Gut microbiota for health: lessons of a metagenomic scan (by Joel Doré)
The Wnt–β-catenin and PI3K-AKT-FOXO3a pathways have a central role in cancer
1. b-catenin Confers Resistance to PI3K and AKT Inhibitors and
Subverts FOXO3a to Promote Metastasis in Colon Cancer
Tenbaum et al. Nat Med. 2012
Oriol Arqués
STEM CELLS and CANCER LABORATORY
Vall Hebron Institute of Onocology
Barcelona, Spain
2. b
INTESTINAL EPITHELIUM TUMOR
Wnt
LRP
Fz
Dsh
b b
b b
b b
b
b b
Lef ON Lef ON
TCF/LEF genes TCF/LEF genes
90% of CRC patients present activating mutations in Wnt pathway
3. b
Other Other
Vitamin D
NICHE Ligands Ligands
LRP
Wnt
LRP
? ?
Fz
CANCER
Dsh
CELL
b
b
b
b b b b
LEF VDR FOXO3a ?
TCF/LEFgenes VDR genes Target Genes ? Target genes ?
CELL FATE
4. What is the role of FOXO3a/b-catenin crosstalk in colon cancer?
5. b
a b
b-cat b-cat
FOXO3a FOXO3a
b-cat b-cat
FOXO3a Merge FOXO3a Merge
c 0.08 P = 0.0177
* d
100 Nuclear
Nuclear FOXO3a & b-cat
High
0.06 FOXO3a & b-catenin Low
Patients surviving (%)
content (r. u. )
80
0.04 60
40
0.02
20
n = 113
P = 0.0003
0 0
n= 13 22 135 14 0 12 24 36 48 60 72 84 96 108 120
ADENOMA I+II III+IV LIVER Time (months)
CARCINOMA METASTASIS
Tenbaum et al. Nat Med. 2012
6. b
Normal cell APC -/-
ADENOMA
LEVELS of REGULATION
APC -/-; K-RasV12
APC -/-
- GENETIC NUCLEAR b-CATENIN NUCLEAR b-CATENIN
- NICHE
NUCLEAR
FOXO3a
Stress
or
PI3K/AKT
Inhibitors?
Proliferation APOPTOSIS METASTASIS PROLIFERATION
HETEROGENEOUS
CARCINOMA
Tenbaum et al. Nat Med. 2012
7. b
WNT OXIDATIVE GROWTH EGFR/PI3K/AKT
INHIBITORS ESTRESS FACTORS INHIBITORS
RTK
XAV-939 CETUXIMAB
b
Axin
JNK RAS
b PI3K BKM-120
FOXO3a
b b
AKT API-2
b b
LEF FOXO3a
ON ON
PROLIFERATION APOPTOSIS
CYCLE ARREST
& METASTASIS
CELL FATE
14. b
All-in-one Lentivirus: TetON-Flag-bcatS33Y-IRES-EGFP
b-cat IRES EGFP rtTA2
TRE
hPGK1
FLAG S33Y
DOX 4OHT
E-cadh
E-cadh
b
b b
rtTA2 ER FOXO3a
b b
b
rtTA2 LEF x ER FOXO3a
b-cat eGFP TCF/LEF Unknown FOXO
S33Y
Target genes Target genes Target genes
15. b
DLD-1Fb-C7
VEHICLE 4OHT DOX 4OHT + DOX
b
PROLIFERATION APOPTOSIS
FOXO3a dominant b-catenin dominant
DLD1 -1Fb-C7 XENOGRAFT DLD1 -1Fb-C7 XENOGRAFT
Tenbaum et al. Nat Med. 2012
16. b
E-cadherin relocation Increased cell motility Increased cell adhesion
VEHICLE 4OHT
A
B B
A DOX 4OHT+DOX
E-cadherin
Phalloidin
4OHT - + - +
DOX - - + +
E-cadh - 120
(Clone 36)
E-cadh - 120
(HECD1)
Snail1 - 28
Tubulin - 50
Tenbaum et al. Nat Med. 2012