The clinical, cellular and cell-signalling consequences of
NF1-haploinsufficiency are well known [
20-
22]. Genomic changes are less well characterized. We present, to our knowledge, the first genome-wide study of the consequences of
NF1-haploinsufficiency on germline (i.e. non-tumor) gene expression in humans. Consistent with the known dysregulation of RAS in NF1, we found evidence of up-regulation of cell cycle, mitosis, cytokinesis and RNA processing and transcription ontologic categories in LCLs. For the first time, we also found up-regulation of DNA repair, replication and recombination ontologic categories, presumably secondary to generalized cell cycle activation. Activation and subsequent deregulation of these critical pathways is a plausible cause for the permissive tumorigenic environment that is the hallmark of
NF1-haploinsufficiency.
We hypothesized that in the tightly regulated somatic cell haploinsufficient changes, even of a critical gene like
NF1, will be modest but detectable by microarray. Studies of the genome-wide consequences of tumor suppressor haploinsufficiency ideally require normal tissue, since tumor cell lines often feature copy-number changes [
23]. Other studies investigating the genomic consequences of tumor suppressor inactivation have engineered near-nullizygosity (i.e. not haploinsufficiency) using RNA interference technology [
24]. We elected to use LCLs from two banked kindreds for three reasons. First, within a family we were able to control for
NF1 mutation heterogeneity. Second, neurofibromin is expressed and is functionally important in RAS regulation in B lymphocytes [
25,
26] in mouse models of NF1. Consistent with a functional role for neurofibromin in control of murine lymphocyte growth regulation in spleen [
26], we observed a statistically significant difference in spleen weights between wild-type and
Nf1+/- animals. Importantly, we detected no evidence by histology or blood count of a leukemic or pre-leukemic disorder. Third, the study of the genetics of gene expression commonly uses LCLs, whose global gene expression patterns do not appear to be significantly disrupted by EBV transformation [
27]. We show that
NF1 is expressed at modest levels in normal LCLs (Figure ) and fluctuates following serum deprivation (Additional file
10), suggesting that EBV transformation of B lymphocytes did not abrogate baseline or serum-dependent
NF1 expression.
We found a statistically significant difference in
NF1 expression level between affected and unaffected individuals in the Coriell 2176 pedigree (Figure ). Affected individuals from the kindred harbor an
NF1 mutation predicted to result in a premature stop codon, which presumably results in nonsense-mediated decay. We observed no statistically significant difference in
NF1 expression level in the ECACC P0117 pedigree, whose affected individuals harbor an
NF1 mutation predicted to result in exon 10a skipping (Figure ). Presumably, this mutation does not affect mRNA stability. We observed similar mRNA transcript stability in the
Nf1+/- mouse (Figure ) although the modest levels of
NF1 expression in lymphocytes may preclude detection of expression differences. Similar transcript stability (as determined by northern blot analysis) was observed in the original publication describing the NF1 mouse model [
15], although subsequent work using more sensitive techniques (quantitative PCR) have found modest expression differences in
Nf1 in homogenized brain tissue from
Nf1+/-;Trp53+/-cis mice [
28].
We found few significant transcripts by permuted
t test and intersection analysis shared among the Coriell-18, ECACC-6 and
Nf1-Mouse-12 groups (Table , Figure and Additional file
1), however few transcripts were validated by qPCR (Table ). The small number of statistically significant transcripts may be due to the limited number of samples or high variability of individual gene expression levels in the samples. In summary, in LCLs
NF1-haploinsufficiency appears to have a small effect on the expression of any single transcript.
Because we expect the changes in specific transcripts to be subtle between wild-type and
NF1+/- cells, we sought evidence for global changes in specific ontologic categories of genes (and not individual transcripts) perturbed by
NF1-haploinsufficiency. We chose Gene Set Enrichment Analysis given its success in identifying
KRAS2 expression [
29], JNK signalling [
24] and clinical survival signatures [
30] in variety of datasets. To be conservative, we used 5000 permutations, set a low false discovery rate threshold (<0.05) and compared results across our three expression datasets. Using the leading edge analysis algorithm in GSEA, we observed striking similarities in the proportion and ontology of up- and down-regulated categories in the two human and one mouse group (Figure ). Four of the five top up-regulated ontological categories in the ECACC-6 and
Nf1-Mouse-12 groups were identical (cell cycle/mitosis/cytokinesis, DNA repair/replication/recombination, transcription/RNA processing, cell proliferation). Three of the four top up-regulated ontological categories in the Coriell-18 group (transcription/RNA processing, DNA repair/replication/recombination and cell proliferation) were among the top five categories in ECACC-6 and
Nf1-Mouse-12 groups. The similarities between the ECACC-6 and
Nf1-Mouse-12 groups may be due to similar mutation types: the
NF1 mutation in both the ECACC-6 family and the
Nf1+/- mice results in in-frame exon skipping [
15], whereas the mutation in the Coriell-18 group is predicted to lead to a premature stop codon. In the Coriell-18 group, the largest up-regulated category (translation/protein biosynthesis/ribosome biogenesis, accounting for ~40% of LEA genes) was not in the top 14 categories of the ECACC-6 and
Nf1-Mouse-12 groups. Furthermore, there were fewer significant gene sets enriched in the Coriell-18 group (4 sets) than in the ECACC-6 (65 sets) and
Nf1-Mouse-12 groups (189 sets), which may make meaningful statistical comparisons difficult.
The largest up-regulated category in the GSEA leading edge analysis of the ECACC-6 and
Nf1-Mouse-12 groups is cell cycle/mitosis/cytokinesis (e.g.
CDC20,
CDC2,
FOXM1,
MCM3,
MCM6,
MCM2,
CCNB2 - Additional file
4). This perturbation is consistent with the known RAS dysregulation observed in
NF1-haploinsufficiency. The second-most perturbed up-regulated process in ECACC-6 and
Nf1-Mouse-12 (and third-most perturbed in Coriell-18) groups is the DNA replication/repair/recombination category (e.g.
RFC4,
FEN1,
RFC3,
UNG,
RAD51 - Additional file
4). This DNA damage response (DDR), or activation of genes associated with DNA replication/repair/recombination, is likely secondary to oncogene-associated (e.g. NF1-associated dysregulation of RAS) up-regulation of cell cycle/mitosis/cytokinesis genes [
31]. Null or loss-of-function mutations in genes associated with DNA replication/repair/recombination are typically deleterious [
32]. Paradoxically, activation of DDR genes themselves (especially in the context of on-going DNA replication stress) can result in oncogene-induced DNA damage, genomic instability and progression in human precancerous lesions [
31]. To our knowledge, oncogene-induced DNA damage has not been specifically observed in NF1-associated tumors, although the murine
Nf1+/-;p53+/-cis model of NF1 malignancies hosts a mild mutator phenotype in a wide variety of normal tissues in mice [
33]. Our observations of DNA replication/repair/recombination up-regulation in germline
NF1-haploinsufficiency suggest that subsequent
NF1 bi-allelic inactivation and loss of heterozygosity may be secondary, in part, to oncogene-induced DNA damage. It is possible that the perturbations in cell cycle and DNA repair pathways that we observe apply to tumor suppressor haploinsufficiency in general, and not NF1 in particular. We are not aware of similar analyses in other tumor suppressor genes (e.g.
RB).
These observations are largely supported by our analysis with Onto-Express, Pathway-Express and MetaCore tools (Biological Processes and Pathway Maps). These methods revealed perturbed cell cycle, mitosis, transcription and DNA replication and repair pathways, especially in up-regulated genes in the Coriell-18 and Nf1-Mouse-12 sets. Perturbed immune pathways were commonly identified in down-regulated genes in Coriell-18 and Nf1-Mouse-12 sets.
Haploinsufficiency (of any gene) is traditionally viewed as a passive state in which loss of one allele is insufficient to maintain the wild-type phenotype. Mouse modelling of
Nf1-haploinsufficiency clearly shows a permissive tumorigenic environment in NF1, although the actual mechanism is unclear [
4]. Evidence from other tumor-predisposition syndromes suggest that haploinsufficiency is an active state that facilitates cancer progression [
3]. The perturbed, up-regulated pathways we observed, including those controlling DNA damage and repair, may functionally contribute to
NF1-haploinsufficiency as an "active state" that ultimately promotes the loss of the wild-type allele [
3].