We have been studying a novel spontaneous mouse cancer model,
Sdl, in which an early-onset T-ALL phenotype is inherited in a dominant manner. We have accumulated evidence that
Mcm4D573H is the causative tumor-causing genetic lesion in this model. The dominant inheritance of the cancer phenotype observed in
Sdl contrasts to previous studies of mice harboring
Mcm2 (
Mcm2IRES-CreERT2) or
Mcm4 (
Mcm4chaos3) hypomorphic alleles in which tumors were only observed in the homozygous state
[3],
[5]–
[7].
Mcm2IRES-CreERT2/IRES-CreERT2 and
Mcm4chaos3/chaos3 mice harbor reductions in MCM levels detectable by Western analysis, which leads to a loss of backup origins that normally maintain genomic instability by firing during times of replicative stress
[3]–
[7]. Gene trap (GT) null alleles of
Mcm2 and
Mcm4 have also been generated.
Mcm2GT/+ mice have been reported to develop tumors, but only after one year of age and with approximately 75% penetrance
[4]. Therefore, it has been proposed that a threshold level of MCM proteins (between 35 and 50% of normal for MCM2) is required for sufficient origin licensing to maintain genomic stability and prevent tumor formation
[4]. We did not detect a reduction in total or chromatin bound MCM levels in
Sdl mice, suggesting that the
Mcm4D573H allele acts in a different mechanism to cause tumorigenesis. However, it is also possible that
Mcm4D573H mice harbor small reductions in MCM levels that are beyond the detection limits of Western analysis. Although detailed aging studies were not presented,
Mcm4GT/+ mice were reported to be apparently normal
[3]. However, a thorough study of the tumor phenotype of
Mcm4GT/+ mice will be required to determine the threshold levels of active MCM4 that are required to maintain genomic stability and prevent tumorigenesis.
The tumor spectrum and latency in
Sdl is also very different from that observed in
Mcm4chaos3/chaos3 mice
[3],
[6]. The reasons underlying these differences remain to be elucidated. As
Mcm4chaos3/chaos3 and
Sdl have been studied on different strain backgrounds, genetic modifiers could contribute to the observed phenotypic differences. Alternatively, the recessively acting hypomorphic
Mcm4chaos3 and the dominantly acting
Mcm4D573H may have different consequences on origin licensing and DNA replication. In addition, a recent report found that MCM 2, 3, 5 and 7 regulate HIF1 activity and this function is likely independent from their function in the heterohexamer. A similar activity was not detected for MCM4 or 6
[18]. Therefore, the reduction in levels of total MCMs seen in
Mcm4chaos3/chaos3 mice could also influence HIF1 activity and have phenotypic consequences. A study of tumor and DNA replication phenotypes for both alleles on the same genetic background will be required to address the reasons for phenotypic differences between the two alleles.
Analysis of T cell differentiation in Sdl carriers revealed subtle defects, with some animals being more severely affected than others. One potential interpretation is that T cell differentiation is mostly normal in Sdl mice until genomic mutations due to replicative stress start to accumulate. In support of this, microarray data failed to detect any transcripts that are significantly differentially expressed in Sdl carrier thymuses compared to wild-type thymuses. Tests for common function did identify differences in genes with common gene functions including protein localization or targeting to mitochondria, chemokine binding or receptor activity and endothelial cell proliferation.
In contrast, many expression differences were detected between wild-type thymuses and
Sdl leukemias. Many of the mostly profoundly down-regulated genes in
Sdl leukemias are genes such as
Prss16 and
Tbata that are expressed in thymic epithelial cells
[19],
[20]. This observation likely results from a lower ratio of T cells to thymic epithelial cells in normal thymus than in thymic lymphoma. Although non-T lineage cells are the minority of cells in the developing thymus, they nevertheless impacted our ability to identify genes that are down-regulated during T-ALL formation in
Sdl mice. The transcripts with the greatest fold up-regulation in
Sdl leukemias compared to normal thymus include genes with unknown function, metabolic genes, genes expressed during T cell activation and
Notch1 target genes. RT-PCR in
Sdl tumors demonstrated the presence of an aberrant
Notch1 transcript splicing from exon 1 to exon 28 in 12 of 15
Sdl leukemias. Genomic PCR on a separate cohort of
Sdl T-ALLs was able to clone genomic breakpoints in the
Notch1 locus in 3 of 13 tumors. These breakpoints occurred in introns 2 and 27, introns 1 and 27, and introns 2 and 26. It is possible that the exon 1 to 28 splice is favored even when deletions leave more internal exons intact, or that our RT-PCR conditions failed to robustly amplify transcripts containing other aberrant splice variants. Alternatively, the genomic re-arrangements present at the
Notch 1 locus may be more complex than can be detected by our genomic PCR. Nevertheless, the detected
Notch1 transcript and lack of RSS-like sequences at the cloned breakpoints are both consistent with the presence of type 2 deletions at the
Notch1 locus in
Sdl T-ALLs. The vast majority of murine T-ALLs previously examined have harbored type 1 RAG-mediated deletions, while type 2 deletions were more rare. A predisposition to T-ALL has also been observed for
Mcm2 hypomorphic mice
[5],
[7] and array CHG detected deletions at the
Notch1 locus in 4 of 8 of T-ALLs in
Mcm2 mice
[21]. One possibility to explain the tumor spectrum in
Sdl mice and
Mcm2 hypomorphic mice is that the integrity of the murine
Notch1 locus is sensitive to replicative dysfunction in developing T cells and that replicative stress promotes the formation of type 2 deletions at the
Notch1 locus. As the majority of T cell development is completed by young adulthood,
Mcm4chaos3/chaos3 mice may not experience sufficient replicative stress to cause
Notch1 deletions in developing thymocytes, which would allow them survive longer to develop other late-onset tumor types.
Previous array CGH studies of
Notch1-driven mouse T-ALLs failed to detect tumor-specific chromosomal aberrations, indicating that chromosomal instability is not a general characteristic of mouse T-ALL
[22]. In contrast, array CGH data of
Sdl tumors did detect small amplifications and deletions but not whole chromosome gains and losses. This data is consistent with previous observations that an improved growth phenotype found in
mcm4Chaos3/Chaos3 diploid yeast is due to mutations in a few genes and not due to aneuploidy
[23]. In addition, recent array CGH experiments on T-ALLs from
Mcm2 hypomorphic mice also detected small genomic aberrations
[21]. However, aberrations in T-ALLs in
Mcm2 mice were primarily deletions, while both amplifications and deletions were found in
Sdl T-ALLs. It is possible that functional differences between MCM helicase activity in
Sdl and
Mcm2 hypomorphic mice could explain this difference. However, it is also possible that strain specific modifiers can impact the types of aberrations generated by replicative dysfunction or selected for during tumorigenesis. Nevertheless, studies in yeast,
Mcm2 hypomorphic mice and
Sdl mice all support a model that replicative stress can contribute to tumorigenesis by generating smaller chromosomal aberrations and not by causing aneuploidy.
The residue impacted by the observed
Mcm4 mutation in
Sdl mice is part of the Walker B box, one of the structural motifs in MCM4 that is an integral part of the ATPase active site formed between MCM4 and MCM7 in the heterohexameric complex
[24]. Engineering the D to H mutation into the analogous residue in yeast
mcm4 failed to complement a
mcm4 genomic deletion. Previous studies in yeast where the analogous D residue was mutated to A or T did complement a
mcm4 deletion allele
[9]. Mutation of the D and the adjacent E residue to N and Q, respectively, (DE>NQ) did however fail to complement
[25]. As the D residue in the Walker B box is believed to be important for coordinating the Mg
2+ ion involved in ATP hydrolysis
[26], the substitution of a positively charged H residue could result in a greater impact on MCM4 function than would mutation to an A or T (
Figure S5). Given the observation that total and chromatin bound MCM levels are not different in
Sdl carrier and wild-type mice, this supports a model in which MCM4
D573H containing helicases are stable, yet functionally inactive.
The role of MCM proteins in promoting genomic instability during human cancer initiation and progression remains unclear. Immunohistochemistry detects MCM protein expression in many human tumor samples, as would be expected for rapidly dividing cells
[27]. Knockdown of
MCM 2, 3 or
7 in medulloblastoma cell lines caused inhibition of anchorage-dependent and independent growth; while their over-expression promoted cell migration, invasion and increased anchorage-independent growth
[28].
MCM7 over-expression in epithelial progenitor cells sensitized mice to carcinogen-induced skin tumors but did not itself drive tumors by 1 year of age
[29]. Over-expression of
MCM7 alone in the prostatic epithelium did not promote phenotypes. However, over-expression of
MCM7 along with a
PTEN-targeting microRNA cluster encoded within the
MCM7 human locus did initiate prostate tumorigenesis
[30]. Although mutations in genes involved in DNA damage checkpoints and DNA damage repair are known to contribute to sporadic and hereditary tumorigenesis, it is unclear if genetic changes in the actual components of the replication machinery such as MCM proteins contribute to tumorigenesis in humans. A few point mutations in
MCM subunits have been detected in human tumors
[31]. However, the functional consequences of these mutations are currently unknown. Given clinical use and preclinical development of compounds that impact replication as cancer chemotherapies, it will be important to elucidate how
MCMs contribute to tumor initiation and progression. Although previous studies have uncovered a tumor suppressive activity for
Mcms, our studies of the
Sdl model indicate that dominantly acting
Mcms alleles can be compatible with viability but cause chromosomal abnormalities and highly penetrant tumor formation. Therefore,
Mcm mutations with different functional consequences on MCM levels and activity have the potential to act as driver mutations during tumorigenesis.