FGFR2 signaling underlies p63 oncogenic function in squamous cell carcinoma

J Clin Invest. 2013 Aug;123(8):3525-38. doi: 10.1172/JCI68899. Epub 2013 Jul 8.

Abstract

Oncogenic transcription factors drive many human cancers, yet identifying and therapeutically targeting the resulting deregulated pathways has proven difficult. Squamous cell carcinoma (SCC) is a common and lethal human cancer, and relatively little progress has been made in improving outcomes for SCC due to a poor understanding of its underlying molecular pathogenesis. While SCCs typically lack somatic oncogene-activating mutations, they exhibit frequent overexpression of the p53-related transcription factor p63. We developed an in vivo murine tumor model to investigate the function and key transcriptional programs of p63 in SCC. Here, we show that established SCCs are exquisitely dependent on p63, as acute genetic ablation of p63 in advanced, invasive SCC induced rapid and dramatic apoptosis and tumor regression. In vivo genome-wide gene expression analysis identified a tumor-survival program involving p63-regulated FGFR2 signaling that was activated by ligand emanating from abundant tumor-associated stroma. Correspondingly, we demonstrate the therapeutic efficacy of extinguishing this signaling axis in endogenous SCCs using the clinical FGFR2 inhibitor AZD4547. Collectively, these results reveal an unanticipated role for p63-driven paracrine FGFR2 signaling as an addicting pathway in human cancer and suggest a new approach for the treatment of SCC.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Apoptosis
  • Benzamides / pharmacology
  • Carcinoma, Squamous Cell / chemically induced
  • Carcinoma, Squamous Cell / drug therapy
  • Carcinoma, Squamous Cell / metabolism*
  • Fibroblast Growth Factor 7 / physiology
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Membrane Proteins / physiology*
  • Mice
  • Paracrine Communication
  • Piperazines / pharmacology
  • Pyrazoles / pharmacology
  • Receptor, Fibroblast Growth Factor, Type 2 / antagonists & inhibitors
  • Receptor, Fibroblast Growth Factor, Type 2 / metabolism*
  • Signal Transduction
  • Skin Neoplasms / chemically induced
  • Skin Neoplasms / drug therapy
  • Skin Neoplasms / metabolism*
  • Transcription, Genetic
  • Transcriptome
  • Tumor Cells, Cultured

Substances

  • AZD4547
  • Antineoplastic Agents
  • Benzamides
  • CKAP4 protein, human
  • FGF7 protein, human
  • Membrane Proteins
  • Piperazines
  • Pyrazoles
  • Fibroblast Growth Factor 7
  • FGFR2 protein, human
  • Receptor, Fibroblast Growth Factor, Type 2