The precise roles of
p63 in tumour suppression have been hotly debated
7–10. Although some studies show p63 overexpression in human cancer
7,8,11, some demonstrate a loss of p63 associated with tumour progression and metastasis
8,12–14. Much of this controversy is due to the existence of multiple isoforms
15. The full-length TA isoform of p63 bears structural and functional similarity to p53, whereas the ΔN isoforms of p63, which lack the transactivation (TA) domain, act primarily in dominant-negative fashion against p53, TAp63 and TAp73 (ref.
15). These activities suggest that
TAp63 is a tumour suppressor gene and Δ
Np63 is an oncogene; however, this has not been directly tested
in vivo. To examine whether
TAp63 is a tumour suppressor gene, we generated a cohort of 30 mice of each of the following genotypes:
TAp63−/−,
TAp63+/− and wild-type, and aged them for 2.5 years ( and
Supplementary Fig. 1a, b). We found that both
TAp63+/− mice and
TAp63−/− mice developed spontaneous carcinomas and sarcomas (,
Supplementary Fig. 1a, b, and
Supplementary Table 1) and had a significantly shorter lifespan than the wild-type cohort (). Paradoxically, we noted that a larger proportion of the
TAp63−/− mice (24%) were tumour free compared with
TAp63+/− mice (15%) (). These data suggest that
TAp63 is a haploinsufficient tumour suppressor gene. Consistent with this finding, sarcomas (
n = 10) and carcinomas (
n = 10) from
TAp63+/− mice retained the wild-type allele of
TAp63 ().
TAp63+/− and
TAp63−/− mice developed highly metastatic tumours (, and
Supplementary Fig. 1a, b), and 10% of these metastases were found in the brain (), a rare finding in spontaneous mouse tumour models. Although equivalent numbers of carcinomas metastasized in the
TAp63−/− and
TAp63+/− mice, a greater number of sarcomas metastasized in
TAp63+/− mice than in
TAp63−/− mice (). These data again indicate that heterozygosity for
TAp63 results in a more severe phenotype in specific tissues.
To further understand the mechanisms employed by
TAp63 as a tumour suppressor gene, we studied the effects of
TAp63 on a
p53+/− or
p53−/− background
8,16–18. Some human tumours show alterations in both
p53 and
p63 (refs
12, 13), and point mutant p53 binds and functionally inactivates p63 (refs
17, 18). To study these interactions, we generated six cohorts of 30 mice each:
TAp63−/−;
p53+/− and
TAp63+/−;
p53+/− for comparison with
p53+/− mice, and
TAp63−/−;
p53−/− and
TAp63+/−;
p53−/− for comparison with
p53−/− mice. Unlike
p53+/− and
p53−/− mice,
TAp63/p53 compound mutant mice developed a remarkable number of metastatic tumours (,
Supplementary Fig. 1c–f and
Supplementary Table 1)
8,16. Whereas the
TAp63+/−;
p53+/− mice had a similar tumour spectrum to that of
TAp63−/−;
p53+/− mice (
Supplementary Table 1), the sarcomas of the
TAp63+/−;
p53+/− mice were significantly more invasive and metastatic (88%) than those in the
TAp63−/−;
p53+/− cohort (14%) (). In contrast, the carcinomas in the
TAp63−/−;
p53+/− cohort were more metastatic (44%) than those in the
TAp63+/−;
p53+/− group (29%) (). We next examined sarcomas (
n = 10) and carcinomas (
n = 10) from
TAp63+/−;
p53+/− mice and found that the wild-type allele of
TAp63 was retained (). We also examined
TAp63+/−;
p53+/− tumours and
TAp63−/−;
p53+/− tumours for p53 loss of heterozygosity (LOH) and found that one out of ten sarcomas showed LOH of
p53 in
TAp63+/−;
p53+/− tumours (). A slightly higher frequency was noted in tumours from
TAp63−/−;
p53+/− sarcomas (one out of eight) and carcinomas (two out of eight), indicating that there is increased selective pressure to lose the wild-type
p53 allele in the complete absence of
TAp63 (). However, the frequency of
p53 LOH was lower than the previously reported frequency (ranging from 75–90%) of sarcomas from
p53+/− mice
8,16 and was more reminiscent of the frequency of
p53 LOH in mouse models of Li–Fraumeni syndrome
17, further supporting the concept that p53 and p63 interact in tumour suppression. We also analysed
TAp63−/−;
p53−/− and
TAp63+/−;
p53−/− mice and found that highly metastatic carcinomas and sarcomas developed in addition to the thymic lymphomas found in the
p53−/− mice ( and
Supplementary Table 1). Sarcomas (
n = 5) and carcinomas (
n = 5) from these mice retained the wild-type allele of
TAp63 (), providing further evidence that
TAp63 is a haploinsufficient tumour suppressor gene.
To understand how heterozygosity of
TAp63 led to a more severe tumour phenotype than a complete loss of
TAp63, we examined whether senescence in the
TAp63−/− mice, which age prematurely
19, inhibited tumorigenesis or metastasis. We found several examples of
TAp63−/−;
p53+/− mice that developed non-metastatic osteosarcomas together with metastatic carcinomas ( and
Supplementary Fig. 1e, f). Tumours from these mice, along with sarcomas and carcinomas from
TAp63+/−;
p53+/− mice, were assayed for senescence-associated markers, namely SA-β-gal ( and
Supplementary Fig. 2a, b) or
PML (encoding promyelocytic leukemia protein),
p16Ink4a and
p19Arf (). We found that osteosarcomas and rhabdomyosarcomas in the
TAp63−/−;
p53+/− mice expressed high levels of senescence markers, whereas the same tumour types in the
TAp63+/−;
p53+/− mice did not (). None of the carcinomas from
TAp63−/−;
p53+/− or
TAp63+/−;
p53+/− mice was positive for these markers, indicating that
TAp63 deficiency has a tissue-specific function in the induction of senescence. These results correlated with the level of aggressiveness and metastatic potential of these tumours.
Genomic instability in tissues of
TAp63−/− mice has been shown to be high
19. To examine whether there is a similarly high level of genomic instability in tumours from
TAp63−/−;
p53+/− mice and whether this is correlated with tumour aggressiveness and metastasis, we performed γ-H2AX immunostaining and metaphase spreads on tumours from
TAp63 mutant mice ( and
Supplementary Fig. 2c–g). We did indeed find that
TAp63−/− carcinomas showed high levels of γ-H2AX, polyploid cells and chromosomal aberrations, suggesting that carcinomas lacking
TAp63 overcome senescence in epithelial tissues as a result of the acquisition of further genetic alterations. Although a decrease in
TAp63 expression promotes metastasis in both tumour types, senescence is triggered in sarcomas, thus inhibiting progression, whereas in carcinomas, genomic instability ensues, permitting further genetic events favouring tumour progression.
Given the high level of metastasis in
TAp63−/− mice, we examined whether
TAp63−/− mouse embryonic fibroblasts (MEFs) had an enhanced invasive ability.
TAp63−/− MEFs showed a 1.8-fold increase in invasion (). To assess whether this finding could be generalized to human tumours, we examined primary human head and neck squamous-cell carcinomas (HNSCCs) (cell lines 10A, 17A and 22A) and matched metastatic lesions with markedly low levels of
TAp63 () (cell lines 10B, 17B and 22B)
20. Tumours with low levels of
TAp63 showed an increased invasive ability (), indicating that
TAp63 is a critical regulator of cancer metastasis.
Our findings that
TAp63+/− tumours are more aggressive than those from
TAp63−/− mice are reminiscent of the phenotype of
Dicer conditional knock out (
Dicer1fl/+) mice intercrossed to the
KrasLSL-G12D lung cancer model
21, which indicate that
Dicer is haploinsufficient for tumour suppression
4, in a similar manner to our previous observations for
TAp63. Additionally,
Dicer1−/− mice show embryonic lethality (before embryonic day E8.5) similar to that in
TAp63−/− mice on an enriched C57BL/6 background
19; 35% of
TAp63−/− embryos die between E6.5 and E8.5. Given these similarities, we examined whether messenger RNA levels of
Dicer are dysregulated in tumours and cells lacking
TAp63.
TAp63−/− osteosarcomas, lung adenocarcinomas and mammary adenocarcinomas (
n = 6) and MEFs expressed significantly lower levels of
Dicer than
p53−/− tumours and MEFs ( and
Supplementary Fig. 3), suggesting that
TAp63 is required for the transcription of
Dicer. Similarly, we found that metastatic human HNSCCs (
n = 46), lung adenocarcinomas and squamous cell carcinomas (
n = 92) and mammary adenocarcinomas (
n = 43) with low levels of TAp63 had low Dicer expression (,
Supplementary Fig. 4 and
Supplementary Tables 2 and 3). These data indicate a critical role for TAp63 in the regulation of
Dicer in metastasis in human cancer. Consistent with this is the observation that Dicer and Drosha levels have been shown to be low in human cancer
20.
To determine whether
Dicer is a transcriptional target of TAp63, we performed chromatin immunoprecipitation (ChIP) analysis for a site matching the p63 consensus binding site (
Supplementary Table 4). We found that p63, and not p53, bound to the
Dicer promoter ( and
Supplementary Fig. 5a), suggesting that
Dicer is a direct transcriptional target of p63. In addition, all isoforms of
TAp63 (α, β and γ) were able to transactivate a
Dicer–luciferase reporter gene with the p63-binding site (), further indicating that TAp63 regulates
Dicer transcriptionally.
To understand whether TAp63 controls metastasis through transcriptional regulation of
Dicer, we re-expressed
Dicer in
TAp63−/− MEFs (). These cells lost their ability to invade (). Conversely, wild-type MEFs expressing a
Dicer short hairpin RNA (shRNA)
22 () showed increased invasiveness (). These data indicate that low levels of
Dicer lead to increased cell invasion, similar to that observed in
TAp63-deficient cells.
To further explore the connection between TAp63 and Dicer in metastasis, we modulated levels of
TAp63 in MEFs by expressing
TAp63γ in
TAp63−/− MEFs and human HNSCCs (
Supplementary Figs 5b and 6a) and measured
Dicer expression and invasion potential. Levels of
Dicer increased to wild-type levels in
TAp63−/− cells expressing
TAp63γ ( and
Supplementary Fig. 6b), which resulted in decreased invasion potential ( and
Supplementary Fig. 6c). We also acutely deleted
TAp63 after the introduction of adenovirus-Cre in
TAp63fl/fl MEFs (
Supplementary Fig. 5c). These
TAp63Δ/Δ MEFs showed concomitant downregulation of
Dicer () and a twofold increase in cellular invasion (), indicating that regulation of
Dicer by
TAp63 is critical in the suppression of invasion.
Because Dicer expression is low in the absence of TAp63, we assessed the processing of miRNAs that have a recognized role in lung and mammary adenocarcinoma metastasis
1–3,23, namely miR-10b, miR-200b, miR200c, miR34a and miR-130b, in
TAp63−/− MEFs and found that their processing is defective (). To examine whether modulating levels of TAp63 in cells would affect miRNA processing, we scored for processing of miR-10b in
TAp63−/− MEFs reconstituted with
TAp63γ and in
TAp63-ablated (
TAp63Δ/Δ) MEFs. When TAp63 was re-expressed, we observed a rescue of miRNA processing, and when
TAp63 was acutely deleted, we observed a diminution of miRNA processing (). The precursor of miR-130b (pre-miR-130b) was present at low levels in
TAp63−/− MEFs (), indicating that the primary transcript of
miR-130b may be expressed at low levels in the absence of TAp63.
We found that levels of
miR-130b were downregulated in
TAp63−/− MEFs, suggesting a role for TAp63 in its regulation (). We reasoned that other miRNAs, such as
miR-34a, which have been shown to be a transcriptional target of p53 (ref.
23), may also be a target of TAp63. Indeed,
miR-130b and
miR-34a were downregulated in the absence of TAp63 ( and
Supplementary Fig. 7a).
miR130b was also low in high-grade lung adenocarcinomas and HNSCCs with low levels of
TAp63 and
Dicer (
Supplementary Table 3). To assess whether p63 binds to the promoters of these miRNAs, we performed a ChIP analysis with identified putative p63-binding sites (
Supplementary Table 4). We found a significant level of p63 binding at both the
miR-130b and
miR-34a promoters ( and
Supplementary Fig. 7b–d). To determine whether p63 can directly transactivate
miR-130b and
miR-34a, we performed luciferase assays ( and
Supplementary Fig. 7e) and found that TAp63 transactivated the
miR130b reporter. We modulated the levels of TAp63 by overexpression or acute deletion in MEFs and found that levels of
miR-130b correlated with levels of
TAp63 (). Taken together, these data indicate that
miR-130b is a direct target of TAp63.
To understand whether regulation of
miR-130b by TAp63 has a function in the metastatic phenotype, we modulated levels of
miR-130b in MEFs (
Supplementary Fig. 7f–h) and assessed invasion (). Wild-type MEFs with low levels of
miR-130b showed increased invasion (), and
TAp63−/− MEFs expressing both
miR-130b and
Dicer showed decreased invasion () comparable to that of wild-type MEFs. This suggests that coordinate regulation of both
Dicer and
miR-130b by TAp63 is critical in suppressing metastasis.
We have shown that TAp63 is a suppressor of tumorigenesis and metastasis and that its complete inactivation results in tissue-specific antagonistic pleiotropy with respect to tumour progression including genomic instability and activation of senescence. Both the spectrum and the highly metastatic nature of tumours in TAp63-deficient mice are consistent with a role for TAp63 as a master regulator of metastasis. Furthermore, we have shown a role for transcriptional regulation by TAp63 of Dicer and miR-130b in metastasis. Given the diverse biological roles of both Dicer and TAp63, a complete understanding of the regulation of Dicer by TAp63 in other processes is a key question for the future.