Activin receptor-like kinase 4 (ALK4) is a type I transforming growth factor-? (TGF-?) superfamily receptor that mediates signaling for several TGF-? superfamily ligands including activin, nodal and GDF1. Inactivating mutations in ALK4 occur in a small percentage of breast and pancreatic cancers. In addition, ALK4 expression is frequently decreased/lost in breast and pancreatic cancer patients, with loss associated with a poor prognosis. ALK4 was also identified as a gene whose disruption cooperates with oncogenic Ras to promote pancreatic cancer progression in a murine model. While these data suggest an important role for loss of ALK4 function in breast and pancreatic cancer progression, the mechanism by which ALK4 contributes to cancer progression is unknown. We have demonstrated that loss of ALK4 expression coincides with metastatic potential in breast and pancreatic models, with silencing of ALK4 expression increasing cancer cell migration and invasion, markers of epithelial-mesenchymal transition, and canonical TGF-? signaling. Mechanistically, silencing ALK4 expression increases type I (T?RI/ALK5) and type II (T?RII) TGF-? receptor levels. Based on these preliminary studies, we hypothesize that loss of ALK4 promotes breast and pancreatic cancer invasion and metastasis by decreasing TGF-? receptor internalization, increasing TGF-? receptor levels, canonical TGF-? signaling and TGF-?-induced EMT. This hypothesis will be addressed by 2 aims.
Specific Aim 1 : To determine whether loss of ALK4 promotes TGF-? signaling and EMT by decreasing TGF-? receptor internalization and increasing TGF-? receptor levels. In this aim, we will (a) determine whether ALK4 inhibits TGF-? ligand binding, receptor complex formation, stability and/or internalization of TGF-? receptors; (b) determine whether Smad (2/3, 1/5/8) and/or non-Smad (MAPK, PI3K, NF-kB) signaling pathways are promoted by loss of ALK4; (c) identify TGF-? target genes induced by ALK4 silencing in cancer cell lines and human cancer specimens and (d) establish whether loss of ALK4 mediates EMT and invasion through these effects on TGF-? signaling.
Specific Aim 2 : To determine whether loss of ALK4 promotes cancer metastasis in vivo. In this aim, we will (a) determine whether restoring ALK4 expression in metastatic breast and pancreatic cancer cells decreases their metastatic potential in vivo, and whether decreasing ALK4 expression increases invasiveness and metastatic potential of breast and pancreatic cancer cells in vivo; (b) determine whether ALK4 loss induces cancer metastasis via increasing TGF-? receptor expression; and (c) investigate whether metastasis derived from cells with decreased ALK4 expression are sensitive to clinically developed TGF-? receptor inhibitors. These studies will define mechanisms by which ALK4 loss promotes cancer progression, establish a novel mechanism for regulating TGF-? signaling and potentially identify ALK4 loss as a predictive biomarker for anti-TGF-? approaches.

Public Health Relevance

While inactivation and loss of ALK4 in breast and pancreatic cancer suggest an important role for loss of ALK4 function in breast and pancreatic cancer progression, the mechanism by which ALK4 contributes to cancer progression is unknown. We have demonstrated that loss of ALK4 expression coincides with metastatic potential in breast and pancreatic models, with silencing of ALK4 expression increasing cancer cell migration and invasion, markers of epithelial-mesenchymal transition, and canonical TGF-? signaling. Thus, these studies where we will investigate the mechanism by which loss of ALK4 expression may contribute to the progression of breast and pancreatic cancer are important to perform and relevant to public health as these studies will establish novel mechanisms for regulating TGF-? signaling, and increase our ability to target TGF-? superfamily signaling pathways, including potentially identifying ALK4 loss as a predictive biomarker for anti-TGF-? approaches.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21CA198365-02
Application #
9102035
Study Section
Special Emphasis Panel (ZCA1)
Program Officer
Woodhouse, Elizabeth
Project Start
2015-07-01
Project End
2017-06-30
Budget Start
2016-07-01
Budget End
2017-06-30
Support Year
2
Fiscal Year
2016
Total Cost
Indirect Cost
Name
Duke University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705