1. WWTR1(TAZ)-CAMTA1 reprograms endothelial cells to drive epithelioid hemangioendothelioma
- Author
-
Li Wang, Jordan H. Driskill, Bo Kuan Wu, Duojia Pan, Yonggang Zheng, Jing Cai, Michael T. Dellinger, and Dinesh Rakheja
- Subjects
Carcinogenesis ,WWTR1 ,Biology ,Fusion gene ,03 medical and health sciences ,Mice ,0302 clinical medicine ,Cell Line, Tumor ,Genetic model ,Genetics ,medicine ,Animals ,Humans ,Epithelioid hemangioendothelioma ,Transcription factor ,030304 developmental biology ,0303 health sciences ,Hippo signaling pathway ,Calcium-Binding Proteins ,Intracellular Signaling Peptides and Proteins ,Cancer ,Endothelial Cells ,medicine.disease ,Gene Expression Regulation, Neoplastic ,030220 oncology & carcinogenesis ,Transcriptional Coactivator with PDZ-Binding Motif Proteins ,Cancer research ,Trans-Activators ,Hemangioendothelioma, Epithelioid ,Ectopic expression ,Gene Fusion ,Developmental Biology ,Research Paper - Abstract
Epithelioid hemangioendothelioma (EHE) is a poorly understood and devastating vascular cancer. Sequencing of EHE has revealed a unique gene fusion between the Hippo pathway nuclear effector TAZ (WWTR1) and the brain-enriched transcription factor CAMTA1 in ∼90% of cases. However, it remains unclear whether the TAZ-CAMTA1 gene fusion is a driver of EHE, and potential targeted therapies are unknown. Here, we show that TAZ-CAMTA1 expression in endothelial cells is sufficient to drive the formation of vascular tumors with the distinctive features of EHE, and inhibition of TAZ-CAMTA1 results in the regression of these vascular tumors. We further show that activated TAZ resembles TAZ-CAMTA1 in driving the formation of EHE-like vascular tumors, suggesting that constitutive activation of TAZ underlies the pathological features of EHE. We show that TAZ-CAMTA1 initiates an angiogenic and regenerative-like transcriptional program in endothelial cells, and disruption of the TAZ-CAMTA1-TEAD interaction or ectopic expression of a dominant negative TEAD in vivo inhibits TAZ-CAMTA1-mediated transformation. Our study provides the first genetic model of a TAZ fusion oncoprotein driving its associated human cancer, pinpointing TAZ-CAMTA1 as the key driver and a valid therapeutic target of EHE.
- Published
- 2020