Oncogenic ETS fusions promote DNA damage and proinflammatory responses via pericentromeric RNAs in extracellular vesicles

Aberrant expression of the E26 transformation-specific (ETS) transcription factors characterizes numerous human malignancies. Many of these proteins, including EWS:FLI1 and EWS:ERG fusions in Ewing sarcoma (EwS) and TMPRSS2:ERG in prostate cancer (PCa), drive oncogenic programs via binding to GGAA r...

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Published inThe Journal of clinical investigation Vol. 134; no. 9; pp. 1 - 15
Main Authors Ruzanov, Peter, Evdokimova, Valentina, Pachva, Manideep C, Minkovich, Alon, Zhang, Zhenbo, Langman, Sofya, Gassmann, Hendrik, Thiel, Uwe, Orlic-Milacic, Marija, Zaidi, Syed H, Peltekova, Vanya, Heisler, Lawrence E, Sharma, Manju, Cox, Michael E, McKee, Trevor D, Zaidi, Mark, Lapouble, Eve, McPherson, John D, Delattre, Olivier, Radvanyi, Laszlo, Burdach, Stefan Eg, Stein, Lincoln D, Sorensen, Poul H
Format Journal Article
LanguageEnglish
Published United States American Society for Clinical Investigation 01.05.2024
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Abstract Aberrant expression of the E26 transformation-specific (ETS) transcription factors characterizes numerous human malignancies. Many of these proteins, including EWS:FLI1 and EWS:ERG fusions in Ewing sarcoma (EwS) and TMPRSS2:ERG in prostate cancer (PCa), drive oncogenic programs via binding to GGAA repeats. We report here that both EWS:FLI1 and ERG bind and transcriptionally activate GGAA-rich pericentromeric heterochromatin. The respective pathogen-like HSAT2 and HSAT3 RNAs, together with LINE, SINE, ERV, and other repeat transcripts, are expressed in EwS and PCa tumors, secreted in extracellular vesicles (EVs), and are highly elevated in plasma of patients with EwS with metastatic disease. High human satellite 2 and 3 (HSAT2,3) levels in EWS:FLI1- or ERG-expressing cells and tumors were associated with induction of G2/M checkpoint, mitotic spindle, and DNA damage programs. These programs were also activated in EwS EV-treated fibroblasts, coincident with accumulation of HSAT2,3 RNAs, proinflammatory responses, mitotic defects, and senescence. Mechanistically, HSAT2,3-enriched cancer EVs induced cGAS-TBK1 innate immune signaling and formation of cytosolic granules positive for double-strand RNAs, RNA-DNA, and cGAS. Hence, aberrantly expressed ETS proteins derepress pericentromeric heterochromatin, yielding pathogenic RNAs that transmit genotoxic stress and inflammation to local and distant sites. Monitoring HSAT2,3 plasma levels and preventing their dissemination may thus improve therapeutic strategies and blood-based diagnostics.
AbstractList Aberrant expression of the E26 transformation-specific (ETS) transcription factors characterizes numerous human malignancies. Many of these proteins, including EWS:FLI1 and EWS:ERG fusions in Ewing sarcoma (EwS) and TMPRSS2:ERG in prostate cancer (PCa), drive oncogenic programs via binding to GGAA repeats. We report here that both EWS:FLI1 and ERG bind and transcriptionally activate GGAA-rich pericentromeric heterochromatin. The respective pathogen-like HSAT2 and HSAT3 RNAs, together with LINE , SINE , ERV, and other repeat transcripts, are expressed in EwS and PCa tumors, secreted in extracellular vesicles (EVs), and are highly elevated in plasma of patients with EwS with metastatic disease. High human satellite 2 and 3 ( HSAT2,3 ) levels in EWS:FLI1- or ERG-expressing cells and tumors were associated with induction of G2/M checkpoint, mitotic spindle, and DNA damage programs. These programs were also activated in EwS EV-treated fibroblasts, coincident with accumulation of HSAT2,3 RNAs, proinflammatory responses, mitotic defects, and senescence. Mechanistically, HSAT2,3 -enriched cancer EVs induced cGAS-TBK1 innate immune signaling and formation of cytosolic granules positive for double-strand RNAs, RNA-DNA, and cGAS. Hence, aberrantly expressed ETS proteins derepress pericentromeric heterochromatin, yielding pathogenic RNAs that transmit genotoxic stress and inflammation to local and distant sites. Monitoring HSAT2,3 plasma levels and preventing their dissemination may thus improve therapeutic strategies and blood-based diagnostics. Transcriptional activation of pericentromeric heterochromatin driven by EWS::FLI1 in Ewing sarcoma and TMPRSS2 fusion proteins in prostate cancer yield pathogenic RNAs, which transmit genotoxic stress.
Aberrant expression of the E26 transformation-specific (ETS) transcription factors characterizes numerous human malignancies. Many of these proteins, including EWS:FLI1 and EWS:ERG fusions in Ewing sarcoma (EwS) and TMPRSS2:ERG in prostate cancer (PCa), drive oncogenic programs via binding to GGAA repeats. We report here that both EWS:FLI1 and ERG bind and transcriptionally activate GGAA-rich pericentromeric heterochromatin. The respective pathogen-like HSAT2 and HSAT3 RNAs, together with LINE, SINE, ERV, and other repeat transcripts, are expressed in EwS and PCa tumors, secreted in extracellular vesicles (EVs), and are highly elevated in plasma of patients with EwS with metastatic disease. High human satellite 2 and 3 (HSAT2,3) levels in EWS:FLI1- or ERG- expressing cells and tumors were associated with induction of G2/M checkpoint, mitotic spindle, and DNA damage programs. These programs were also activated in EwS EV-treated fibroblasts, coincident with accumulation of HSAT2,3 RNAs, proinflammatory responses, mitotic defects, and senescence. Mechanistically, HSAT2,3-enriched cancer EVs induced cGAS-TBK1 innate immune signaling and formation of cytosolic granules positive for double-strand RNAs, RNA-DNA, and cGAS. Hence, aberrantly expressed ETS proteins derepress pericentromeric heterochromatin, yielding pathogenic RNAs that transmit genotoxic stress and inflammation to local and distant sites. Monitoring HSAT2,3 plasma levels and preventing their dissemination may thus improve therapeutic strategies and blood-based diagnostics.
Aberrant expression of the E26 transformation-specific (ETS) transcription factors characterizes numerous human malignancies. Many of these proteins, including EWS:FLI1 and EWS:ERG fusions in Ewing sarcoma (EwS) and TMPRSS2:ERG in prostate cancer (PCa), drive oncogenic programs via binding to GGAA repeats. We report here that both EWS:FLI1 and ERG bind and transcriptionally activate GGAA-rich pericentromeric heterochromatin. The respective pathogen-like HSAT2 and HSAT3 RNAs, together with UNE, SINE, ERV, and other repeat transcripts, are expressed in EwS and PCa tumors, secreted in extracellular vesicles (EVs), and are highly elevated in plasma of patients with EwS with metastatic disease. High human satellite 2 and 3 (HSAT2,3) levels in EWS:FLI1- or ERG-expressing cells and tumors were associated with induction of G2/M checkpoint, mitotic spindle, and DNA damage programs. These programs were also activated in EwS EV-treated fibroblasts, coincident with accumulation o^HSAT2,3 RNAs, proinflammatory responses, mitotic defects, and senescence. Mechanistically, HSAT2,3-enriched cancer EVs induced cGAS-TBI<1 innate immune signaling and formation of cytosolic granules positive for double-strand RNAs, RNA-DNA, and cGAS. Hence, aberrantly expressed ETS proteins derepress pericentromeric heterochromatin, yielding pathogenic RNAs that transmit genotoxic stress and inflammation to local and distant sites. Monitoring HSAT2,3 plasma levels and preventing their dissemination may thus improve therapeutic strategies and blood-based diagnostics.
Audience Academic
Author Minkovich, Alon
Pachva, Manideep C
Zaidi, Mark
McKee, Trevor D
Radvanyi, Laszlo
Sorensen, Poul H
Orlic-Milacic, Marija
Ruzanov, Peter
Zaidi, Syed H
Thiel, Uwe
Lapouble, Eve
Langman, Sofya
Peltekova, Vanya
Burdach, Stefan Eg
Zhang, Zhenbo
Sharma, Manju
McPherson, John D
Stein, Lincoln D
Cox, Michael E
Evdokimova, Valentina
Delattre, Olivier
Gassmann, Hendrik
Heisler, Lawrence E
AuthorAffiliation 15 Department of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada
5 Vancouver Prostate Centre, Vancouver, British Columbia, Canada
7 Pathomics Inc., Toronto, Ontario, Canada
1 Ontario Institute for Cancer Research, Toronto, Ontario, Canada
6 STTARR Innovation Centre, Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
8 Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada
3 Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada
4 Department of Pediatrics, Children’s Cancer Research Center, Kinderklinik München Schwabing, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
11 Diversity and Plasticity of Childhood tumors, INSERM U830, Institut Curie Research Center, PSL Research University, Paris, France
12 Department of Immunology, University of Toronto, Toronto, Ontario, Canada
14 Institute of Pat
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Copyright American Society for Clinical Investigation May 2024
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Issue 9
Keywords Innate immunity
Inflammation
Language English
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Authorship note: PR and VE contributed equally to this work. LR, SEGB, LDS, and PHS are co–senior authors.
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Snippet Aberrant expression of the E26 transformation-specific (ETS) transcription factors characterizes numerous human malignancies. Many of these proteins, including...
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StartPage 1
SubjectTerms Animals
Breast cancer
Causes of
Cell Line, Tumor
Cell organelles
Development and progression
DNA
DNA binding proteins
DNA Damage
Ewing's sarcoma
Ewings sarcoma
Extracellular vesicles
Extracellular Vesicles - genetics
Extracellular Vesicles - metabolism
Fibroblasts
Genetic aspects
Genotoxicity
Health aspects
Heterochromatin
Heterochromatin - genetics
Heterochromatin - metabolism
Humans
Inflammation
Inflammation - genetics
Inflammation - metabolism
Inflammation - pathology
Male
Malignancy
Melanoma
Metastases
Metastasis
Mice
Oncogene Proteins, Fusion - genetics
Oncogene Proteins, Fusion - metabolism
Physiological aspects
Plasma
Plasma levels
Prostate cancer
Prostatic Neoplasms - genetics
Prostatic Neoplasms - metabolism
Prostatic Neoplasms - pathology
Proteins
Proto-Oncogene Protein c-fli-1 - genetics
Proto-Oncogene Protein c-fli-1 - metabolism
RNA
RNA, Neoplasm - genetics
RNA, Neoplasm - metabolism
RNA-Binding Protein EWS - genetics
RNA-Binding Protein EWS - metabolism
Sarcoma
Sarcoma, Ewing - genetics
Sarcoma, Ewing - immunology
Sarcoma, Ewing - metabolism
Sarcoma, Ewing - pathology
Scientific equipment and supplies industry
Senescence
Transcription factors
Transcriptional Regulator ERG - genetics
Transcriptional Regulator ERG - metabolism
Tumors
Title Oncogenic ETS fusions promote DNA damage and proinflammatory responses via pericentromeric RNAs in extracellular vesicles
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