Inherited duplications of PPP2R3B predispose to nevi and melanoma via a C21orf91-driven proliferative phenotype
Inherited duplications of PPP2R3B predispose to nevi and melanoma via a C21orf91-driven proliferative phenotype
Purpose: Much of the heredity of melanoma remains unexplained. We sought predisposing germline copy-number variants using a rare disease approach. Methods: Whole-genome copy-number findings in patients with melanoma predisposition syndrome congenital melanocytic nevus were extrapolated to a sporadic melanoma cohort. Functional effects of duplications in PPP2R3B were investigated using immunohistochemistry, transcriptomics, and stable inducible cellular models, themselves characterized using RNAseq, quantitative real-time polymerase chain reaction (qRT-PCR), reverse phase protein arrays, immunoblotting, RNA interference, immunocytochemistry, proliferation, and migration assays. Results: We identify here a previously unreported genetic susceptibility to melanoma and melanocytic nevi, familial duplications of gene PPP2R3B. This encodes PR70, a regulatory unit of critical phosphatase PP2A. Duplications increase expression of PR70 in human nevus, and increased expression in melanoma tissue correlates with survival via a nonimmunological mechanism. PPP2R3B overexpression induces pigment cell switching toward proliferation and away from migration. Importantly, this is independent of the known microphthalmia-associated transcription factor (MITF)-controlled switch, instead driven by C21orf91. Finally, C21orf91 is demonstrated to be downstream of MITF as well as PR70. Conclusion: This work confirms the power of a rare disease approach, identifying a previously unreported copy-number change predisposing to melanocytic neoplasia, and discovers C21orf91 as a potentially targetable hub in the control of phenotype switching.
1636-1647
Polubothu, Satyamaanasa
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Bataille, Véronique
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Healy, Eugene
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Moore, Gudrun E
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Di, Wei-Li
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September 2021
Polubothu, Satyamaanasa
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Zecchin, Davide
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Al-Olabi, Lara
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Lionarons, Daniël A
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Harland, Mark
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Horswell, Stuart
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Thomas, Anna C
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Hunt, Lilian
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Wlodarchak, Nathan
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Aguilera, Paula
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Brand, Sarah
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Bryant, Dale
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Carrera, Cristina
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Chen, Hui
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Elgar, Greg
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Harwood, Catherine A
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Howell, Michael
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Larue, Lionel
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Loughlin, Sam
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MacDonald, Jeff
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Malvehy, Josep
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Barberan, Sara Martin
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Morrogh, Deborah
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Moulding, Dale
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Nsengimana, Jérémie
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Pittman, Alan
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Puig-Butillé, Joan-Anton
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Parmar, Kiran
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Tell, Gemma
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Waelchli, Regula
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Puig, Susana
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Xing, Yongna
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Healy, Eugene
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Moore, Gudrun E
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Di, Wei-Li
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