MST1/Hippo promoter gene methylation predicts poor survival in patients with malignant pleural mesothelioma in the IFCT-GFPC-0701 MAPS Phase 3 trial.


Journal

British journal of cancer
ISSN: 1532-1827
Titre abrégé: Br J Cancer
Pays: England
ID NLM: 0370635

Informations de publication

Date de publication:
02 2019
Historique:
received: 05 09 2018
accepted: 20 12 2018
revised: 15 12 2018
pubmed: 12 2 2019
medline: 31 10 2019
entrez: 12 2 2019
Statut: ppublish

Résumé

The Mesothelioma Avastin Cisplatin Pemetrexed Study (MAPS/NCT00651456) phase 3 trial demonstrated the superiority of bevacizumab plus pemetrexed-cisplatin triplet over chemotherapy alone in 448 malignant pleural mesothelioma (MPM) patients. Here, we evaluated the prognostic role of Hippo pathway gene promoter methylation. Promoter methylations were assayed using methylation-specific polymerase chain reaction in samples from 223 MAPS patients, evaluating their prognostic value for overall survival (OS) and disease-free survival in univariate and multivariate analyses. MST1 inactivation effects on invasion, soft agar growth, apoptosis, proliferation, and YAP/TAZ activation were investigated in human mesothelial cell lines. STK4 (MST1) gene promoter methylation was detected in 19/223 patients tested (8.5%), predicting poorer OS in univariate and multivariate analyses (adjusted HR: 1.78, 95% CI (1.09-2.93), p = 0.022). Internal validation by bootstrap resampling supported this prognostic impact. MST1 inactivation reduced cellular basal apoptotic activity while increasing proliferation, invasion, and soft agar or in suspension growth, resulting in nuclear YAP accumulation, yet TAZ cytoplasmic retention in mesothelial cell lines. YAP silencing decreased invasion of MST1-depleted mesothelial cell lines. MST1/hippo kinase expression loss is predictive of poor prognosis in MPM patients, leading to nuclear YAP accumulation and electing YAP as a putative target for therapeutic intervention in human MPM.

Sections du résumé

BACKGROUND
The Mesothelioma Avastin Cisplatin Pemetrexed Study (MAPS/NCT00651456) phase 3 trial demonstrated the superiority of bevacizumab plus pemetrexed-cisplatin triplet over chemotherapy alone in 448 malignant pleural mesothelioma (MPM) patients. Here, we evaluated the prognostic role of Hippo pathway gene promoter methylation.
METHODS
Promoter methylations were assayed using methylation-specific polymerase chain reaction in samples from 223 MAPS patients, evaluating their prognostic value for overall survival (OS) and disease-free survival in univariate and multivariate analyses. MST1 inactivation effects on invasion, soft agar growth, apoptosis, proliferation, and YAP/TAZ activation were investigated in human mesothelial cell lines.
RESULTS
STK4 (MST1) gene promoter methylation was detected in 19/223 patients tested (8.5%), predicting poorer OS in univariate and multivariate analyses (adjusted HR: 1.78, 95% CI (1.09-2.93), p = 0.022). Internal validation by bootstrap resampling supported this prognostic impact. MST1 inactivation reduced cellular basal apoptotic activity while increasing proliferation, invasion, and soft agar or in suspension growth, resulting in nuclear YAP accumulation, yet TAZ cytoplasmic retention in mesothelial cell lines. YAP silencing decreased invasion of MST1-depleted mesothelial cell lines.
CONCLUSIONS
MST1/hippo kinase expression loss is predictive of poor prognosis in MPM patients, leading to nuclear YAP accumulation and electing YAP as a putative target for therapeutic intervention in human MPM.

Identifiants

pubmed: 30739911
doi: 10.1038/s41416-019-0379-8
pii: 10.1038/s41416-019-0379-8
pmc: PMC6461894
doi:

Substances chimiques

Cell Cycle Proteins 0
Nuclear Proteins 0
Proto-Oncogene Proteins 0
Transcription Factors 0
YY1AP1 protein, human 0
macrophage stimulating protein 0
Hepatocyte Growth Factor 67256-21-7
Protein Serine-Threonine Kinases EC 2.7.11.1

Types de publication

Clinical Trial, Phase III Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

387-397

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Auteurs

Elodie Maille (E)

Normandie Université, UNICAEN, INSERM, UMR 1086 ANTICIPE, Caen, France.
Normandie Université, UNICAEN, CEA, CNRS, ISTCT/CERVOxy group, GIP CYCERON, Caen, France.

Solenn Brosseau (S)

Department of Thoracic Oncology & CIC1425, Hôpital Bichat-Claude Bernard, Assistance Publique Hôpitaux de Paris, Université Paris-Diderot, Paris, France.

Vincent Hanoux (V)

Normandie Université, UNICAEN, UPRES-EA 2608, Caen, France.

Christian Creveuil (C)

Biomedical Research Unit, CHU de Caen, Caen, France.

Claire Danel (C)

Department of Pathology, Hôpital Bichat-Claude Bernard, AP-HP, Université Paris-Diderot, Paris, France.

Emmanuel Bergot (E)

Normandie Université, UNICAEN, CEA, CNRS, ISTCT/CERVOxy group, GIP CYCERON, Caen, France.
Department of Pulmonology & Thoracic Oncology, CHU de Caen, Caen, France.

Arnaud Scherpereel (A)

Department of Pulmonary and Thoracic Oncology, Centre Hospitalier Universitaire Lille, University of Lille, U1019 INSERM, Center of Infection and Immunity of Lille, Lille, France.

Julien Mazières (J)

Department of Pulmonology, Hôpital Larrey, University Hospital of Toulouse, Toulouse, France.

Jacques Margery (J)

Medical Oncology Department, Gustave Roussy, Villejuif, France.

Laurent Greillier (L)

Department of Multidisciplinary Oncology and Therapeutic Innovations, Assistance Publique Hôpitaux de Marseille, Aix Marseille University, Marseille, France.
Centre de Recherche en Cancérologie de Marseille (CRCM), INSERM UMR1068, CNRS UMR7258, Aix-Marseille University, UM105, Marseille, France.

Clarisse Audigier-Valette (C)

Department of Pulmonology, Centre Hospitalier Toulon Sainte-Musse, Toulon, France.

Denis Moro-Sibilot (D)

Pôle Thorax et Vaisseaux, Centre Hospitalier Universitaire Grenoble, Grenoble, France.

Olivier Molinier (O)

Department of Pulmonology, Centre Hospitalier Le Mans, Le Mans, France.

Romain Corre (R)

Department of Pulmonology, Pontchaillou University Hospital, Rennes, France.

Isabelle Monnet (I)

Department of Pulmonology, Centre Hospitalier Intercommunal Créteil, Créteil, France.

Valérie Gounant (V)

Department of Pulmonology, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, Paris, France.

Alexandra Langlais (A)

Intergroupe Francophone de Cancérologie Thoracique (IFCT), Paris, France.

Franck Morin (F)

Intergroupe Francophone de Cancérologie Thoracique (IFCT), Paris, France.

Guénaëlle Levallet (G)

Normandie Université, UNICAEN, CEA, CNRS, ISTCT/CERVOxy group, GIP CYCERON, Caen, France.
Department of Pathology, CHU de Caen, Caen, France.

Gérard Zalcman (G)

Department of Thoracic Oncology & CIC1425, Hôpital Bichat-Claude Bernard, Assistance Publique Hôpitaux de Paris, Université Paris-Diderot, Paris, France. gerard.zalcman@aphp.fr.
U830 INSERM "Genetics and Biology of Cancers, A.R.T group", Curie Institute, Paris, France. gerard.zalcman@aphp.fr.

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