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Dysregulation of microRNA biogenesis in cancer: the impact of mutant p53 on Drosha complex activity
Journal of Experimental & Clinical Cancer Researchvolume 35, Article number: 45 (2016)
A widespread decrease of mature microRNAs is often observed in human malignancies giving them potential to act as tumor suppressors. Thus, microRNAs may be potential targets for cancer therapy. The global miRNA deregulation is often the result of defects in the miRNA biogenesis pathway, such as genomic mutation or aberrant expression/localization of enzymes and cofactors responsible of miRNA maturation. Alterations in the miRNA biogenesis machinery impact on the establishment and development of cancer programs. Accumulation of pri-microRNAs and corresponding depletion of mature microRNAs occurs in human cancers compared to normal tissues, strongly indicating an impairment of crucial steps in microRNA biogenesis. In agreement, inhibition of microRNA biogenesis, by depletion of Dicer1 and Drosha, tends to enhance tumorigenesis in vivo. The p53 tumor suppressor gene, TP53, is mutated in half of human tumors resulting in an oncogene with Gain-Of-Function activities. In this review we discuss recent studies that have underlined a role of mutant p53 (mutp53) on the global regulation of miRNA biogenesis in cancer. In particular we describe how a new transcriptionally independent function of mutant p53 in miRNA maturation, through a mechanism by which this oncogene is able to interfere with the Drosha processing machinery, generally inhibits miRNA processing in cancer and consequently impacts on carcinogenesis.
MicroRNAs (miRNAs) are small non coding single-stranded RNAs of about 20–25 nucleotides in length that regulate gene expression by binding to complementary target mRNAs and promoting their decay or inhibiting their translation [1–3]. 1881 human mirRNA loci, annotated on miRBase21, and an even greater number of predicted miRNA targets have been identified in the human genome. Thus, miRNAs are potent regulators of gene expression involved in diverse physiological processes, such as normal development, differentiation, growth control, apoptosis, and in human diseases, particularly in cancer where they act as regulators of key cancer-related pathways [4–6]. The expression level of biologically active mature miRNAs is the result of a fine mechanism of biogenesis, carried out by different enzymatic complexes that exert their function at transcriptional and post-transcriptional levels. MiRNAs sequences are distributed all throughout the genome, being localized in exonic or intronic regions, as well as intergenic locations . The biogenesis of miRNAs starts with their transcription by RNA polymerase II,  although some other miRNAs are transcribed by RNA polymerase III,  resulting in a primary transcript known as pri-miRNA which have a stem-loop structure, are capped at the 5′-end and have a 3′-poly (A) tail. The canonical miRNA biogenesis pathway is characterized by two subsequent central steps utilizing ribonuclease reactions (Fig. 1). In the nucleus, pri-miRNAs are recognized and cropped into hairpin-structured precursor miRNAs (pre-miRNAs) by the Drosha complex (also known as Microprocessor complex). Drosha, an RNase III enzyme, and DGCR8 (DiGeorge critical region 8), a double-stranded RNA-binding domain (dsRBD) protein, are two essential components of the Microprocessor complex. Drosha liberates the stem_loop pre-miRNAs from pri-miRNAs in cooperation with DGCR8-mediated recognition of the junctional region between the single-stranded and double-stranded portions of pri-miRNAs [10, 11]. The Drosha complex also contains several auxiliary factors including the DEAD-box RNA helicases p68 (DDX5) and p72/p82 (DDX17) which promote the fidelity and activity of Drosha processing . The pre-miRNAs of approximately 70 nucleotides in length are transported from the nucleus to the cytoplasm by Exportin-5 (XPO5) together with Ran-GTP . In the cytoplasm, Dicer, another RNase III, digests the pre-miRNA into a 20–25 nucleotides mature duplex miRNA. During this process, Dicer is associated with other proteins like TAR RNA binding protein (TRBP) and kinase R–activating protein (PACT) to increase its stability and its processing activity [14, 15]. The miRNA duplex is comprised of two miRNA strands, with one strand loaded onto the RNA-induced silencing complex (RISC), which contains the Argonaute (Ago) family protein as a core component. In these processes, the other strand (miRNA* strand) is usually degraded, however, in some cases miRNA* strands are retained and function . Mature miRNAs serve as guides directing RISC to target mRNAs, which are degraded, destabilized or translationally inhibited by the Ago proteins .
Deregulation of miRNAs is commonly observed in human cancers . Microarray expression data from a wide spectrum of cancer diseases have evidenced a general aberrant miRNA expression in cancer [18–20] and a large amount of data have revealed that the physiological state of cancer cells can be detected by miRNA expression profiling [21, 22]. Importantly, single miRNA may target up to several hundred mRNAs, indeed an aberrant miRNA expression may profoundly influence cancer-related signaling pathways. In agreement, mouse models displaying miRNA overexpression or depletion have demonstrated causal links between miRNAs and cancer development making them putative therapeutic targets [22, 23]. Although miRNAs can function as both tumour suppressors and oncogenes in tumour development, a widespread down-regulation of miRNAs is commonly observed in human cancers [5, 17, 24, 25], suggesting that miRNAs are primarily tumor suppressor genes. The global down-regulation in miRNA expression arises through multiple mechanisms: genetic alterations [26–28], transcriptional regulation (epigenetic mechanisms, miRNA suppression by oncogenic transcription factors, miRNA downregulation by loss of tumour suppressor transcription factors) and post-transcriptional regulation [29, 30]. An increasing number of evidences indicate that post-transcriptional maturation, rather than transcription, is often perturbed in cancer. The accumulation of pri-miRNAs and the corresponding depletion of mature miRNAs have been evidenced in human cancers compared to normal tissue , strongly indicating that the impairment of crucial steps in miRNA biogenesis could be the underlying cause.
Recent studies have identified that deregulated expression and subcellular localization of Drosha, Dicer and TARBP1 correlate with disease progression and poor prognosis in different types of tumors . Moreover, genetic defects in genes encoding Dicer1 , exportin5  and TARBP2  have been found underscoring the relevance of the processing machinery of miRNA in cancer. Recently two studies showed that mutations in the SIX1/2 pathway and the DROSHA/DGCR8 miRNA Microprocessor complex underlie high-risk blastemal type Wilms tumors [35, 36]. Finally the repression of miRNA processing by the partial depletion of Dicer1 and Drosha accelerates cellular transformation and tumorigenesis in vivo .
The biogenesis of miRNAs requires not only the core processing enzymatic machinery, but also many regulatory factors, such as RNA binding factor or transcription factors often deregulated in cancer cells. A panel of modulators that have been reported to influence the processing of pri-miRNAs including p68 (DDX5), p72/p82 (DDX17), DDX1, BRCA, ARS2, DR5, ADAR1, hRNP A1, KSRP, Lin 28, SMADs, YAP, ERα, ERβ, wtp53 and mutant p53 [38–58] (Fig. 1), imply that there is a link between oncogene and oncosuppressors pathways and the Microprocessor complex.
p68 (DDX5) and p72/p82 (DDX17) are prototypic members of the DEAD box protein family of RNA helicases. Both p68 and p72 are responsible for the processing of a subset of pri-miRNAs [38, 59] and acting as a bridge between Drosha and other proteins can impact on cancer development by regulating known oncogenes and tumor suppressors. Indeed, several molecules, involved in different signalling pathways, have been described to bind p68 and/or p72/82 regulating Drosha/DGCR8 mediated miRNAs processing such as wtp53 and mutp53 [52, 56, 57].
The TP53 tumour suppressor is one of the most important and well-studied cancer gene, and it is not surprising that it has been found to have a role in miRNA regulation. More than 50 % of human cancers carry mutations within the p53 locus . The common types of cancer–associated p53 mutations are missense mutations mainly located in the DNA binding domain of p53. The resulting full-length mutant p53 protein is unable to activate transcription of wtp53 target genes connected with cell cycle arrest, apoptosis and DNA repair [61–63]. Furthermore, mutant p53 (mutp53) proteins can acquire novel oncogenic functions known as gain of function activities (GOF) favouring in vivo tumor induction, maintenance and spreading in mouse models . At molecular level, GOF mutant p53 proteins can exert their activities either through the binding, the sequestration, and the inactivation of tumor suppressor proteins or through the transcriptional regulation of target genes [65, 66]. The widespread nature of p53 mutations in cancer has suggested a relationship between mutp53 GOF activities and the deregulation of miRNA biogenesis observed in cancer. Indeed, the understanding of these mechanisms is a cardinal question in cancer biology. Some very recent experimental efforts have provided substantial advances in understanding miRNA biogenesis and its regulation by p53 proteins. These findings will impact on the knowledge of the molecular mechanisms through which mutp53s exert their GOF activities, and regulate gene expression, by adding to this puzzle the ability to interfere with miRNA processing.
Wtp53-Microprocessor complex interplay
The first evidence of a direct involvement of wtp53 on miRNA biogenesis has been described by Suzuki and collaborators in 2009 . They found that in colon carcinoma cell line HCT116, after DNA damage (Doxorubicine), wtp53 interacts with the Drosha complex through its DNA binding domain, facilitating the processing of a subset of nine pri-miRNAs including pri-miR-16-1, −143, −145 and −206, with growth suppressive function. They found that wtp53 expression induced an increase in the p68 association to Drosha–complex that in turn increases Drosha activity. Moreover, their data strongly indicate that p53 interacts with the Drosha complex through RNA molecules and p68. The authors also demonstrated that several of the wtp53-regulated miRNAs decrease cell proliferation rate targeting k-Ras (miR-143), and CDK6 (miR-16, 26a, −107, −145, −206). These results underlie a novel function of wtp53 in miRNA maturation and strongly indicate a role for wtp53 controlling global gene expression and cell fate by positively modulating Microprocessor activity. Subsequently three different groups have described a role of the wtp53 on pri-miRNA processing. In a recent work Kazuya Nakazawa and colleagues provide evidences regarding the role of an activated p53 on pri-miR-1915 processing in response to DNA damage (Adriamicine) . J Chang and colleagues found that after HCT116 cells treatment with the DNA damaging agent camptotecina (CPT), that induces wtp53 accumulation and consequently apoptosis, wtp53 leads to the expression of 5 miRNAs (miR-16, −103, −143, −203, 206) at post-transcriptional level . Of note the authors found a mechanism by which the acetylation of K120 in the DNA-binding domain of wtp53, which play a critical role in mediating apoptosis, augments its association with the Drosha Microprocessor complex and the interaction between Drosha and p68. In agreement, the knockdown of hMOF, the acetyltransferase that targets K120 in p53, strongly reduces miRNA induction and apoptosis mediated by CPT. Finally the authors found that downregulation of anti-apoptotic Bcl-w by miR-203 is necessary for cell death upon CPT treatment indicating that post-transcriptional regulation of gene expression by wtp53 via miRNAs plays a role in determining stress-specific cellular outcomes. Moreover, altogether these findings strongly suggest that the mutated p53K120R found in tumors may contribute to tumorigenesis and to resistance to chemotherapy also through deregulation of miRNA biosynthesis. Of interest, other post translational modifications that are induced after DNA damage and play a key role on cellular response, globally induce miRNA biogenesis. Indeed, after DNA damage, ATM kinase directly binds to and phosphorylates KSRP, leading to enhanced interaction between KSRP and pri-miRNAs increasing miRNA processing by Drosha . Two papers underline a SIRT1-wtp53-miR34a axis. Herbert KT et al. have described that SIRT1 modulates wtp53 acetylation statusthus promoting maturation of pri-miRNAs transcripts, among which miR-34a .
A SIRT1-wtp53-miR34a axis has been also described in which SIRT1, de-acetylating wtp53 (K382), inhibits pri-miR-34a maturation in normal keratinocytes. Interestingly, this SIRT1 dependent regulation of miRNA biogenesis seems to be impaired on keratinocyte cell line with p53 mutations. Nevertheless, by the experiments described on the manuscript it is not clear which step of miRNA biogenesis is governed by wtp53-SIRT cross-talk . Interestingly, wtp53 induces a RNA-binding protein, RBM38, that blocks miRNAs accessibility to 3′UTR of several wtp53 target genes that promote cell death upon genotoxic stress, such as the 3′UTR of p21- . Notably the accessibility of the 3′UTR of SIRT1, that is targeted by miR-34a promoting cell survival, is not under RBM38 regulation.
Impact of mutp53 on miRNA biogenesis
In 2009, in the same manuscript concerning the role of wtp53 in miRNA processing, Suzuki and collaborators provide evidences that the overexpression of three tumor GOF-p53 mutants in the DNA binding domain (R273H, R175H, C135Y) in colon carcinoma HCT p53-null cell line, decreases the ability of an ectopic expressed Drosha to bind p68 and pri-miRNAs, leading to inhibition of processing of three wtp53-dependent-miRNAs . The last was the first experimental data suggesting the idea that a novel oncogenic property of mutp53 is the attenuation of miRNA post-transcriptional maturation.
Later, in the 2015, Jiang FZ et al. found that the overexpression of different mutp53 proteins (C135Y, R175H, R248Q, R273H) in p53-null endometrial carcinoma cell lines (HEC-50) disrupts p68-Drosha complex assembly and inhibits the recruitment of Drosha on pri-miRNA-26a1 , confirming in part the results obtained by Suzuki on colon cancer cells . Interestingly, the authors demonstrated that in HEC-1B cells, endogenously expressing mutantp53-R248Q, the last binds p68 suggesting that it titrates this RNA helicase from the Microprocessor complex. In these cells, mutp53 promotes the epithelial to mesenchymal transition by repressing miR-26a expression that in turn inhibits EZH2 (the transcriptional repressor Enhancer of Zeste Homolog2), both in vitro and in xenograft experiments . EZH2 is an oncogene upregulated in several tumors that epigenetically silences a plethora of oncosuppressor genes . Thus, due to the widespread activity of EZH2 on gene expression regulation, the biological effects of mutant p53-dependent regulation of miRNAs that modulate this oncogene, would profoundly impact on cell cancer biology.
Very recently, we have demonstrated that the endogenous GOF-mutp53 proteins modulate the biogenesis of several miRNAs in cancer cells directly interfering with Drosha-p72 association and promoting cell survival and cell migration . By a genome wide analysis of miRNA expression on colon cancer cell line SW480, we observed that, upon endogenous mutp53-R273H depletion, frequently present in human tumors, 33 out of 376 miRNAs analyzed were upregulated and only four downregulated, strongly indicating, for the first time, that mutp53 may be responsible at least in part for the miRNAs downregulation observed in cancer. Moreover, we found that another missense mutp53-R175H, inhibits the expression of several of these miRNAs in breast cancer cells (SKBR3). This strongly points out a general mechanism that involves different p53 proteins with missense mutations and suggests that the signature of miRNAs downregulated by mutp53 proteins in different solid tumors has, at least in part, common members. From a mechanistic point of view, through pri- pre- and mature form analysis, we found that mutp53 downregulates miRNAs not only at transcriptional but also at post-transcriptional level. In agreement, we demonstrated that endogenous mutp53 proteins (R273H and R175H) directly bind p72/82 through its N-terminal domain, hindering the association of this DEAD-box with the Microprocessor complex and pri-miRNAs, and leading to the inhibition of the biogenesis of a subset of miRNAs positively regulated by p72. Of note we found that the endogenous wtp53 has an opposite effect on the expression of mutp53 repressed miRNAs on colon cancer cell lines confirming the contribution of mutant p53 GOF on miRNA repression.
On the other hand, in 2014, Li and colleagues, as well, have provided evidences that mutp53 can promote microRNA biogenesis . The authors demonstrate that different mutp53 regulate the amount of ERα protein by regulating the biogenesis of miR-18a, which in turn decreases the tumor-protective function of the estrogen pathway in female hepatocarcinogenesis [58, 71]. Although the authors don’t describe in detail the molecular mechanism, they provided some evidences of the impairment of pri-miRNA processing driving by mutp53, in cells and in human hepatocellular carcinoma (HCC) samples. They found that the precursor and mature form of miRNA-18a, but not the primary transcript, are upregulated in liver tissues collected from 77 female HCC patients. They identify mutp53 as a putative factor involved in the regulation of the processing of miR-18a, but not of the other member of the oncogenic cluster miR-17 ∼ 92 [72–74]. Moreover, the overexpression of several p53 proteins mutated in the DNA binding domain (K132E, I162F, I232F, R249S), frequently observed in HCC, greatly increase the level of miR-18a and decrease, though at different extent, the levels of its primary transcript. To summarize the data available up today, in Table 1 is shown a list of miRNAs that have been demonstrated to be regulated by mutp53 both a transcriptional and posttranscriptional level. In the same table are also indicated the available data about the biological function of these miRNAs (75-93).
Collectively in the last five years, several experimental evidences in different cellular contexts have demonstrated that several GOF-mutp53 regulate miRNA biogenesis by acting on Drosha complex activity.
Based on the evidences available so far, two molecular mechanisms underlying the mutp53-dependent modulation of miRNA processing can be proposed: 1) wtp53 increases pri-miRNA biogenesis by a direct binding with Drosha and p68 cofactors, while, on the contrary, mutp53 suppresses miRNA processing activity of Drosha by sequestering p68; 2) mutp53 directly binds p72/82 and represses Drosha activity (Fig. 2). By a functional point of view, these two molecular mechanisms lead to an increase of cell migration, epithelial to mesenchymal transition and cell survival (Fig. 3).
p68 and p72/82, as co-factor of the Microprocessor complex, are involved in the Drosha miRNA processing of several but not all miRNAs. Masaki Mori and collaborators  have provided some findings suggesting that p72 selectively binds a VCAUCH sequence motif present in the 3′ of some pri-miRNAs to enhance the Drosha processing. Although, the precise role of these two RNA helicases in pri-miRNA processing is unknown. Further biochemical and bioinformatics experiments are needed to better identify the sequence motif and structures of pri-miRNAs that are selectively regulated by the mutp53/p72/Drosha and mutp53/p68/Drosha axis.
Since mutations in TP53 occur at high frequency in human cancers, developing strategies to block the oncogenic effects of mutp53 will be an important step for their treatment. By this point of view, it is important to notice that, mutant p53, as well as wtp53, impact on miRNA biogenesis not only at the level of Drosha but also regulating miRNA transcription as well as maturation from pre- to mature miRNAs. Thus, since miRNAs are powerful regulators of gene expression, the biological effects of miRNAs downregulation by mutp53 are profound.
It would be interesting in the future to identify, on a larger scale, the entire repertoire of miRNAs negatively downregulated by different mutp53 in different tumor models and in human samples. The characterization of the entire gene-regulatory networks governed by mutp53-miRNA cross-talks will offer a molecular basis for diagnostic and therapeutic strategies based on miRNA biology. Indeed, it is possible to envisage that a specific miRNA signature, both in human tissues or in biological fluids, such as plasma, could be useful to predict mutant p53 status.
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We thank Daniela Bona for secretary assistance. Aymone Gurtner was supported by a Fondazione Umberto Veronesi Fellowship.
This work has been supported by grant from AIRC, Associazione Italiana per la Ricerca sul Cancro, to A.G. and G.P. (grant numberMFAG11752, IG13234).
The authors declared that they have no competing interest.
AG, EF, FG, GP analyzed data. AG, FG, GP contributed to the writing of the manuscript. All authors read and approved the final manuscript.