cancer: the flipside of notch

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properties of complex networks. One implication of the study is that both social networks and naturally occurring networks (Fig. 1), such as those involving gene regula- tion, are surprisingly hard to control. To a certain extent this is reassuring, because it means that such networks are fairly immune to hostile takeovers: a large fraction of the net- work’s nodes must be directly controlled for the whole of it to change. By contrast, engineered networks are generally much easier to control, which may or may not be a good thing, depend- ing on who is trying to control the network. Magnus Egerstedt is in the School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, Georgia 30332, USA. e-mail: [email protected] 1. Liu, Y.-Y., Slotine, J.-J. & Barabási, A.-L. Nature 473, 167–173 (2011). 2. Mesbahi, M. & Egerstedt, M. Graph Theoretic Methods in Multiagent Networks (Princeton Univ. Press, 2010). 3. Kalman, R. E. J. Soc. Indus. Appl. Math. Ser. A 1, 152–192 (1963). 4. Rahmani, A., Ji, M., Mesbahi, M. & Egerstedt, M. SIAM J. Contr. Optim. 48, 162–186 (2009). 5. Tanner, H. G. 43rd IEEE Conf. Decision Contr. 3, 2467–2472 (2004). 6. Lin, C.-T. IEEE Trans. Automat. Contr. 19, 201–208 (1974). CANCER The flipside of Notch Mutations that lead to increased activity of the Notch signalling pathway are well defined in human cancer. New work implicates decreased activity of this pathway in a type of blood cancer. See Letter p.230 DEMETRIOS KALAITZIDIS & SCOTT A. ARMSTRONG S ome of the most common and well studied mutations in human cancers affect signal-transduction pathways. For instance, mutations that lead to increased activity of the receptor protein Notch are frequently found in a type of blood cancer called T-cell acute lymphoblastic leukaemia/ lymphoma 1 . On page 230 of this issue, Kli- nakis et al. 2 report that mutations that lead to reduced activity of this protein are associated with another human blood cancer, chronic myelomonocytic leukaemia. This finding suggests that Notch can have either an onco- genic or a tumour-suppressive effect in blood cancers. The Notch signalling pathway is evolution- arily conserved and has crucial roles in the development and maintenance of embryonic and adult tissues. Notch signalling is initi- ated when one cell expressing the appropriate ligand interacts with another cell expressing a Notch receptor. Ligand–receptor binding leads to a series of steps involving Notch pro- cessing. One such step requires the γ-secretase enzyme complex, which, through protein cleavage, generates a portion of the Notch receptor — called the Notch intracellular domain (NICD) — that is no longer bound to the cell membrane and that relocates to the nucleus (Fig. 1). In the nucleus, the NICD interacts with DNA-bound protein factors (CSL/CBF1/ RBPjγ) and recruits MAML proteins to modu- late the expression of many genes 3 . One of the genes is the Notch target Hes1, whose increased expression is part of the mechanism by which Notch signalling influences cellular physiology. The functions of the Notch pathway are highly cell-type dependent in different embryonic and adult tissues, as well as in cancers 4 . It there- fore seems likely that Notch regulates diverse context-specific gene-expression programs that we are just beginning to understand. To investigate the role of Notch in the haematopoietic system, Klinakis et al. 2 specifically inactivated the Nicastrin gene in mouse blood cells. (Nicastrin is an essential component of the γ-secretase complex and so is required for the Notch-pathway function.) Surprisingly, the mice died relatively quickly — 20 weeks after birth — from a blood disor- der similar to human chronic myelomonocytic leukaemia. The γ-secretase complex has other func- tions besides processing Notch 5 . However, the authors confirm the significance of losing Notch signalling by showing that deletion of just the Notch1 and Notch2 receptors from blood cells is sufficient to produce the same cancer in mice. In addition, activation of the Notch pathway in cells lacking Nicastrin ame- liorated the leukaemia, further supporting the crucial role of the Notch pathway. Klinakis and colleagues also show that the effects of Notch loss on blood cells is cell- autonomous — that is, the cancer is due to the loss of Notch function in blood cells and not to its effects on other organs that then feed back to blood cells. This is an important demonstra- tion, because the disruption of Notch signal- ling in mouse skin also leads to blood disorders in a non-cell-autonomous manner 6,7 . Klinakis et al. further report that Notch signalling actively represses a gene-expression program in blood stem and progenitor cells that is associated with differentiation of these cells along the myeloid lineage. Thus, loss of Notch signalling seems to ‘rewire’ early blood cells to inappropriately express genes speci- fying a myelomonocytic fate that, in mouse models, leads to leukaemia. In addition to defining a new role for Notch signalling as a suppressor of leukaemia Activation Inactivation T-ALL CMML Notch NICD Nucleus γ-secretase Figure 1 | The Notch signalling pathway and blood disorders. On interaction with an appropriate ligand (not shown) the Notch receptor is processed by the γ-secretase complex to form an intracellular domain (NICD), which accumulates in the nucleus to modulate gene expression. Activating mutations in Notch receptors have been described in T-cell acute lymphoblastic leukaemias/lymphomas (T-ALL), making the receptors an attractive drug target for this cancer. But Klinakis et al. 2 ascribe a tumour- suppressor role for Notch in another blood cancer, chronic myelomonocytic leukaemia (CMML). 12 MAY 2011 | VOL 473 | NATURE | 159 NEWS & VIEWS RESEARCH © 2011 Macmillan Publishers Limited. All rights reserved

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properties of complex networks. One implication of the study is that both social networks and naturally occurring networks (Fig. 1), such as those involving gene regula-tion, are surprisingly hard to control. To a certain extent this is reassuring, because it means that such networks are fairly immune to hostile takeovers: a large fraction of the net-work’s nodes must be directly controlled for the whole of it to change. By contrast, engineered networks are generally much easier to control, which may or may not be a good thing, depend-ing on who is trying to control the network. ■

Magnus Egerstedt is in the School of

Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, Georgia 30332, USA. e-mail: [email protected]

1. Liu, Y.-Y., Slotine, J.-J. & Barabási, A.-L. Nature 473, 167–173 (2011).

2. Mesbahi, M. & Egerstedt, M. Graph Theoretic Methods in Multiagent Networks (Princeton Univ. Press, 2010).

3. Kalman, R. E. J. Soc. Indus. Appl. Math. Ser. A 1, 152–192 (1963).

4. Rahmani, A., Ji, M., Mesbahi, M. & Egerstedt, M. SIAM J. Contr. Optim. 48, 162–186 (2009).

5. Tanner, H. G. 43rd IEEE Conf. Decision Contr. 3, 2467–2472 (2004).

6. Lin, C.-T. IEEE Trans. Automat. Contr. 19, 201–208 (1974).

C A N C E R

The flipside of NotchMutations that lead to increased activity of the Notch signalling pathway are well defined in human cancer. New work implicates decreased activity of this pathway in a type of blood cancer. See Letter p.230

D E M E T R I O S K A L A I T Z I D I S & S C O T T A . A R M S T R O N G

Some of the most common and well studied mutations in human cancers affect signal-transduction pathways.

For instance, mutations that lead to increased activity of the receptor protein Notch are frequently found in a type of blood cancer called T-cell acute lymphoblastic leukaemia/lymphoma1. On page 230 of this issue, Kli-nakis et al.2 report that mutations that lead to reduced activity of this protein are associated with another human blood cancer, chronic myelomonocytic leukaemia. This finding suggests that Notch can have either an onco-genic or a tumour-suppressive effect in blood cancers.

The Notch signalling pathway is evolution-arily conserved and has crucial roles in the development and maintenance of embryonic and adult tissues. Notch signalling is initi-ated when one cell expressing the appropriate ligand interacts with another cell expressing a Notch receptor. Ligand–receptor binding leads to a series of steps involving Notch pro-cessing. One such step requires the γ-secretase enzyme complex, which, through protein cleavage, generates a portion of the Notch receptor — called the Notch intracellular domain (NICD) — that is no longer bound to the cell membrane and that relocates to the nucleus (Fig. 1).

In the nucleus, the NICD interacts with DNA-bound protein factors (CSL/CBF1/RBPjγ) and recruits MAML proteins to modu-late the expression of many genes3. One of the genes is the Notch target Hes1, whose increased

expression is part of the mechanism by which Notch signalling influences cellular physiology. The functions of the Notch pathway are highly cell-type dependent in different embryonic and adult tissues, as well as in cancers4. It there-fore seems likely that Notch regulates diverse context-specific gene-expression programs that we are just beginning to understand.

To investigate the role of Notch in the haematopoietic system, Klinakis et  al.2

specifically inactivated the Nicastrin gene in mouse blood cells. (Nicastrin is an essential component of the γ-secretase complex and so is required for the Notch-pathway function.) Surprisingly, the mice died relatively quickly — 20 weeks after birth — from a blood disor-der similar to human chronic myelomonocytic leukaemia.

The γ-secretase complex has other func-tions besides processing Notch5. However, the authors confirm the significance of losing Notch signalling by showing that deletion of just the Notch1 and Notch2 receptors from blood cells is sufficient to produce the same cancer in mice. In addition, activation of the Notch pathway in cells lacking Nicastrin ame-liorated the leukaemia, further supporting the crucial role of the Notch pathway.

Klinakis and colleagues also show that the effects of Notch loss on blood cells is cell-autonomous — that is, the cancer is due to the loss of Notch function in blood cells and not to its effects on other organs that then feed back to blood cells. This is an important demonstra-tion, because the disruption of Notch signal-ling in mouse skin also leads to blood disorders in a non-cell-autonomous manner6,7.

Klinakis et al. further report that Notch signalling actively represses a gene-expression program in blood stem and progenitor cells that is associated with differentiation of these cells along the myeloid lineage. Thus, loss of Notch signalling seems to ‘rewire’ early blood cells to inappropriately express genes speci-fying a myelomonocytic fate that, in mouse models, leads to leukaemia.

In addition to defining a new role for Notch signalling as a suppressor of leukaemia

ActivationInactivation

T-ALL

CMML Notch

NICD

Nucleus

γ-secretase

Figure 1 | The Notch signalling pathway and blood disorders. On interaction with an appropriate ligand (not shown) the Notch receptor is processed by the γ-secretase complex to form an intracellular domain (NICD), which accumulates in the nucleus to modulate gene expression. Activating mutations in Notch receptors have been described in T-cell acute lymphoblastic leukaemias/lymphomas (T-ALL), making the receptors an attractive drug target for this cancer. But Klinakis et al.2 ascribe a tumour-suppressor role for Notch in another blood cancer, chronic myelomonocytic leukaemia (CMML).

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NEWS & VIEWS RESEARCH

© 2011 Macmillan Publishers Limited. All rights reserved

development, the authors provide compel-ling in vitro data that these effects are medi-ated by the Notch transcriptional co-activator MAML1 and by the target gene Hes1. But pre-vious studies8,9 reported that perturbing Notch transcriptional effectors in mice did not lead to leukaemia during the observation period. Together, these data point to the potential existence of non-canonical Notch effectors in blood stem cells, but more work is needed to clarify these discrepancies.

Klinakis et al.2 extend their work to human leukaemias harbouring inactivating mutations in members of the Notch pathway. Remark-ably, they find six mutations in several genes encoding Notch-pathway members in five out of 42 samples from patients with chronic myelomonocytic leukaemia. In in vitro experi-ments, these mutations disrupted Notch signalling. Furthermore, the authors show that Notch mutations coexist with muta-tions in pathways previously described in this cancer (those involving the proteins RAS, JAK2 and TET2). This observation indicates cooperativity between Notch loss and per-turbations in other signalling pathways implicated in blood cancers, but it needs to be verified in larger collections of patients’ samples — work that should be accompanied by functional studies.

Although decreased Notch function has been shown10–12 to promote tumour develop-ment in specific mouse models, Klinakis and colleagues’ work is important because it impli-cates decreased Notch function in human cancer development. Moreover, this paper2 highlights the importance of using mouse models, because work on these animals not only sheds light on gene function in physio-logical processes, it also helps us to understand human cancer genetics and, potentially, allows the design of new treatments.

This study also underscores the compli-cated part played by cell-signalling pathways in human disease and the challenges that researchers face in predicting suitable thera-peutic targets. Although the Notch pathway is certainly a prime drug target in T-cell acute lymphoblastic leukaemias/lymphomas, the therapeutic window may be dictated by the effects of Notch-pathway inhibition on other cell types, such as myeloid progenitors, as described here. Further investigation of the intricacies of Notch signalling in unaffected and malignant tissues will help to determine the best approaches to manipulating this pathway for optimal therapeutic response. ■

Demetrios Kalaitzidis and Scott A. Armstrong are at Children’s Hospital Boston, and Dana Farber Cancer Institute, Division of Hematology/Oncology, Boston, Massachusetts 02115, USA. e-mails: [email protected]; scott.armstrong@childrens. harvard.edu

1. Aster, J. C., Blacklow, S. C. & Pear, W. S. J. Pathol. 223, 263–274 (2011).

2. Klinakis, A. et al. Nature 473, 230–233 (2011).

3. Kopan, R. & IIagan, M. X. G. Cell 137, 216–233 (2009).

4. Koch, U. & Radtke, F. Curr. Top. Dev. Biol. 92, 411–455 (2010).

5. De Strooper, B., Vassar, R. & Golde, T. Nature Rev. Neurol. 6, 99–107 (2010).

6. Demehri, S. et al. PLoS Biol. 6, e123 (2008). 7. Dumortier, A. et al. PLoS One 5, e9258 (2010). 8. Duncan, A. W. et al. Nature Immunol. 6, 314–322

(2005). 9. Maillard, I. et al. Cell Stem Cell 2, 356–366 (2008). 10. Demehri, S., Turkoz, A. & Kopan, R. Cancer Cell 16,

55–66 (2009). 11. Liu, Z. et al. J. Clin. Invest. 121, 800–808

(2011). 12. Hanlon, L. et al. Cancer Res. 70, 4280–4286 (2010).

A S T R O P H Y S I C S

Era of the compact diskSome of the strangest galaxies in the Universe just got stranger. It seems that many galaxies in the early Universe not only packed a huge number of stars into a very small volume, but were also rotating rapidly.

P I E T E R V A N D O K K U M

By historical standards the Universe is a boring place. Most galaxies have settled down into the routine of middle age and

have all but given up on exciting activities such as forming new stars or fuelling black holes. Studying the light of very distant galaxies with powerful telescopes, astronomers are finding that things were a lot more interesting in the first third of the Universe’s history. The most striking aspect of galaxies in those early epochs is their variety1,2. Some were forming stars hundreds of times faster than the Milky Way; others were dominated by accretion flows onto extremely massive black holes in their centres; and still others were crashing into one another to form larger galaxies. At the same time, a class of compact, massive galaxies existed

that had already stopped forming new stars. Writing in The Astrophysical Journal, van der Wel et al.3 now argue that the majority of these galaxies were disk-shaped.

These compact, massive galaxies are among the most puzzling objects in the young Uni-verse. They seem to have the same number of stars as fully grown galaxies in the present-day Universe. However, their sizes are four to five times smaller and their densities are a hundred times larger4,5 than their present-day counterparts. The surprising discovery of these galaxies a few years ago spurred a flurry of studies, which aim to understand how these massive, compact galaxies formed and how they subsequently managed to grow into the much puffier galaxies we have today.

The installation of a new, very sensitive camera on the Hubble Space Telescope in

Figure 1 | Formation of a compact disk galaxy. According to van der Wel et al.3, most compact massive galaxies in the young Universe were disk-shaped. During their formation, these galaxies probably resembled the nearby galaxy M82, seen here. The blue light is from young stars in a spinning disk. The red light is from ionized hydrogen gas that is being expelled from the galaxy as a result of supernova explosions. Compact disk galaxies forming in the young Universe may have looked even more spectacular than M82, as they were about the same size but ten times more massive.

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