Nature Communications (Dec 2023)

MYOD-SKP2 axis boosts tumorigenesis in fusion negative rhabdomyosarcoma by preventing differentiation through p57Kip2 targeting

  • Silvia Pomella,
  • Matteo Cassandri,
  • Lucrezia D’Archivio,
  • Antonella Porrazzo,
  • Cristina Cossetti,
  • Doris Phelps,
  • Clara Perrone,
  • Michele Pezzella,
  • Antonella Cardinale,
  • Marco Wachtel,
  • Sara Aloisi,
  • David Milewski,
  • Marta Colletti,
  • Prethish Sreenivas,
  • Zoë S. Walters,
  • Giovanni Barillari,
  • Angela Di Giannatale,
  • Giuseppe Maria Milano,
  • Cristiano De Stefanis,
  • Rita Alaggio,
  • Sonia Rodriguez-Rodriguez,
  • Nadia Carlesso,
  • Christopher R. Vakoc,
  • Enrico Velardi,
  • Beat W. Schafer,
  • Ernesto Guccione,
  • Susanne A. Gatz,
  • Ajla Wasti,
  • Marielle Yohe,
  • Myron Ignatius,
  • Concetta Quintarelli,
  • Janet Shipley,
  • Lucio Miele,
  • Javed Khan,
  • Peter J. Houghton,
  • Francesco Marampon,
  • Berkley E. Gryder,
  • Biagio De Angelis,
  • Franco Locatelli,
  • Rossella Rota

DOI
https://doi.org/10.1038/s41467-023-44130-0
Journal volume & issue
Vol. 14, no. 1
pp. 1 – 23

Abstract

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Abstract Rhabdomyosarcomas (RMS) are pediatric mesenchymal-derived malignancies encompassing PAX3/7-FOXO1 Fusion Positive (FP)-RMS, and Fusion Negative (FN)-RMS with frequent RAS pathway mutations. RMS express the master myogenic transcription factor MYOD that, whilst essential for survival, cannot support differentiation. Here we discover SKP2, an oncogenic E3-ubiquitin ligase, as a critical pro-tumorigenic driver in FN-RMS. We show that SKP2 is overexpressed in RMS through the binding of MYOD to an intronic enhancer. SKP2 in FN-RMS promotes cell cycle progression and prevents differentiation by directly targeting p27Kip1 and p57Kip2, respectively. SKP2 depletion unlocks a partly MYOD-dependent myogenic transcriptional program and strongly affects stemness and tumorigenic features and prevents in vivo tumor growth. These effects are mirrored by the investigational NEDDylation inhibitor MLN4924. Results demonstrate a crucial crosstalk between transcriptional and post-translational mechanisms through the MYOD-SKP2 axis that contributes to tumorigenesis in FN-RMS. Finally, NEDDylation inhibition is identified as a potential therapeutic vulnerability in FN-RMS.