PMID- 28548933 OWN - NLM STAT- MEDLINE DCOM- 20180423 LR - 20221207 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 29 DP - 2017 Jul 18 TI - KIR2DL5 mutation and loss underlies sporadic dermal neurofibroma pathogenesis and growth. PG - 47574-47585 LID - 10.18632/oncotarget.17736 [doi] AB - Dermal neurofibromas (DNFs) are benign peripheral nerve sheath tumors thought to originate from Schwann cell progenitors. These tumors represent one of the hallmarks of the neurofibromatosis type 1 (NF1) tumor predisposition syndrome, where they can number in the thousands. While NF1-DNFs arise due to mutations in the NF1 gene, the vast majority of DNFs occur sporadically (sp-DNFs), where the genetic etiology is currently unknown. Herein, we employed whole-exome sequencing of sp-DNFs to identify a recurrent mutation in the KIR2DL5 gene, which codes for a protein suppressor of natural killer (NK) cell activity. While the function of KIR2DL5 outside of the immune system is unknown, we identified a KIR2DL5N173D mutation in three of nine sp-DNFs, resulting in loss of KIR2DL5 protein expression. In contrast, two of these subjects had unrelated tumors, which retained KIR2DL5 protein expression. Moreover, loss of KIR2DL5 expression was demonstrated in 15 of 45 independently-identified sp-DNFs. Consistent with its potential role as a negative growth regulator important for neurofibroma maintenance, ectopic KIR2DL5N173D expression in normal human Schwann cells resulted in reduced KIR2DL5 expression and increased cell proliferation. Similarly, KIR2DL5 short hairpin RNA knockdown (KD) decreased KIR2DL5 protein levels and increased cell proliferation, as well as correlated with PDGFRbeta and downstream RAS/AKT/mTOR hyperactivation. Importantly, inhibition of PDGFRbeta or AKT/mTOR activity in KIR2DL5-KD human Schwann cells reduced proliferation to control levels. Collectively, these findings establish KIR2DL5 as a new Schwann cell growth regulator relevant to sp-DNF pathogenesis, which links sporadic and NF1-associated DNFs through RAS pathway hyperactivation. FAU - Anastasaki, Corina AU - Anastasaki C AD - Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA. FAU - Dahiya, Sonika AU - Dahiya S AD - Department of Pathology, Washington University School of Medicine, St. Louis, MO 63110, USA. FAU - Gutmann, David H AU - Gutmann DH AD - Department of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Receptors, KIR2DL5) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.6.5.2 (ras Proteins) SB - IM MH - Cell Proliferation MH - DNA Mutational Analysis MH - Female MH - Genes, Neurofibromatosis 1 MH - *Genetic Association Studies MH - *Genetic Predisposition to Disease MH - Humans MH - Immunohistochemistry MH - Male MH - *Mutation MH - Neurofibroma/*genetics/metabolism/*pathology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Receptors, KIR2DL5/*genetics MH - Schwann Cells/metabolism/pathology MH - Signal Transduction MH - Skin Neoplasms/*genetics/metabolism/*pathology MH - TOR Serine-Threonine Kinases/metabolism MH - Exome Sequencing MH - ras Proteins/metabolism PMC - PMC5564588 OTO - NOTNLM OT - KIR2DL5 OT - RAS/AKT/mTOR signaling OT - Schwann cells OT - sporadic neurofibroma OT - tumor suppressor gene COIS- CONFLICTS OF INTEREST The authors declare no competing financial interests. EDAT- 2017/05/27 06:00 MHDA- 2018/04/24 06:00 PMCR- 2017/07/18 CRDT- 2017/05/27 06:00 PHST- 2016/12/28 00:00 [received] PHST- 2017/04/24 00:00 [accepted] PHST- 2017/05/27 06:00 [pubmed] PHST- 2018/04/24 06:00 [medline] PHST- 2017/05/27 06:00 [entrez] PHST- 2017/07/18 00:00 [pmc-release] AID - 17736 [pii] AID - 10.18632/oncotarget.17736 [doi] PST - ppublish SO - Oncotarget. 2017 Jul 18;8(29):47574-47585. doi: 10.18632/oncotarget.17736.