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Journal of Clinical Investigation. CNIO finds the origin of a type of thrombocytopenia caused by an oncogene


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Trombocitopenia-2 La mutación en MASTL produce defectos en la morfología de las plaquetas activadas, generando plaquetas anormales fusiformes junto a las plaquetas normales redondeadas. Las proteínas del citoesqueleto actina y tubulina aparecen marcadas en verde y rojo, respectivamente. /CNIO

This work has allowed to understand, through the study of MASTL protein, the molecular origin of inherited thrombocytopenia in some patients and to successfully explore therapeutic options on a mouse model

MASTL controls the cytoskeleton, the structure that gives cells their shape and governs their mobility and capacity for grouping

Abnormalities in the cytoskeleton of tumour cells facilitate their spreading throughout the body of cancer patients, which is why studying MASTL might have important implications on how to block metastasis

The Cell Division and Cancer Group of the Spanish National Cancer Research Centre (CNIO) has discovered that MASTL, the protein whose function in the organism has not yet been sufficiently investigated, plays an important role in controlling the cytoskeleton, the structure that gives shape to the cells, and enables their mobility and capacity for grouping. The researchers have managed to link the protein to the origin of an inherited thrombocytopenia and they point out that this discovery might have implications in the fight against cancer metastasis. The findings have been published in the Journal of Clinical Investigation.

Until now we have known that MASTL plays a role in the regulation of cell division, but not much else. In 2003, a team of American researchers identified a group of patients with inherited thrombocytopenia that had a mutation on the MASTL gene. Thrombocytopenia is a condition characterised by low levels of platelets, so the patients’ bodies cannot form clots and their symptoms include uncontrollable bleeding that can lead to hematomas and haemorrhages. The thrombocytopenia found in these patients, caused by the mutation on MASTL is known as autosomal dominant thrombocytopenia or thrombocytopenia-2.

CNIO researchers decided to study this particular mutation in the hope that it might lead them to discover more about the functions of the protein. “There were no previous connections that would tell us how a protein that regulates cell division could regulate the number of platelets”, says Begoña Hurtado, lead author of the paper together with Marianna Trakala.

To study this relationship they generated a line of genetically modified mice that were carriers of the same mutation found in the patients with thrombocytopenia-2. Together with the CNIO Proteomics Core Unit, led by Javier Muñoz, they discovered that the mutating platelets have a different morphology and different protein content that resulted in an altered cytoskeleton. The cytoskeleton gives stability and shape to the cell, apart from determining its mobility, playing the role of a muscle cell. It also governs cell interaction and grouping. The study has discovered that the mutation on MASTL causes defects on this muscle, which, in the case of platelets, is fundamental in forming the clots that protect us from bleeding out.

Blocking the escapist ability of metastatic cells

The observations have allowed us to identify the molecular bases of the mutation that causes the thrombocytopenia-2 in patients, which not only broaden our knowledge of the factors that participate in the origin of the disease, but also allow us to try out different therapies. The CNIO researchers were able to avoid the defect caused by the mutation by manipulating other enzymes of the cytoskeleton with chemical inhibitors that were already available at the clinic.

But the discovery that MASTL controls the cytoskeleton can have applications in cancer metastasis research. “The cytoskeleton is crucial for many cellular functions, but the cell signalling and adhesion to the medium properties (i.e. those associated with cellular migration and invasion) are the most important ones”, explains Marcos Malumbres, the Group leader and project manager.

Metastatic cells go through a special process of breaking away from their usual environment, they are able to modify their cell shape to escape through the bloodstream and end up attaching themselves to new tissues starting the process of metastasis.

Malumbres’s Group has already discovered that MASTL could be a therapeutic target and that its inhibition could slow down the growth of breast tumours: recently they published their findings in the journal Cell Death & Differentiation where they describe how the levels of the protein are increased in some patients, and how its inhibition in experimental mouse models slowed down tumour development.

The next step in our investigation would be to analyse to what extent the expression of MASTL in tumours modulates its invasive or metastatic ability”, says Malumbres. The continuation of this work could open up new avenues for potential applications of MASTL inhibitors in cancer therapies.

The study published in Journal of Clinical Investigation has been funded by the Spanish Ministry of Science, Innovation and Universities, Fundació La Caixa, Fundació la Marató of TV3, the Community of Madrid and the Worldwide Cancer Research.

Reference article

Thrombocytopenia-associated mutations in Ser/Thr kinase MASTL deregulate actin cytoskeleton dynamics in platelets. Hurtado B, Trakala M, Ximénez-Embún P, El Bakkali A, Partida D, Sanz-Castillo B, Álvarez-Fernández M, Maroto M, Sánchez-Martínez R, Martínez L, Muñoz J, García de Frutos P, Malumbres M. Journal of Clinical Investigation (2018). DOI: 10.1172/JCI121876

Therapeutic relevance of the PP2A-B55 inhibitory kinase MASTL/Greatwall in breast cancer. Álvarez-Fernández M, Sanz-Flores M, Sanz-Castillo B, Salazar-Roa M, Partida D, Zapatero-Solana E, Ali HR, Manchado E, Lowe S, VanArsdale T, Shields D, Caldas C, Quintela-Fandino M, Malumbres M. Cell Death & Differentiation (2018). DOI: 10.1038/s41418-017-0024-0

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