Abstract

<div>Abstract<p>DICER1 is an RNase III enzyme essential for miRNA biogenesis through cleaving precursor-miRNA hairpins. Germline loss-of-function <i>DICER1</i> mutations underline the development of <i>DICER1</i> syndrome, a rare genetic disorder that predisposes children to cancer development in organs such as lung, gynecologic tract, kidney, and brain. Unlike classical tumor suppressors, the somatic “second hit” in <i>DICER1</i> syndrome–associated cancers does not fully inactivate DICER1 but impairs its RNase IIIb activity only, suggesting a noncanonical two-hit hypothesis. Here, we developed a genetically engineered conditional compound heterozygous <i>Dicer1</i> mutant mouse strain that fully recapitulates the biallelic <i>DICER1</i> mutations in <i>DICER1</i> syndrome–associated human cancers. Crossing this tool strain with tissue-specific Cre strains that activate <i>Dicer1</i> mutations in gynecologic tract cells at two distinct developmental stages revealed that embryonic biallelic <i>Dicer1</i> mutations caused infertility in females by disrupting oviduct and endometrium development and ultimately drove cancer development. These multicystic tubal and intrauterine tumors histologically resembled a subset of <i>DICER1</i> syndrome–associated human cancers. Molecular analysis uncovered accumulation of additional oncogenic events (e.g., aberrant p53 expression, <i>Kras</i> mutation, and Myc activation) in murine <i>Dicer1</i> mutant tumors and validated miRNA biogenesis defects in 5P miRNA strand production, of which, loss of let-7 family miRNAs was identified as a putative key player in transcriptomic rewiring and tumor development. Thus, this <i>DICER1</i> syndrome–associated cancer model recapitulates the biology of human cancer and provides a unique tool for future investigation and therapeutic development.</p>Significance:<p>Generation of a <i>Dicer1</i> mutant mouse model establishes the oncogenicity of missense mutations in the DICER1 RNase IIIb domain and provides a faithful model of <i>DICER1</i> syndrome–associated cancer for further investigation.</p></div>

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