Abstract

PAX3-FOXO1 (PAX3-FKHR) is the fusion protein produced by the genomic translocation that characterizes the alveolar subtype of Rhabdomyosarcoma, a pediatric sarcoma with myogenic phenotype. PAX3-FOXO1 is an aberrant but functional transcription factor. It retains PAX3-DNA-binding activity and functionally overlaps PAX3 function while also disturbing it, in particular its role in myogenic differentiation. We herein show that PAX3-FOXO1 interferes with normal FOXO function. PAX3-FOXO1 affects FOXO-family member trans-activation capability and the FOXO-dependent TGF-β response. PAX3-FOXO1 may contribute to tumor formation by inhibiting the tumor suppressor activities which are characteristic of both FOXO family members and TGF-β pathways. The recognition of this mechanism raises new questions about how FOXO family members function.

Highlights

  • Rhabdomyosarcoma (RMS) is a pediatric soft-tissue sarcoma with myogenic phenotype, and is the most common soft-tissue sarcoma in children, adolescents and young adults [1]

  • A mutation of the human FOXO ortholog, daf-16, in C.elegans reverts the lifetime extension caused by mutations in the insulin receptor or in PI3K, which highlights its crucial role in these pathways

  • Evidence of FOXOs' direct involvement in tumorigenesis has been concealed by the fact that FOXO1, FOXO3 and FOXO4 are redundant

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Summary

Introduction

Rhabdomyosarcoma (RMS) is a pediatric soft-tissue sarcoma with myogenic phenotype, and is the most common soft-tissue sarcoma in children, adolescents and young adults [1]. Most (75%) ARMS cases display recurrent chromosomal translocation that fuses two transcription factor-encoding genes together; the PAX3 gene (in a minority of cases the PAX7 gene) and the FOXO1 gene [2]. PAX3-FOXO1 has been extensively studied (reviewed in [3,4]), and functional studies have confirmed its active role in ARMS generation. Its N-terminal encompasses the PAX3 DNAbinding domains (paired and homeo domain) and is fused to the C-terminal of FOXO1 which comprises the truncated FOXO1 DNA-binding domain and the FOXO1 C-terminal transcriptional transactivation domain. PAX3-FOXO1 retains PAX3-DNA-binding activity and is capable of initiating a transcription program which overlaps, but is distinct from, the program generated by PAX3. PAX3-FOXO1 can promote partial myogenic differentiation in certain cellular contexts [6,7], but is able

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