Bone morphogenetic protein signaling mediated by ALK-2 and DLX2 regulates apoptosis in glioma-initiating cells

Oncogene. 2017 Aug 31;36(35):4963-4974. doi: 10.1038/onc.2017.112. Epub 2017 May 1.

Abstract

Bone morphogenetic protein (BMP) signaling exerts antitumor activities in glioblastoma; however, its precise mechanisms remain to be elucidated. Here, we demonstrated that the BMP type I receptor ALK-2 (encoded by the ACVR1 gene) has crucial roles in apoptosis induction of patient-derived glioma-initiating cells (GICs), TGS-01 and TGS-04. We also characterized a BMP target gene, Distal-less homeobox 2 (DLX2), and found that DLX2 promoted apoptosis and neural differentiation of GICs. The tumor-suppressive effects of ALK-2 and DLX2 were further confirmed in a mouse orthotopic transplantation model. Interestingly, valproic acid (VPA), an anti-epileptic compound, induced BMP2, BMP4, ACVR1 and DLX2 mRNA expression with a concomitant increase in phosphorylation of Smad1/5. Consistently, we showed that treatment with VPA induced apoptosis of GICs, whereas silencing of ALK-2 or DLX2 expression partially suppressed it. Our study thus reveals BMP-mediated inhibitory mechanisms for glioblastoma, which explains, at least in part, the therapeutic effects of VPA.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activin Receptors, Type I / metabolism*
  • Animals
  • Apoptosis / drug effects
  • Apoptosis / physiology
  • Bone Morphogenetic Proteins / metabolism*
  • Brain Neoplasms / drug therapy
  • Brain Neoplasms / metabolism*
  • Brain Neoplasms / pathology
  • Cell Differentiation / physiology
  • Female
  • Glioma / drug therapy
  • Glioma / metabolism*
  • Glioma / pathology
  • HEK293 Cells
  • Heterografts
  • Homeodomain Proteins / metabolism*
  • Humans
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Neoplastic Stem Cells / drug effects
  • Neoplastic Stem Cells / metabolism*
  • Neoplastic Stem Cells / pathology
  • Phosphorylation
  • Signal Transduction / drug effects
  • Transcription Factors / metabolism*
  • Transfection
  • Valproic Acid / pharmacology*

Substances

  • Bone Morphogenetic Proteins
  • DLX2 protein, human
  • Homeodomain Proteins
  • Transcription Factors
  • Valproic Acid
  • ACVR1 protein, human
  • Activin Receptors, Type I