Abstract
While it has been widely established that defective fork restart after exposure to stress results in increased genomic instability, the importance of fork protection during stalling for safeguarding genomic integrity has recently been fully appreciated. BRCA2, Breast tumor suppressor, has dual functionality promoting not only DNA repair but also preventing DNA lesions at stalled forks. In response to replication stress, BRCA2 recruits RAD51 onto nascent DNA at stalled forks, protecting nascent DNA from nucleolitic cleavage. Phosphorylation of the BRCA2 C-terminal RAD51 binding site by CDK2 promotes RAD51 filament disassembly, leading to nucleolitic cleavage of newly synthesized DNA and compromised fork integrity. Recently we uncovered how the core Hippo pathway components RASSF1A, MST2 and LATS1 regulate CDK2 activity towards BRCA2, in response to fork stalling. In complex with LATS1, CDK2 exhibits reduced kinase activity which results in low levels of pBRCA2-S3291 and stable RAD51 filaments protecting nascent DNA from MRE11 cleavage. In the absence of the RASSF1A/MST2/LATS1/CDK2 pathway increased resection of newly synthesized DNA leads to chromosomal instability and malignant transformation. This function of RASSF1A in stalled replication fork protection adds to the role of RASSF1A as a tumor suppressor and builds up evidence for RASSF1A status and its prognostic and predictive value in cancer.
Introduction
Genomic instability is a major characteristic of most tumors however, is often detected in premalignant lesions, indicating that is also a driving force of cancer transformation.1-3 Over the last decade different mechanisms have been suggested to explain the source of genome instability, including defective DNA damage repair,4 oxidative stress,5 errors in chromosomal segregation6 and telomere attrition.7 However, these mechanisms contribute mainly to chromosomal changes, which appear in more advanced stages of cancer development.8 The most attractive model to explain the induction of genomic instability in early stages of cancer development is stress caused to DNA replication as a result of oncogene activation and subsequent loss of sufficient nucleotide pools to support normal DNA replication, resulting in fork stalling.9-11
Observations made more than 10 y ago showed that induction of replication stress with hydroxyurea (HU) in cells that lacked BRCA2 resulted in collapse of replication forks and double strand breaks, possibly due to inability to resolve secondary structures.12 Recently though, using detailed DNA fiber analysis in response to replication stress induced by short treatment with HU, BRCA2 was characterized as a central component of a distinct replication fork protection pathway.13 The CDK2 mediated phosphorylation of the C-terminal segment (TR2 domain) of BRCA2 was shown to abrogate the formation of protective RAD51 nucleofilaments at nascent DNA at stalled forks. Most importantly, in the absence of BRCA2 or in the presence of the phosphomimetic BRCA2-S3291A mutant, nascent DNA gets resected from the MRE11 nuclease resulting in accumulation of single stranded DNA gaps and chromosomal aberrations.13,14
In our recent study, we further elucidated the molecular mechanism that governs replication fork protection during stress. We demonstrated pathway crosstalk between BRCA2-RAD51 fork protection and the Hippo pathway,15 a kinase cascade involved in cell proliferation, survival and apoptosis. Specifically we show that LATS1, a central kinase of the Hippo pathway interacts with CDK2 only after treatment with replication stress agents resulting in decreased CDK2 kinase activity and low levels pBRCA2-S3291. Most importantly LATS1 function in replication fork protection is kinase independent and depends on interaction with CDK2 in a complex with no cyclins. In the absence of LATS1, increased CDK2 activity toward BRCA2 promotes the disruption of RAD51 filaments and exposes nascent DNA to nucleolitic attack. RASSF1A tumor suppressor has a central role in the Hippo pathway activation in response to stress. In absence of RASSF1A, LATS1 fails to interact with CDK2 resulting in unstable RAD51 nucleofilaments and nascent DNA resection.15
Repair Proteins Protecting Stalled Forks
Schlacher and colleagues showed that components of Homologous Recombination (HR) function in a separate pathway that protects rather than repairs damage at stalled replication forks.13 BRCA2 promotes RAD51 loading on nascent DNA exposed at stalled forks protecting it from extensive nucleolitic cleavage. MRE11 presence at stalled forks is known to be necessary for fork restart,16 as controlled nucleolitic activity at stalled forks is hypothesized to be required for enlargement of small ssDNA gaps created by the discontinuous fork progression, facilitating amplification of checkpoint signaling (Fig. 1). Thus, Rad51 presence at stalled forks is believed to function as a protective barrier that limits the extent of DNA resection, therein maintaining genome stability.13,14,17
In addition to BRCA2, several other components of the HR machinery and DNA repair proteins are necessary for the formation of stable RAD51 nucleofilamets upon fork stalling.18 FANCD2, known for promoting break formation and translesion synthesis in response to intra-strand crosslinks, functions epistatically with BRCA2 and RAD51 in the stabilization of stalled forks. BRCA1, breast cancer suppressor which interacts with several FANC proteins, including FANCD2 and BRCA2 is also part of the replication fork protection pathway.18 Interestingly, Schlacher et al. found that BRACA1/2 and FANCD2 are dispensable for fork restart after the removal of the stalling agent18 despite the necessity of RAD51 for fork recovery.16,19 Conversely, BLM, a RecQ helicase that promotes dissolution of Holliday junction intermediates after HR repair of DNA double strand breaks,20 is not required for the protection pathway but is necessary for fork restart.18 In a more recent report though, it was proposed that FANCD2 does have a role in fork recovery via BLM regulation.21 WRN, another RecQ helicase has been found to be required for fork progression rather than restart after the removal of the stalling agent,22 while potential function of WRN in the replication fork protection pathway has not been addressed (Fig. 1). Thus, further studies are necessary to clarify if repair proteins recruited at stalled forks function in protection as well as restart, or whether is a ‘work load’ distribution among them.
Overexpression of a mutant RAD51 with impaired ATPase activity that results in stable filaments can rescue nascent DNA shortening at stalled forks in cells lacking BRCA2.13 Moreover, overexpression of wild type RAD51 can alleviate resection in Fanconi Anemia (FA) deficient cells.18 Previous studies have also shown that RAD51 can compensate for some aspects of a BRCA2 gene defects, including the impaired radiation responsiveness evident in BRCA2 mutant cells.23
PARP1, is necessary for MRE11 relocation and efficient restart of collapsed forks as a result of long HU treatments, 24 however is dispensable for MRE11 recruitment at transiently stalled forks without evidence of double strand breaks.17 Formation of PAR polymers at stalled forks also prevent resection although potentially through a distinct mechanism.17 The full understanding of the rules that govern replication fork protection and whether BRCA2/RAD51 pathway alone is sufficient, or not, for protection of stalled replication forks could offer a significant therapeutic potential in the future.
BRCA2 C-Terminus in the Regulation of Stalled Fork Protection: LATS1 Promotes Fork Stability
Detailed BRCA2 domain mapping showed that the DNA binding domain of BRCA2 is dispensable for fork protection, however interaction with RAD51 is required.13 BRCA2 has 2 interaction domains with RAD51. The first contains 8 centrally localized BRC repeats, which are known to bind RAD51 monomers in a 1:1 complex between monomeric RAD51 and BRC repeat.25 The second domain (TR2 domain) lays in the far C-terminus of BRCA2, binds oligomeric RAD51 and stabilises the nucleofilaments.26,27 RAD51 interaction with the BRCA2 C-terminus is regulated by CKDs. In a normal cell cycle, increased levels of pBRCA2-S3291 are evident in G2/M transition after activation of CDK1 resulting in disassembly of RAD51 oligomers to allow DNA segregation.28 In response to DNA damage during S phase, levels of pBRCA2-S3291 further decrease to permit fork protection and recombination activity.28
Mutations in S3291 appear to be dispensable for HR, however BRCA2-S3291A is unable to rescue increased MRE11 resection in nascent DNA in response to HU induced stress in V-C8 cells that lack functional BRCA2, indicating the significance of CDK2 activity regulation for protection of stalled forks.13
In our recent study we offered further mechanistic insight in the regulation of BRCA2-S3291 phosphorylation by CDK2 in response to ATR activation, where we showed that the Hippo pathway has a major role in that via activation of the tumor suppressor LATS1.15
LATS1 is a Serine/Threonine kinase that phosphorylates transcriptional co activator and canonical Hippo pathway substrate, YAP on HX(R/H/K)XX(S/T) consensus sites regulating YAP nuclear/cytoplasmic shuttling and differential complex formation between YAP and transcription factors.29-32 LATS1 activation depends on the MST1/2 (Hippo orthologues in mammals), which mediate LATS1 phosphorylation at S909 and T1079 leading to conformational changes and kinase activity stimulation.33 Intriguingly, LATS1 was identified in a proteomic analysis for novel pathways that respond to ATM/ATR stimulation and maintain genomic stability, offering a new insight on the function of the Hippo pathway.34
LATS1 interaction with CDKs has been reported upon entry to mitosis, however the signal that drives this interaction had been missing.35 Activated LATS1 was shown to interact specifically with CDK1 in the G2/M transition in a complex which had compromised kinase activity toward histone H1 substrate. It was suggested that LATS1 interaction with CDK1 was dependent on its phosphorylation but the responsible kinase was not determined.35
In our study we found that regulation of BRCA2 C-terminal phosphorylation requires activation by MST2 but does not depend on LATS1 kinase activity or its canonical substrate YAP.15 In response to replication stress MST2 targets LATS1 offering the necessary conformational change to allow interaction with CDK2. Subsequent sequestration of CDK2 from its active complex with cyclins leads to decreased TR2 domain phosphorylation in BRCA2 and RAD51 nucleofilament stabilization on nascent DNA exposed at stalled/regressed forks.15 Detailed mapping for LATS1/CDK2 interaction showed that binding to CDK2 depends on the N-terminus of LATS115. The first 200 amino acids necessary for interaction with CDK2 contain LATS Conserved Domain 1 (LCD1) (aa12-167), one of the 2 conserved domains in the N-terminus between LATS1 and LATS2 orthologues. Lats1LCD1−/− mice show increased chromosomal instability and tumorigenicity,36 indicative of the LCD1 domain importance for LATS1 tumor suppressive function. Deletion of LCD1 from LATS2 also abolishes its tumor suppressor activity on NIH3T3/v- ras cells.37 Therefore, it would be interesting to test if regulation of CDK2 is a conserved function between the orthologues in response to MST1/2 activation or is a distinct function of LATS1.
In Lats1−/− MEFS treated with HU, significantly increased levels of pBRCA2-S3291 led to nascent DNA resection. Treatment of Lats1−/− MEFS with the MRE11 inhibitor mirin rescued shortening of nascent DNA tracks, indicating that LATS1 directly regulates BRCA2 mediated RAD51 stabilization at stalled forks.15
LATS1 ablation has been shown to result in increased tumorigenicity both in mice and flies.38,39 Moreover, analysis of the mutation distribution across different domains of LATS1 from patient samples in the Catalog of Somatic Mutation in Cancer (COSMIC) database, showed mutations at several conserved sites in LCD1.40 Our recent study offers a new insight in LATS1 tumor suppressive function and also supports a kinase independent role of LATS1 in addition to its kinase mediated regulation of YAP.15
RASSF1A Inactivation, Genomic Stability and Cancer Predisposition
Deregulation of the tumor suppressive ‘Hippo pathway’ results in tissue overgrowth and carcinogenesis in model systems, but its role in human cancer is less clear. The mammalian Hippo kinase orthologues, MST1/2, are tightly controlled by the RASSF family, of which RASSF1A is widely described to be epigenetically inactivated, displaying increased risk of onset and poor prognosis across all major sporadic malignancies. RASSF1A is one of the 7 different isoforms that rise from the RASSF1 gene at the 3p21.3 locus, a segment of the genome highly populated by tumor suppressor genes.41–43 RASSF1A is a Ras effector that possesses tumor suppressive properties functioning as a scaffold protein, since it lacks enzymatic activity. Genetically ablated mice for Rassf1A demonstrate an enhanced predisposition to develop spontaneous tumors and this effect is amplified in a p53 null background or after inactivation of APC (Adenomatus Polyposis Coli). 44–46 Moreover, Rassf1A−/− and Rassf1A−/+ mice show increased tumor multiplicity and tumor size after treatment with chemical carcinogens.44
RASSF1A regulates Hippo pathway pro-apoptotic activity in response to Fas receptor activation and double strand breaks.30,47 In response to these stimuli RASSF1A sequesters MST2 from the inhibitory complex with Raf1, allowing MST2 dimerization and autophosphorylation on the Thr residues within the activation loop.47,48 MST2 increased kinase activity in response to RASSF1A overexpression leads to LATS1 phosphorylation and kinase activity activation that has been shown to result in preferential YAP binding to p73 and transcription of the proapoptotic target gene PUMA.30
RASSF1A has a unique SQ site at S131 that is targeted by ATM in response to double strand breaks resulting in RASSF1A dimerization. RASSF1A dimer has a greater affinity for MST2, possibly due to an altered orientation of the SARAH interaction domains, compared to the monomer.30 RASSF1A activation in response to ionizing radiation leads in apoptotic transcription stimulation via the main Hippo pathway output, YAP and the DNA damage responsive factor p73 (Fig. 2).
We showed that RASSF1A is also necessary for Hippo pathway activation in response to replication stress. After HU treatment in the absence of RASSF1A, MST2 fails to target LATS1, and stimulate secondary structure changes that allow interaction with CDK2. Uncontrolled CDK2 kinase activity leads to increased levels of pBRCA2-S3291, unstable RAD51 nucleofilaments and increased nucleolitic cleavage of nascent DNA at stalled forks. The end result is widespread chromosomal aberrations and increased genomic instability, similar to BRCA mutant cells.15 Silencing of the RASSF1A/LATS1 cascade also leads to defective fork restart and progression after stress removal.15 Weather this is BRCA2 dependent or contributes independently in the genomic instability evident in the absence of the cascade has to be examined.
Epigenetic silencing of RASSF1A is probably the most frequently described epigenetic inactivation event so far in human cancers. Hypermethylation of the RASSF1A promoter CpG Island has been reported in early stages of many different cancer types including lung, breast, prostate, glioma, neuroblastoma and kidney cancer and several recent studies have illustrated the diagnostic and prognostic potential of RASSF1A methylation. In lung cancers, which are the most frequent cancer type worldwide, RASSF1A is hypermethylated in 72–100% of Small Cell Lung Cancer (SCLC) tumor specimens, in 30–45% of resected Non-SCLC tissues and in 36–88% of NSCLC cell lines respectively.49-51 Moreover, RASSF1A methylation has been negatively correlated in a number of studies with disease free and overall survival.52-54 In our study, in a lung adenocarcinoma cohort of 188 patients from the Cancer Genome Atlas (TCGA) database we found increased correlation between RASSF1A methylation and Copy Number Alterations (CNA).15 A recent study also found a positive correlation of RASSF1 promoter methylation and increased CNA in breast cancer patients.55 These finding highlight the significance of RASSF1A/LATS1/CDK2 axis for protection of genomic stability and promote the idea of using replication stress agents as a therapeutic approach to target patients with high RASSF1A methylation in a synthetically lethal approach. In agreement with this, NSCL patients showed increased sensitivity in the replication stress inducing agent, Gemcitabine further supporting the potential use of RASSF1A as biomarker NSCL cancer patients.56
Loss of RASSF1A expression is largely attributed to promoter hypermethylation or LOH at the 3p21.3 locus, as somatic mutations of RASSF1A are rare.57 However, Single Nucleotide Polymorphisms (SNPs) inherited in germline DNA, often affect gene regulation and as with familial syndromes, can influence susceptibility to a variety of disease including cancer. rs2073498, represents a relative frequent alteration in the RASSF1 sequence in European and Asian populations where 10–20% of individuals carry at least one allele variant. While the majority of SNPs represent changes in intergenic regions within exon regions result in alterations in the coding sequence. The rs2073498 SNP located in exon 3 alters the coding sequence at amino acid position 133 of isoform A, next to the ATM activation site, that results in the conversion of a phylogenetically conserved Alanine (encoded by the major G allele) to Serine (encoded by the minor T allele) which is unable to get phosphorylated by ATM in response to damage.58 Serine substitution of the genetically conserved Alanine at S133 next to the ATM phospho-site, possibly results in loss of a helical turn and secondary structure disruption leading to impaired ATM targeting.58
Re-expression of RASSF1A-A133S in cells that lack RASSF1A is unable to restore LATS1/CDK2 interaction and rescue the DNA shortening at stalled forks.15 We showed that ATR targets RASSF1A at S131 but not the polymorphic mutant which like RASSF1A loss of expression correlates with increased cancer susceptibility and worse disease outcome in lung, breast, prostate, head and neck, liver and soft tissues sarcomas.57-60 Schagdarsurengin et al. showed a higher frequency of the A133S polymorphism in 141 Caucasian females with breast cancer compared with 70 healthy individuals.61 More importantly in a study where the age of breast cancer onset among the BRCA1/2 mutation carriers with or without A133S was compared, minor allele carriers were diagnosed 6 y earlier than those with wild-type RASSF1A.59 Although subsequently questioned,62 there is increasing evidence for association between the polymorphic mutant and familiar breast cancer, and the inconsistencies may simply reflect additional parameters not accounted depending on BRCA mutation or cancer subtypes. Thus, the presence of an A133S polymorphism along with a BRCA1/2 mutation in the same individual may result as a BRCA2 Loss of Heterozygosity like event leading to early disease onset.
Conclusion and Unresolved Questions
Hippo pathway is a developmental pathway known to signal to YAP/TAZ transcription factors and regulate their activity.63 Many components of the Hippo pathway have been shown to possess tumor suppressive functions independently of the cascade. Our recent study showed that the Hippo pathway functions independently of YAP to promote genome stability at stalled replication forks in response to RASSF1A activation.15 RASSF1A is one of the most commonly inactivated genes in premalignant and malignant lesions. We highlight here that RASSF1A activation in response to stress not only result in regulation of the transcriptome via YAP, but also abrogates nascent DNA resection exhibiting a protective role at the fork (Fig. 2). Apart from increased DNA resection RASSF1A inactivation leads to defective fork restart and decreased velocity indicating that RASSF1A could have additional roles at the fork.15 BRCA2 depletion despite RAD51 destabilization does not lead to restart problems after stress removal.13 Recently RASSF1A was shown to interact with nuclear XPA promoting its repair activity in Nucleotide Excision Repair (NER) showing a nuclear role of RASSF1A in DNA repair.64 Moreover NER in combination with fork processing can catalyze blockage removal and fork restart.65 It is possible for RASSF1A to have a fork-localized function independent of control of LATS1/CDK2 interaction. In conclusion with our recent study we offer a new aspect on how the Hippo pathway can function in maintenance of genome integrity and protection from malignant transformation.
Disclosure of Potential Conflicts of Interest
No potential conflicts of interest were disclosed.
References
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