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The photoreceptor program in Group 3 Medulloblastoma: Role of the TFs NRL and CRX

Celio Pouponnot Institut Curie UMR3347 CNRS / U1021 INSERM

Institut Curie - C. Pouponnot - 1 21 février 2018 Medulloblastoma (MB)

MB

cerebellum

Pediatric tumor of the cerebellum (Median age 7 yrs) Most frequent Malignant brain tumor of childhood Treatment : surgery, chemotherapy, radiotherapy WNT G4 è70-80% overall survival at 5 years SHH èImportant secondary effects G3

2 21 février 2018 Medulloblastoma (MB)

Ø Based on expression profil : 4 different molecular groups

MB subtype WNT HH 3 4 incidence 10% 25% 25% 40%

Overall survival Very good Intermediate Bad Intermediate (meta+++) (meta++)

MYC amplification MYCN & CDK6 Driver pathway WNT HH OTX2 amplification amplification

MYC & GABAergic & Expression Photoreceptor Neuronal & WNT signaling SHH signaling photoreceptor glutamatergic signature markers signature signature

• Cancers often express aberrant differentiation programs unrelated to the tissue of origin

•Although express as a result of cancer cell plasticity, they are not thought to actively participate to cancer progression.

•Group 3 MB expresses an aberrant photoreceptor differentiation of unknown significance. 3 3 21 février 2018 Group 3 are enriched in active enhancer/SE controling photoreceptor

4 21 février 2018 Group 3 are enriched in active enhancer/SE controling photoreceptor genes

Same enrichment observed in the analysis of enhancer-gene target in MB TF/SE interaction identifies two master regulators of the photoreceptor lineage: CRX and NRL

5 21 février 2018 NRL or CRX are involved in MB growth

CRX KD NRL KD

CRX or NRL KD increases survival of orthotpicallygrafted mice

Institut Curie 6 21 février 2018 NRL in Medulloblastoma MAF

NRL TA EHR DB LZ

Role of NRL in medulloblastoma

NRL belongs to the TF of the oncogenic MAF family (Multiple Myeloma)

NRL expression is restricted to the photoreceptors of the retina (not expressed in the cerebellum)

Role in photoreceptor terminal differentiation (KO NRL: lack of a subset of photoreceptors)

Mutations of NRL in human ()

è NRL has not yet been demonstrated to be involved in oncogenesis

Role of NRL in medulloblastoma?

Institut Curie 7 21 février 2018 NRL is not expressed during cerebellar development

Institut Curie 8 21 février 2018 Transcriptomic analysis of NRL KD in D458MED shNRL Mean shNRL Ctl rep1 rep2 rep3 NCOA1 ZNF385A

Up CYB5R1 PURB HNRNPU CRX FXR2 GNGT1 ARR3 RPS20 MRFAP1L1 NSF AIPL1 FAM57B NDUFS8 UNC119 NDRG3 ATP1A3 ELOVL2 SMUG1 STXBP1 PBX1 ABCA4 Down PDE6B CPE EPB41L2 PPP5C MEGF9 GNB3 PDC ALDOC ACTR1B RP1 GNGT2 RCVRN VTN SLC6A6 PDE6A RBP3 PLEKHB1 GUCA1A −27 0 4.8 Photoreceptor genes

Institut Curie 9 21 février 2018 Transcriptomic analysis of NRL KD in D458MED shNRL Mean shNRL Mean shNRL Ctl shNRL Ctl rep1 rep2 rep3 rep1 rep2 rep3 NCOA1 SMARCD3 ZNF385A LOC645513 RREB1

Up CYB5R1 PURB AMOTL2 HNRNPU TBC1D8 CRX JAG2

FXR2 Up CREBL2 GNGT1 DOK6 ARR3 CPLX3 RPS20 ERLIN1 MRFAP1L1 AK1 NSF FGD4 AIPL1 DDX31 FAM57B NDUFS8 IMPG2 UNC119 FLJ27352 NDRG3 SSX2IP ATP1A3 ARL4D ELOVL2 RNF5 SMUG1 TMEM57 STXBP1 GTPBP8 PBX1 KCTD21 ABCA4 Down PDE6B MXRA7 CKB CPE ICK EPB41L2 Down SPATA20 PPP5C NLK MEGF9 GNB3 ADCK1 PDC GNB3 ALDOC USH2A ACTR1B MAK RP1 ARL6 GNGT2 RD3 RCVRN KIAA1107 VTN NRN1 SLC6A6 TESK2 PDE6A FSTL5 RBP3 CNTN1 PLEKHB1 GUCA1A NRL −27 0 4.8 −7.1 0 3.4 Photoreceptor genes Group3 genes NRL regulates the photoreceptor differentation program and some of the group 3 specific genes

Institut Curie 10 21 février 2018 In vitro KD of NRL

Ø Growth curves/Viability assay

D458Med: DAOY : endogenous NRL expression no endogenous NRL expression

5 12,0 12,0 shCtl 8,0 8,0 shNRL #1 4,0 4,0 Count x10 Count shNRL #2 0,0 0,0 Cell 0 2 4 6 8 0 2 4 6 8 Day Day

PDX culture 1 PDX culture 2

3,0E+04 2,0E+05 NI 2,0E+04 shCtl 1,0E+05 1,0E+04 shNRL #1 Luminescence

0,0E+00 0,0E+00 0 2 4 6 0 2 4 6 shNRL #2 Day Day

NRL is required for cell viability/growth

11 Institut Curie 11 21 février 2018 NRL protects MB cells from apoptosis

Ø Apoptosis : cleaved caspase 3 (FACS)

60 *** 40 *** 20 NRL KD 0 induces apoptosis in MB cell % apoptotic cells apoptotic % shCtl shCtl lines and in PDXs shNRL #1 shNRL #2 shNRL #1 shNRL #2 shNRL D458Med DAOY

PDX culture 1 PDX culture 2 100 ** 100 ** ** 80 80

60 * 60

40 40

20 20

% apoptotic cells apoptotic % 0 0 NI #1 NI shCtl shCtl shNRL #1 shNRL shNRL #2 shNRL shNRL #2 shNRL shNRL

12 Institut Curie 12 21 février 2018 Transcriptomic analysis of NRL KD in D458MED

List of NRL correlated genes in human MB samples

Institut Curie 13 21 février 2018 Transcriptomic analysis of NRL KD in D458MED

List of NRL correlated genes in human MB Top 100 genes samples

Institut Curie 14 21 février 2018 Transcriptomic analysis of NRL KD in D458MED

shNRL Mean shNRL Ctl rep1 rep2 rep3 RALGPS2 ARHGAP28 PALMD Up LOC100130155 ATP5A1 CRX BCL2L1 GNGT1 ENOSF1 IMPG2 SSX2IP BCMO1 ARL4D PCK2 AIPL1 List of NRL correlated Genes significantly EML1 CALCOCO2 genes in human MB Top 100 genes deregulated ABCA4 PDE6B samples following NRL KD C14orf129 KCNH6 CTBS HSBP1L1

Down MNAT1 GNB3 USH2A MAK PHYHD1 PDC SLC1A7 CERS4 ARL6 RD3 RP1 DBP EPS8 GNGT2 RCVRN VTN GPR160 NRL

−6.2 0 4.6 NRL correlated genes

A Subset of the top 100 genes the expression of which is correlated to that of NRL are deregulated in KD NRL cells.

Institut Curie 15 21 février 2018 NRL and BCL-XL expression are correlated

Fattet dataset Wnt HH 3 4 XL - NRL Fattet dataset BCL-XL GSE12992 XL expression of BCLof -1.5 0 2.8 - Log2 expression Log2

corr.score: 0.719 / rank: 31/18901 genes) BCL Log2 expression of Wnt HH 3 4 NRL

Kool dataset Wnt HH 3 4 XL - NRL Kool dataset BCL-XL GSE10327 XL expression of BCLof -1.5 0 2.4 - corr.score: 0.349 / rank: 925/18901 genes expression Log2 Log2 expression of BCL NRL Wnt HH 3 4

Northcott dataset #1 Wnt HH 3 4 XL - NRL Northcott dataset #1 BCL-XL GSE21140 XL expression - of BCLof -1.5 0 3.1 Log2 expression expression Log2 corr.score: 0.622 / rank 131/22370 genes BCL Log2 expression of NRL Wnt HH 3 4

Northcott dataset #2 HH 3 4 XL - Northcott dataset #2 NRL BCL-XL GSE37385 XL expression - of BCLof -1.3 0 3.7 Log2 expression Log2 corr.score: 0.516 / rank: 82/15896 genes BCL Log2 expression of Wnt HH 3 4 NRL

Institut Curie 16 21 février 2018 BCL-XL is a NRL direct target gene

-1694 -1681

MARE consensus TGCTGACTCAGCA ChIP known MAF hRhodopsin TGCCGATTCAGCC hInsulin TGCAGCCTCAGCC target genes 20,0 hBCL-XL TGCTGCCTCAGCC

10,0 +1 BCL-XL promoter Fold induction Fold 0,0 Ctl Ctl Ctl Ctl NRL Western-Blot NRL NRL NRL promoter 3’UTR promoter 3’UTR DAOY D458MED PDX culture 1 shNRL shNRL D458Med DAOY Empty vector NRL shCtl #1 #2 shCtl #1 #2 NRL BCL-XL β-actin

NRL binds to the BCL-XL promoter and induces its expression

Institut Curie 17 21 février 2018 IS BCL-XL a potential therapeutic target in MB?

shBCL-XL 100

- Ctl #1 #2 cells 80 60 BCL-XL 40

apoptotic 20

β-actin % 0 - Ctl #1 #2 shBCL-XL

EC shbclxl D458D458MED shBclxL PDX2 shCtrl (1/8) 100 Ctl (0/7) shCtrl (0/7) 100 Ctl (1/8) shBCL-XL #1 (0/8) shBclxL#3 (0/8) shBclxL#3 (4/8) (%) ) shBCL-XL #1 (3/8) ) (%)

% shBclxL#5 (7/8) ( % shBCL-XL #2 (1/8) shBclxL#5 (1/8)

shBCL-XL #2 (6/8) ( l

l a a v i v 50 i

50 v v Survival r r Survival u u S S

0 0 0 20 40 60 0 20 40 60 DayDay DayDay

KD of BCL-XL induces apoptosis in MB and increases survival

18 Institut Curie 18 21 février 2018 BCL2 , as potential therapeutic targets

Ø BCL inhibition using pharmacological agents : TW37

è Target the BH3-binding groove BH3 domain of Bcl Bcl-2 anti-apoptotic in Bcl-2 anti-apoptotic proteins pro-apoptotic protein

In vivo experiments

Inhibition of Tumor regression tumor formation

Institut Curie 19 21 février 2018 19 TW37 induces MB regression

In vivo experiments : tumor regression

TW37 TW37

100 0 10 12 16 18

5 Ctl (n=12) Ctl TW37 Ctl TW37 10 Start p<0.005

Number of of Number 1 TW37 (n=11) photons/s x10

0,1 D9 D19 7 12 17 22 before treatment after treatment Day

1

0,8 0,6 Inhibitor of BCL anti-apoptotic 0,4 Survival 0,2 family induces tumor regression p<0.0001 0 0 20 40 60 80 100

Stop TW37 treatment

Institut Curie 20 21 février 2018 Model

NRL and CRX are master regulators of the Group 3 MB photoreceptor program

Photoreceptor transcriptional program is a dependency in Group 3 MB

NRL control cell cycle by inducing CCND2 expression

NRL protects MB from apoptosis by inducing BCL-XL expression

BCL-XL as a potential therapeutic target in Group 3 MB

Institut Curie 21 21 février 2018 Team Signaling and Cancer progression Alexandra

Chloé Bertrand Morgane Alain

Magalie Sabine

Charlène Celio

Collaborations: O. Ayrault/ F.Do z / O. Delattre (Institut Curie) Paul Northcott (St Jude) R.J. Weschler-Reya (Burhnam Institute) Charles Lin (Baylor College of Medecine) C. Haberler (Inst. Of Neurology) FranckInstitutInstitut Bourdeaut Curie Curie --nomnom dede(Institut l’émetteur l'émetteur - -Curie)TitreTitre dede lala présentationprésentation 22 21 février 2018 Group 3 MB is enriched in photoreceptor genes

Kool et al., 2008 and Cho et al. 2011

23 21 février 2018 NRL and CRX control photoreceptor genes

Genes with high H3K27ac in NRL and CRX high G3 tumors

Correlation of H3K27ac and expression

Correlation with presence of NRL/CRX co-motifs

Enrichment of photoreceptor genes

24 21 février 2018 BCL2 proteins, as potential therapeutic targets

Ø BCL inhibition using pharmacological agents : TW37

In vivo experiments

Inhibition of Tumor regression tumor formation

Start TW37 Stop Orthotopic treatment treatment grafting Tumor growth & Tumor growth Mice survival

D0 D10 D18

TUMORS DEVELOPED 25 Institut Curie 25 21 février 2018 NRL and CRX control photoreceptor genes

NRL and CRX control the expression of photoreceptor genes in a subset a G3 tumors

26 21 février 2018 NRL controls BCL-XL expression

RT-qPCR BCL-XL mRNA 3,0 Western-Blot * 2,0 DAOY D458MED PDX culture 1 shNRL shNRL 1,0 Empty NRL shCtl #1 #2 shCtl #1 #2 Relative Relative ** ** * vector

expression ** 0,0 ** ** NRL NRL shCtl shCtl shCtl

Empty vector BCL-XL shNRL #2 shNRL shNRL #1 shNRL shNRL #1 shNRL shNRL #2 shNRL shNRL #1 shNRL shNRL #2 shNRL β-actin DAOY D458Med PDX PDX culture1 culture 2 p<0,05

BCL-XL is a direct NRL target gene

Institut Curie 27 21 février 2018 NRL and CRX expression in G3 and G4 subtypes

Institut Curie 28 21 février 2018 BCL-XL is a NRL target gene

ChIP

20,0 -1694 -1681

MARE consensus TGCTGACTCAGCA 10,0 known MAF hRhodopsin TGCCGATTCAGCC TGCAGCCTCAGCC target genes hInsulin hBCL-XL TGCTGCCTCAGCC induction Fold 0,0 Ctl Ctl Ctl Ctl NRL NRL NRL NRL +1 BCL-XL promoter promoter 3’UTR promoter 3’UTR

D458Med DAOY

NRL binds to the BCL-XL promoter in MB BCL-XL is direct target of NRL in group3 MB

29 Institut Curie 29 21 février 2018 NRL and MYC expression in G3 and G4 subtypes

Institut Curie 30 21 février 2018 NRL controls the cell cycle in MB

DAOY ONS-76 D458MED HDMB03 80,0 80,0 100,0 *** *** Ctl 60,0 80,0 shNRL #1 60,0 60,0 shNRL #2 60,0 *** 40,0 cells 40,0 40,0 ***

% 40,0 20,0 20,0 20,0 20,0

0,0 0,0 0,0 0,0 S S S S G2+M G2+M G2+M G0/G1 subG1 G0/G1 subG1 G0/G1 subG1 G2+M G0/G1 subG1

NRL KD leads to a decrease in S phase and an increase in subG1

Institut Curie 31 21 février 2018 NRL controls CyclinD2 expression

6,0 CCND2 4,0 ChIP 2,0

0,0 Fold induction IP : Ctl NRL Ctl NRL Ctl NRL Ctl NRL promoter 3’UTR promoter 3’UTR D458MED DAOY

DAOY D458MED PDX D458MED 4,0 2,0 1,2 1 2 shNRL 3,0 * 0,8 Ctl #1 #2 2,0 1,0 0,4 NRL expression 1,0 * Relative CCND2 * ** ** ** 0,0 0,0 0,0 ** CCND2 vect NRL Ctl #1 #2 Ctl #1 #2 Ctl #1 #2 β-actin shNRL shNRL shNRL

NRL binds to the CCND2 promoter and regulates its expression

Institut Curie 32 21 février 2018 Role of BCL-XL in NRL-mediated apoptosis

50 40 cells Empty vector BclxL 30 shNRL shNRL 20 shCtl #1 #2 shCtl #1 #2 10

apoptotic 0 %

NRL NI NI shCtl shCtl Bcl-xL shNRL#1 shNRL#2 shNRL#1 shNRL#2

β-actin Empty vector BCL-XL

BCL-XL overexpression rescues NRL-induced apoptosis

è BCL-XL is a key mediator of NRL-mediated protection against apoptosis

Institut Curie 33 21 février 2018 The retina: the window of the brain

Ganglion cell Layer Inner plexiform layer

Inner nuclear layer Outer plexiform layer Outer nuclear layer Inner segment Outer segment Pigment epithelium

Choroïd

The retina is a laminar structure composed of different cell type

GCL: Ganglion cells INL: Amacrine, Horizontal, Bipolar and Müller cells (Glia) ONL: Photoreceptors

CRX and NRL are master regulator of a subtype of photoreceptor

Institut Curie 34 21 février 2018 Maf transcription factors and cancer v- was initially identified as an oncogene transduced in the genome of avian retrovirus AS42 that induces musculo-aponeurotic fibrosarcoma Nishizawa et al., PNAS 1989

Musculo- Aponeurotic Fibrosarcoma

LTR Δgag v-Maf Δenv LTR AS42 avian oncogenic retrovirus Maf transcription factors belong to the AP1 superfamily

JUN MAF

FOS CREB

ATF Maf transcription factors belong to the AP1 superfamily

(Musculo-Aponeurotic Fibrosarcoma) Transactivation Domain EHR domain GSK3 p38 p38 S14 S49 T53 T57 S61 S65 T134 S336 c-Maf Basic domain MafA Large MAF MafB

NRL

MafF / MafG / MafK (Small Maf)

Eychène, Rocques & Pouponnot, Nat. Rev. Cancer, 2008 b-Zip Maf well established oncogenes

MAF

Maf are well established ONCOGENES : (No data on NRL)

in vitro: Maf transformed CEF (Nishizawa et al., Oncogene 2003; Pouponnot et al., Oncogene 2006)

in animal models: Transgenic mice developed T and B cell lymphomas (Morito et al., Cancer Res 2006; 2011)

in human: Translocations in Multiple Myeloma (8-10%) and overexpression (50%) (Chesi et al., Blood 1998; Hanamura et al., Jpn J. Cancer Res. 2001;Boersma-Vreugdenhil et al., Br. J. Haematol. 2004)

Overexpression sufficient / no activating found in human

Eychène, Rocques & Pouponnot, Nat. Rev. Cancer, 2008 Maf oncogenes

MAF Maf are well established oncogenes :

BUT

Oncogenic role uncoupled from their physiological function

-do not control major cellular functions such as cell cycle, apoptosis, migration…

-Terminal differentiation transcriptional control of tissue-specific genes that control a specific aspect of a given tissue.

work on this paradox

ECTOPIC EXPRESSION exert oncogenic activity in tissues where they are not normally expressed

Eychène, Rocques & Pouponnot, Nat. Rev. Cancer, 2008 NRL in Medulloblastoma MAF

NRL TA EHR DB LZ

Role of NRL in medulloblastoma

NRL expression is restricted to the photoreceptors of the retina (not expressed in the cerebellum)

Role in photoreceptor terminal differentiation (KO NRL: lack of a subset of photoreceptors)

Mutations of NRL in human (retinitis pigmentosa)

Fulfill he criterias of MAF-mediated transformation

Role of NRL in medulloblastoma?

è NRL has not yet been demonstrated to be involved in oncogenesis NRL overexpression in MB

Wnt HH 3 4 Fattet dataset NRL GSE12992 NRL -1.5 0 2.8 expression Wnt HH 3 4

Wnt HH 3 4 300 Kool dataset NRL GSE10327 NRL

-1.5 0 2.4 expression Wnt HH 3 4 200

Wnt HH 3 4 Northcott dataset #1 GSE21140 NRL 100

-1.5 0 3.1 RelativeNRL expression NRL expression Wnt HH 3 4 0 HH 3 4 Northcott dataset 76

- 1 2 #2 NRL D458 NRL GSE37385 DAOY MB PDX ONS -1.3 0 3.7 expression Wnt HH 3 4

NRL is overexpressed in the metastatic MB group 3 How NRL is expressed in group 3 MB

OTX2

AGGGGATTAG

NRL

-850

During normal retina development , OTX2 is able to regulate NRL expression (Montana et al., J Biol Chem (2011); Kautzmann et al., J Biol Chem (2011)

OTX2 is amplified in group 3 MB

Does OTX2 regulates NRL expression in MB? How NRL is expressed in group3 MB

ChIP shOTX2 Ctl #1 #2

60,0 OTX2 3'UTR 40,0 Promoter β-actin 20,0 Fold induction 0,0 NRL IP : Ctl NRL Ctl NRL D458MED DAOY β-actin

OTX2 is bound to the NRL promoter in the D458 MB cell line OTX2 KD decreases NRL expression

OTX2 regulates NRL expression in MB OTX2 expression OTX2 expression OTX2 expression Fattet Northcott Wnt Wnt dataset dataset HH HH #1 3 3 4 4 is not restricted

OTX2 expression OTX2 expression Northcott Kool Wnt Wnt dataset to group3 group3 to MB dataset HH HH #2 3 3 4 4 Epigenetic modifications of the NRL locus in MB

WNT vs G3 SHH vs G3 Others vs G3 G4 vs G3 0.036 4.9e−06 2.7e−06 0.00024

0.8

0.6

Methylation 0.4

Wnt HH 3 4 medulloblastoma

G3 specific enhancer are The NRL locus is hypomethylated in G3 %MB nucleated at the NRL locus

Epigenetic modifications and OTX2 expression drive NRL expression in Group 3

Collaboration with Dr. P Northcott (St Jude) C. Lin & F.Bourdeaut& Dr. O. Delattre (Institut Curie) Model

OTX2, epigenetic deregulation

NRL

Other genes : Photoreceptor differentiation Photoreceptor genes BCL-XL, CCND2

? Medulloblastoma

First demonstration of oncogenic activity of the MAF family member, NRL

NRL protects MB from apoptosis by inducing BCL-XL expression

High potential of anti-BCL therapy in MB

Photoreceptor differentiation program is instrumental to group3 MB growth through NRL Genes with high H3K27ac in NRL/CRX high G3 tumors are enriched in photoreceptor genes

Institut Curie - nom de l'émetteur - Titre de la présentation 47 21 février 2018 Team: Raf and Maf signaling in oncogenesis and development Alain Eychène & Celio Pouponnot Staff scientists:

Alain Eychène DR1 INSERM Celio Pouponnot CR1 CNRS Sabine Druillennec CR1 INSERM Laure Lecoin IR2 CNRS Magalie Larcher IE2 Curie

Non permanent:

Alexandra Garancher PhD Coralie Dorard PhD Céline Barbotin PhD Morgane Morabito PhD

Collaborations F. Bo u rd e a u t Curie U830 O. Ayrault Curie UMR3347/U1021 O. Delattre Curie U830 F. D o z Curie Pédiatrie S.Puget Necker G. Fortin CNRS Neuro PSI GIF J. Champagnat CNRS Neuro PSIGIF

Institut Curie - nom de l'émetteur - Titre de la présentation 49 21 février 2018 Institut Curie - nom de l'émetteur - Titre de la présentation 50 21 février 2018 Institut Curie - nom de l'émetteur - Titre de la présentation 51 21 février 2018 Institut Curie - nom de l'émetteur - Titre de la présentation 52 21 février 2018 Institut Curie - nom de l'émetteur - Titre de la présentation 53 21 février 2018