51. The Msi1-mTOR pathway drives the pathogenesis of mammary and extramammary Paget’s disease
- Author
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Christian F. Guerrero-Juarez, Xiaole Sheng, Guang-Biao Zhou, Yiqiang Zhao, Jiuzhi Xu, Ran Zhao, Bogi Andersen, Xueyun Bi, Fazheng Ren, Yuhua Tian, Zhaoxia Ying, Cong Lv, Yunlu Zhu, Sujuan Du, Qing Nie, Xianghui Ma, Yongli Song, Jianwei Shuai, Lina Bu, Hong-Duo Chen, Shi-Jun Shan, Ruiqi Liu, Lixiang Xue, Maksim V. Plikus, Yeqiang Liu, Min Deng, Yichen Tang, Xing Dai, Christopher J. Lengner, Zhongjian Chen, and Zhengquan Yu
- Subjects
Adult ,Male ,musculoskeletal diseases ,Genetically modified mouse ,Cell ,Breast Neoplasms ,Nerve Tissue Proteins ,Biology ,Extramammary Paget's disease ,Article ,Pathogenesis ,Mice ,03 medical and health sciences ,0302 clinical medicine ,otorhinolaryngologic diseases ,medicine ,Skin cancer ,Animals ,Humans ,Molecular Biology ,PI3K/AKT/mTOR pathway ,Aged ,030304 developmental biology ,Sirolimus ,0303 health sciences ,Antibiotics, Antineoplastic ,TOR Serine-Threonine Kinases ,RNA-Binding Proteins ,Cancer ,Cell Biology ,Middle Aged ,medicine.disease ,Paget Disease, Extramammary ,medicine.anatomical_structure ,TOR signalling ,Cancer research ,Female ,Signal transduction ,Biomarkers ,030217 neurology & neurosurgery - Abstract
Mammary and extramammary Paget's Diseases (PD) are a malignant skin cancer characterized by the appearance of Paget cells. Although easily diagnosed, its pathogenesis remains unknown. Here, single-cell RNA-sequencing identified distinct cellular states, novel biomarkers, and signaling pathways - including mTOR, associated with extramammary PD. Interestingly, we identified MSI1 ectopic overexpression in basal epithelial cells of human PD skin, and show that Msi1 overexpression in the epidermal basal layer of mice phenocopies human PD at histopathological, single-cell and molecular levels. Using this mouse model, we identified novel biomarkers of Paget-like cells that translated to human Paget cells. Furthermore, single-cell trajectory, RNA velocity and lineage-tracing analyses revealed a putative keratinocyte-to-Paget-like cell conversion, supporting the in situ transformation theory of disease pathogenesis. Mechanistically, the Msi1-mTOR pathway drives keratinocyte-Paget-like cell conversion, and suppression of mTOR signaling with Rapamycin significantly rescued the Paget-like phenotype in Msi1-overexpressing transgenic mice. Topical Rapamycin treatment improved extramammary PD-associated symptoms in humans, suggesting mTOR inhibition as a novel therapeutic treatment in PD.
- Published
- 2020