Oncogenic YAP promotes radioresistance and genomic instability in medulloblastoma through IGF2-mediated Akt activation

Oncogene. 2012 Apr 12;31(15):1923-37. doi: 10.1038/onc.2011.379. Epub 2011 Aug 29.

Abstract

Radiation therapy remains the standard of care for many cancers, including the malignant pediatric brain tumor medulloblastoma. Radiation leads to long-term side effects, whereas radioresistance contributes to tumor recurrence. Radio-resistant medulloblastoma cells occupy the perivascular niche. They express Yes-associated protein (YAP), a Sonic hedgehog (Shh) target markedly elevated in Shh-driven medulloblastomas. Here we report that YAP accelerates tumor growth and confers radioresistance, promoting ongoing proliferation after radiation. YAP activity enables cells to enter mitosis with un-repaired DNA through driving insulin-like growth factor 2 (IGF2) expression and Akt activation, resulting in ATM/Chk2 inactivation and abrogation of cell cycle checkpoints. Our results establish a central role for YAP in counteracting radiation-based therapies and driving genomic instability, and indicate the YAP/IGF2/Akt axis as a therapeutic target in medulloblastoma.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Cycle Checkpoints
  • Cell Cycle Proteins
  • Cerebellar Neoplasms / genetics*
  • Cerebellar Neoplasms / radiotherapy
  • DNA Damage
  • Genomic Instability*
  • Humans
  • Insulin-Like Growth Factor II / metabolism*
  • Medulloblastoma / genetics*
  • Medulloblastoma / radiotherapy*
  • Mice
  • Mice, Transgenic
  • Nuclear Proteins / physiology*
  • Proto-Oncogene Proteins c-akt / metabolism*
  • Radiation Tolerance
  • Transcription Factors / physiology*

Substances

  • Cell Cycle Proteins
  • Nuclear Proteins
  • Transcription Factors
  • YY1AP1 protein, human
  • Insulin-Like Growth Factor II
  • Proto-Oncogene Proteins c-akt