Cited by 272Signaling Pathways in DiseaseRetinoids in leukemia and cellular processesS100 Proteins and Annexins

Active Pin1 is a key target of all-trans retinoic acid in acute promyelocytic leukemia and breast cancer

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Wei, Shuo, Kozono, Shingo, Kats, Lev, Nechama, Morris, Li, Wenzong, Guarnerio, Jlenia, Luo, Manli, You, Mi-Hyeon +17 more·2015·Nature Medicine

Abstract

A common key regulator of oncogenic signaling pathways in multiple tumor types is the unique isomerase Pin1. However, available Pin1 inhibitors lack the required specificity and potency for inhibiting Pin1 function in vivo. By using mechanism-based screening, here we find that all-trans retinoic acid (ATRA)--a therapy for acute promyelocytic leukemia (APL) that is considered the first example of targeted therapy in cancer, but whose drug target remains elusive--inhibits and degrades active Pin1 selectively in cancer cells by directly binding to the substrate phosphate- and proline-binding pockets in the Pin1 active site. ATRA-induced Pin1 ablation degrades the protein encoded by the fusion oncogene PML-RARA and treats APL in APL cell and animal models as well as in human patients. ATRA-induced Pin1 ablation also potently inhibits triple-negative breast cancer cell growth in human cells and in animal models by acting on many Pin1 substrate oncogenes and tumor suppressors. Thus, ATRA simultaneously blocks multiple Pin1-regulated cancer-driving pathways, an attractive property for treating aggressive and drug-resistant tumors.

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  • The continued scrutiny of natural retinoids is likely because RA is a natural drug, blocks multiple disease signaling pathways, is less selective than some synthetic retinoids, and has long been used in combinatorial therapy and is well known by clinicians.

    “The reasons are likely combinatorial: RA is a natural drug, blocks multiple disease signaling pathways12, in opposition to some synthetic retinoids that are very selective to a single receptor-mediated signaling pathway, and it has been used for many years in combinatorial therapy and thus well known by clinicians.”
  • RA promoted terminal differentiation of leukemic cells while reducing their proliferation.

    “RA promoted terminal differentiation of leukemic cells while reducing their proliferation.”
  • The antitumoral activity of RA (enhanced by cooperation with arsenic trioxide) was due to inhibition and degradation of prolyl isomerase Pin1, which has a critical role in coordinating multiple phosphorylation events during oncogenesis.

    “The antitumoral activity of RA (enhanced by cooperation with arsenic trioxide)11 was due to inhibition and degradation of prolyl isomerase Pin1, which has a critical role in coordinating multiple phosphorylation events during oncogenesis12.”
  • In the case of cancer, recent studies indicate that the antitumoral activity of RA might be greatly enhanced with formulations that extend the in vivo half-life of RA.

    “In the case of cancer, recent studies indicate that the antitumoral activity of RA might be greatly enhanced with formulations that extend the in vivo half-life of RA12.”

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Authors
Wei, S., Kozono, S., Kats, L., Nechama, M., Li, W., Guarnerio, J., Luo, M., You, M.-H., Yao, Y., Kondo, A., Hu, H., Bozkurt, G., Moerke, N. J., Cao, S., Reschke, M., Chen, C.-H., Rego, E. M., Lo-Coco, F., Cantley, L. C., Lee, T. H., Wu, H., Zhang, Y., Pandolfi, P. P., Zhou, X. Z., & Lu, K. P.
Affiliations
  • Beth Israel Deaconess Medical Center (US)
  • The University of Texas at Austin (US)
  • Harvard University (US)
  • Universidade de São Paulo (BR)
Corresponding author
  • Zhou, Xiao Zhen
  • Lu, Kun Ping
Venue
Nature Medicine
Published
2015-04-13
Volume
21
Issue
5
Pages
457-466
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2016132261
Cited by
272
References
74
Citations by year
2026: 10 · 2025: 19 · 2024: 25 · 2023: 25 · 2022: 24 · 2021: 26 · 2020: 28 · 2019: 30 · 2018: 32 · 2017: 19 · 2016: 21 · 2015: 11 · 2014: 1
FWCI
12.15
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
Funders
  • Institut National de la Santé et de la Recherche Médicale
  • Université de Strasbourg
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute (R01HL111430)
  • National Institute on Drug Abuse (R03DA031663)
  • National Cancer Institute (R01CA167677)
  • National Institute of General Medical Sciences (R01GM104896)
  • National Institute of Allergy and Infectious Diseases (R37AI050872)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Signaling Pathways in Disease
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinoids in leukemia and cellular processes
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › S100 Proteins and Annexins
Keywords
Pin1, all-trans retinoic acid, acute promyelocytic leukemia, triple-negative breast cancer, protein degradation, drug target identification, oncogenic signaling, drug resistance
MeSH terms
NIMA-Interacting Peptidylprolyl Isomerase, Animals, Antineoplastic Agents, Breast Neoplasms, Catalysis, Dose-Response Relationship, Drug, Female, Fibroblasts, Humans, Mice, Inbred BALB C, Neoplasm Transplantation, Phosphates, Phosphorylation, Proline, Tretinoin, Leukemia, Promyelocytic, Acute, Gene Expression Regulation, Neoplastic, Gene Expression Regulation, Leukemic, Mice, Knockout, Peptidylprolyl Isomerase, Catalytic Domain, Cell Line, Tumor, Mice, HEK293 Cells, MCF-7 Cells, Triple Negative Breast Neoplasms

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