title: Trabectedin (ET-743) promotes differentiation in myxoid liposarcoma tumors.
abstract: Differentiation is a complex set of events that can be blocked by rearrangements of regulatory genes producing fusion proteins with altered properties. In the case of myxoid liposarcoma (MLS) tumors, the causative abnormality is a fusion between the CHOP transcription factor and the FUS or EWS genes. CHOP belongs to and is a negative regulator of the large CAAT/enhancer binding protein family whose alpha, beta, and delta members are master genes of adipogenesis. Recent clinical data indicate a peculiar sensitivity of these tumors to the natural marine compound trabectedin. One hypothesis is that the activity of trabectedin is related to the inactivation of the FUS-CHOP oncogene. We find that trabectedin causes detachment of the FUS-CHOP chimera from targeted promoters. Reverse transcription-PCR and chromatin immunoprecipitation analysis in a MLS line and surgical specimens of MLS patients in vivo show activation of the CAAT/enhancer binding protein-mediated transcriptional program that leads to morphologic changes of terminal adipogenesis. The activity is observed in cells with type 1 but not type 8 fusions. Hence, the drug induces maturation of MLS lipoblasts in vivo by targeting the FUS-CHOP-mediated transcriptional block. These data provide a rationale for the specific activity of trabectedin and open the perspective of combinatorial treatments with drugs acting on lipogenic pathways.
authors.affiliation: Dipartimento di Scienze Biomolecolari e Biotecnologie, Università degli Studi di Milano, Milan, Italy.
authors.forename: Claudia
authors.initials: C
authors.lastname: Forni
authors.forename: Mario
authors.initials: M
authors.lastname: Minuzzo
authors.forename: Emanuela
authors.initials: E
authors.lastname: Virdis
authors.forename: Elena
authors.initials: E
authors.lastname: Tamborini
authors.forename: Matteo
authors.initials: M
authors.lastname: Simone
authors.forename: Michele
authors.initials: M
authors.lastname: Tavecchio
authors.forename: Eugenio
authors.initials: E
authors.lastname: Erba
authors.forename: Federica
authors.initials: F
authors.lastname: Grosso
authors.forename: Alessandro
authors.initials: A
authors.lastname: Gronchi
authors.forename: Pierre
authors.initials: P
authors.lastname: Aman
authors.forename: Paolo
authors.initials: P
authors.lastname: Casali
authors.forename: Maurizio
authors.initials: M
authors.lastname: D'Incalci
authors.forename: Silvana
authors.initials: S
authors.lastname: Pilotti
authors.forename: Roberto
authors.initials: R
authors.lastname: Mantovani
mesh_terms: D050156:Adipogenesis / Q000187:drug effects / Q000235:genetics; D000970:Antineoplastic Agents / Q000494:pharmacology; D017209:Apoptosis / Q000187:drug effects; D014408:Biomarkers, Tumor / Q000378:metabolism; D022782:CCAAT-Enhancer-Binding Protein-beta / Q000378:metabolism; D002454:Cell Differentiation / Q000187:drug effects*; D045744:Cell Line, Tumor; D004149:Dioxoles / Q000494:pharmacology*; D004354:Drug Screening Assays, Antitumor; D005260:Female; D015972:Gene Expression Regulation, Neoplastic / Q000187:drug effects; D006801:Humans; D018208:Liposarcoma, Myxoid / Q000235:genetics / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D015514:Oncogene Proteins, Fusion / Q000235:genetics; D011485:Protein Binding / Q000187:drug effects; D034702:RNA-Binding Protein FUS / Q000235:genetics; D044005:Tetrahydroisoquinolines / Q000494:pharmacology*; D000077606:Trabectedin; D051742:Transcription Factor CHOP / Q000235:genetics
chemical_list: D000970:Antineoplastic Agents; D014408:Biomarkers, Tumor; D022782:CCAAT-Enhancer-Binding Protein-beta; D004149:Dioxoles; D015514:Oncogene Proteins, Fusion; D034702:RNA-Binding Protein FUS; C106030:TLS-CHOP fusion protein, human; D044005:Tetrahydroisoquinolines; D051742:Transcription Factor CHOP; D000077606:Trabectedin