id ndltd-OhioLink-oai-etd.ohiolink.edu-case1567791544641051
record_format oai_dc
spelling ndltd-OhioLink-oai-etd.ohiolink.edu-case15677915446410512021-08-03T07:12:54Z Investigation of Protein Phosphatase 2A A-alpha Subunit Mutation as a Disease Driver in High-Grade Endometrial Carcinoma Taylor, Sarah Elizabeth Cellular Biology Gynecology Medicine Pathology Oncology Endometrial Cancer Endometrial Carcinoma Uterine Cancer Oncogenesis Metastasis Protein Phosphatase 2A PP2A PPP2R1A Phosphatase Tumor Suppressor Driver Mutation P179R Protein Phosphatase 2A (PP2A) is a major cellular serine-threonine phosphatase that directly regulates many diverse and essential signaling pathways. PP2A is a heterotrimeric enzyme composed of a scaffolding A-subunit, catalytic C-subunit, and one of several candidate regulatory B-subunits. Study of PP2A in human cancer has established its role as a tumor suppressor whose functions to maintain cell homeostasis are disrupted during cancer pathogenesis. A-alpha is the predominant isoform of the PP2A scaffolding A-subunit and is encoded by the gene PPP2R1A. Analysis of genomic data from human tumors revealed recurrent somatic mutations that cluster to key interaction points of the A-alpha subunit with its regulatory B-subunits and impair the assembly of complete PP2A holoenzymes. Of note, uterine endometrial carcinomas (EMCA) accounted for nearly 50% of the identified mutations. A subset of mutations, P179R/L/T and S256F/Y, were further identified as uniquely specific to the high-grade subtypes of EMCA, serous endometrial carcinoma and endometrial carcinosarcoma, occurring almost exclusively in these cancer types. To date, the role of these mutations in endometrial tumorigenesis and oncogenic signaling has not been fully elucidated. However, their striking disease specificity, occurrence in multiple EMCA patients, and location at structurally important sites within the A-alpha protein, suggest an impairment of PP2A’s biological activity in a manner that is directly advantageous to high-grade endometrial carcinoma development. The works presented here have characterized the impact of PPP2R1A P179R mutation on canonical PP2A tumor suppressive function. P179R represents the most frequent missense mutation of those that are reoccurring and disease-specific for high-grade EMCA. Described herein are structural and biochemical investigative works that enumerate the structural disturbance induced by proline-to-arginine substitution at the P179 locus, which alters the A-alpha protein’s stable conformations, and impedes interaction with PP2A catalytic and regulatory subunits. Cells harboring the P179R mutant isoform thus have significant disruption of PP2A and impaired negative regulation of pro-oncogenic pathways. This appears to include a novel role for PP2A in the reprogramming of cell identity through modulation of transcriptional programs relating to epithelial-mesenchymal identity and cancer stem cell identity. PP2A’s functional status correlated with the tumor initiating potential of cells, which is an essential biological property for primary tumor growth and metastasis initiation. Altogether, this body of research establishes a foundational understanding of the disease-driving mechanism of a recurrent PP2A A-alpha mutation, and how its dysregulation of molecular events contributes to endometrial carcinoma disease pathogenesis and progression. 2019 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1567791544641051 http://rave.ohiolink.edu/etdc/view?acc_num=case1567791544641051 restricted--full text unavailable until 2022-01-17 This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Cellular Biology
Gynecology
Medicine
Pathology
Oncology
Endometrial Cancer
Endometrial Carcinoma
Uterine Cancer
Oncogenesis
Metastasis
Protein Phosphatase 2A
PP2A
PPP2R1A
Phosphatase
Tumor Suppressor
Driver Mutation
P179R
spellingShingle Cellular Biology
Gynecology
Medicine
Pathology
Oncology
Endometrial Cancer
Endometrial Carcinoma
Uterine Cancer
Oncogenesis
Metastasis
Protein Phosphatase 2A
PP2A
PPP2R1A
Phosphatase
Tumor Suppressor
Driver Mutation
P179R
Taylor, Sarah Elizabeth
Investigation of Protein Phosphatase 2A A-alpha Subunit Mutation as a Disease Driver in High-Grade Endometrial Carcinoma
author Taylor, Sarah Elizabeth
author_facet Taylor, Sarah Elizabeth
author_sort Taylor, Sarah Elizabeth
title Investigation of Protein Phosphatase 2A A-alpha Subunit Mutation as a Disease Driver in High-Grade Endometrial Carcinoma
title_short Investigation of Protein Phosphatase 2A A-alpha Subunit Mutation as a Disease Driver in High-Grade Endometrial Carcinoma
title_full Investigation of Protein Phosphatase 2A A-alpha Subunit Mutation as a Disease Driver in High-Grade Endometrial Carcinoma
title_fullStr Investigation of Protein Phosphatase 2A A-alpha Subunit Mutation as a Disease Driver in High-Grade Endometrial Carcinoma
title_full_unstemmed Investigation of Protein Phosphatase 2A A-alpha Subunit Mutation as a Disease Driver in High-Grade Endometrial Carcinoma
title_sort investigation of protein phosphatase 2a a-alpha subunit mutation as a disease driver in high-grade endometrial carcinoma
publisher Case Western Reserve University School of Graduate Studies / OhioLINK
publishDate 2019
url http://rave.ohiolink.edu/etdc/view?acc_num=case1567791544641051
work_keys_str_mv AT taylorsarahelizabeth investigationofproteinphosphatase2aaalphasubunitmutationasadiseasedriverinhighgradeendometrialcarcinoma
_version_ 1719456192796819456