PMID- 33947962 OWN - NLM STAT- MEDLINE DCOM- 20220121 LR - 20230201 IS - 1476-5594 (Electronic) IS - 0950-9232 (Print) IS - 0950-9232 (Linking) VI - 40 IP - 21 DP - 2021 May TI - WAPL induces cervical intraepithelial neoplasia modulated with estrogen signaling without HPV E6/E7. PG - 3695-3706 LID - 10.1038/s41388-021-01787-5 [doi] AB - Since cervical cancer still afflicts women around the world, it is necessary to understand the underlying mechanism of cervical cancer development. Infection with HPV is essential for the development of cervical intraepithelial neoplasia (CIN). In addition, estrogen receptor signaling is implicated in the development of cervical cancer. Previously, we have isolated human wings apart-like (WAPL), which is expected to cause chromosomal instability in the process of HPV-infected precancerous lesions to cervical cancer. However, the role of WAPL in the development of CIN is still unknown. In this study, in order to elucidate the role of WAPL in the early lesion, we established WAPL overexpressing mice (WAPL Tg mice) and HPV E6/E7 knock-in (KI) mice. WAPL Tg mice developed CIN lesion without HPV E6/E7. Interestingly, in WAPL Tg mice estrogen receptor 1 (ESR1) showed reduction as compared with the wild type, but cell growth factors MYC and Cyclin D1 controlled by ESR1 expressed at high levels. These results suggested that WAPL facilitates sensitivity of ESR1 mediated by some kind of molecule, and as a result, affects the expression of MYC and Cyclin D1 in cervical cancer cells. To detect such molecules, we performed microarray analysis of the uterine cervix in WAPL Tg mice, and focused MACROD1, a co-activator of ESR1. MACROD1 expression was increased in WAPL Tg mice compared with the wild type. In addition, knockdown of WAPL induced the downregulation of MACROD1, MYC, and Cyclin D1 but not ESR1 expression. Furthermore, ESR1 sensitivity assay showed lower activity in WAPL or MACROD1 downregulated cells than control cells. These data suggested that WAPL increases ESR1 sensitivity by activating MACROD1, and induces the expression of MYC and Cyclin D1. Therefore, we concluded that WAPL not only induces chromosomal instability in cervical cancer tumorigenesis, but also plays a key role in activating estrogen receptor signaling in early tumorigenesis. FAU - Kumagai, Katsuyoshi AU - Kumagai K AD - Pre-clinical Research Center, Tokyo Medical University, Tokyo, Japan. FAU - Takanashi, Masakatsu AU - Takanashi M AUID- ORCID: 0000-0002-7127-1153 AD - Department of Molecular Pathology, Tokyo Medical University, Tokyo, Japan. FAU - Ohno, Shin-Ichiro AU - Ohno SI AUID- ORCID: 0000-0003-1064-4750 AD - Department of Molecular Pathology, Tokyo Medical University, Tokyo, Japan. FAU - Harada, Yuichirou AU - Harada Y AD - Department of Molecular Pathology, Tokyo Medical University, Tokyo, Japan. FAU - Fujita, Koji AU - Fujita K AD - Department of Molecular Pathology, Tokyo Medical University, Tokyo, Japan. FAU - Oikawa, Keiki AU - Oikawa K AD - Department of Molecular Pathology, Tokyo Medical University, Tokyo, Japan. FAU - Sudo, Katsuko AU - Sudo K AD - Pre-clinical Research Center, Tokyo Medical University, Tokyo, Japan. FAU - Ikeda, Shun-Ichi AU - Ikeda SI AD - Department of Obstetrics and Gynecology, Kohseichuo General Hospital, Tokyo, Japan. FAU - Nishi, Hirotaka AU - Nishi H AD - Department of Obstetrics and Gynecology, Tokyo Medical University, Tokyo, Japan. FAU - Oikawa, Kosuke AU - Oikawa K AD - Department of Pathology, Wakayama Medical University, Wakayama, Japan. FAU - Kuroda, Masahiko AU - Kuroda M AUID- ORCID: 0000-0001-7052-4289 AD - Department of Molecular Pathology, Tokyo Medical University, Tokyo, Japan. kuroda@tokyo-med.ac.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210504 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (Carrier Proteins) RN - 0 (E6 protein, Human papillomavirus type 16) RN - 0 (Estrogens) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins, Viral) RN - 0 (Papillomavirus E7 Proteins) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Repressor Proteins) RN - 0 (WAPL protein, human) RN - 0 (oncogene protein E7, Human papillomavirus type 16) SB - IM MH - Animals MH - Animals, Genetically Modified MH - Carrier Proteins/*genetics MH - Chromosomal Instability MH - Disease Models, Animal MH - Estrogens/*metabolism MH - Female MH - Gene Knock-In Techniques MH - Mice MH - Mice, Transgenic MH - Nuclear Proteins/*genetics MH - Oncogene Proteins, Viral/physiology MH - Papillomavirus E7 Proteins/physiology MH - Papillomavirus Infections/*genetics/metabolism/virology MH - Precancerous Conditions MH - Proto-Oncogene Proteins/*genetics MH - Repressor Proteins/physiology MH - Signal Transduction MH - Uterine Cervical Neoplasms/genetics/metabolism/*pathology MH - Uterine Cervical Dysplasia/genetics/metabolism/*pathology PMC - PMC8154587 COIS- The authors declare no competing interests. EDAT- 2021/05/06 06:00 MHDA- 2022/01/22 06:00 PMCR- 2021/05/04 CRDT- 2021/05/05 06:18 PHST- 2020/08/21 00:00 [received] PHST- 2021/04/12 00:00 [accepted] PHST- 2021/03/30 00:00 [revised] PHST- 2021/05/06 06:00 [pubmed] PHST- 2022/01/22 06:00 [medline] PHST- 2021/05/05 06:18 [entrez] PHST- 2021/05/04 00:00 [pmc-release] AID - 10.1038/s41388-021-01787-5 [pii] AID - 1787 [pii] AID - 10.1038/s41388-021-01787-5 [doi] PST - ppublish SO - Oncogene. 2021 May;40(21):3695-3706. doi: 10.1038/s41388-021-01787-5. Epub 2021 May 4.