Sleeping Beauty Screen Identifies RREB1 and Other Genetic Drivers in Human B-Cell Lymphoma

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Sleeping Beauty Screen Identifies RREB1 and Other Genetic Drivers in Human B-Cell Lymphoma Author Manuscript Published OnlineFirst on October 24, 2018; DOI: 10.1158/1541-7786.MCR-18-0582 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Sleeping Beauty Screen Identifies RREB1 and Other Genetic Drivers in Human B-cell Lymphoma Eric P. Rahrmann1,2, Natalie K. Wolf1, George M. Otto2, Lynn Heltemes-Harris2,3,5, Laura B. Ramsey5, Jingmin Shu2, Rebecca S. LaRue2, Michael A. Linden2,4, Susan K. Rathe2, Timothy K. Starr2,6, Michael A. Farrar2,3,5, Branden S. Moriarity2,7,8, David A. Largaespada1,2,7,8 1Department of Genetics, Cell Biology, and Development; University of Minnesota, Minneapolis, Minnesota; 2Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota 55455 USA; 3Lab Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota; 4Division of Hematopathology, Department of Laboratory Medicine and pathology, University of Minnesota, Minneapolis 55455 USA; 5Center for Immunology, University of Minnesota, Minneapolis, Minnesota 55455 USA; 6 Department of Ob-Gyn & Women’s Health, University of Minnesota, Minneapolis, Minnesota 55455 USA; 7Pediatrics, University of Minnesota, Minneapolis, Minnesota 55455 USA; 8Center for Genome Engineering, University of Minnesota, Minneapolis, Minnesota 55455 USA Running title: Driver Genes Identified in DLBCL Using an SB Screen Keywords: DLBCL, Sleeping Beauty, RREB1, KRAS Corresponding Author: Eric P. Rahrmann, PhD Cancer Research UK Cambridge Institute Li Ka Shing Center Robinson Way Cambridge CB2 0RE T: 01223730854 [email protected] Disclosure of conflicts of interest: D.A. Largaespada has ownership interest in Immusoft, Inc., NeoClone Biotechnologies International, Discovery Genomics, Inc., and B-MoGen Biotechnologies Inc. He is also a consultant/Advisory Board member of Discovery Genomics, Inc. and NeoClone Biotechnologies International. B.S. Moriarity has ownership interest (including patents) in B- MoGen Biotechnologies Inc. Text word count: 5719 Abstract word count: 177 Figure/Table count: 7 figures Reference count: 50 Downloaded from mcr.aacrjournals.org on October 2, 2021. © 2018 American Association for Cancer Research. Author Manuscript Published OnlineFirst on October 24, 2018; DOI: 10.1158/1541-7786.MCR-18-0582 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. KEY POINTS 1. Targeted mutagenesis to Cnp-Cre positive cells caused lymphomagenesis and identified multiple, recurrently altered genes and signaling pathways in human DLBCL. 2. Functionally validated Rreb1 as a driver of human B-cell lymphoma that influenced KRAS expression. 2 Downloaded from mcr.aacrjournals.org on October 2, 2021. © 2018 American Association for Cancer Research. Author Manuscript Published OnlineFirst on October 24, 2018; DOI: 10.1158/1541-7786.MCR-18-0582 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Abstract Follicular lymphoma (FL) and diffuse large B-cell lymphoma (DLBCL) are the most common non-Hodgkin lymphomas distinguishable by unique mutations, chromosomal rearrangements and gene expression patterns. Here it is demonstrated that early B cell progenitors express 2',3'-Cyclic-nucleotide 3' phosphodiesterase (CNP) and that when targeted with Sleeping Beauty (SB) mutagenesis, Trp53R270H mutation or Pten loss gave rise to highly-penetrant lymphoid diseases, predominantly FL and DLBCL. In efforts to identify genetic drivers and signaling pathways that are functionally important in lymphomagenesis, SB transposon insertions were analyzed from splenomegaly specimens of SB-mutagenized mice (n=23) and SB-mutagenized mice on a Trp53R270H background (n=7) and identified 48 and 12 sites with statistically recurrent transposon insertion events, respectively. Comparison to human data sets revealed novel and known driver genes for B cell development, disease and signaling pathways: PI3K-AKT-mTOR, MAPK, NF-κB and BCR. Lastly, functional data indicates that modulating Ras responsive element binding protein 1 (RREB1) expression in human DLBCL cell lines in vitro alters KRAS expression, signaling, and proliferation; thus, suggesting that this proto-oncogene is a common mechanism of RAS-MAPK hyperactivation in human DLBCL. Implications A forward genetic screen identified new genetic drivers of human B-cell lymphoma and uncovered a RAS/MAPK activating mechanism not previously appreciated in human lymphoid disease. Overall, these data support targeting the RAS/MAPK pathway as a viable therapeutic target in a subset of human DLBCL patients. 3 Downloaded from mcr.aacrjournals.org on October 2, 2021. © 2018 American Association for Cancer Research. Author Manuscript Published OnlineFirst on October 24, 2018; DOI: 10.1158/1541-7786.MCR-18-0582 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Introduction B cell malignancies comprise a large family of diseases ranging from highly curable Hodgkin’s lymphoma to the more diverse non-Hodgkin lymphoma subtypes including indolent follicular lymphoma (FL) and the aggressive, genetically heterogeneous Diffuse Large B Cell Lymphoma (DLBCL)1. Molecular profiling of B cell malignancies has identified defining genetics features for many of the subtypes leading to new therapeutic targets and increased survival-rates for some diseases1. DLBCL, which occur predominantly in older adults, diagnosis and treatment has greatly been impacted by the genetic profiling efforts. DLBCL is categorized into two unique molecular subtypes based on gene expression profiling: activated B cell-like (ABC) and germinal center B cell-like (GCB)1. Transcriptomic and genomic analyses identified recurrent genomic aberrations and signaling pathway alterations unique to each subtype and common to both2,3. Mutations in genes altering B cell receptor (BCR) signaling and NF-B activation (e.g. CD79A, MALT1, MYD88) are more common in ABC DLBCL while mutations in genes altering histone modifications and B cell homing (e.g. EZH2, CREBBP, MLL2) are more common in GCB DLBC4-6. Mutations in TP53, immunosurveillance genes (e.g. B2M, CD58), epigenetic modifiers (e.g. CREBBP) and MYC copy number alteration (CNA) gains occur in both subtypes2. Whole genome and exome sequencing efforts have identified over 300 recurrently mutated genes in primary DLBCL samples3,5,7,8. However, there is still limited knowledge on functional impact of many of these mutations and genetic alterations on disease initiation and progression; genetically engineered mouse models (GEMMs) provide a platform to begin evaluating these putative targets. The Sleeping Beauty (SB) somatic cell mutagenesis system has successfully identified genetic drivers of various cancers including hepatic, intestinal, pancreatic, osteosarcoma and T-cell9-14. We previously reported the identification of novel genetic drivers of peripheral 4 Downloaded from mcr.aacrjournals.org on October 2, 2021. © 2018 American Association for Cancer Research. Author Manuscript Published OnlineFirst on October 24, 2018; DOI: 10.1158/1541-7786.MCR-18-0582 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. nerve-related cancers targeting SB-mutagenesis to 2’,3’-Cyclic-nucelotide 3’- phosphodiesterase (Cnp) expressing cells in mice in the context of EGFR overexpression with Trp53R270H mutation12. Mutagenesis alone or in the context of only Trp53R270H mutation was inefficient at developing peripheral nervous system tumors12. We describe here how these animals developed highly penetrant (65%) lymphoid disease (FL and DLBCL). Analysis of SB-induced lymphomas identified 59 common insertion sites (CIS), of which several were associated with signaling pathways altered in human DLBCL formation: PI3K- AKT-mTOR, NF-B and BCR signaling. We also identified several novel proto-oncogenes and tumor suppressor genes (TSGs) for B cell lymphoma e.g. Rreb1 and Ambra1, respectively. Furthermore, we described new roles for Rreb1, a MAPK pathway effector, in DLBCL maintenance and its impact on Kras expression, revealing an unknown mechanism for RAS activation in DLBCL. Materials and Methods Transgenic animals. Three transgenes were used to induce SB mutagenesis: Conditionally expressed SB (R26SB11LSL)15, Cnp promoter driven cre-recombinase (Cnp-Cre)16 and oncogenic transposon concatemer (T2/Onc15). Cnp-Cre;R26SB11LSL;T2/Onc15 (SB- mutagenized) mice undergo insertional mutagenesis in Cnp+ cells. Genotyping PCR was performed on phenol-chloroform extracted mouse-tail DNA10,16,17. Conditionally expressed Pten (Ptenf/f) and Trp53 (Trp53R270H) allele mice were utilized17,18. B6.129(Cg)- Gt(ROSA)26Sortm4(ACTB-tdTomato,-EGFP)Luo/J reporter mice (Jackson Labs) were utilized for lineage tracing studies. All mice were bred and cared for under the guidelines of the University of Minnesota Animal Care and Use Committee. 5 Downloaded from mcr.aacrjournals.org on October 2, 2021. © 2018 American Association for Cancer Research. Author Manuscript Published OnlineFirst on October 24, 2018; DOI: 10.1158/1541-7786.MCR-18-0582 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. V(D)J PCR. 100ng of DNA from control and SB-mutagenized spleens underwent PCR to assess V(D)J clonality for VHJ558/JH3, VHQ52/JH3, VH7183/JH3, and DHL/JH3 recombination19. PCR for Actb served as the loading control. Flow cytometry. Single cell suspensions from bone marrow (femur and tibia), spleen and
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