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Hepatoblastoma modeling in mice places Nrf2 within a cancer field established by mutant β-catenin
Sarah A. Comerford, Elizabeth A. Hinnant, Yidong Chen, Hima Bansal, Shawn Klapproth, Dinesh Rakheja, Milton J. Finegold, Dolores Lopez-Terrada, Kathryn A. O’Donnell, Gail E. Tomlinson, Robert E. Hammer
Sarah A. Comerford, Elizabeth A. Hinnant, Yidong Chen, Hima Bansal, Shawn Klapproth, Dinesh Rakheja, Milton J. Finegold, Dolores Lopez-Terrada, Kathryn A. O’Donnell, Gail E. Tomlinson, Robert E. Hammer
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Research Article Hepatology Oncology

Hepatoblastoma modeling in mice places Nrf2 within a cancer field established by mutant β-catenin

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Abstract

Aberrant wnt/β-catenin signaling and amplification/overexpression of Myc are associated with hepatoblastoma (HB), the most prevalent type of childhood liver cancer. To address their roles in the pathogenesis of HB, we generated mice in which Myc and mutant β-catenin were targeted to immature cells of the developing mouse liver. Perinatal coexpression of both genes promoted the preferential development of HBs over other tumor types in neonatal mice, all of which bore striking resemblance to their human counterparts. Integrated analysis indicated that tumors emerged as a consequence of Myc-driven alterations in hepatoblast fate in a background of pan-hepatic injury, inflammation, and nuclear factor (erythroid-derived 2)-like 2/Nrf2-dependent antioxidant signaling, which was specifically associated with expression of mutant β-catenin but not Myc. Immunoprofiling of human HBs confirmed that approximately 50% of tumors demonstrated aberrant activation of either Myc or Nfe2l2/Nrf2, while knockdown of Nrf2 in a cell line–derived from a human HB with NFE2L2 gene amplification reduced tumor cell growth and viability. Taken together, these data indicate that β-catenin creates a protumorigenic hepatic environment in part by indirectly activating Nrf2 and implicate oxidative stress as a possible driving force for a subset of β-catenin–driven liver tumors in children.

Authors

Sarah A. Comerford, Elizabeth A. Hinnant, Yidong Chen, Hima Bansal, Shawn Klapproth, Dinesh Rakheja, Milton J. Finegold, Dolores Lopez-Terrada, Kathryn A. O’Donnell, Gail E. Tomlinson, Robert E. Hammer

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Figure 1

Hepatic expression of mutant β-catenin retards growth and cooperates with Myc to promote HBs and HCCs in neonatal mice.

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Hepatic expression of mutant β-catenin retards growth and cooperates wit...
(A) Breeding strategy used to generate β-catΔEx3:Myc (here abbreviated to βΔEx3:Myc) mice coexpressing mutant β-catenin and Myc in the immature liver. (B and C) Hepatic expression of mutant β-catenin stunts postnatal growth. (B) Left, normal sized WT mouse; right, small mouse expressing a single copy of the β-catΔEx3 allele (here abbreviated to βΔEx3) in liver. (C) Body weights. (D and E) Expression of mutant β-catenin with or without the Albumin-c-Myc transgene induces hepatomegaly. (D) Liver weights and (E) percentage of liver/body weight. (F) Kaplan-Meier curve of morbidity. Number of mice analyzed to generate graphs in C–E: WT (n = 18); Myc (n = 15); βΔEx3 (n = 35); and βΔEx3:Myc (n = 35). Number of mice analyzed to generate the graph in F: WT (n = 19); Myc (n = 19); βΔEx3 (n = 44); and βΔEx3:Myc (n = 40). Dashed lines in graph in F indicate the age at which 50% of βΔEx3 and βΔEx3:Myc mice became premorbid, 26 days and 26.5 days, respectively. P values for graphs in C–E were generated using a 2-tailed unpaired t test. P values for graph in F were generated using a log-rank (Mantel-Cox) test.

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