PMID- 35504112 OWN - NLM STAT- MEDLINE DCOM- 20220510 LR - 20240214 IS - 1476-5586 (Electronic) IS - 1522-8002 (Print) IS - 1476-5586 (Linking) VI - 29 DP - 2022 Jul TI - Activation of the CREB Coactivator CRTC2 by Aberrant Mitogen Signaling promotes oncogenic functions in HPV16 positive head and neck cancer. PG - 100799 LID - S1476-5586(22)00026-4 [pii] LID - 10.1016/j.neo.2022.100799 [doi] LID - 100799 AB - Head and neck squamous cell carcinoma (HNSCC) is the 6th most common cancer worldwide and incidence rates are continuing to rise globally. Patients often present with locally advanced disease and a staggering 50% chance of relapse following treatment. Aberrant activation of adaptive response signaling pathways, such as the cAMP/PKA pathway, induce an array of genes associated with known cancer pathways that promote tumorigenesis and drug resistance. We identified the cAMP Regulated Transcription Coactivator 2 (CRTC2) to be overexpressed and constitutively activated in HNSCCs and this confers poor prognosis. CRTCs are regulated through their subcellular localization and we show that CRTC2 is exclusively nuclear in HPV(+) HNSCC, thus constitutively active, due to non-canonical Mitogen-Activated Kinase Kinase 1 (MEKK1)-mediated activation via a MEKK1-p38 signaling axis. Loss-of-function and pharmacologic inhibition experiments decreased CRTC2/CREB transcriptional activity by reducing nuclear CRTC2 via nuclear import inhibition and/or by eviction of CRTC2 from the nucleus. This shift in localization was associated with decreased proliferation, migration, and invasion. Our results suggest that small molecules that inhibit nuclear CRTC2 and p38 activity may provide therapeutic benefit to patients with HPV(+) HNSCC. CI - Copyright (c) 2022. Published by Elsevier Inc. FAU - Carper, Miranda B AU - Carper MB AD - Lineberger Comprehensive Cancer Center, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA. FAU - Goel, Saumya AU - Goel S AD - Oral and Craniofacial Health Sciences, Adams School of Dentistry, The University of North Carolina at Chapel Hill, NC, USA; Carolina Research Scholar, Undergraduate Curriculum in Biochemistry, The University of North Carolina at Chapel Hill, NC, USA. FAU - Zhang, Anna M AU - Zhang AM AD - Oral and Craniofacial Health Sciences, Adams School of Dentistry, The University of North Carolina at Chapel Hill, NC, USA. FAU - Damrauer, Jeffrey S AU - Damrauer JS AD - Lineberger Comprehensive Cancer Center, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA. FAU - Cohen, Stephanie AU - Cohen S AD - Pathology Services Core, Lineberger Comprehensive Cancer Center, UNC School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, Chapel Hill, NC, USA. FAU - Zimmerman, Matthew P AU - Zimmerman MP AD - Graduate Curriculum in Genetics & Molecular Biology, Biological & Biomedical Sciences Program, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA. FAU - Gentile, Gabrielle M AU - Gentile GM AD - Graduate Curriculum in Genetics & Molecular Biology, Biological & Biomedical Sciences Program, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA. FAU - Parag-Sharma, Kshitij AU - Parag-Sharma K AD - Graduate Curriculum in Cell Biology & Physiology, Biological & Biomedical Sciences Program, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA. FAU - Murphy, Ryan M AU - Murphy RM AD - Graduate Curriculum in Pharmacology, Biological & Biomedical Sciences Program, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA. FAU - Sato, Kotaro AU - Sato K AD - Lineberger Comprehensive Cancer Center, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA; Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Nagoya University, Nagoya, Japan. FAU - Nickel, Kwangok P AU - Nickel KP AD - Department of Human Oncology and UW Carbone Cancer Center, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA. FAU - Kimple, Randall J AU - Kimple RJ AD - Department of Human Oncology and UW Carbone Cancer Center, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA. FAU - Yarbrough, Wendell G AU - Yarbrough WG AD - Lineberger Comprehensive Cancer Center, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA; Department of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, North Carolina, Chapel Hill, NC, USA; Department of Pathology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, Chapel Hill, NC, USA. FAU - Amelio, Antonio L AU - Amelio AL AD - Department of Cell Biology and Physiology, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Biomedical Research Imaging Center, UNC School of Medicine, The University of North Carolina at Chapel Hill, NC, USA; Lineberger Comprehensive Cancer Center, Cancer Cell Biology Program, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: antonio_amelio@unc.edu. LA - eng GR - P50 DE026787/DE/NIDCR NIH HHS/United States GR - F31 DE028749/DE/NIDCR NIH HHS/United States GR - P30 CA014520/CA/NCI NIH HHS/United States GR - R01 DE030123/DE/NIDCR NIH HHS/United States GR - T90 DE021986/DE/NIDCR NIH HHS/United States GR - P50 DE030707/DE/NIDCR NIH HHS/United States GR - T32 CA211056/CA/NCI NIH HHS/United States GR - T32 GM119999/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20220430 PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (CRTC2 protein, human) RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 0 (Mitogens) RN - 0 (Transcription Factors) SB - IM MH - Carcinogenesis MH - Cyclic AMP Response Element-Binding Protein/genetics/metabolism MH - *Head and Neck Neoplasms/genetics MH - Humans MH - Mitogens MH - Neoplasm Recurrence, Local MH - *Papillomavirus Infections/complications/genetics MH - Squamous Cell Carcinoma of Head and Neck/genetics MH - Transcription Factors/genetics PMC - PMC9065880 OTO - NOTNLM OT - CREB OT - HPV(+) oropharyngeal cancer OT - Head and neck cancer OT - cAMP Regulated transcription coactivators COIS- Declaration of Competing Interest A.L.A. is a Global Advisory Board member and paid consultant for LG Chem Life Sciences Innovation Center. All other authors declare no potential conflicts of interest. EDAT- 2022/05/04 06:00 MHDA- 2022/05/11 06:00 PMCR- 2022/04/30 CRDT- 2022/05/03 18:16 PHST- 2021/12/31 00:00 [received] PHST- 2022/04/14 00:00 [revised] PHST- 2022/04/14 00:00 [accepted] PHST- 2022/05/04 06:00 [pubmed] PHST- 2022/05/11 06:00 [medline] PHST- 2022/05/03 18:16 [entrez] PHST- 2022/04/30 00:00 [pmc-release] AID - S1476-5586(22)00026-4 [pii] AID - 100799 [pii] AID - 10.1016/j.neo.2022.100799 [doi] PST - ppublish SO - Neoplasia. 2022 Jul;29:100799. doi: 10.1016/j.neo.2022.100799. Epub 2022 Apr 30.