PMID- 28859856 OWN - NLM STAT- MEDLINE DCOM- 20171205 LR - 20240210 IS - 1528-0012 (Electronic) IS - 0016-5085 (Print) IS - 0016-5085 (Linking) VI - 153 IP - 6 DP - 2017 Dec TI - Gastrin Induces Nuclear Export and Proteasome Degradation of Menin in Enteric Glial Cells. PG - 1555-1567.e15 LID - S0016-5085(17)36071-7 [pii] LID - 10.1053/j.gastro.2017.08.038 [doi] AB - BACKGROUND & AIMS: The multiple endocrine neoplasia, type 1 (MEN1) locus encodes the nuclear protein and tumor suppressor menin. MEN1 mutations frequently cause neuroendocrine tumors such as gastrinomas, characterized by their predominant duodenal location and local metastasis at time of diagnosis. Diffuse gastrin cell hyperplasia precedes the appearance of MEN1 gastrinomas, which develop within submucosal Brunner's glands. We investigated how menin regulates expression of the gastrin gene and induces generation of submucosal gastrin-expressing cell hyperplasia. METHODS: Primary enteric glial cultures were generated from the VillinCre:Men1(FL/FL):Sst(-/-) mice or C57BL/6 mice (controls), with or without inhibition of gastric acid by omeprazole. Primary enteric glial cells from C57BL/6 mice were incubated with gastrin and separated into nuclear and cytoplasmic fractions. Cells were incubated with forskolin and H89 to activate or inhibit protein kinase A (a family of enzymes whose activity depends on cellular levels of cyclic AMP). Gastrin was measured in blood, tissue, and cell cultures using an ELISA. Immunoprecipitation with menin or ubiquitin was used to demonstrate post-translational modification of menin. Primary glial cells were incubated with leptomycin b and MG132 to block nuclear export and proteasome activity, respectively. We obtained human duodenal, lymph node, and pancreatic gastrinoma samples, collected from patients who underwent surgery from 1996 through 2007 in the United States or the United Kingdom. RESULTS: Enteric glial cells that stained positive for glial fibrillary acidic protein (GFAP+) expressed gastrin de novo through a mechanism that required PKA. Gastrin-induced nuclear export of menin via cholecystokinin B receptor (CCKBR)-mediated activation of PKA. Once exported from the nucleus, menin was ubiquitinated and degraded by the proteasome. GFAP and other markers of enteric glial cells (eg, p75 and S100B), colocalized with gastrin in human duodenal gastrinomas. CONCLUSIONS: MEN1-associated gastrinomas, which develop in the submucosa, might arise from enteric glial cells through hormone-dependent PKA signaling. This pathway disrupts nuclear menin function, leading to hypergastrinemia and associated sequelae. CI - Copyright (c) 2017 AGA Institute. Published by Elsevier Inc. All rights reserved. FAU - Sundaresan, Sinju AU - Sundaresan S AD - Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. FAU - Meininger, Cameron A AU - Meininger CA AD - Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. FAU - Kang, Anthony J AU - Kang AJ AD - Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. FAU - Photenhauer, Amanda L AU - Photenhauer AL AD - Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. FAU - Hayes, Michael M AU - Hayes MM AD - Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. FAU - Sahoo, Nirakar AU - Sahoo N AD - Department of Molecular, Cellular, and Developmental Biology, University of Michigan, Ann Arbor, Michigan. FAU - Grembecka, Jolanta AU - Grembecka J AD - Department of Pathology, University of Michigan, Ann Arbor, Michigan. FAU - Cierpicki, Tomasz AU - Cierpicki T AD - Department of Pathology, University of Michigan, Ann Arbor, Michigan. FAU - Ding, Lin AU - Ding L AD - Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. FAU - Giordano, Thomas J AU - Giordano TJ AD - Department of Pathology, University of Michigan, Ann Arbor, Michigan. FAU - Else, Tobias AU - Else T AD - Division of Metabolism Endocrinology and Diabetes, University of Michigan, Ann Arbor, Michigan. FAU - Madrigal, David J AU - Madrigal DJ AD - Endocrine Oncology Program, University of Michigan, Ann Arbor, Michigan. FAU - Low, Malcolm J AU - Low MJ AD - Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan. FAU - Campbell, Fiona AU - Campbell F AD - Department of Pathology, Royal Liverpool University Hospital, Liverpool, United Kingdom. FAU - Baker, Ann-Marie AU - Baker AM AD - Center for Tumour Biology, Barts Cancer Institute, Queen Mary University of London, London, United Kingdom. FAU - Xu, Haoxing AU - Xu H AD - Department of Molecular, Cellular, and Developmental Biology, University of Michigan, Ann Arbor, Michigan. FAU - Wright, Nicholas A AU - Wright NA AD - Center for Tumour Biology, Barts Cancer Institute, Queen Mary University of London, London, United Kingdom. FAU - Merchant, Juanita L AU - Merchant JL AD - Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan; Department of Molecular and Integrative Physiology, University of Michigan, Ann Arbor, Michigan. Electronic address: merchanj@med.umich.edu. LA - eng GR - R01 DK115474/DK/NIDDK NIH HHS/United States GR - P30 CA046592/CA/NCI NIH HHS/United States GR - R01 CA160467/CA/NCI NIH HHS/United States GR - R01 NS062792/NS/NINDS NIH HHS/United States GR - P30 DK034933/DK/NIDDK NIH HHS/United States GR - R37 DK045729/DK/NIDDK NIH HHS/United States GR - R01 CA200660/CA/NCI NIH HHS/United States GR - 14895/CRUK_/Cancer Research UK/United Kingdom GR - R01 DK066604/DK/NIDDK NIH HHS/United States GR - R01 DK045729/DK/NIDDK NIH HHS/United States GR - R01 AR060837/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20170830 PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (Gastrins) RN - 0 (Glial Fibrillary Acidic Protein) RN - 0 (MEN1 protein, human) RN - 0 (Men1 protein, mouse) RN - 0 (Proteasome Inhibitors) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Proton Pump Inhibitors) RN - 0 (Receptor, Cholecystokinin B) RN - 0 (Receptors, Somatostatin) RN - EC 2.7.11.11 (Cyclic AMP-Dependent Protein Kinases) RN - EC 3.4.25.1 (Proteasome Endopeptidase Complex) SB - IM CIN - Gastroenterology. 2017 Dec;153(6):1473-1475. PMID: 29100851 MH - Active Transport, Cell Nucleus MH - Animals MH - Cells, Cultured MH - Cyclic AMP-Dependent Protein Kinases/metabolism MH - Duodenal Neoplasms/enzymology/genetics/pathology MH - Duodenum/drug effects/*metabolism/pathology MH - Gastrinoma/enzymology/genetics/pathology MH - Gastrins/genetics/*metabolism MH - Gene Expression Regulation MH - Glial Fibrillary Acidic Protein/metabolism MH - Humans MH - Hyperplasia MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Neuroglia/drug effects/*enzymology MH - Proteasome Endopeptidase Complex/*metabolism MH - Proteasome Inhibitors/pharmacology MH - Proteolysis MH - Proto-Oncogene Proteins/genetics/*metabolism MH - Proton Pump Inhibitors/pharmacology MH - Receptor, Cholecystokinin B/metabolism MH - Receptors, Somatostatin/genetics/metabolism MH - Time Factors MH - Ubiquitination PMC - PMC5705278 MID - NIHMS903070 OTO - NOTNLM OT - CCKBR OT - GFAP OT - MEN1 OT - Omeprazole OT - Somatostatin OT - Ubiquitin COIS- Conflict of Interest: The authors declare no conflict of interest. Competing Financial Interests Drs. Grembecka and Cierpicki receive research support from Kura Oncology. They are also receiving compensation as members of the scientific advisory board of Kura Oncology, and they have an equity ownership in the company. EDAT- 2017/09/02 06:00 MHDA- 2017/12/06 06:00 PMCR- 2018/12/01 CRDT- 2017/09/02 06:00 PHST- 2017/02/23 00:00 [received] PHST- 2017/07/31 00:00 [revised] PHST- 2017/08/13 00:00 [accepted] PHST- 2017/09/02 06:00 [pubmed] PHST- 2017/12/06 06:00 [medline] PHST- 2017/09/02 06:00 [entrez] PHST- 2018/12/01 00:00 [pmc-release] AID - S0016-5085(17)36071-7 [pii] AID - 10.1053/j.gastro.2017.08.038 [doi] PST - ppublish SO - Gastroenterology. 2017 Dec;153(6):1555-1567.e15. doi: 10.1053/j.gastro.2017.08.038. Epub 2017 Aug 30.