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Annals of Oncology

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abstracts<br />

proteins, and classified into multiple classes. One <strong>of</strong> the MT species, MT1H, is down<br />

regulated in HCC. However, the roles <strong>of</strong> MT1H in HCC are not fully understood.<br />

Methods: The expression <strong>of</strong> MT1H in large datasets derived from TCGA databases.<br />

Hepatoma HepG2 and Hep3B cells were transfected with full length Flag-tagged<br />

MT1H. The cell growth curved was obtained through MTT assay. Invasiveness and<br />

migration ability <strong>of</strong> hepatoma cells was studied through the matrigel-coated transwell<br />

assay. HepG2-Vector and HepG2-MT1H cells were subcutaneously injected into nude<br />

mice for assessing in vivo tumorigenicity <strong>of</strong> MT1H over-expression.<br />

Results: The results from TCGA RNASeq2 data showed that MT1H is significantly<br />

down regulated in most HCC analyzed. MT1H expression level was found to be<br />

markedly decreased in all HCC tumors. Hepatoma HepG2 and Hep3B cells were<br />

transfected with full length Flag-tagged MT1H. Enforced expression <strong>of</strong> MT1H in<br />

HepG2 and Hep3B cells led to a more than 50% decrease in colony numbers as<br />

compared with control cells. The DNA synthesis capability was significantly decreased<br />

in MT1H-overexpressed hepatoma cells. Ectopic overexpression <strong>of</strong> MT1H significantly<br />

impaired the migration capability <strong>of</strong> hepatoma cells. We found that Wnt/β-catenin<br />

pathway related genes were significantly enriched in the HCC patients with low MT1H<br />

expression. Consistently, ectopic over-expression <strong>of</strong> MT1H in HCC cells significantly<br />

suppressed the mRNA level <strong>of</strong> β-catenin signaling downstream targets (c-Myc, MMP7,<br />

LEF1, and TCF4) . As expected, Wnt/β-catenin nuclear translocation was significantly<br />

attenuated in MT1H over-expressed HCC cells. To assess the effect <strong>of</strong> MT1H<br />

over-expression on tumorigenicity in vivo, we subcutaneously injected nude mice with<br />

HepG2-Vector and HepG2-MT1H cells. The tumors formed by HepG2-MT1H cells<br />

were significantly smaller than that <strong>of</strong> control cells. The average tumor weight <strong>of</strong> the<br />

MT1H- transfected cells inoculated mice was significantly decreased at day 30.<br />

Conclusions: Our findings suggest that MT1H functions as tumor suppressor in HCC<br />

mediated by Wnt/β-catenin signaling pathway.<br />

Legal entity responsible for the study: N/A<br />

Funding: Zhejiang Provincial Natural Science Fund (grant no. LY13H160007) and the<br />

Zhejiang Medicines and Health Science and Technology Project (grant no. 201348801).<br />

Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />

5P<br />

AMPKalpha1 restrains fibroblasts transformation and<br />

tumorigenesis in vivo<br />

P. Song, Y. Ding, Q. Lu, M-H. Zou<br />

Center for Molecular and Translational Medicine, Georgia State University, Atlanta,<br />

GA, USA<br />

Background: Adenosine monophosphate-activated protein kinase (AMPK) is a critical<br />

metabolic sensor and redox modulator. Despite evidence linking AMPK tumor<br />

suppressor functions, the role <strong>of</strong> AMPK in chromosome instability and tumorigenesis<br />

is obscure.<br />

Methods: Murine embryo fibroblasts (MEF) were isolated from AMPK alpha1 knock<br />

out (AMPKα1-KO), AMPKα2-KO, and wild type (WT) C57BL/6J mouse embryos,<br />

and immortalized by employing standard 3T3 protocol to investigate the mechanisms<br />

<strong>of</strong> chromosomal instability and fibroblast-mediated angiogenesis. Chromatin proteins<br />

and aneuploidy were monitored in cultured MEFs by Western blot and metaphase<br />

spread. Athymic nude mice were employed to test tumorigenesis <strong>of</strong> fibroblasts in vivo.<br />

Results: Deletion <strong>of</strong> AMPKα1, but not AMPKα2, exhibited a significant reduction in<br />

centromere-specific binding proteins C (CENP-C) and elevation <strong>of</strong> Polo-like kinase 4<br />

(PLK4), a trigger <strong>of</strong> centriole biogenesis. Both CENP-C and PLK4 may be associated<br />

with the increased aneuploid (34%-66%) and micronucleus. Allograft model data<br />

demonstrated that knock out <strong>of</strong> AMPKα1 enhanced the cellular proliferation <strong>of</strong><br />

immortalized MEFs, vascularization, and tumor development in athymic nude mice in<br />

vivo. Mechanistically, it was shown that the protein level <strong>of</strong> noncanonical nuclear factor<br />

kappa B2 (NF-κB2)/p52 was elevated in AMPKα1-KO MEFs and was responsible for<br />

induction <strong>of</strong> erythropoietin (Epo) expression. Lastly, the most conclusive evidence for<br />

AMPKα1-dependent inhibition <strong>of</strong> fibroblast-mediated angiogenesis as well as tumor<br />

progression was that the allograft growth <strong>of</strong> the inoculated AMPKα1-KO MEFs was<br />

attenuated by treatment with Epo neutralization antibody.<br />

Conclusions: Taken together, these data indicate that AMPKα1 activation opposes<br />

tumor development and its loss fosters tumor progression in part by controlling<br />

chromosome stability and angiogenesis that support tumor growth.<br />

Legal entity responsible for the study: Georgia State University<br />

Funding: National Institutes <strong>of</strong> Health, American Heart Association<br />

Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />

receptors (VEGFR)1–3, fibroblast growth factor receptors (FGFR) 1–4, platelet-derived<br />

growth factor receptor–α, and KIT and RET proto-oncogenes. We previously reported<br />

that LEN + EVE showed significantly greater antitumor activity in human RCC<br />

xenograft models compared with each monotherapy. LEN + EVE inhibited in vitro<br />

angiogenesis driven by VEGF and FGF in an additive and a synergistic manner,<br />

respectively. Here, we examined FGFR and VEGFR signaling pathway participation in<br />

tumor growth and angiogenesis in human RCC xenografts treated with LEN + EVE.<br />

Methods: Antitumor activity was evaluated in 2 human RCC xenograft models (A–498<br />

and Caki–1). To assess dependence <strong>of</strong> in vivo growth <strong>of</strong> RCC xenografts on FGFR<br />

signaling, nude mice with RCC xenografts were treated daily with the selective FGFR<br />

inhibitor PD173074 (50 mg/kg, orally [p.o.]). To evaluate antiangiogenic activity, mice<br />

were treated daily with LEN (10 mg/kg, p.o.), EVE (30 mg/kg, p.o.) or LEN + EVE<br />

(10 + 30 mg/kg p.o.). Microvessel density (MVD) was evaluated by<br />

immunohistochemistry using an α-CD31 antibody.<br />

Results: PD173074 inhibited in vivo growth <strong>of</strong> RCC xenografts. In the Caki-1 model,<br />

administration <strong>of</strong> LEN or EVE decreased MVD in tumor tissues, with significantly<br />

reduced MVD observed with LEN + EVE (P < 0.001 and P < 0.05), compared with EVE<br />

and LEN respectively (mean ± standard deviation [/mm 2 ]; control, 135.8 ± 26.0; LEN,<br />

65.3 ± 14.8; EVE, 89.4 ± 24.0; LEN + EVE, 38.1 ± 6.0). In the A–498 model, LEN and<br />

EVE monotherapies showed antiangiogenic and antiproliferative activity, respectively.<br />

These results demonstrate FGFR signaling pathway participation in in vivo growth <strong>of</strong><br />

RCC xenografts.<br />

Conclusions: The combined activity <strong>of</strong> LEN + EVE was therefore based on 1)<br />

enhanced inhibition <strong>of</strong> VEGF- and FGF-driven angiogenesis and 2) the combination <strong>of</strong><br />

the antiangiogenic activity <strong>of</strong> LEN and antiproliferative activity <strong>of</strong> EVE. These data<br />

demonstrate that both FGFR and VEGFR pathways are necessary for the LEN + EVE<br />

combined activity in RCC xenograft models.<br />

Legal entity responsible for the study: Eisai Co., Ltd<br />

Funding: This study was funded by Eisai Co., Ltd<br />

Disclosure: All authors are employees <strong>of</strong> Eisai Co., Ltd, Tsukuba, Ibaraki, Japan.<br />

7P<br />

Identification <strong>of</strong> novel CRC pathway genes in familial CRC<br />

M.S. Lung 1 , A. Trainer 2 , I. Campbell 1<br />

1 Research, Peter MacCallum Cancer Centre, East Melbourne, Australia, 2 Familial<br />

Cancer Centre, Peter MacCallum Cancer Centre, East Melbourne, Australia<br />

Background: The Wnt, DNA repair and bone morphogenetic protein (BMP) pathways<br />

are implicated in development <strong>of</strong> familial colorectal cancer (CRC) through inherited<br />

mutations in genes such as APC, MLH1, MSH2, MSH6, PMS2, POLE, POLD1,<br />

MUTYH, SMAD4 and BMPR1A. We hypothesised that mutations in other genes<br />

within these pathways may predispose to unexplained familial colorectal cancer, and<br />

sought rare potentially deleterious variants in genes within these pathways in a cohort<br />

<strong>of</strong> familial and/or young-onset CRC cases.<br />

Methods: We performed whole exome sequencing on constitutional DNA from 51<br />

individuals with unexplained familial or young-onset (

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