p53 recovery therapy. Therefore, we analyzed the mechanisms of a p53 recovery therapy on intestinal neuroendocrine tumors in vitro and in vivo<i>.</i><b><i>Methods:</i></b> By Western blot and immunohistochemistry, we found that in GEP-NEN biopsy material overexpression of MDM2 was present in intestinal NEN. Therefore, we analyzed the effect of a small-molecule inhibitor, nutlin-3a, in p53 wild-type and mutant GEP-NEN cell lines by proliferation assay, flow cytometry, immunofluorescence, Western blot, and by multiplex gene expression analysis. Finally, we analyzed the antitumor effect of nutlin-3a in a xenograft mouse model in vivo. During the study, the tumor volume was determined. <b><i>Results:</i></b> The midgut wild-type cell line KRJ-I responded to the treatment with cell cycle arrest and apoptosis. By gene expression analysis, we could demonstrate that nutlins reactivated an antiproliferative p53 response. KRJ-I-derived xenograft tumors showed a significantly decreased tumor growth upon treatment with nutlin-3a in vivo. Furthermore, our data suggest that MDM2 also influences the expression of the oncogene FOXM1 in a p53-independent manner. Subsequently, a combined treatment of nutlin-3a and cisplatin (as chemoresistance model) resulted in synergistically enhanced antiproliferative effects. <b><i>Conclusion:</i></b> In summary, MDM2 overexpression is a frequent event in p53 wild-type intestinal neuroendocrine neoplasms and therefore recovery of a p53 response might be a novel personalized treatment approach in these tumors.