METHODS FOR INHIBITION OF CELL PROLIFERATION, SYNERGISTIC TRANSCRIPTION MODULES AND USES THEREOF

Information

  • Patent Application
  • 20130156795
  • Publication Number
    20130156795
  • Date Filed
    March 01, 2012
    12 years ago
  • Date Published
    June 20, 2013
    11 years ago
Abstract
The invention provides for methods for treating nervous system cancers in a subject. The invention further provides methods for treating nervous system tumor cell invasion, migration, proliferation, and angiogenesis associated with nervous system tumors.
Description

All patents, patent applications and publications cited herein are hereby incorporated by reference in their entirety. The disclosures of these publications in their entireties are hereby incorporated by reference into this application in order to more fully describe the state of the art as known to those skilled therein as of the date of the invention described and claimed herein.


This patent disclosure contains material that is subject to copyright protection. The copyright owner has no objection to the facsimile reproduction by anyone of the patent document or the patent disclosure as it appears in the U.S. Patent and Trademark Office patent file or records, but otherwise reserves any and all copyright rights.


BACKGROUND OF THE INVENTION

Glioma is a lethal disease with multiple genetic and epigenetic alterations. These changes work in concert in a coordinated fashion in cancer development and progression. Cancer Systems Biology is an emerging discipline in which high throughput genomic data and computational approaches are integrated to provide a coherent and systematic understanding of the diverse pathway dysregulations responsible for the presentation of the same cancer phenotype. This new discipline promises to transform the practice of medicine from a reactive one to a predictive one.


High-grade gliomas are the most common form of brain cancer, or brain tumors in human beings. Brain tumors are treated similarly to other forms of tumors with surgery, chemotherapy, and radiation therapy. There are relatively few specific drugs that selectively target tumors, and fewer still that target brain tumors. Here is described a pair of genes that appear to be responsible for the development of high-grade gliomas in humans. This pair of genes, Stat3 and C/EBPβ, can be used in a diagnostic, and serve as potential drug targets for the treatment of high-grade gliomas.


SUMMARY OF THE INVENTION

An aspect of the invention provides a method for treating nervous system cancer in a subject in need thereof comprising administering to the subject a compound that inhibitis a Mesenchymal-Gene-Expression-Signature (MGES) protein.


An aspect of the invention provides a method for decreasing MGES protein activity in a subject having a nervous system cancer, the method comprising administering to the subject a compound that inhibits a MGES protein.


An aspect of the invention provides a method for inhibiting a MGES protein comprising contacting said protein with an effective amount of a MGES inhibitor compound.


An aspect of the invention provides a method for inhibiting tumor growth comprising contacting said protein with an effective amount of a MGES inhibitor compound.


An aspect of the invention provides a method for inhibiting cell proliferation comprising contacting said protein with an effective amount of a MGES inhibitor compound.


An aspect of the invention provides a method for detecting the presence of or a predisposition to a nervous system cancer in a human subject. In some embodiments, the method comprises (a) obtaining a biological sample from a subject; and (b) detecting whether or not there is an alteration in the expression of a Mesenchymal-Gene-Expression-Signature (MGES) gene in the subject as compared to a subject not afflicted with a nervous system cancer. In some embodiments, the MGES gene comprises Stat3, C/EBPβ, C/EBδ, RunX1, FosL2, bHLH-B2, ZNF238, or a combination thereof. In some embodiments, the detecting comprises detecting in the sample whether there is an increase in a MGES mRNA, a MGES polypeptide, or a combination thereof. In some embodiments some embodiments, the MGES gene comprises Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or a combination thereof. In some embodiments, the detecting comprises detecting in the sample whether there is a decrease in a MGES mRNA, a MGES polypeptide, or a combination thereof. In some embodiments, the MGES gene comprises ZNF238. In some embodiments, the nervous system cancer comprises a glioma while in other embodiments, the glioma comprises an astrocytoma, a Glioblastoma Multiforme, an oligodendroglioma, an ependymoma, or a combination thereof.


An aspect of the invention provides a method for inhibiting proliferation of a nervous system tumor cell or for promoting differentiation of a nervous system tumor cell. In some embodiments, the method comprises decreasing the expression of a Mesenchymal-Gene-Expression-Signature (MGES) molecule in a nervous system tumor cell, thereby inhibiting proliferation or promoting differentiation. In some embodiments, the proliferation comprises cell invasion, cell migration, or a combination thereof. In some embodiments, the method comprises treatment of a subject in need thereof with a compound or composition that modulates MGES activity.


An aspect of the invention provides a method for inhibiting angiogenesis in a nervous system tumor, comprising administering to the subject an effective amount of a compound or composition. In some embodiments, the method comprises decreasing the expression of a Mesenchymal-Gene-Expression-Signature (MGES) molecule in a nervous system tumor cell, thereby inhibiting angiogenesis. In some embodiments, the method comprises treatment of a subject in need thereof with a compound or composition that modulates MGES activity.


Another aspect of the invention provides a method for treating a nervous system tumor in a subject, comprising administering to the subject an effective amount of a compound or composition that decreases the expression of a Mesenchymal-Gene-Expression-Signature (MGES) molecule in a nervous system tumor cell, thereby treating nervous system tumor in the subject. In some embodiments, the composition is administered to a nervous system tumor cell.


Another aspect of the invention provides a method for inhibition of an MGES protein in a subject, comprising administering to the subject an effective amount of a compound or composition that inhibits the activity of a MGES protein.


An aspect of the invention also provides a method for identifying a compound that binds to a Mesenchymal-Gene-Expression-Signature (MGES) protein. In some embodiments, the method comprises a) providing an electronic library of test compounds; b) providing atomic coordinates for at least 20 amino acid residues for the binding pocket of the MGES protein, wherein the coordinates have a root mean square deviation therefrom, with respect to at least 50% of Cα atoms, of not greater than about 5 Å, in a computer readable format; c) converting the atomic coordinates into electrical signals readable by a computer processor to generate a three dimensional model of the MGES protein; d) performing a data processing method, wherein electronic test compounds from the library are superimposed upon the three dimensional model of the MGES protein; and e) determining which test compound fits into the binding pocket of the three dimensional model of the MGES protein, thereby identifying which compound binds to the Mesenchymal-Gene-Expression-Signature (MGES) protein. In some embodiments, the method further comprises f) obtaining or synthesizing the compound determined to bind to the Mesenchymal-Gene-Expression-Signature (MGES) protein or to modulate MGES protein activity; g) contacting the MGES protein with the compound under a condition suitable for binding; and h) determining whether the compound modulates MGES protein activity using a diagnostic assay. In some embodiments, the MGES protein comprises Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238. In some embodiments, the compound is a MGES antagonist or MGES agonist. In some embodiments, the antagonist decreases MGES protein or RNA expression or MGES activity by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 75%, at least about 80%, at least about 90%, at least about 95%, at least about 99%, or 100%. In some embodiments, the antagonist is directed to Stat3, C/EBIβ, C/EBPδ, RunX1, FosL2, bHLH-B2 or a combination thereof. In some embodiments, the agonist increases MGES protein or RNA expression or MGES activity by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 75%, at least about 80%, at least about 90%, at least about 95%, at least about 99%, or 100%. In some embodiments, the agonist is directed to ZNF238.


An aspect of the invention further provides for a compound identified by the screening method discussed herein, wherein the compound binds to MGES. In some embodiments, the compound binds to the active site of MGES.


An aspect of the invention also provides a method for decreasing MGES gene expression in a subject having a nervous system cancer, wherein the method comprises administering to the subject an effective amount of a composition comprising a MGES inhibitor compound, thereby decreasing MGES expression in the subject. In some embodiments, the composition comprises an MGES modulator compound. In some embodiments, the compound comprises an antibody that specifically binds to a MGES protein or a fragment thereof; an antisense RNA or antisense DNA that inhibits expression of MGES polypeptide; a siRNA that specifically targets a MGES gene; a shRNA that specifically targets a MGES gene; or a combination thereof.


An aspect of the invention further provides for a diagnostic kit for determining whether a sample from a subject exhibits increased or decreased expression of at least 2 or more MGES genes (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238), the kit comprising nucleic acid primers that specifically hybridize to an MGES gene, wherein the primer will prime a polymerase reaction only when a nucleic acid sequence comprising any one of SEQ ID NOS: 232, 234, 236, 238, 240, 242, or 244 is present.


In some embodiments, the compound is selected from the group consisting of etoposide, 5-fluorouracil, Clostridium difficile Toxin B,




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and pharmaceutically acceptable salts thereof.


In some embodiments, the composition, comprises a compound selected from the group consisting of etoposide, 5-fluorouracil, Clostridium difficile Toxin B,




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and pharmaceutically acceptable salts thereof.


In some embodiments, the MGES protein is C/EPB or Stat3. In some embodiments, the MGES protein is C/EPB. In some embodiments, the MGES protein is Stat3.


In some embodiments, the cancer is glioma or meningioma. In some embodiments, the cancer is astrocytoma, Glioblastoma Multiforme, oligodentroglioma, ependymoma or meningioma. In some embodiments, the cancer is cerebellar astrocytoma, medulloblastoma, ependymona, brain stem glioma, optic nerve glioma, acoustic neuromas, nerve sheath tumors, or germinoma.


These and other embodiments of the invention are further described in the following sections of the application, including the Detailed Description, Examples, and Claims. Still other objects and advantages of the invention will become apparent by those of skill in the art from the disclosure herein, which are simply illustrative and not restrictive. Thus, other embodiments will be recognized by the ordinarily skilled artisan without departing from the spirit and scope of the invention.





BRIEF DESCRIPTION OF THE FIGURES

The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawing(s) will be provided by the Office upon request and payment of the necessary fee.



FIG. 1 is a schematic depicting the mesenchymal subnetwork of six major hubs of transcription factors (TFs) in high-grade gliomas which represents the mesenchymal signature of high-grade gliomas is controlled by six TFs. The TFs positively (pink) or negatively (blue) linked as first neighbors to the mesenchymal genes of human gliomas (green) connect 74% of the genes composing the MGES. The six TF control 74% of the genes in the mesenchymal signature of high-grade glioma.



FIG. 2 is a photographic representation of a blot showing expression of the TFs connected with the MGES in primary GBM. Semiquantitative RT-PCR was performed in 17 GBM samples, in the SNB75 glioblastoma cell line and normal brain. 18S RNA was used as control.



FIG. 3 shows the validation of direct targets of the TFs connected with the MGES by ChIP analysis. A region between 2 kb upstream and downstream the transcription start of the targets identified with ARACNe was analyzed for the presence of putative binding sites. Genomic regions of genes containing putative binding sites for specific TFs were immunoprecipitated in the SNB75 cell line by antibodies specific for Stat3 (FIG. 3A), C/EBPβ (FIG. 3B), FosL2 (FIG. 3C), and bHLH-B2 (FIG. 3D). SOCS3 was included as positive control of Stat3 binding. Total chromatin before immunoprecipitation (input DNA) was used as positive control for PCR. The OLR1 gene was used as a negative control. FIG. 3E shows the summary of binding results of the tested TFs to mesenchymal targets.



FIG. 4 shows a combinatorial and hierarchical module directs interactions between the master mesenchymal TFs. The promoters of the TFs connected to the MGES were analyzed for the presence of putative binding sites for Stat3 (FIG. 4A), C/EBPβ (FIG. 4B), FosL2 (FIG. 4C), and bHLHB2 (FIG. 4D) through the MatInspector software (Genomatix) followed by ChIP. FIG. 4E shows a graphical representation of the transcriptional network emerging from promoter occupancy analysis, including autoregulatory and feed-forward loops among TFs. FIG. 4F shows quantitative RT-PCR analysis of mesenchymal TFs in GBM-BTSCs infected with lentivirus expressing Stat3/C/EBPβ shRNA. Gene expression is normalized to the expression of 18S ribosomal RNA.



FIG. 5A shows photographic images of the morphology of Stat3 plus C/EBPβ-expressing clones grown in the presence and absence of mitogens. Ectopic Stat3C and C/EBPβ in NSCs induce a mesenchymal phenotype, enhance migration and invasion and inhibit proneural gene expression.



FIG. 5B shows Gene Set Enrichment Analysis plots. Following ectopic expression of C/EBPβ and Stat3 in NCSs, mesenchymal (mes) and proliferative (prolif) genes were highly enriched among upregulated genes, while the proneural (PN) genes were highly enriched among down-regulated genes. Top portion of the graph shows the enrichment score profile. The maximum (minimum) value of this curve determines the enrichment score among up-regulated (down-regulated) genes. Middle portion of the graph shows the signature genes as black vertical bars. The bottom portion shows the weight of each ranked gene (proportional to its statistical significance). The figure is separated into two pages, joining at the hatched line.



FIG. 5C are microphotographs of C17.2 expressing Stat3C and C/EBPβ or the empty vector. 1 mm scratch was made with a pipette tip on confluent cultures (upper panels): The ability of the cells to cover the scratch was evaluated after three days (lower panels). *p≦0.05, **p≦0.01.



FIG. 5D shows microphotographs of invading C17.2 cells expressing Stat3C and C/EBPβ or transduced with empty vector (upper panels). Quantification of cell invasion in the absence or in the presence of PDGF. Bars indicate Mean±SEM of triplicate samples. *p≦0.05, **p≦0.01.



FIG. 6 depicts that neural stem cells expressing Stat3C and C/EBPβ acquire tumorigenic capability in vivo. FIG. 6A shows six-week old BALBc/nude mice that were injected subcutaneously with C17.2-vector (left flank) or C17.2 expressing Stat3C plus C/EBPβ (right flank). The number of tumors observed is indicated in the table. Mice were sacrificed 10 weeks (5×106 cells) or 13 weeks (2.5×106 cells) after injection. Black arrows point to the normal appearance of the left flank injected with CTR cells. White arrows point to the tumor mass in the right flank injected with C17.2 expressing Stat3C plus C/EBPβ. FIG. 6B are photographs of Hematoxylin & Eosin staining of two representative tumors depicting areas of pleomorphic cells forming pseudopalisades (upper panels; Inset: N, necrosis) and intensive network of aberrant vascularization (lower panels). FIG. 6C are photographic microscopy images of tumors that exhibit immunopositive areas for the proliferation marker Ki67, the progenitor marker Nestin, and diffuse staining for the vascular endothelium as evaluated by CD31. FIG. 6D are photographic microscopy images of tumors that display mesenchymal markers as indicated by positive immunostaining for OSMR and FGFR-1. Two representative tumors are shown.



FIGS. 7A-7B show expression of Stat3 and C/EBPβ is essential for the mesenchymal phenotype of human glioma. FIG. 7A is a photographic image of a western blot of Stat3 and C/EBPβ in brain tumor stem cells (BTSCs) transduced with lentivirus CTR or expressing Stat3 and C/EBPβ shRNA. FIG. 7B is a graphic representation of the GSEA plot for the mesenchymal genes.



FIG. 7C is a bar graph that shows quantitative RT-PCR of mesenchymal genes in BTSCs infected with lentiviruses expressing Stat3/C/EBPβ shRNA. Gene expression is normalized to the expression of 18S rRNA.



FIG. 7D is a graphic representation of a GSEA plot. The MGES is downregulated in SNB19 cells infected with shStat3 plus shC/EBPβ silencing lentiviruses.



FIG. 7E shows photographic images of invading SNB19 cells infected with shStat3 plus shC/EBPβ lentiviruses. The graph shows Mean+/−SD of two independent experiments, each performed in triplicate.



FIG. 7F is a graph depicting Kaplan-Meier survival of patients carrying tumors positive for Stat3 and C/EBPβ (double positives, red line) and double/single negative tumors (black line).



FIG. 8 depicts that MINDy-inferred STK38 is a post-translational modulator of MYC. (FIG. 8A) rows represent MYC targets, columns represent distinct samples. Expression is color coded from blue (underexpressed) to red (overexpressed) with respect to the mean across all experiments. MYC ability to transcriptionally regulate its targets is reduced in samples with lower STK38 expression. Silencing of STK38 leads to reduction in MYC protein (FIG. 8B), consistent changes in validated MYC targets (FIG. 8C), but no change in MYC mRNA (FIG. 8C)



FIG. 9 is a graph that shows the expression of ZNF238 is significantly down-regulated in 77 samples from human GBM (class 2, red) compared with 23 samples from non-tumor human brains (class 1, blue). P-value: 6.8E-5.



FIG. 10 is a graph that shows expression of ZNF238 in tumors derived from NCS expressing Stat3/C/EBPβ. RNA was prepared from cells before injection and two representative tumors. Quantitative RT-PCR was performed using 18S as internal control.



FIG. 11 is a bar graph that shows SiRNA-mediated silencing of ZNF238 in NSCs expressing Stat3 and C/EBPβupregulates the expression of mesenchymal genes.



FIG. 12 shows graphs that depict results from epigenetic silencing of ZNF238 in malignant glioma cells. FIG. 12A, Graphical representation of the promoter of ZNF238. The region between −1800 and −3400 contains stretches of CpG islands. FIG. 12B, 5-Azacytidine induces expression of ZNF238. T98G cells were treated with 5-Azacytidine at the indicated concentrations for 3 days. Expression of ZNF238 was analyzed by quantitative PCR. FIG. 12C, Expression of selected ZNF238 targets is down-regulated after treatment with 5-Azacytidine. HPRT was used as control for normalization.



FIG. 13 is a schematic for the generation of mice carrying conditional inactivation of the ZNF238 gene. A 10.3 Kb genomic fragment containing ZNF238 locus has been retrieved into PL253 plasmid by recombineering using the recombination proficient bacterial strain SW102, which expresses the recombinase components exo, bet, and gam. A loxP site will be introduced in intron 1, upstream of the ZNF238 coding region. A loxP-flanked Neo-STOP cassette (LSL) from pBS302 vector will be introduced into the 3′ untranslated region of exon 2 by recombineering. The LSL cassette was obtained from Tyler Jacks. The linearized targeting vector will be introduced into ES cells by electroporation. Deletion of the coding region in exon 2 by Cre in vivo will generate ZNF238-null mice.



FIG. 14 depicts GEP profiles from the Glioma Connectivity Map will be used to prioritize candidate druggable targets for MGES inhibition. For each Candidate Pharmacological Target (CPT), samples will be sorted by CPT expression. Enrichment of the MGES in genes that are differentially expressed in the GEPs that express the highest/lowest CPT levels will be used to assess the likelihood that the CPT is effective in suppressing the MGES.



FIG. 15 is a fluorescent photographic image depicting the silencing of Stat3 and C/EBPβ in human GBM-BTSCs induces apoptosis. Cells transduced with sh-CTR or sh-Stat3 plus sh-C/EBPβ. Cells were immunostained for Caspase3. Nuclei were counterstained with DAPi.



FIG. 16 is a photograph of a blot showing chromatin immunoprecipitation for Stat3 (FIG. 16A) and C/EBPβ (FIG. 16B) from a primary GBM sample.



FIG. 17 shows that ectopic expression of C/EBPβ and Stat3C cooperatively induce the expression of mesenchymal markers in NSCs. FIG. 17A is a photographic image of a western blot. FIG. 17B shows Immunofluorescence staining for SMA (upper panel) and fibronectin (lower panel) in C17.2 expressing the indicated TFs. FIG. 17C depicts the quantification of SMA positive cells (upper panel). For fibronectin immunostaining the intensity of fluorescence was quantified (lower panel). Bars indicate Mean±SD. n=3 for each group. **p≦0.01, ***p≦0.001. FIG. 17D-G shows the QRT-PCR analysis of mesenchymal targets in C17.2 expressing the indicated TFs or transduced with the empty vector. Gene expression was normalized to the expression of 18S ribosomal RNA. Bars indicate Mean±SD. n=3 for each group. **p≦0.01, ***p≦0.001.



FIG. 18 shows that C/EBPβ and Stat3 inhibit neural differentiation of NSCs, induce mesenchymal transformation and promote invasiveness. FIG. 18A is a photographic image of a semi-quantitative RT-PCR analysis of mesenchymal and neural markers in C17.2 expressing Stat3C plus C/EBPβ or control vector cultured in growth medium (E) or after removal of mitogens for 5 or 10 days. FIG. 18B are microscope photographs of Alcian blue staining of C17.2 expressing Stat3C and C/EBPβ, or transduced with empty vector cultured in growth medium (upper panels), or in chondrogenesis differentiation medium for 20 days (lower panels).



FIG. 19 shows that C/EBPβ and Stat3 inhibit neural differentiation and trigger mesenchymal transformation of primary mouse NSCs. FIG. 19A are photomicrographs of immunofluorescence staining for CTGF in primary NSCs transduced with retroviruses expressing Stat3C and C/EBPβ or the empty vector. GFP identifies the infected cells. FIG. 19B is a graph showing the quantification of GFP positive/CTGF positive cells. Bars indicate Mean±SD of three independent experiments. **p≦0.01. FIG. 19C is a graph showing QRT-PCR of mesenchymal genes in primary N, SCs transduced with Stat3C, C/EBPβ, Stat3C plus C/EBPβ, or empty vectors. Bars indicate Mean±SD of 3 independent reactions. Gene expression was normalized to the expression of 18S ribosomal RNA. FIGS. 19D-F are graphs showing QRT-PCR of neuronal (βIII-tubulin and doublecortin) and glial (GFAP) markers in primary NSCs transduced with Stat3C plus C/EBPβ, or with empty retroviruses. Cells were grown for 5 days in the presence or absence of mitogens. Bars indicate Mean±SD of three independent reactions. Gene expression was normalized to the expression of 18S ribosomal RNA.



FIG. 20 shows that C/EBPβ and Stat3 are essential to maintain the mesenchymal phenotype of human glioma cells. FIG. 20A are microphotographs of immunofluorescence for fibronectin, Col5A1 and YKL40 in BTSC-3408 infected with lentiviruses expressing Stat3, C/EBPβ, or Stat3 plus C/EBPβ shRNA. Nuclei were counterstained with DAPI. Quantification of fibronectin (FIG. 20C), Col5A1 (FIG. 20D) and YKL40 (FIG. 20E) positive cells from the representative experiment shown in (FIG. 20A). Bars indicate Mean±SD of 3 independent experiments. *p≦0.05, **p≦0.01, ***p≦0.001. FIG. 20B are photomicrographs of immunofluorescence for Col5A1 and YKL40 in SNB19 cells infected as in FIG. 20A. Quantification of Col5A1 (FIG. 20F) and YKL40 (FIG. 20G) positive cells in experiments in (FIG. 20B). Bars indicate Mean±SD of 3 independent experiments. *p≦0.05, **p≦0.01. QRT-PCR of mesenchymal genes in BTSC-20 (FIG. 20H), BTSC-3408 (FIG. 20I) and SNB19 (FIG. 20J) infected with lentiviruses expressing Stat3, C/EBPβ, or Stat3 plus C/EBPβ shRNA. Bars indicate Mean±SD of three independent reactions. FIG. 20K is a bar graph showing the quantification of Stat3 plus C/EBPβ shRNA.



FIG. 21 shows that knockdown of C/EBPβ and Stat3 impairs tumor formation, invasion and expression of mesenchymal markers in a mouse model of human SNB19 glioma. FIG. 21A depicts a Kaplan-Meier survival curve of NOD SCID mice transplanted intracranially with SNB19 glioma cells that had been transduced with shCtr (red), shStat3 (black), shC/EBPβ (green) or shStat3 plus shC/EBPβ (blue) lentiviruses. **p≦0.01. Immunofluorescence staining for human Vimentin (FIG. 21B), CD31 (FIG. 21C), fibronectin (FIG. 21D), Col5A1 (FIG. 21E) and YKL40 (FIG. 21F) of tumors derived from SNB19 cells infected with lentiviruses expressing shRNA targeting Stat3, C/EBPβ, or Stat3 plus C/EBPβ. T, tumor; B, normal brain.



FIG. 22 shows that C/EBPβ and Stat3 are essential for glioma tumor aggressiveness in mice and humans. FIG. 22A depicts invading BTSC-3408 cells infected with shCtr, shStat3, shC/EBPβ or shStat3 plus shC/EBPβ lentiviruses and the quantification of invading cells (graph below). Bars indicate Mean±SD of two independent experiments, each performed in triplicate (right panel). *p≦0.01. FIG. 22B shows immunostaining for human vimentin (left panels) on representative brain sections from mice injected with BTSC-3408 after silencing of C/EBPβ and Stat3. Quantification of human vimentin positive area (right panel). FIG. 22C shows immunostaining for Ki67 from tumors as in FIG. 22B (left panels). Quantification of Ki67 positive cells (right panel). Bars indicate Mean±SD. n=5 for each group. *p≦0.05. (St, striatum; CC, corpus callosum). Immunostaining for fibronectin (FIG. 22D) and Col5A1 (FIG. 22E) on representative brain sections from mice injected with BTSC-3408 that had been transduced treated as indicated. Nuclei were counterstained with DAPI. f, Kaplan-Meier analysis comparing survival of patients carrying tumors positive for C/EBPβ and Stat3 (double positives, red line) and double/single negative tumors (black line).



FIG. 23 is a schematic that shows altered MGES gene expression does not result from copy number changes. The correlation between gene expression and DNA copy number for the MGES genes was determined using data from 76 high-grade gliomas for which both gene expression array (Affymetrix U133A) and array comparative genomic hybridization (aCGH) profiling has been performed as previously described{Phillips, 2006 #1049}. Tumors were grouped based on molecular subtype (proneural, mesenchymal, or proliferative) and the mean expression of each MGES gene determined. Genes are shown in order of increasing mean expression. The normalized copy number (error bars indicate standard deviation) of each gene was interpolated based on the copy number of the nearest genomic clone on the CGH array as determined by comparison of the sequence annotation of both array platforms. No correlation was seen between the mean MGES gene expression and DNA copy number for the proneural, mesenchymal, proliferative groups or the total cohort (p=0.09430, 0.1058, 0.09430, 0.1014, respectively; Spearman's rho).



FIG. 24 are graphs that show the correlation between microarray and QRT-PCR measures for Stat3 (FIG. 24A) and C/EBPβ (FIG. 24B) mRNAs. Shown is the ratio of mRNA levels for C/EBPβ and Stat3 between silencing or over-expression and the corresponding non-targeting shRNA or vector controls, respectively. QRT-PCR estimates α-axis) are in log10 scale, and microarray estimates (y-axis) are in log2 scale.



FIG. 25 is a graph of GSEA analysis that confirmed that MGES genes were markedly enriched in the TWPS signature. The bar-code plot indicates the position of the MGES genes on the TCGA expression data rank-sorted by its association with bad prognosis, red and blue colors indicate positive and negative differential expression, respectively. The gray scale bar indicates the t-statistic values, used as weighting score for GSEA analysis.



FIG. 26 shows ectopic Stat3C and C/EBPβ in NSCs induce a mesenchymal phenotype and inhibit neuronal differentiation. FIG. 26A shows immunofluorescence for Tau and SMA in two C17.2 subclones expressing Stat3C and C/EBP or control vector cultured in absence of mitogens for 10 days. Nuclei were counterstained with DAPI. FIG. 26B are microphotographs of primary mouse NSCs expressing Stat3C and C/EBPβ or control vector grown in absence of growth factors. Note the differentiated cells with neuronal-like morphology in the control cells.



FIG. 27 are photomicrographs that show YKL-40 expression correlates with C/EBPβ and Stat3 expression in primary tumors. Immunohistochemistry analysis of YKL-40, C/EBPβ and Stat3 expression in tumors from patients with newly diagnosed GBM. FIG. 27A shows a representative YKL-40/Stat3C/EBPβ-triple positive tumor. FIG. 27B shows a representative YKL-40/Stat3/C/EBPβ-triple negative tumor.



FIG. 28. is a graph showing change in gene expression.



FIG. 29 is a schematic that shows the top 50 genes downregulated (FIG. 29A) and the top 50 genes downregulated (FIG. 29B).



FIG. 30 shows chromatin immunoprecipitation for Stat3 and C/EBPβ (FIG. 30A) from primary GBM tumor samples and quantitation of their expression (FIG. 30B).



FIG. 31A is a venn-diagram that depicts the proportion of mesenchymal genes identified by ARACNe as targets of only C/EBPβ, STAT3 or both TFs.



FIG. 31B is a heatmap of MGES gene expression analysis of mouse and human cells carrying perturbations of C/EBPβ plus STAT3. Samples (columns) were grouped according to species and treatment. Control, control shRNA or empty vector; S−, STAT3 knockdown; S+, STAT3 overexpression; C−, CEBPB knockdown; C+, CEBPB overexpression; S−/C−, STAT3 and CEBPB knockdown; S+/C+, STAT3 and CEBPB overexpression.



FIG. 32 is a graph showing the GSEA of the MGES on the gene expression profile rank-sorted according to the correlation with the CEBPB×STAT3 metagene. The bar-code plot indicates the position of MGES genes, light gray (right hand side) and dark grey (left hand side) colors represent positive and negative correlation, respectively. The grey scale bar indicates the Spearman's rho coefficient used as weighting score for GSEA. LEOR, leading-edge odds ratio; nES, normalized enrichment score; P, sample-permutation-based P value



FIG. 33 is a schematic diagram of the experimental strategy used to identify and experimentally validate the transcription factors (TFs) that drive the mesenchymal phenotype of malignant glioma. Reverse-engineering of a high grade glioma-specific mesenchymal signature reveal the transcriptional regulatory module that activates expression of the mesenchymal genes. Two transcription factors (C/EBPβ and STAT3) emerge as synergistic master regulators of mesenchymal transformation. Elimination of the two factors in glioma cells leads to collapse of the mesenchymal signature and reduces tumor formation and aggressiveness in the mouse. In human glioma, the combined expression of C/EBPβ and STAT3 is a strong predicting factor for poor clinical outcome.



FIG. 34 shows that mesenchymal genes are coordinately regulated by C/EBPβ and Stat3. Gene expression integrative analysis of mouse and human cells carrying perturbations of C/EBPβ (FIG. 34A) and Stat3 (FIG. 34B). Heatmaps represent mRNA levels for MGES genes. Genes are in rows and samples in columns. The 89 profiled samples were grouped according to species and treatment: control shRNA or empty vector (Control), Stat3 knock-down (S−), Stat3 overexpression (S+), C/EBPβ knock-down (C−), C/EBPβ overexpressoin (C+), simultaneous knockdown or over-expression of both TFs (S−/C− and S+/C+). The first row of each heatmap shows the mRNA levels of C/EBPβ and Stat3 as assessed by qRT-PCR. Genes were sorted according to the Spearman correlation with the mRNA levels of the specific TF being tested. Dark grey and light gray intensity indicate lower and higher expression levels than the gene expression median, respectively. Leading edge mesenchymal genes are above the horizontal black line. GSEA analysis of the MGES on the gene expression profile rank-sorted is shown according to the correlation with C/EBPβ (FIG. 34C) and Stat3 (FIG. 34D). The bar-code plot indicates the position of the MGES genes, dark gray (left-hand side of the plot) and light gray (right-hand side of the plot) colors indicate positive and negative correlation, respectively. The gray scale bar indicates the spearman rho coefficient, used as weighting score for GSEA analysis. nES, normalized enrichment score; p, sample-permutation-based p-value.



FIG. 35 shows results from C/EBPβ and STAT3 luciferase reporter assays. TRANSIENT analysis of the reporters is shown in the bar graphs, Left Panel (STAT3, Top; and C/EBPβ, Bottom) and in the blots of expression, Middle Panel (STAT3, Top; and C/EBPβ, Bottom). A schematic of luciferase reporter vectors expressing STAT3 (Top) and C/EBPβ (Bottom) are shown in the right panel.



FIG. 36 shows expression levels of SNB19 human glioma cell clones that were stably transfected with the C/EBPbeta-driven luciferase plasmid and subsequently transfected with control siRNAs or siRNA oligonucleotides targeting C/EBPbeta.



FIG. 37 shows expression levels of SNB19 human glioma cell clones that were stably transfected with the C/EBPbeta-driven luciferase plasmid and subsequently transfected with control siRNAs or two different siRNA oligonucleotides targeting C/EBPbeta (siCEBPb05 and siCEBP06).



FIG. 38 shows inhibition using a C/EBPb gene reporter assay. FIG. 38A shows CEBPb reporter activity at 48 hr upon inhibition with various dosages of 5-fluorouracil (5-FU). FIG. 38B shows ATP cell viability at 24 hr and 48 hr upon inhibition with various dosages of 5-FU.



FIG. 39 shows inhibition using a C/EBPb gene reporter assay. FIG. 39A shows CEBPb reporter activity at 48 hr upon inhibition with various dosages of clostridium difficilis Toxin B (CD Toxin B). FIG. 39B shows ATP cell viability at 24 hr and 48 hr upon inhibition with various dosages of CD Toxin B.





DETAILED DESCRIPTION OF THE INVENTION

Key features of nervous system cancer progression are relentless proliferation, loss of differentiation and angiogenesis (Iavarone and Lasorella, 2004. Cancer Letters 204: 189-96; herein incorporated by reference in its entirety). Here, the invention is directed to transcriptional modules that can synergistically initiate and maintain mesenchymal transformation in the brain. For example, the invention is directed to regulating the mesenchymal state of brain cells, a signature of human glioma. In some embodiments, transcription factors that comprise a transcriptional module involved in the synergistic regulation of the mesenchymal signature of malignant glioma (Mesenchymal Gene Expression Signature of high-grade glioma (MGES)) are regulated so as to reduce nervous system cancers. MGES genes can include, but are not limited to, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238, or a combination thereof. In some embodiments, the protein or mRNA expression levels of Stat3 and/or C/EBPβ can be decreased in order to ameliorate glioma cancers. For example, silencing of the two transcription factors depletes glioma stem cells and cell lines of mesenchymal attributes and greatly impairs their ability to invade.


The invention is also directed methods of inducing spinal axon regeneration by way of a stabilized Id2 composition. In some embodiments, the delivery of Adeno-Associated Viruses encoding undegradable Id2 (Id2-DBM) can promote axonal regeneration and functional locomotor recovery in a mouse model of hemisection spinal cord injury.


As used herein, “Mesenchymal Gene Expression Signature” or “MGES” refers to a transcription factor that comprises a transcriptional module involved in the synergistic regulation of the mesenchymal signature of malignant glioma or high-grade glioma. For example, MGES genes can include, but are not limited to, Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238. MGES proteins can be polypeptides encoded by a Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238 nucleotide sequence.


The polypeptide sequence of human signal transducer and activator of transcription 3 (STAT3) is depicted in SEQ ID NO: 231. The nucleotide sequence of human STAT3 is shown in SEQ ID NO: 232. Sequence information related to STAT3 is accessible in public databases by GenBank Accession numbers NM139276 (for mRNA) and NP644805 (for protein).


SEQ ID NO: 231 is the human wild type amino acid sequence corresponding to STAT3 (residues 1-769), wherein the bolded sequence represents the mature peptide sequence:











1
MAQWNQLQQL DTRYLEQLHQ LYSDSFPMEL RQFLAPWIES QDWAYAASKE SHATLVFHNL






61
LGEIDQQYSR FLQESNVLYQ HNLRRIKQFL QSRYLEKPME IARIVARCLW EESRLLQTAA





121
TAAQQGGQAN HPTAAVVTEK QQMLEQHLQD VRKRVQDLEQ KMKVVENLQD DFDFNYKTLK





181
SQGDMQDLNG NNQSVTRQKM QQLEQMLTAL DQMRRSIVSE LAGLLSAMEY VQKTLTDEEL





241
ADWKRRQQIA CIGGPPNICL DRLENWITSL AESQLQTRQQ IKKLEELQQK VSYKGDPIVQ





301
HRPMLEERIV ELFRNLMKSA FVVERQPCMP MHPDRPLVIK TGVQFTTKVR LLVKFPELNY





361
QLKIKVCIDK DSGDVAALRG SRKFNILGTN TKVMNMEESN NGSLSAEFKH LTLREQRCGN





421
GGRANCDASL IVTEELHLIT FETEVYHQGL KIDLETHSLP VVVISNICQM PNAWASILWY





481
NMLTNNPKNV NFFTKPPIGT WDQVAEVLSW QFSSTTKRGL SIEQLTTLAE KLLGPGVNYS





541
GCQITWAKFC KENMAGKGFS FWVWLDNIID LVKKYILALW NEGYIMGFIS KERERAILST





601
KPPGTFLLRF SESSKEGGVT FTWVEKDISG KTQIQSVEPY TKQQLNNMSF AEIIMGYKIM





661
DATNILVSPL VYLYPDIPKE EAFGKYCRPE SQEHPEADPG AAPYLKTKFI CVTPTTCSNT





721
IDLPMSPRTL DSLMQFGNNG EGAEPSAGGQ FESLTFDMEL TSECATSPM






SEQ ID NO: 232 is the human wild type nucleotide sequence corresponding to STAT3 (nucleotides 1-4978), wherein the underscored bolded “ATG” denotes the beginning of the open reading frame:











1
ggtttccgga gctgcggcgg cgcagactgg gagggggagc cgggggttcc gacgtcgcag






61
ccgagggaac aagccccaac cggatcctgg acaggcaccc cggcttggcg ctgtctctcc





121
ccctcggctc ggagaggccc ttcggcctga gggagcctcg ccgcccgtcc ccggcacacg





181
cgcagccccg gcctctcggc ctctgccgga gaaacagttg ggacccctga ttttagcagg





241


atg
gcccaat ggaatcagct acagcagctt gacacacggt acctggagca gctccatcag






301
ctctacagtg acagcttccc aatggagctg cggcagtttc tggccccttg gattgagagt





361
caagattggg catatgcggc cagcaaagaa tcacatgcca ctttggtgtt tcataatctc





421
ctgggagaga ttgaccagca gtatagccgc ttcctgcaag agtcgaatgt tctctatcag





481
cacaatctac gaagaatcaa gcagtttctt cagagcaggt atcttgagaa gccaatggag





541
attgcccgga ttgtggcccg gtgcctgtgg gaagaatcac gccttctaca gactgcagcc





601
actgcggccc agcaaggggg ccaggccaac caccccacag cagccgtggt gacggagaag





661
cagcagatgc tggagcagca ccttcaggat gtccggaaga gagtgcagga tctagaacag





721
aaaatgaaag tggtagagaa tctccaggat gactttgatt tcaactataa aaccctcaag





781
agtcaaggag acatgcaaga tctgaatgga aacaaccagt cagtgaccag gcagaagatg





841
cagcagctgg aacagatgct cactgcgctg gaccagatgc ggagaagcat cgtgagtgag





901
ctggcggggc ttttgtcagc gatggagtac gtgcagaaaa ctctcacgga cgaggagctg





961
gctgactgga agaggcggca acagattgcc tgcattggag gcccgcccaa catctgccta





1021
gatcggctag aaaactggat aacgtcatta gcagaatctc aacttcagac ccgtcaacaa





1081
attaagaaac tggaggagtt gcagcaaaaa gtttcctaca aaggggaccc cattgtacag





1141
caccggccga tgctggagga gagaatcgtg gagctgttta gaaacttaat gaaaagtgcc





1201
tttgtggtgg agcggcagcc ctgcatgccc atgcatcctg accggcccct cgtcatcaag





1261
accggcgtcc agttcactac taaagtcagg ttgctggtca aattccctga gttgaattat





1321
cagcttaaaa ttaaagtgtg cattgacaaa gactctgggg acgttgcagc tctcagagga





1381
tcccggaaat ttaacattct gggcacaaac acaaaagtga tgaacatgga agaatccaac





1441
aacggcagcc tctctgcaga attcaaacac ttgaccctga gggagcagag atgtgggaat





1501
gggggccgag ccaattgtga tgcttccctg attgtgactg aggagctgca cctgatcacc





1561
tttgagaccg aggtgtatca ccaaggcctc aagattgacc tagagaccca ctccttgcca





1621
gttgtggtga tctccaacat ctgtcagatg ccaaatgcct gggcgtccat cctgtggtac





1681
aacatgctga ccaacaatcc caagaatgta aactttttta ccaagccccc aattggaacc





1741
tgggatcaag tggccgaggt cctgagctgg cagttctcct ccaccaccaa gcgaggactg





1801
agcatcgagc agctgactac actggcagag aaactcttgg gacctggtgt gaattattca





1861
gggtgtcaga tcacatgggc taaattttgc aaagaaaaca tggctggcaa gggcttctcc





1921
ttctgggtct ggctggacaa tatcattgac cttgtgaaaa agtacatcct ggccctttgg





1981
aacgaagggt acatcatggg ctttatcagt aaggagcggg agcgggccat cttgagcact





2041
aagcctccag gcaccttcct gctaagattc agtgaaagca gcaaagaagg aggcgtcact





2101
ttcacttggg tggagaagga catcagcggt aagacccaga tccagtccgt ggaaccatac





2161
acaaagcagc agctgaacaa catgtcattt gctgaaatca tcatgggcta taagatcatg





2221
gatgctacca atatcctggt gtctccactg gtctatctct atcctgacat tcccaaggag





2281
gaggcattcg gaaagtattg tcggccagag agccaggagc atcctgaagc tgacccaggt





2341
agcgctgccc catacctgaa gaccaagttt atctgtgtga caccaacgac ctgcagcaat





2401
accattgacc tgccgatgtc cccccgcact ttagattcat tgatgcagtt tggaaataat





2461
ggtgaaggtg ctgaaccctc agcaggaggg cagtttgagt ccctcacctt tgacatggag





2521
ttgacctcgg agtgcgctac ctcccccatg tgaggagctg agaacggaag ctgcagaaag





2581
atacgactga ggcgcctacc tgcattctgc cacccctcac acagccaaac cccagatcat





2641
ctgaaactac taactttgtg gttccagatt ttttttaatc tcctacttct gctatctttg





2701
agcaatctgg gcacttttaa aaatagagaa atgagtgaat gtgggtgatc tgcttttatc





2761
taaatgcaaa taaggatgtg ttctctgaga cccatgatca ggggatgtgg cggggggtgg





2821
ctagagggag aaaaaggaaa tgtcttgtgt tgttttgttc ccctgccctc ctttctcagc





2881
agctttttgt tattgttgtt gttgttctta gacaagtgcc tcctggtgcc tgcggcatcc





2941
ttctgcctgt ttctgtaagc aaatgccaca ggccacctat agctacatac tcctggcatt





3001
gcacttttta accttgctga catccaaata gaagatagga ctatctaagc cctaggtttc





3061
tttttaaatt aagaaataat aacaattaaa gggcaaaaaa cactgtatca gcatagcctt





3121
tctgtattta agaaacttaa gcagccgggc atggtggctc acgcctgtaa tcccagcact





3181
ttgggaggcc gaggcggatc ataaggtcag gagatcaaga ccatcctggc taacacggtg





3241
aaaccccgtc tctactaaaa gtacaaaaaa ttagctgggt gtggtggtgg gcgcctgtag





3301
tcccagctac tcgggaggct gaggcaggag aatcgcttga acctgagagg cggaggttgc





3361
agtgagccaa aattgcacca ctgcacactg cactccatcc tgggcgacag tctgagactc





3421
tgtctcaaaa aaaaaaaaaa aaaaaagaaa cttcagttaa cagcctcctt ggtgctttaa





3481
gcattcagct tccttcaggc tggtaattta tataatccct gaaacgggct tcaggtcaaa





3541
cccttaagac atctgaagct gcaacctggc ctttggtgtt gaaataggaa ggtttaagga





3601
gaatctaagc attttagact tttttttata aatagactta ttttcctttg taatgtattg





3661
gccttttagt gagtaaggct gggcagaggg tgcttacaac cttgactccc tttctccctg





3721
gacttgatct gctgtttcag aggctaggtt gtttctgtgg gtgccttatc agggctggga





3781
tacttctgat tctggcttcc ttcctgcccc accctcccga ccccagtccc cctgatcctg





3841
ctagaggcat gtctccttgc gtgtctaaag gtccctcatc ctgtttgttt taggaatcct





3901
ggtctcagga cctcatggaa gaagaggggg agagagttac aggttggaca tgatgcacac





3961
tatggggccc cagcgacgtg tctggttgag ctcagggaat atggttctta gccagtttct





4021
tggtgatatc cagtggcact tgtaatggcg tcttcattca gttcatgcag ggcaaaggct





4081
tactgataaa cttgagtctg ccctcgtatg agggtgtata cctggcctcc ctctgaggct





4141
ggtgactcct ccctgctggg gccccacagg tgaggcagaa cagctagagg gcctccccgc





4201
ctgcccgcct tggctggcta gctcgcctct cctgtgcgta tgggaacacc tagcacgtgc





4261
tggatgggct gcctctgact cagaggcatg gccggatttg gcaactcaaa accaccttgc





4321
ctcagctgat cagagtttct gtggaattct gtttgttaaa tcaaattagc tggtctctga





4381
attaaggggg agacgacctt ctctaagatg aacagggttc gccccagtcc tcctgcctgg





4441
agacagttga tgtgtcatgc agagctctta cttctccagc aacactcttc agtacataat





4501
aagcttaact gataaacaga atatttagaa aggtgagact tgggcttacc attgggttta





4561
aatcataggg acctagggcg agggttcagg gcttctctgg agcagatatt gtcaagttca





4621
tggccttagg tagcatgtat ctggtcttaa ctctgattgt agcaaaagtt ctgagaggag





4681
ctgagccctg ttgtggccca ttaaagaaca gggtcctcag gccctgcccg cttcctgtcc





4741
actgccccct ccccatcccc agcccagccg agggaatccc gtgggttgct tacctaccta





4801
taaggtggtt tataagctgc tgtcctggcc actgcattca aattccaatg tgtacttcat





4861
agtgtaaaaa tttatattat tgtgaggttt tttgtctttt tttttttttt ttttttttgg





4921
tatattgctg tatctacttt aacttccaga aataaacgtt atataggaac cgtaaaaa






The polypeptide sequence of human CCAAT/enhancer binding protein (C/EBP), beta (CEBPB; CEBPβ) is depicted in SEQ ID NO: 233. The nucleotide sequence of human CEBPβ is shown in SEQ ID NO: 234. Sequence information related to CEBPβ is accessible in public databases by GenBank Accession numbers NM005194 (for mRNA) and NP005185 (for protein).


SEQ ID NO: 233 is the human wild type amino acid sequence corresponding to CEBPβ (residues 1-345), wherein the bolded sequence represents the mature peptide sequence:











1
MQRLVAWDPA CLPLPPPPPA FKSMEVANFY YEADCLAAAY GGKAAPAAPP AARPGPRPPA






61
GELGSIGDHE RAIDFSPYLE PLGAPQAPAP ATATDTFEAA PPAPAPAPAS SGQHHDFLSD





121
LFSDDYGGKN CKKPAEYGYV SLGRLGAAKG ALHPGCFAPL HPPPPPPPPP AELKAEPGFE





181
PADCKRKEEA GAPGGGAGMA AGFPYALRAY LGYQAVPSGS SGSLSTSSSS SPPGTPSPAD





241
AKAPPTACYA GAAPAPSQVK SKAKKTVDKH SDEYKIRRER NNIAVRKSRD KAKMRNLETQ





301
HKVLELTAEN ERLQKKVEQL SRELSTLRNL FKQLPEPLLA SSGHC






SEQ ID NO: 234 is the human wild type nucleotide sequence corresponding to CEBPβ (nucleotides 1-1837), wherein the underscored bolded “ATG” denotes the beginning of the open reading frame:











1
gagccgcgca cgggactggg aaggggaccc acccgagggt ccagccacca gccccctcac






61
taatagcggc caccccggca gcggcggcag cagcagcagc gacgcagcgg cgacagctca





121
gagcagggag gccgcgccac ctgcgggccg gccggagcgg gcagccccag gccccctccc





181
cgggcacccg cgttcatgca acgcctggtg gcctgggacc cagcatgtct ccccctgccg





241
ccgccgccgc ctgcctttaa atccatggaa gtggccaact tctactacga ggcggactgc





301
ttggctgctg cgtacggcgg caaggcggcc cccgcggcgc cccccgcggc cagacccggg





361
ccgcgccccc ccgccggcga gctgggcagc atcggcgacc acgagcgcgc catcgacttc





421
agcccgtacc tggagccgct gggcgcgccg caggccccgg cgcccgccac ggccacggac





481
accttcgagg cggctccgcc cgcgcccgcc cccgcgcccg cctcctccgg gcagcaccac





541
gacttcctct ccgacctctt ctccgacgac tacgggggca agaactgcaa gaagccggcc





601
gagtacggct acgtgagcct ggggcgcctg ggggccgcca agggcgcgct gcaccccggc





661
tgcttcgcgc ccctgcaccc accgcccccg ccgccgccgc cgcccgccga gctcaaggcg





721
gagccgggct tcgagcccgc ggactgcaag cggaaggagg aggccggggc gccgggcggc





781
ggcgcaggca tggcggcggg cttcccgtac gcgctgcgcg cttacctcgg ctaccaggcg





841
gtgccgagcg gcagcagcgg gagcctctcc acgtcctcct cgtccagccc gcccggcacg





901
ccgagccccg ctgacgccaa ggcgcccccg accgcctgct acgcgggggc cgcgccggcg





961
ccctcgcagg tcaagagcaa ggccaagaag accgtggaca agcacagcga cgagtacaag





1021
atccggcgcg agcgcaacaa catcgccgtg cgcaagagcc gcgacaaggc caagatgcgc





1081
aacctggaga cgcagcacaa ggtcctggag ctcacggccg agaacgagcg gctgcagaag





1141
aaggtggagc agctgtcgcg cgagctcagc accctgcgga acttgttcaa gcagctgccc





1201
gagcccctgc tcgcctcctc cggccactgc tagcgcggcc cccgcgcgcg tccccctgcc





1261
ggccggggct gagactccgg ggagcgcccg cgcccgcgcc ctcgcccccg cccccggcgg





1321
cgccggcaaa actttggcac tggggcactt ggcagcgcgg ggagcccgtc ggtaatttta





1381
atattttatt atatatatat atctatattt ttgtccaaac caaccgcaca tgcagatggg





1441
gctcccgccc gtggtgttat ttaaagaaga aacgtctatg tgtacagatg aatgataaac





1501
tctctgcttc tccctctgcc cctctccagg cgccggcggg cgggccggtt tcgaagttga





1561
tgcaatcggt ttaaacatgg ctgaacgcgt gtgtacacgg gactgacgca acccacgtgt





1621
aactgtcagc cgggccctga gtaatcgctt aaagatgttc ctacgggctt gttgctgttg





1681
atgttttgtt ttgttttgtt ttttggtctt tttttgtatt ataaaaaata atctatttct





1741
atgagaaaag aggcgtctgt atattttggg aatcttttcc gtttcaagca ttaagaacac





1801
ttttaataaa cttttttttg agaatggtta caaagcc






The polypeptide sequence of human CCAAT/enhancer binding protein (C/EBP), delta (CEBPD; CEBPδ) is depicted in SEQ ID NO: 235. The nucleotide sequence of human CEBPδ is shown in SEQ ID NO: 236. Sequence information related to CEBPδ is accessible in public databases by GenBank Accession numbers NM005195 (for mRNA) and NP005186 (for protein).


SEQ ID NO: 235 is the human wild type amino acid sequence corresponding to CEBPδ (residues 1-269), wherein the bolded sequence represents the mature peptide sequence:











1
MSAALFSLDG PARGAPWPAE PAPFYEPGRA GKPGRGAEPG ALGEPGAAAP AMYDDESAID






61
FSAYIDSMAA VPTLELCHDE LFADLFNSNH KAGGAGPLEL LPGGPARPLG PGPAAPRLLK





121
REPDWGDGDA PGSLLPAQVA ACAQTVVSLA AAGQPTPPTS PEPPRSSPRQ TPAPGPAREK





181
SAGKRGPDRG SPEYRQRRER NNIAVRKSRD KAKRRNQEMQ QKLVELSAEN EKLHQRVEQL





241
TRDLAGLRQF FKQLPSPPFL PAAGTADCR






SEQ ID NO: 236 is the human wild type nucleotide sequence corresponding to CEBPδ (nucleotides 1-1269), wherein the underscored bolded “ATG” denotes the beginning of the open reading frame:











1
aggtgacagc ctcgcttgga cgcagagccc ggcccgacgc cgccatgagc gccgcgctct






61
tcagcctgga cggcccggcg cgcggcgcgc cctggcctgc ggagcctgcg cccttctacg





121
aaccgggccg ggcgggcaag ccgggccgcg gggccgagcc aggggcccta ggcgagccag





181
gcgccgccgc ccccgccatg tacgacgacg agagcgccat cgacttcagc gcctacatcg





241
actccatggc cgccgtgccc accctggagc tgtgccacga cgagctcttc gccgacctct





301
tcaacagcaa tcacaaggcg ggcggcgcgg ggcccctgga gcttcttccc ggcggccccg





361
cgcgcccctt gggcccgggc cctgccgctc cccgcctgct caagcgcgag cccgactggg





421
gcgacggcga cgcgcccggc tcgctgttgc ccgcgcaggt ggccgcgtgc gcacagaccg





481
tggtgagctt ggcggccgca gggcagccca ccccgcccac gtcgccggag ccgccgcgca





541
gcagccccag gcagaccccc gcgcccggcc ccgcccggga gaagagcgcc ggcaagaggg





601
gcccggaccg cggcagcccc gagtaccggc agcggcgcga gcgcaacaac atcgccgtgc





661
gcaagagccg cgacaaggcc aagcggcgca accaggagat gcagcagaag ttggtggagc





721
tgtcggctga gaacgagaag ctgcaccagc gcgtggagca gctcacgcgg gacctggccg





781
gcctccggca gttcttcaag cagctgccca gcccgccctt cctgccggcc gccgggacag





841
cagactgccg gtaacgcgcg gccggggcgg gagagactca gcaacgaccc atacctcaga





901
cccgacggcc cggagcggag cgcgccctgc cctggcgcag ccagagccgc cgggtgcccg





961
ctgcagtttc ttgggacata ggagcgcaaa gaagctacag cctggactta ccaccactaa





1021
actgcgagag aagctaaacg tgtttatttt cccttaaatt atttttgtaa tggtagcttt





1081
ttctacatct tactcctgtt gatgcagcta aggtacattt gtaaaaagaa aaaaaaccag





1141
acttttcaga caaacccttt gtattgtaga taagaggaaa agactgagca tgctcacttt





1201
tttatattaa tttttacagt atttgtaaga ataaagcagc atttgaaatc gaaaaaaaaa





1261
aaaaaaaaa






The polypeptide sequence of human runt-related transcription factor 1 isoform AML1b (RunX1) is depicted in SEQ ID NO: 237. The nucleotide sequence of human RunX1 is shown in SEQ ID NO: 238. Sequence information related to RunX1 is accessible in public databases by GenBank Accession numbers NM001001890 (for mRNA) and NP001001890 (for protein).


SEQ ID NO: 237 is the human wild type amino acid sequence corresponding to RunX1 (residues 1-453), wherein the bolded sequence represents the mature peptide sequence:











1
MRIPVDASTS RRFTPPSTAL SPGKMSEALP LGAPDAGAAL AGKLRSGDRS MVEVLADHPG






61
ELVRTDSPNF LCSVLPTHWR CNKTLPIAFK VVALGDVPDG TLVTVMAGND ENYSAELRNA





121
TAAMKNQVAR FNDLRFVGRS GRGKSFTLTI TVFTNPPQVA TYHRAIKITV DGPREPRRHR





181
QKLDDQTKPG SLSFSERLSE LEQLRRTAMR VSPHHPAPTP NPRASLNHST AFNPQPQSQM





241
QDTRQIQPSP PWSYDQSYQY LGSIASPSVH PATPISPGRA SGMTTLSAEL SSRLSTAPDL





301
TAFSDPRQFP ALPSISDPRM HYPGAFTYSP TPVTSGIGIG MSAMGSATRY HTYLPPPYPG





361
SSQAQGGPFQ ASSPSYHLYY GASAGSYQFS MVGGERSPPR ILPPCTNAST GSALLNPSLP





421
NQSDVVEAEG SHSNSPTNMA PSARLEEAVW RPY






SEQ ID NO: 238 is the human wild type nucleotide sequence corresponding to RunX1 (nucleotides 1-7274), wherein the underscored bolded “ATG” denotes the beginning of the open reading frame:











1
catagagcca gcgggcgcgg gcgggacggg cgccccgcgg ccggacccag ccagggcacc






61
acgctgcccg gccctgcgcc gccaggcact tctttccggg gctcctaggg acgccagaag





121
gaagtcaacc tctgctgctt ctccttggcc tgcgttggac cttccttttt ttgttgtttt





181
tttttgtttt tcccctttct tccttttgaa ttaactggct tcttggctgg atgttttcaa





241
cttctttcct ggctgcgaac ttttccccaa ttgttttcct tttacaacag ggggagaaag





301
tgctctgtgg tccgaggcga gccgtgaagt tgcgtgtgcg tggcagtgtg cgtggcagga





361
tgtgcgtgcg tgtgtaaccc gagccgcccg atctgtttcg atctgcgccg cggagccctc





421
cctcaaggcc cgctccacct gctgcggtta cgcggcgctc gtgggtgttc gtgcctcgga





481
gcagctaacc ggcgggtgct gggcgacggt ggaggagtat cgtctcgctg ctgcccgagt





541
cagggctgag tcacccagct gatgtagaca gtggctgcct tccgaagagt gcgtgtttgc





601
atgtgtgtga ctctgcggct gctcaactcc caacaaacca gaggaccagc cacaaactta





661
accaacatcc ccaaacccga gttcacagat gtgggagagc tgtagaaccc tgagtgtcat





721
cgactgggcc ttcttatgat tgttgtttta agattagctg aagatctctg aaacgctgaa





781
ttttctgcac tgagcgtttt gacagaattc attgagagaa cagagaacat gacaagtact





841
tctagctcag cactgctcca actactgaag ctgattttca aggctactta aaaaaatctg





901
cagcgtacat taatggattt ctgttgtgtt taaattctcc acagattgta ttgtaaatat





961
tttatgaagt agagcatatg tatatattta tatatacgtg cacatacatt agtagcacta





1021
cctttggaag tctcagctct tgcttttcgg gactgaagcc agttttgcat gataaaagtg





1081
gccttgttac gggagataat tgtgttctgt tgggacttta gacaaaactc acctgcaaaa





1141
aactgacagg cattaactac tggaacttcc aaataatgtg tttgctgatc gttttactct





1201
tcgcataaat attttaggaa gtgtatgaga attttgcctt caggaacttt tctaacagcc





1261
aaagacagaa cttaacctct gcaagcaaga ttcgtggaag atagtctcca ctttttaatg





1321
cactaagcaa tcggttgcta ggagcccatc ctgggtcaga ggccgatccg cagaaccaga





1381
acgttttccc ctcctggact gttagtaact tagtctccct cctcccctaa ccacccccgc





1441
ccccccccac cccccgcagt aataaaggcc cctgaacgtg tatgttggtc tcccgggagc





1501
tgcttgctga agatccgcgc ccctgtcgcc gtctggtagg agctgtttgc agggtcctaa





1561
ctcaatcggc ttgttgtgat gcgtatcccc gtagatgcca gcacgagccg ccgcttcacg





1621
ccgccttcca ccgcgctgag cccaggcaag atgagcgagg cgttgccgct gggcgccccg





1681
gacgccggcg ctgccctggc cggcaagctg aggagcggcg accgcagcat ggtggaggtg





1741
ctggccgacc acccgggcga gctggtgcgc accgacagcc ccaacttcct ctgctccgtg





1801
ctgcctacgc actggcgctg caacaagacc ctgcccatcg ctttcaaggt ggtggcccta





1861
ggggatgttc cagatggcac tctggtcact gtgatggctg gcaatgatga aaactactcg





1921
gctgagctga gaaatgctac cgcagccatg aagaaccagg ttgcaagatt taatgacctc





1981
aggtttgtcg gtcgaagtgg aagagggaaa agcttcactc tgaccatcac tgtcttcaca





2041
aacccaccgc aagtcgccac ctaccacaga gccatcaaaa tcacagtgga tgggccccga





2101
gaacctcgaa gacatcggca gaaactagat gatcagacca agcccgggag cttgtccttt





2161
tccgagcggc tcagtgaact ggagcagctg cggcgcacag ccatgagggt cagcccacac





2221
cacccagccc ccacgcccaa ccctcgtgcc tccctgaacc actccactgc ctttaaccct





2281
cagcctcaga gtcagatgca ggatacaagg cagatccaac catccccacc gtggtcctac





2341
gatcagtcct accaatacct gggatccatt gcctctcctt ctgtgcaccc agcaacgccc





2401
atttcacctg gacgtgccag cggcatgaca accctctctg cagaactttc cagtcgactc





2461
tcaacggcac ccgacctgac agcgttcagc gacccgcgcc agttccccgc gctgccctcc





2521
atctccgacc cccgcatgca ctatccaggc gccttcacct actccccgac gccggtcacc





2581
tcgggcatcg gcatcggcat gtcggccatg ggctcggcca cgcgctacca cacctacctg





2641
ccgccgccct accccggctc gtcgcaagcg cagggaggcc cgttccaagc cagctcgccc





2701
tcctaccacc tgtactacgg cgcctcggcc ggctcctacc agttctccat ggtgggcggc





2761
gagcgctcgc cgccgcgcat cctgccgccc tgcaccaacg cctccaccgg ctccgcgctg





2821
ctcaacccca gcctcccgaa ccagagcgac gtggtggagg ccgagggcag ccacagcaac





2881
tcccccacca acatggcgcc ctccgcgcgc ctggaggagg ccgtgtggag gccctactga





2941
ggcgccaggc ctggcccggc tgggccccgc gggccgccgc cttcgcctcc gggcgcgcgg





3001
gcctcctgtt cgcgacaagc ccgccgggat cccgggccct gggcccggcc accgtcctgg





3061
ggccgagggc gcccgacggc caggatctcg ctgtaggtca ggcccgcgca gcctcctgcg





3121
cccagaagcc cacgccgccg ccgtctgctg gcgccccggc cctcgcggag gtgtccgagg





3181
cgacgcacct cgagggtgtc cgccggcccc agcacccagg ggacgcgctg gaaagcaaac





3241
aggaagattc ccggagggaa actgtgaatg cttctgattt agcaatgctg tgaataaaaa





3301
gaaagatttt atacccttga cttaactttt taaccaagtt gtttattcca aagagtgtgg





3361
aattttggtt ggggtggggg gagaggaggg atgcaactcg ccctgtttgg catctaattc





3421
ttatttttaa tttttccgca ccttatcaat tgcaaaatgc gtatttgcat ttgggtggtt





3481
tttattttta tatacgttta tataaatata tataaattga gcttgcttct ttcttgcttt





3541
gaccatggaa agaaatatga ttcccttttc tttaagtttt atttaacttt tcttttggac





3601
ttttgggtag ttgttttttt ttgttttgtt ttgttttttt gagaaacagc tacagctttg





3661
ggtcattttt aactactgta ttcccacaag gaatccccag atatttatgt atcttgatgt





3721
tcagacattt atgtgttgat aattttttaa ttatttaaat gtacttatat taagaaaaat





3781
atcaagtact acattttctt ttgttcttga tagtagccaa agttaaatgt atcacattga





3841
agaaggctag aaaaaaagaa tgagtaatgt gatcgcttgg ttatccagaa gtattgttta





3901
cattaaactc cctttcatgt taatcaaaca agtgagtagc tcacgcagca acgtttttaa





3961
taggattttt agacactgag ggtcactcca aggatcagaa gtatggaatt ttctgccagg





4021
ctcaacaagg gtctcatatc taacttcctc cttaaaacag agaaggtcaa tctagttcca





4081
gagggttgag gcaggtgcca ataattacat ctttggagag gatttgattt ctgcccaggg





4141
atttgctcac cccaaggtca tctgataatt tcacagatgc tgtgtaacag aacacagcca





4201
aagtaaactg tgtaggggag ccacatttac ataggaacca aatcaatgaa tttaggggtt





4261
acgattatag caatttaagg gcccaccaga agcaggcctc gaggagtcaa tttgcctctg





4321
tgtgcctcag tggagacaag tgggaaaaca tggtcccacc tgtgcgagac cccctgtcct





4381
gtgctgctca ctcaacaaca tctttgtgtt gctttcacca ggctgagacc ctaccctatg





4441
gggtatatgg gcttttacct gtgcaccagt gtgacaggaa agattcatgt cactactgtc





4501
cgtggctaca attcaaaggt atccaatgtc gctgtaaatt ttatggcact atttttattg





4561
gaggatttgg tcagaatgca gttgttgtac aactcataaa tactaactgc tgattttgac





4621
acatgtgtgc tccaaatgat ctggtggtta tttaacgtac ctcttaaaat tcgttgaaac





4681
gatttcaggt caactctgaa gagtatttga aagcaggact tcagaacagt gtttgatttt





4741
tattttataa atttaagcat tcaaattagg caaatctttg gctgcaggca gcaaaaacag





4801
ctggacttat ttaaaacaac ttgtttttga gttttcttat atatatattg attatttgtt





4861
ttacacacat gcagtagcac tttggtaaga gttaaagagt aaagcagctt atgttgtcag





4921
gtcgttctta tctagagaag agctatagca gatctcggac aaactcagaa tatattcact





4981
ttcatttttg acaggattcc ctccacaact cagtttcata tattattccg tattacattt





5041
ttgcagctaa attaccataa aatgtcagca aatgtaaaaa tttaatttct gaaaagcacc





5101
attagcccat ttcccccaaa ttaaacgtaa atgttttttt tcagcacatg ttaccatgtc





5161
tgacctgcaa aaatgctgga gaaaaatgaa ggaaaaaatt atgtttttca gtttaattct





5221
gttaactgaa gatattccaa ctcaaaacca gcctcatgct ctgattagat aatcttttac





5281
attgaacctt tactctcaaa gccatgtgtg gagggggctt gtcactattg taggctcact





5341
ggattggtca tttagagttt cacagactct taccagcata tatagtattt aattgtttca





5401
aaaaaaatca aactgtagtt gttttggcga taggtctcac gcaacacatt tttgtatgtg





5461
tgtgtgtgtg cgtgtgtgtg tgtgtgtgtg aaaaattgca ttcattgact tcaggtagat





5521
taaggtatct ttttattcat tgccctcagg aaagttaagg tatcaatgag acccttaagc





5581
caatcatgta ataactgcat gtgtctggtc caggagaagt attgaataag ccatttctac





5641
tgcttactca tgtccctatt tatgatttca acatggatac atatttcagt tctttctttt





5701
tctcactatc tgaaaataca tttccctccc tctcttcccc ccaatatctc cctttttttc





5761
tctcttcctc tatcttccaa accccacttt ctccctcctc cttttcctgt gttctcttaa





5821
gcagatagca cataccccca cccagtacca aatttcagaa cacaagaagg tccagttctt





5881
cccccttcac ataaaggaac atggtttgtc agcctttctc ctgtttatgg gtttcttcca





5941
gcagaacaga gacattgcca accatattgg atctgcttgc tgtccaaacc agcaaacttt





6001
cctgggcaaa tcacaatcag tgagtaaata gacagccttt ctgctgcctt gggtttctgt





6061
gcagataaac agaaatgctc tgattagaaa ggaaatgaat ggttccactc aaatgtcctg





6121
caatttagga ttgcagattt ctgccttgaa atacctgttt ctttgggaca ttccgtcctg





6181
atgattttta tttttgttgg tttttatttt tggggggaat gacatgtttg ggtcttttat





6241
acatgaaaat ttgtttgaca ataatctcac aaaacatatt ttacatctga acaaaatgcc





6301
tttttgttta ccgtagcgta tacatttgtt ttgggatttt tgtgtgtttg ttgggaattt





6361
tgtttttagc caggtcagta ttgatgaggc tgatcatttg gctctttttt tccttccaga





6421
agagttgcat caacaaagtt aattgtattt atgtatgtaa atagatttta agcttcatta





6481
taaaatattg ttaatgccta taactttttt tcaatttttt tgtgtgtgtt tctaaggact





6541
ttttcttagg tttgctaaat actgtaggga aaaaaatgct tctttctact ttgtttattt





6601
tagactttaa aatgagctac ttcttattca cttttgtaaa cagctaatag catggttcca





6661
atttttttta agttcacttt ttttgttcta ggggaaatga atgtgcaaaa aaagaaaaag





6721
aactgttggt tatttgtgtt attctggatg tataaaaatc aatggaaaaa aataaacttt





6781
caaattgaaa tgacggtata acacatctac tgaaaaagca acgggaaatg tggtcctatt





6841
taagccagcc cccacctagg gtctatttgt gtggcagtta ttgggtttgg tcacaaaaca





6901
tcctgaaaat tcgtgcgtgg gcttctttct ccctggtaca aacgtatgga atgcttctta





6961
aaggggaact gtcaagctgg tgtcttcagc cagatgacat gagagaatat cccagaaccc





7021
tctctccaag gtgtttctag atagcacagg agagcaggca ctgcactgtc cacagtccac





7081
ggtacacagt cgggtgggcc gcctcccctc tcctgggagc attcgtcgtg cccagcctga





7141
gcagggcagc tggactgctg ctgttcagga gccaccagag ccttcctctc tttgtaccac





7201
agtttcttct gtaaatccag tgttacaatc agtgtgaatggcaaataaaca gtttgacaa





7261
gtacatacac cata






The polypeptide sequence of human FOS-like antigen 2 (FOSL2) is depicted in SEQ ID NO: 239. The nucleotide sequence of human FOSL2 is shown in SEQ ID NO: 240. Sequence information related to FOSL2 is accessible in public databases by GenBank Accession numbers NM005253 (for mRNA) and NP005244 (for protein).


SEQ ID NO: 239 is the human wild type amino acid sequence corresponding to FOSL2 (residues 1-326), wherein the bolded sequence represents the mature peptide sequence:











1
MYQDYPGNFD TSSRGSSGSP AHAESYSSGG GGQQKFRVDM PGSGSAFIPT INAITTSQDL






61
QWMVQPTVIT SMSNPYPRSH PYSPLPGLAS VPGHMALPRP GVIKTIGTTV GRRRRDEQLS





121
PEEEEKRRIR RERNKLAAAK CRNRRRELTE KLQAETEELE EEKSGLQKEI AELQKEKEKL





181
EFMLVAHGPV CKISPEERRS PPAPGLQPMR SGGGSVGAVV VKQEPLEEDS PSSSSAGLDK





241
AQRSVIKPIS IAGGFYGEEP LHTPIVVTST PAVTPGTSNL VFTYPSVLEQ ESPASPSESC





301
SKAHRRSSSS GDQSSDSLNS PTLLAL






SEQ ID NO: 240 is the human wild type nucleotide sequence corresponding to FOSL2 (nucleotides 1-4015), wherein the underscored bolded “ATG” denotes the beginning of the open reading frame:











1
cgaacgagcg gcgctcggcg gggacagaaa gagggagaga gagagagaga gagagggaga






61
ggcgcggccg ggcgaggcgg gcccgtccgg gagcgggctc cggggaaggg gtgcgggtct





121
gggcgccgga gcggggagcg gggccgcgtc cctctcagcg ccagctctac ttgagcccca





181
cgagccgctg tccccctggc gcgctcgggg ccgcgggacg ggcgcacgcc gccttctcct





241
agtcaagtat ccgagccgcc ccgaaactcg ggcggcgagt cggccacggg aagtttattc





301
tccggctcct tttctaaaag gaagaaacag aagtttctcc cagcggacag cttttctttc





361
cgcctttttg gccctgtctg aaatcggggg tccccagggc tggcaggcca ggctcgctgg





421
gctcctaatc ttttttttaa tttccaattt ttgattgggc cgtgggtccc cgctgagctc





481
cggctgcgcg cgggggcggg agggcgcgcg caggggaggg accgagagac gcgccgactt





541
tttagaggga gggatcgggt ggacaactgg tcccgcggcg ctcgcagagc cggaaagaag





601
tgctgtaagg gacgctcggg ggacgctgtt cctgaggtgt cgccgcctcc ctgtcctcgc





661
cctccgcggt gggggagaaa cccaggagcg aagcccagag cccgcggcgc ggccggcgga





721
cgaacgagcg cgcagcagcc ggtgcgcggc cgcggcgagg gcgggggaag aaaaacaccc





781
tgtttcctct ccggccccca ccgcggatca tgtaccagga ttatcccggg aactttgaca





841
cctcgtcccg gggcagcagc ggctctcctg cgcacgccga gtcctactcc agcggcggcg





901
gcggccagca gaaattccgg gtagatatgc ctggctcagg cagtgcattc atccccacca





961
tcaacgccat cacgaccagc caggacctgc agtggatggt gcagcccaca gtgatcacct





1021
ccatgtccaa cccataccct cgctcgcacc cctacagccc cctgccgggc ctggcctctg





1081
tccctggaca catggccctc ccaagacctg gcgtgatcaa gaccattggc accaccgtgg





1141
gccgcaggag gagagatgag cagctgtctc ctgaagagga ggagaagcgt cgcatccggc





1201
gggagaggaa caagctggct gcagccaagt gccggaaccg acgccgggag ctgacagaga





1261
agctgcaggc ggagacagag gagctggagg aggagaagtc aggcctgcag aaggagattg





1321
ctgagctgca gaaggagaag gagaagctgg agttcatgtt ggtggctcac ggcccagtgt





1381
gcaagattag ccccgaggag cgccgatcgc ccccagcccc tgggctgcag cccatgcgca





1441
gtgggggtgg ctcggtgggc gctgtagtgg tgaaacagga gcccctggaa gaggacagcc





1501
cctcgtcctc gtcggcgggg ctggacaagg cccagcgctc tgtcatcaag cccatcagca





1561
ttgctggggg cttctacggt gaggagcccc tgcacacccc catcgtggtg acctccacac





1621
ctgctgtcac tccgggcacc tcgaacctcg tcttcaccta tcctagcgtc ctggagcagg





1681
agtcacccgc atctccctcc gaatcctgct ccaaggctca ccgcagaagc agtagcagcg





1741
gggaccaatc atcagactcc ttgaactccc ccactctgct ggctctgtaa cccagtgcac





1801
ctccctcccc agctccggag ggggtcctcc tcgctcctcc ttcccaggga ccagcacctt





1861
caagcgctcc agggccgtga gggcaagagg gggacctgcc accagggagc ttcctggctc





1921
tgggggaccc aggtgggact tagcagtgag tattggaaga cttgggttga tctcttagaa





1981
gccatgggac ctcctccctc attcatcttg caagcaaatc ccatttcttg aaaagccttg





2041
gagaactcgg tttggtagac ttggacatct ctctggcttc tgaagagcct gaagctggcc





2101
tggaccattc ctgtcccttt gttaccatac tgtctctgga gtgatggtgt ccttccctgc





2161
cccaccacgc atgctcagtg ccttttggtt tcaccttccc tcgacttgac cctttcctcc





2221
cccagcgtca gtttcactcc ctcttggttt ttatcaaatt tgccatgaca tttcatctgg





2281
gtggtctgaa tattaaagct cttcatttct ggagatgggg cagcaggtgg ctcttctgct





2341
ggggctgact tgtccagaag gggacaaagt gcaatacaga gccttcccta ccctgacgcc





2401
tcccagtcat catctccaga actcccagcg gggctccctg agctctcaag gagatgctgc





2461
catcactggg aggctcagag gacccttcct gcccaccttc ggagacggct tctggaggaa





2521
cggcttggcc agaagacagg gtgtgagtga gacagtgggg cacaggttgg gtttgccaaa





2581
cgcctaatta ccaggccagg aagcatgcca acaaagccac acgggtgtcc tagccagctt





2641
cccttcacct ggtgtcttga gtagggcgtc tcctgtaatt actgccttgc cattctgccc





2701
ctggaccctt ctctccggac cagggaggcg tccctcccta ggagccacac attatactcc





2761
aagtccctgc cgggctccgc ctttccccca ccctggctct cagggtgacg ccaccacag





2821
agatttaatg agcgtgggcc tggaccttcc ccagatgctg ccaggcagcc cctccccaag





2881
cctcaaagaa gcatttgctg aggatggaga ggcaggggag ggaggcggga ggccgtcact





2941
ggagtggcgt ctgcagcagc tgctgcccca gcacccgctc agcctgtcct ggctgctcac





3001
ctccccgcag ggcaccgggc ctttcctgcc ctctgtggtc atctgccacc tgctggatca





3061
agtgctttct cttttacact cccctgtccc caccccagtg cactcttctg gcccaggcag





3121
caagcaagct gtgaacagct ggcctgagct gtcgctgtgg cttgtggctc atgcgccatt





3181
cctggttgtc tgttgaatct ttctggctgc tggaattgga gataggatgt tttgcttccc





3241
actgcaggag agctgccccc tttcacgggg ttggggaagg gtccccctgg cctccagcag





3301
gagcacagct cagcagggtc cctgctgccc acccctctga gccttttctc cccagggtat





3361
ggctcctgct gagtttcttg tccagcaggg ccttgacagg aatccaggga gtagctcctg





3421
gccagaacca gcctctgcgg ggcttgtgct ctgcaaagac tctgctgctg gggattcagc





3481
tctagaggtc acagtatcct cgtttgaaag ataattaaga tcccccgtgg agaaagcagt





3541
gacacattca cacagctgtt ccctcgcatg ttatttcatg aacatgacct gttttcgtgc





3601
actagacaca cagagtggaa cagccgtatg cttaaagtac atgggccagt gggactggaa





3661
gtgacctgta caagtgatgc agaaaggagg gtttcaaaga aaaaggattt tgtttaaaat





3721
actttaaaaa tgttatttcc tgcatccctt ggctgtgatg cccctctccc gatttcccag





3781
gggctctggg agggaccctt ctaagaagat tgggcagttg ggtttctggc ttgagatgaa





3841
tccaagcagc agaatgagcc aggagtagca ggagatgggc aaagaaaact ggggtgcact





3901
cagctctcac aggggtaatc atctcaagtg gtatttgtag ccaagtggga gctattttct





3961
tttttgtgca tatagatatt tcttaaatga aaaaaaaaaa aaaaaaaaaa aaaaa






Class E basic helix-loop-helix protein 40 is a protein that in humans is encoded by the BHLHE40 gene, also referred to as BHLHB2 (bHLH-B2, as used herein). BHLHB2 is depicted in SEQ ID NO: 241. The nucleotide sequence of human BHLHB2 is shown in SEQ ID NO: 242. Sequence information related to BHLHB2 is accessible in public databases by GenBank Accession numbers NM003670 (for mRNA) and NP003661 (for protein).


SEQ ID NO: 241 is the human wild type amino acid sequence corresponding to BHLHB2 (residues 1-412), wherein the bolded sequence represents the mature peptide sequence:











1
MERIPSAQPP PACLPKAPGL EHGDLPGMYP AHMYQVYKSR RGIKRSEDSK ETYKLPHRLI






61
EKKRRDRINE CIAQLKDLLP EHLKLTTLGH LEKAVVLELT LKHVKALTNL IDQQQQKIIA





121
LQSGLQAGEL SGRNVETGQE MFCSGFQTCA REVLQYLAKH ENTRDLKSSQ LVTHLHRVVS





181
ELLQGGTSRK PSDPAPKVMD FKEKPSSPAK GSEGPGKNCV PVIQRTFAHS SGEQSGSDTD





241
TDSGYGGESE KGDLRSEQPC FKSDHGRRFT MGERIGAIKQ ESEEPPTKKN RMQLSDDEGH





301
FTSSDLISSP FLGPHPHQPP FCLPFYLIPP SATAYLPMLE KCWYPTSVPV LYPGLNASAA





361
ALSSFMNPDK ISAPLLMPQR LPSPLPAHPS VDSSVLLQAL KPIPPLNLET KD






SEQ ID NO: 242 is the human wild type nucleotide sequence corresponding to BHLHB2 (nucleotides 1-3061), wherein the underscored bolded “ATG” denotes the beginning of the open reading frame:











1
cgcctccccg cccgccccac ttctcattca cttggctcgc acggcgcaga cagaccgcgc






61
agggagcaca caccgccagt ctgtgcgctg agtcggagcc agaggccgcg gggacaccgg





121
gccatgcacg cccccaactg aagctgcatc tcaaagccga agattccagc agcccagggg





181
atttcaaaga gctcagactc agaggaacat ctgcggagag acccccgaag ccctctccag





241
ggcagtcctc atccagacgc tccgctagtg cagacaggag cgcgcagtgg ccccggctcg





301
ccgcgccatg gagcggatcc ccagcgcgca accacccccc gcctgcctgc ccaaagcacc





361
gggactggag cacggagacc taccagggat gtaccctgcc cacatgtacc aagtgtacaa





421
gtcaagacgg ggaataaagc ggagcgagga cagcaaggag acctacaaat tgccgcaccg





481
gctcatcgag aaaaagagac gtgaccggat taacgagtgc atcgcccagc tgaaggatct





541
cctacccgaa catctcaaac ttacaacttt gggtcacttg gaaaaagcag tggttcttga





601
acttaccttg aagcatgtga aagcactaac aaacctaatt gatcagcagc agcagaaaat





661
cattgccctg cagagtggtt tacaagctgg tgagctgtca gggagaaatg tcgaaacagg





721
tcaagagatg ttctgctcag gtttccagac atgtgcccgg gaggtgcttc agtatctggc





781
caagcacgag aacactcggg acctgaagtc ttcgcagctt gtcacccacc tccaccgggt





841
ggtctcggag ctgctgcagg gtggtacctc caggaagcca tcagacccag ctcccaaagt





901
gatggacttc aaggaaaaac ccagctctcc ggccaaaggt tcggaaggtc ctgggaaaaa





961
ctgcgtgcca gtcatccagc ggactttcgc tcactcgagt ggggagcaga gcggcagcga





1021
cacggacaca gacagtggct atggaggaga atcggagaag ggcgacttgc gcagtgagca





1081
gccgtgcttc aaaagtgacc acggacgcag gttcacgatg ggagaaagga tcggcgcaat





1141
taagcaagag tccgaagaac cccccacaaa aaagaaccgg atgcagcttt cggatgatga





1201
aggccatttc actagcagtg acctgatcag ctccccgttc ctgggcccac acccacacca





1261
gcctcctttc tgcctgccct tctacctgat cccaccttca gcgactgcct acctgcccat





1321
gctggagaag tgctggtatc ccacctcagt gccagtgcta tacccaggcc tcaacgcctc





1381
tgccgcagcc ctctctagct tcatgaaccc agacaagatc tcggctccct tgctcatgcc





1441
ccagagactc ccttctccct tgccagctca tccgtccgtc gactcttctg tcttgctcca





1501
agctctgaag ccaatccccc ctttaaactt agaaaccaaa gactaaactc tctaggggat





1561
cctgctgctt tgctttcctt cctcgctact tcctaaaaag caacaaaaaa gtttttgtga





1621
atgctgcaag attgttgcat tgtgtatact gagataatct gaggcatgga gagcagattc





1681
agggtgtgtg tgtgtgtgtg tgtgtgtgta tgtgcgtgtg cgtgcacatg tgtgcctgcg





1741
tgttggtata ggactttaaa gctccttttg gcatagggaa gtcacgaagg attgcttgac





1801
atcaggagac ttggggggga ttgtagcaga cgtctgggct tttccccacc cagagaatag





1861
cccccttcga tacacatcag ctggattttc aaaagcttca aagtcttggt ctgtgagtca





1921
ctcttcagtt tgggagctgg gtctgtggct ttgatcagaa ggtactttca aaagagggct





1981
ttccagggct cagctcccaa ccagctgtta ggaccccacc cttttgcctt tattgtcgac





2041
gtgactcacc agacgtcggg gagagagagc agtcagaccg agctttctgc taacatgggg





2101
aggtagcagg cactggcata gcacggtagt ggtttgggga ggtttccgca ggtctgctcc





2161
ccacccctgc ctcggaagaa taaagagaat gtagttccct actcaggctt tcgtagtgat





2221
tagcttacta aggaactgaa aatgggcccc ttgtacaagc tgagctgccc cggagggagg





2281
gaggagttcc ctgggcttct ggcacctgtt tctaggccta accattagta cttactgtgc





2341
agggaaccaa accaaggtct gagaaatgcg gacaccccga gcgagcaccc caaagtgcac





2401
aaagctgagt aaaaagctgc ccccttcaaa cagaactaga ctcagttttc aattccatcc





2461
taaaactcct tttaaccaag cttagcttct caaaggccta accaagcctt ggcaccgcca





2521
gatcctttct gtaggctaat tcctcttgcc caacggcata tggagtgtcc ttattgctaa





2581
aaaggattcc gtctccttca aagaagtttt atttttggtc cagagtactt gttttcccga





2641
tgtgtccagc cagctccgca gcagcttttc aaaatgcact atgcctgatt gctgatcgtg





2701
ttttaacttt ttcttttcct gtttttattt tggtattaag tcgttgcctt tatttgtaaa





2761
gctgttataa atatatatta tataaatata ttaaaaagga aaatgtttca gatgtttatt





2821
tgtataatta cttgattcac acagtgagaa aaaatgaatg tattcctgtt tttgaagaga





2881
agaataattt tttttttctc tagggagagg tacagtgttt atattttgga gccttcctga





2941
aggtgtaaaa ttgtaaatat ttttatctat gagtaaatgt taagtagttg ttttaaaata





3001
cttaataaaa taattctttt cctgtggaag agaaaaaaaa aaaaaaaaaa aaaaaaaaaa





3061
a






The polypeptide sequence of human zinc finger protein 238 isoform 2 (ZNF238) is depicted in SEQ ID NO: 243. The nucleotide sequence of human ZNF238 is shown in SEQ ID NO: 244. Sequence information related to ZNF238 is accessible in public databases by GenBank Accession numbers NM006352 (for mRNA) and NP006343 (for protein).


SEQ ID NO: 243 is the human wild type amino acid sequence corresponding to ZNF238 (residues 1-522), wherein the bolded sequence represents the mature peptide sequence:











1
MEFPDHSRHL LQCLSEQRHQ GFLCDCTVLV GDAQFRAHRA VLASCSMYFH LFYKDQLDKR






61
DIVHLNSDIV TAPAFALLLE FMYEGKLQFK DLPIEDVLAA ASYLHMYDIV KVCKKKLKEK





121
ATTEADSTKK EEDASSCSDK VESLSDGSSH IAGDLPSDED EGEDEKLNIL PSKRDLAAEP





181
GNMWMRLPSD SAGIPQAGGE AEPHATAAGK TVASPCSSTE SLSQRSVTSV RDSADVDCVL





241
DLSVKSSLSG VENLNSSYFS SQDVLRSNLV QVKVEKEASC DESDVGTNDY DMEHSTVKES





301
VSTNNRVQYE PAHLAPLRED SVLRELDRED KASDDEMMTP ESERVQVEGG MESSLLPYVS





361
NILSPAGQIF MCPLCNKVFP SPHILQIHLS THFREQDGIR SKPAADVNVP TCSLCGKTFS





421
CMYTLKRHER THSGEKPYTC TQCGKSFQYS HNLSRHAVVH TREKPHACKW CERRFTQSGD





481
LYRHIRKFHC ELVNSLSVKS EALSLPTVRD WTLEDSSQEL WK






SEQ ID NO: 244 is the human wild type nucleotide sequence corresponding to ZNF238 (nucleotides 1-4244), wherein the underscored bolded “ATG” denotes the beginning of the open reading frame:











1
tttaaactgt gctttctaag cacagtcagg tagcaaaagt aataaaaagg atggttgaac






61
aagttttctt gtatgttcca ggatatgttt gggacttttc tttgtttatt atatgagttg





121
ttccctttga aattaaagct attttgtagg ttttgtggga cataatttga taagtagagt





181
taattaaatt tcttctggaa gagatctaaa ttcttattct tagtgagaga ctgtagttaa





241
aggaaggctt ttagaacttg ggttcaagga agatggagat gcgtcggaag ctctttggcg





301
ggggtgagga agttcagaaa gtgtgcattt tccttctggc atttaggtct tgtccgtgtg





361
atttggtggt gcttgggtca taagcctgat taaaattcag ggacatgtac cacggcggcc





421
aaagcggaat taattttttt atatggggac tggagcgctg aaaagttgtt cctgaccagg





481
ctctaatgag aaattcctct ctccccaggt tatgaagaca gtatggagtt tccagaccat





541
agtagacatt tgctacagtg tctgagcgag cagagacacc agggttttct ttgtgactgc





601
actgttctgg tgggagatgc ccagttccga gcgcaccgag ctgtactggc ttcatgcagc





661
atgtatttcc acctctttta caaggaccag ctggacaaaa gagacattgt tcatctgaac





721
agcgacattg ttacagcccc cgctttcgct ctcctgcttg aattcatgta tgaagggaaa





781
ctccagttca aagacttgcc cattgaagac gtgctagcag ctgccagtta tctccacatg





841
tatgacattg tcaaagtctg caaaaagaag ctgaaagaga aagccaccac ggaggcagac





901
agcaccaaaa aggaagaaga tgcttcaagt tgttcggaca aagtcgagag tctctccgat





961
ggcagcagcc acatagcagg cgatttgccc agtgatgaag atgaaggaga agatgaaaaa





1021
ttgaacatcc tgcccagcaa aagggacttg gcggccgagc ctgggaacat gtggatgcga





1081
ttgccctcag actcagcagg catcccccag gctggcggag aggcagagcc acacgccaca





1141
gcagctggaa aaacagtagc cagcccctgc agctcaacag agtctttgtc ccagaggtct





1201
gtcacctccg tgagggattc ggcagatgtt gactgtgtgc tggacctgtc tgtcaagtcc





1261
agcctttcag gagttgaaaa tctgaacagc tcttatttct cttcacagga cgtgctgaga





1321
agcaacctgg tgcaggtgaa ggtggagaaa gaggcttcct gtgatgagag tgatgttggc





1381
actaatgact atgacatgga acatagcact gtgaaagaaa gtgtgagcac taataacagg





1441
gtacagtatg agccggccca tctggctccc ctgagggagg actcggtctt gagggagctg





1501
gaccgggagg acaaagccag tgatgatgag atgatgaccc cagagagcga gcgtgtccag





1561
gtggagggag gcatggagag cagtctgctc ccctacgtct ccaacatcct gagccccgcg





1621
ggccagatct tcatgtgccc cctgtgcaac aaggtcttcc ccagccccca catcctgcag





1681
atccacctga gcacgcactt ccgcgagcag gacggcatcc gcagcaagcc cgccgccgat





1741
gtcaacgtgc ccacgtgctc gctgtgtggg aagactttct cttgcatgta caccctcaag





1801
cgccacgaga ggactcactc gggggagaag ccctacacat gcacccagtg cggcaagagc





1861
ttccagtact cgcacaacct gagccgccat gccgtggtgc acacccgcga gaagccgcac





1921
gcctgcaagt ggtgcgagcg caggttcacg cagtccgggg acctgtacag acacattcgc





1981
aagttccact gtgagttggt gaactccttg tcggtcaaaa gcgaagcact gagcttgcct





2041
actgtcagag actggacctt agaagatagc tctcaagaac tttggaaata attttatata





2101
tatataaata atatatatat atatacatat atataaatag atctctatat agttgtggta





2161
cggtctaaaa gcagtcttgt ttcctggaaa taaaaagttg ggatattaac ttgtttttgc





2221
actttagaat agcatgagaa tctcactaat ttagcattct gataaaagaa actttagagc





2281
aagtcagaat agagaggtgt ttttcctttg aggggatagg ggaagtaagc caataagaac





2341
cttttaaaca aatcgtcctg tcacaaaatg ctttcatatg gcttaatttt gtcaacactg





2401
cattgtcttt tgagctcttt tttccccccc aacaaagttt ttttgttttt tgtttttttt





2461
tttaagtaga aattccctcc agttttatta gcctctttat atgtctcaaa ttgcatgaat





2521
tttttctggc tgttggaaac ctgaatgctt ttagacccaa atggaaaatt tctgaaatgc





2581
tggattatct atttttaaac aagcagttga cttaaaactt tctgtggcaa cttctggttt





2641
tctgacagtt cccagtgaga gaaatgctga aagtacactg ggatcactgg gacactgtct





2701
tatgaaggtt tgcttgggat gaaaaaggat attgcagctt cagcagtgtt gaactgtgtg





2761
tttaaaaatg tgaattactg ttattgtata ctgtaattga ttacatgggc tgggggggtg





2821
tcaaagaact tgacaggttg tgttgatgct cttagttgag tcttgaaaag taaatattaa





2881
cgctacagaa atgcatgagt ttcaatatat tttttgtctt tgtttgcatt gtataacttt





2941
aacgagtgag tttaaaatta tttaatttcc ttagaaaaat agcaccattt ggaaaaaaaa





3001
actggtgtta tgaagaacgt aaatgcactg tttttatttt tattttatat aatttaaatt





3061
gactttccca ctgtctttaa gttgaaactg ttaagctgaa taaaaactta agctgcaaat





3121
tgataacttc gctacataac aaggaaaata taaatgttta caaacagctt aaagatttgc





3181
atgtgcagtg tgcatttata acaaacttct aattgcacaa aacccatgcc agctcagagt





3241
ttaggtgtac acatttaccc agttgagcgt tcttagaata actactgcac aagttgacaa





3301
taggtcgttc tctctttttt tttgtttgct ccctttttct ttttctcccc ttcctcctta





3361
ccctccctcc cttactctcc ccccccacca ccaccctcca cccccaactc atgaaaagat





3421
tctatggact gaaaaagccc caggctgaaa ggactggact gccttgattg acatggggaa





3481
gggggttagt agactatgtg gattgcggca gcagaggctg cagcctaacg tgtggtttta





3541
atgaccagca cgcaaggcaa aagcattttg cacagtgttt gttttcctgt cttgcactta





3601
caaataaggt ctatgggagt agcatggaaa acgtttgctg tttttccctt ttttttttaa





3661
ttgcttttgt ttaaaatttg atcgccttaa ctactgtaaa catagcctat ttttgtgctt





3721
aagatactga atggaaaact ccattgtgtg ttgctggact gttttggaaa tatttggtta





3781
aatgtgtgtt aatttggctg taatggcatt taaagcaaac aaacaaacaa aaaaagctgt





3841
gaaaatggcc ttggagcatt atctttagtt acttgaagag tttctagttt ttttaaaata





3901
cagtttatgt taaaataatt tttattaatt tagagaagac aatcaatgtc tgtgagaaaa





3961
cggactttct tttggatttt ctttttgtgg tcattgtgag tgattgcttt ttccttttct





4021
tagtttcaca ttcttccttt gttctaaaac ttagactgac atctagcttt gacaatcata





4081
gtatgtttta ttttcctgag ggggaataac ttataatgct gtttagtttt gtactattgg





4141
tgtgttggtg aatttttaaa ctgtgtgcta actgcaataa attatatgaa ctgagaaaaa





4201
aaaaaaaaaa aaaaaaaaaa aaaaaaaaaa aaaaaaaaaa aaaa






Id Proteins.


Id (inhibitor of DNA binding or inhibitor of differentiation) proteins belong to the helix-loop-helix (HLH) protein superfamily that is composed of seven currently known subclasses. They function through binding and sequestration of basic HLH (bHLH) transcription factors, thus preventing DNA binding and transcriptional activation of target genes (Norton et al., 1998, Trends Cell Biol 8, 58-65; herein incorporated by reference in its entirety). The dimerization of basic HLH proteins is necessary for their binding to DNA at the canonical E-box (CANNTG; SEQ ID NO: 245) or N-box (CACNAG; SEQ ID NO: 246) recognition sequences. Id proteins lack the basic domain necessary for DNA binding, and act primarily as dominant-negative regulators of bHLH transcription factors by sequestering and/or preventing DNA binding of ubiquitously expressed (e.g., E12, E47, E2-2) or cell-type-restricted (e.g., Tal-1, MyoD) factors. Four members of the Id protein family (Id1 to Id4) have been identified in mammals. Id proteins share a highly homologous HLH region, but have divergent sequences elsewhere.


Id2 enhances cell proliferation by promoting the transition from G1 to S phase of the cell cycle. Id proteins are abundantly expressed in stem cells, for example, neural stem cells before the decision to commit towards distinct neural lineages (Iavarone and Lasorella, 2004, Cancer Lett 204, 189-196; Perk et al., 2005, Nat Rev Cancer 5, 603-614; each herein incorporated by reference in its entirety). In stem cells, Id proteins act to maintain the undifferentiated and proliferative phenotype (Ying et al., 2003, Cell 115, 281-292; herein incorporated by reference in its entirety). Id expression is strongly reduced in mature cells from the central nervous system (CNS) but they accumulate at very high levels in neural cancer (Iavarone and Lasorella, 2004, Cancer Lett 204, 189-196; Lasorella et al., 2001, Oncogene 20, 8326-8333; each herein incorporated by reference in its entirety).


Id proteins act as negative regulators of differentiation, and depending on the specific cell lineage and developmental stage of the cell, Id proteins can act as positive regulators. Because bHLH proteins are mainly involved in the regulation of the expression of tissue specific and cell cycle related genes, Id-mediated sequestration or repression of bHLH proteins serves to block differentiation and to promote cell cycle activation. Accordingly, Id proteins have been shown to have biological roles as coordinators of different cellular processes, such as cell-fate determination, proliferation, cell-cycle regulation, angiogenesis, and cell migration. In some embodiments, the invention provides new methods for inhibiting proliferation of a neoplastic cell and for inhibiting angiogenesis in tumor tissue


The Biology of Human Malignant Brain Tumors.


High-grade gliomas, which include anaplastic astrocytoma (AA) and Glioblastoma Multiforme (GBM), are the most common intrinsic brain tumors in adults and are almost invariably lethal, largely as a result of their lack of responsiveness to current therapy (Legler et al., 200. J Natl Cancer Inst 92:77 A-8; herein incorporated by reference in its entirety). High-grade gliomas are the most common brain tumors in humans and are essentially incurable (A4; herein incorporated by reference in its entirety). The biological features that confer aggressiveness to human glioma are tissue invasion, neo-vascularization, marked increase in proliferation and resistance to cell death. Just as the ability to metastasize identifies the highest degree of malignancy in epithelial tumors, the defining hallmarks of aggressiveness of glioblastoma multiforme (GBM) are local. invasion and neoangiogenesis (A5, A6; each herein incorporated by reference in its entirety). Drivers of these phenotypic traits include intrinsic autocrine signals produced by brain tumor cells to invade the adjacent normal brain and stimulate formation of new blood vessels (A7; herein incorporated by reference in its entirety). It has been suggested that GBM re-engages pre-established ontogenetic motility and invasion signals that normally operate in neural stem cells and immature progenitors (A8; herein incorporated by reference in its entirety). A recently established notion postulates that neoplastic transformation in the central nervous system (CNS) converts neural stem cells into cell types manifesting a mesenchymal phenotype, a state associated with uncontrolled ability to invade and stimulate angiogenesis (A1, A2; each herein incorporated by reference in its entirety).


Differentiation along the mesenchymal lineage is virtually undetectable in the normal neural tissue during development. Global gene expression studies have established that over-expression of a “mesenchymal” gene expression signature (MGES) and loss of a proneural signature (PGES) co-segregate with the poorest prognosis group of glioma patients (A1; herein incorporated by reference in its entirety) (for simplicity, we will refer to the MGES+/PGES− signature as the mesenchymal phenotype of high-grade gliomas). It is unclear whether drift towards the mesenchymal lineage is exclusively an aberrant event that occurs during brain tumor progression or whether glioma cells recapitulate the rare mesenchymal plasticity of neural stem cells (A1-3, A9; each herein incorporated by reference in its entirety). More importantly, the molecular events that trigger activation/suppression of the MGES and PGES signatures and impart an intrinsically aggressive phenotype to glioma cells remain unknown.


Accordingly, Gene Expression Profile (GEP) studies of malignant glioma indicate that the expression of mesenchymal and angiogenesis-associated genes is associated with the worst prognosis (Freije, et al., 2004. Cancer Res 64:6503-10; Góddard et al., 2003. Cancer Res 63:6613-25; Liang et al., 2005. Proc Natl Acad Sci USA 102:5814-9; Nigro et al., 2005. Cancer Res 65:1678-86; each herein incorporated by reference in its entirety). Recently, glioma samples have been segregated into three groups with distinctive GEP signatures, displaying expression of genes characteristic of neural tissues (proneural), proliferating cells (proliferative) or mesenchymal tissues (mesenchymal) (Phillips et al., 2006. Cancer Cell 9:157-73; herein incorporated by reference in its entirety). Malignant gliomas in the mesenchymal group express genes linked with the most aggressive properties of GBM tumors (migration, invasion and angiogenesis) and invariably coincide with disease recurrence. The EXAMPLES discussed herein confirmed that molecular classification of gliomas effectively predicts clinical outcome. However, a major open challenge is the mapping and modeling of the regulatory programs responsible for the differential regulation of the three distinct expression signatures, each marking a specific cellular phenotype. In this proposal, we use combinations of computational and experimental approaches to unravel and validate the transcriptional and post translational interaction networks that drive the Mesenchymal Gene Expression Signature of high-grade glioma (MGES).


Maintenance of brain cells in a state referred to as “mesenchymal” is believed to be the cause of high-grade gliomas, the most common form of brain tumor in humans. For example, a pair of genes, Stat3 and C/EBPβ, can initiate and maintain the characteristics of the most common high-grade gliomas. Stat3 and C/EBP/3 are both transcription factors, meaning that they regulate the function of other genes. In so doing, Stat3, and C/EBPβ are master regulators of the mesenchymal state of brain cells which is the signature of human glioma. Therefore they are potential drug targets for the treatment of high-grade glioma. In some embodiments, co-expression of Stat3 and C/EBPβ in neural stem cells (brain cells that are naïve, otherwise called undifferentiated) is sufficient to initiate expression of the mesenchymal set of genes, suppress proneural genes, and trigger invasion and a malignant mesenchymal phenotype in the mouse indicating that these two genes can be causal for glioma. In some embodiments, silencing of these two transcription factors depletes glioma stem cells and cell lines of mesenchymal attributes and greatly impairs their ability to invade, perhaps indicating that silencing these genes help treat glioma. As discussed in the examples herein, independent immunohistochemistry experiments in 62 human glioma specimens show that concurrent expression of Stat3 and C/EBP is significantly associated with the expression of mesenchymal proteins and is an accurate predictor of poorest outcome in glioma patients.


In some embodiments, Stat3 and C/EBP are potential drug targets for the treatment of high-grade gliomas, with either small-molecule pharmaceuticals or gene-therapy strategies such as interfering RNAs. For example, diagnostic procedures can be designed to take advantage of the knowledge that Stat3 and C/EBP are regulators of human high-grade-gliomas. In some embodiments, measuring Stat3 and C/EBP expression can be a predictor of poorest outcome in glioma patients. This can be used early as a diagnostic indicator for the development of glioma.


Cell Regulatory Network Reverse Engineering.


Genome-scale approaches were recently applied to dissect regulatory networks in Eukaryotic organisms (Zhu et al., 2007. Genes Dev 21:1010-24; herein incorporated by reference in its entirety). These studies have shown that large-scale screens can be used to infer molecular interaction networks, with gene products represented as nodes and interactions as edges in a graph. Analysis of yeast networks (Barabasi and Oltavi, 2004. Nat Rev Genet. 5:101-13; herein incorporated by reference in its entirety), further validated in a mammalian context (Basso et al., 2005. Nat Genet. 37:382-90; herein incorporated by reference in its entirety), revealed that a relatively small number of key genes (hubs) regulate a large number of interactions, generating intense debate on the scale-free nature of these networks. Additionally, it has been shown that somatic lesions involved in tumorigenesis affect central hubs (Goh et al., 2007. Proc Natl Acad Sci USA 104:8685-90; herein incorporated by reference in its entirety). Master Regulators (MRs) are the regulatory hubs (transcriptional and post-translational) whose alteration is necessary and/or sufficient to implement a specific phenotypic transition (Lim et al., 2009. Pac Symp Biocomput 14:504-515; herein incorporated by reference in its entirety). Without being bound by theory, the combinatorial interaction of multiple, non-specific MRs yield high specificity in the control of individual programs associated with tumorigenesis and tumor aggressiveness. We thus plan to study the role of MRs and their combinatorial interplay in effecting the MGES that confers aggressiveness and recurrence to high-grade glioma.


The ARACNe and MINDy algorithms to reconstruct regulatory networks driving the mesenchymal signature of high-grade glioma.


ARACNe (Algorithm for the Reconstruction of Accurate Cellular Networks) is an established approach for the reverse engineering of transcriptional interactions from large GEP datasets (Basso et al., 2005. Nat Genet. 37:382-90; Margolin et al., 2006. BMC Bioinformatics 7 Suppl 1:S7; each herein incorporated by reference in its entirety). The main feature of this analytical tool is the use of the Mutual Information (MI) to identify candidate TF-target interactions. Indirect interactions are eliminated using the Data Processing Inequality (DPI), a well-known theoretical property of MI. As shown in several published studies and further demonstrated in the preliminary results section, ARACNe-inferred TF-target interactions have a high probability of corresponding to bona fide physical interactions. ARACNe was first used to dissect transcriptional interactions in human B cells, with experimental validation of C-MYC targets (Basso et al., 2005. Nat Genet. 37:382-90; herein incorporated by reference in its entirety). Additional studies in T cells, peripheral leukocytes, and rat brain tissue have confirmed a 70% to 90% validation rate of the ARACNe inferred targets for a wide range of TFs by Chromatin ImmunoPrecipitation assays (ChIP) (Palomero et al., 2006. Proc Natl Acad Sci USA 103:18261-6; herein incorporated by reference in its entirety). Software implementing ARACNe was downloaded by over 4,000 distinct researchers and has been referenced in ˜150 publications (Google Scholar), many of them providing independent validation of the method. Two ARACNe publications were selected by the Faculty of 1,000 (Basso et al., 2005. Nat Genet. 37:382-90; Margolin et al., 2006. Nat Protoc 1:662-71; each herein incorporated by reference in its entirety). Preliminary work using GBM microarray expression profile data (see EXAMPLES discussed herein) where ARACNe was developed indicates that the method is effective in heterogeneous cell populations. While cellular heterogeneity can increase the number of interactions missed by the approach (false-negatives), it does not introduce incorrect interactions (false positives). This is addressed in the Preliminary Data section where ARACNe-inferred TFs-targets interactions in neural tissue are validated.


Modulator Inference by Network Dynamics (MINDy) is the first algorithm able to accurately infer genome-wide repertoires of post-translational regulators of TF activity (Mani et al., 2008. Molecular Systems Biology 4:169-179; Wang et al., 2009. Pacific Symposium on Biocomputing 14:264-275; Wang et al., 2006. Lecture Notes in Computer Science 3909:348-362; Wang, K., M. Saito, B. Bisikirska, M. Alvarez, W. K. Lim, P. Rajbhandari, Q. Shen, I. Nemenman, K. Basso, A. A. Margolin, U. Klein, R. Dalla Favera, and A. Califano. 2009. Genome-wide identification of transcriptional network modulators in human B cells, Nature Biotechnology 27: 829-837; each herein incorporated by reference in its entirety). MINDy results have been used to infer (a) causal lesions, (b) drug mechanism of action in hematopoietic malignancies (Mani et al., 2008. Molecular Systems Biology 4:169-179; herein incorporated by reference in its entirety), and (c) to dissect the interface between signaling and transcriptional processes in B cells (Wang et al., 2009. Pacific Symposium on Biocomputing 14:264-275; herein incorporated by reference in its entirety). Inferences were biochemically validated. See EXAMPLES 2-5 for further detail.


DNA and Amino Acid Manipulation Methods


The invention utilizes conventional molecular biology, microbiology, and recombinant DNA techniques available to one of ordinary skill in the art. Such techniques are well known to the skilled worker and are explained fully in the literature. See, e.g., Maniatis, Fritsch & Sambrook, “DNA Cloning: A Practical Approach,” Volumes I and II (D. N. Glover, ed., 1985); “Oligonucleotide Synthesis” (M. J. Gait, ed., 1984); “Nucleic Acid Hybridization” (B. D. Hames & S. J. Higgins, eds., 1985); “Transcription and Translation” (B. D. Hames & S. J. Higgins, eds., 1984); “Animal Cell Culture” (R. I. Freshney, ed., 1986); “Immobilized Cells and Enzymes” (IRL Press, 1986): B. Perbal, “A Practical Guide to Molecular Cloning” (1984), and Sambrook, et al., “Molecular Cloning: a Laboratory Manual” (2001); herein incorporated by reference in its entirety.


One skilled in the art can obtain a Mesenchymal-Gene-Expression-Signature (MGES) protein or a variant thereof (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238), in several ways, which include, but are not limited to, isolating the protein via biochemical means or expressing a nucleotide sequence encoding the protein of interest by genetic engineering methods.


In another aspect, the invention provides for MGES molecule or variants thereof that are encoded by nucleotide sequences. As used herein, a “MGES molecule” refers to a Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238 protein. The MGES molecule can be a polypeptide encoded by a nucleic acid (including genomic DNA, complementary DNA (cDNA), synthetic DNA, as well as any form of corresponding RNA). For example, a MGES molecule can be encoded by a recombinant nucleic acid encoding human MGES protein. The MGES molecules of the invention can be obtained from various sources and can be produced according to various techniques known in the art. For example, a nucleic acid that encodes a MGES molecule can be obtained by screening DNA libraries, or by amplification from a natural source. The MGES molecules of the invention can be produced via recombinant DNA technology and such recombinant nucleic acids can be prepared by conventional techniques, including chemical synthesis, genetic engineering, enzymatic techniques, or a combination thereof. A MGES molecule of this invention can also encompasses variants of the human MGES proteins (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238). The variants can comprise naturally-occurring variants due to allelic variations between individuals (e.g., polymorphisms), mutated alleles related to hair growth or texture, or alternative splicing forms


In some embodiments, the nucleic acid is expressed in an expression cassette, for example, to achieve overexpression in a cell. The nucleic acids of the invention can be an RNA, cDNA, cDNA-like, or a DNA of interest in an expressible format, such as an expression cassette, which can be expressed from the natural promoter or an entirely heterologous promoter. The nucleic acid of interest can encode a protein, and may or may not include introns.


Protein variants can involve amino acid sequence modifications. For example, amino acid sequence modifications fall into one or more of three classes: substitutional, insertional or deletional variants. Insertions can include amino and/or carboxyl terminal fusions as well as intrasequence insertions of single or multiple amino acid residues. Insertions ordinarily will be smaller insertions than those of amino or carboxyl terminal fusions, for example, on the order of one to four residues. Deletions are characterized by the removal of one or more amino acid residues from the protein sequence. These variants ordinarily are prepared by site-specific mutagenesis of nucleotides in the DNA encoding the protein, thereby producing DNA encoding the variant, and thereafter expressing the DNA in recombinant cell culture.


Techniques for making substitution mutations at predetermined sites in DNA having a known sequence are well known, for example M13 primer mutagenesis and PCR mutagenesis. Amino acid substitutions can be single residues, but can occur at a number of different locations at once. In some non-limiting embodiments, insertions can be on the order of about from 1 to about 10 amino acid residues, while deletions can range from about 1 to about 30 residues. Deletions or insertions can be made in adjacent pairs (for example, a deletion of about 2 residues or insertion of about 2 residues). Substitutions, deletions, insertions, or any combination thereof can be combined to arrive at a final construct. The mutations cannot place the sequence out of reading frame and cannot create complementary regions that can produce secondary mRNA structure. Substitutional variants are those in which at least one residue has been removed and a different residue inserted in its place.


Expression Systems


Bacterial and Yeast Expression Systems.


In bacterial systems, a number of expression vectors can be selected. For example, when a large quantity of an MGES protein is needed for the induction of antibodies, vectors which direct high level expression of fusion proteins that are readily purified can be used. Non-limiting examples of such vectors include multifunctional E. coli cloning and expression vectors such as BLUESCRIPT (Stratagene). pIN vectors or pGEX vectors (Promega, Madison, Wis.) also can be used to express foreign polypeptide molecules as fusion proteins with glutathione S-transferase (GST). In general, such fusion proteins are soluble and can easily be purified from lysed cells by adsorption to glutathione-agarose beads followed by elution in the presence of free glutathione. Proteins made in such systems can be designed to include heparin, thrombin, or factor Xa protease cleavage sites so that the cloned polypeptide of interest can be released from the GST moiety at will.


Plant and Insect Expression Systems.


If plant expression vectors are used, the expression of sequences encoding a MGES molecule can be driven by any of a number of promoters. For example, viral promoters such as the 35S and 19S promoters of CaMV can be used alone or in combination with the omega leader sequence from TMV. Alternatively, plant promoters such as the small subunit of RUBISCO or heat shock promoters, can be used. These constructs can be introduced into plant cells by direct DNA transformation or by pathogen-mediated transfection.


An insect system also can be used to express MGES molecules. For example, in one such system Autographa californica nuclear polyhedrosis virus (AcNPV) is used as a vector to express foreign genes in Spodoptera frugiperda cells or in Trichoplusia larvae. Sequences encoding a MGES molecule can be cloned into a non-essential region of the virus, such as the polyhedrin gene, and placed under control of the polyhedrin promoter. Successful insertion of MGES nucleic acid sequences will render the polyhedrin gene inactive and produce recombinant virus lacking coat protein. The recombinant viruses can then be used to infect S. frugiperda cells or Trichoplusia larvae in which MGES or a variant thereof can be expressed.


Mammalian Expression Systems.


An expression vector can include a nucleotide sequence that encodes a MGES molecule linked to at least one regulatory sequence in a manner allowing expression of the nucleotide sequence in a host cell. A number of viral-based expression systems can be used to express a MGES molecule or a variant thereof in mammalian host cells. The vector can be a recombinant DNA or RNA vector, and includes DNA plasmids or viral vectors. For example, if an adenovirus is used as an expression vector, sequences encoding a MGES molecule can be ligated into an adenovirus transcription/translation complex comprising the late promoter and tripartite leader sequence. Insertion into a non-essential E1 or E3 region of the viral genome can be used to obtain a viable virus which is capable of expressing a MGES molecule in infected host cells. Transcription enhancers, such as the Rous sarcoma virus (RSV) enhancer, can also be used to increase expression in mammalian host cells. In addition, a multitargeting interfering RNA molecule expressing viral vectors can be constructed based on, but not limited to, adeno-associated virus, retrovirus, adenovirus, lentivirus or alphavirus.


Regulatory sequences are well known in the art, and can be selected to direct the expression of a protein or polypeptide of interest (such as a MGES molecule) in an appropriate host cell as described in Goeddel, Gene Expression Technology: Methods in Enzymology 185, Academic Press, San Diego, Calif. (1990); herein incorporated by reference in its entirety. Non-limiting examples of regulatory sequences include: polyadenylation signals, promoters (such as CMV, ASV, SV40, or other viral promoters such as those derived from bovine papilloma, polyoma, and Adenovirus 2 viruses (Fiers, et al., 1973, Nature 273:113; Hager G L, et al., Curr Opin Genet Dev, 2002, 12(2):137-41; each herein incorporated by reference in its entirety) enhancers, and other expression control elements.


Enhancer regions, which are those sequences found upstream or downstream of the promoter region in non-coding DNA regions, are also known in the art to be important in optimizing expression. If needed, origins of replication from viral sources can be employed, such as if a prokaryotic host is utilized for introduction of plasmid DNA. However, in eukaryotic organisms, chromosome integration is a common mechanism for DNA replication.


For stable transfection of mammalian cells, a small fraction of cells can integrate introduced DNA into their genomes. The expression vector and transfection method utilized can be factors that contribute to a successful integration event. For stable amplification and expression of a desired protein, a vector containing DNA encoding a protein of interest (for example, a P2RY5 molecule) is stably integrated into the genome of eukaryotic cells (for example mammalian cells, such as cells from the end bulb of the hair follicle), resulting in the stable expression of transfected genes. An exogenous nucleic acid sequence can be introduced into a cell (such as a mammalian cell, either a primary or secondary cell) by homologous recombination as disclosed in U.S. Pat. No. 5,641,670, the entire contents of which are herein incorporated by reference.


A gene that encodes a selectable marker (for example, resistance to antibiotics or drugs, such as ampicillin, neomycin, G418, and hygromycin) can be introduced into host cells along with the gene of interest in order to identify and select clones that stably express a gene encoding a protein of interest. The gene encoding a selectable marker can be introduced into a host cell on the same plasmid as the gene of interest or can be introduced on a separate plasmid. Cells containing the gene of interest can be identified by drug selection wherein cells that have incorporated the selectable marker gene will survive in the presence of the drug. Cells that have not incorporated the gene for the selectable marker die. Surviving cells can then be screened for the production of the desired protein molecule (for example, a MGES protein).


Cell Transfection and Culturing


Cell Transfection.


A eukaryotic expression vector can be used to transfect cells in order to produce proteins (for example, a MGES molecule) encoded by nucleotide sequences of the vector. Mammalian cells can contain an expression vector (for example, one that contains a gene encoding a MGES molecule) via introducing the expression vector into an appropriate host cell via methods known in the art.


A host cell strain can be chosen for its ability to modulate the expression of the inserted sequences or to process the expressed MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238) in the desired fashion. Such modifications of the polypeptide include, but are not limited to, acetylation, carboxylation, glycosylation, phosphorylation, lipidation, and acylation. Post-translational processing which cleaves a “prepro” form of the polypeptide also can be used to facilitate correct insertion, folding and/or function. Different host cells which have specific cellular machinery and characteristic mechanisms for post-translational activities (e.g., CHO, HeLa, MDCK, HEK293, and WI38), are available from the American Type Culture Collection (ATCC; University Boulevard, Manassas, Va. 20110-2209) and can be chosen to ensure the correct modification and processing of the foreign protein.


An exogenous nucleic acid can be introduced into a cell via a variety of techniques known in the art, such as lipofection, microinjection, calcium phosphate or calcium chloride precipitation, DEAE-dextrin-mediated transfection, or electroporation. Electroporation is carried out at approximate voltage and capacitance to result in entry of the DNA construct(s) into cells of interest (such as cells of the end bulb of a hair follicle, for example dermal papilla cells or dermal sheath cells). Other methods used to transfect cells can also include modified calcium phosphate precipitation, polybrene precipitation, liposome fusion, and receptor-mediated gene delivery.


Cells to be genetically engineered can be primary and secondary cells obtained from various tissues, and include cell types which can be maintained and propagated in culture. Non-limiting examples of primary and secondary cells include epithelial cells, neural cells, endothelial cells, glial cells, fibroblasts, muscle cells (such as myoblasts) keratinocytes, formed elements of the blood (e.g., lymphocytes, bone marrow cells), and precursors of these somatic cell types. Vertebrate tissue can be obtained by methods known to one skilled in the art, such a punch biopsy or other surgical methods of obtaining a tissue source of the primary cell type of interest. A mixture of primary cells can be obtained from the tissue, using methods readily practiced in the art, such as explanting or enzymatic digestion (for examples using enzymes such as pronase, trypsin, collagenase, elastase dispase, and chymotrypsin). Biopsy methods have also been described in United States Patent Application Publication 2004/0057937 and PCT application publication WO 2001/32840, each of which are hereby incorporated by reference in its entirety.


Primary cells can be acquired from the individual to whom the genetically engineered primary or secondary cells are administered. However, primary cells can also be obtained from a donor, other than the recipient, of the same species. The cells can also be obtained from another species (for example, rabbit, cat, mouse, rat, sheep, goat, dog, horse, cow, bird, or pig). Primary cells can also include cells from an isolated vertebrate tissue source grown attached to a tissue culture substrate (for example, flask or dish) or grown in a suspension; cells present in an explant derived from tissue; both of the aforementioned cell types plated for the first time; and cell culture suspensions derived from these plated cells. Secondary cells can be plated primary cells that are removed from the culture substrate and replated, or passaged, in addition to cells from the subsequent passages. Secondary cells can be passaged one or more times. These primary or secondary cells can contain expression vectors having a gene that encodes a protein of interest (for example, a MGES molecule).


Cell Culturing.


Various culturing parameters can be used with respect to the host cell being cultured. Appropriate culture conditions for mammalian cells are well known in the art (Cleveland W L, et al., J Immunol Methods, 1983, 56(2): 221-234; herein incorporated by reference in its entirety) or can be determined by the skilled artisan (see, for example, Animal Cell Culture: A Practical Approach 2nd Ed., Rickwood, D. and Hames, B. D., eds. (Oxford University Press: New York, 1992); herein incorporated by reference in its entirety). Cell culturing conditions can vary according to the type of host cell selected. Commercially available medium can be utilized. Non-limiting examples of medium include, for example, Minimal Essential Medium (MEM, Sigma, St. Louis, Mo.); Dulbecco's Modified Eagles Medium (DMEM, Sigma); Ham's FIO Medium (Sigma); HyClone cell culture medium (HyClone, Logan, Utah); RPMI-1640 Medium (Sigma); and chemically-defined (CD) media, which are formulated for various cell types, e.g., CD-CHO Medium (Invitrogen, Carlsbad, Calif.).


The cell culture media can be supplemented as necessary with supplementary components or ingredients, including optional components, in appropriate concentrations or amounts, as necessary or desired. Cell culture medium solutions provide at least one component from one or more of the following categories: (1) an energy source, usually in the form of a carbohydrate such as glucose; (2) all essential amino acids, and usually the basic set of twenty amino acids plus cysteine; (3) vitamins and/or other organic compounds required at low concentrations; (4) free fatty acids or lipids, for example linoleic acid; and (5) trace elements, where trace elements are defined as inorganic compounds or naturally occurring elements that can be required at very low concentrations, usually in the micromolar range.


The medium also can be supplemented electively with one or more components from any of the following categories: (1) salts, for example, magnesium, calcium, and phosphate; (2) hormones and other growth factors such as, serum, insulin, transferrin, and epidermal growth factor; (3) protein and tissue hydrolysates, for example peptone or peptone mixtures which can be obtained from purified gelatin, plant material, or animal byproducts; (4) nucleosides and bases such as, adenosine, thymidine, and hypoxanthine; (5) buffers, such as HEPES; (6) antibiotics, such as gentamycin or ampicillin; (7) cell protective agents, for example pluronic polyol; and (8) galactose. In some embodiments, soluble factors can be added to the culturing medium.


Cells suitable for culturing can contain introduced expression vectors, such as plasmids or viruses. The expression vector constructs can be introduced via transformation, microinjection, transfection, lipofection, electroporation, or infection. The expression vectors can contain coding sequences, or portions thereof, encoding the proteins for expression and production. Expression vectors containing sequences encoding the produced proteins and polypeptides, as well as the appropriate transcriptional and translational control elements, can be generated using methods well known to and practiced by those skilled in the art. These methods include synthetic techniques, in vitro recombinant DNA techniques, and in vivo genetic recombination which are described in J. Sambrook et al., 201, Molecular Cloning, A Laboratory Manual, Cold Spring Harbor Press, Cold Spring Harbor, N.Y. and in F. M. Ausubel et al., 1989, Current Protocols in Molecular Biology, John Wiley & Sons, New York, N.Y.; each herein incorporated by reference in its entirety.


DNA and Polypeptides, Methods, and Purification Thereof


The present invention utilizes conventional molecular biology, microbiology, and recombinant DNA techniques available to one of ordinary skill in the art. Such techniques are well known to the skilled worker and are explained fully in the literature. See, e.g. “DNA Cloning: A Practical Approach,” Volumes 1 and II (D. N. Glover, ed., 1985); “Oligonucleotide Synthesis” (M. J. Gait, ed., 1984); “Nucleic Acid Hybridization” (B. D. Hames & S. J. Higgins, eds., 1985); “Transcription and Translation” (B. D. Hames & S. J. Higgins, eds., 1984); “Animal Cell Culture” (R. I. Freshney, ed., 1986); “Immobilized Cells and Enzymes” (IRL Press, 1986): B. Perbal, “A Practical Guide to Molecular Cloning” (1984), and Sambrook, et al., “Molecular Cloning: a Laboratory Manual” (3rd edition, 2001); each herein incorporated by reference in its entirety. One skilled in the art can obtain a protein encoded by an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238) in several ways, which include, but are not limited to, isolating the protein via biochemical means or expressing a nucleotide sequence encoding the protein of interest by genetic engineering methods. For example, Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238, or a variant thereof, can be obtained by purifying it from human cells expressing the same, or by direct chemical synthesis.


Host cells which contain a nucleic acid encoding an MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238), and which subsequently express a protein encoded by an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238), can be identified by various procedures known to those of skill in the art. These procedures include, but are not limited to, DNA-DNA or DNA-RNA hybridizations and protein bioassay or immunoassay techniques which include membrane, solution, or chip-based technologies for the detection and/or quantification of nucleic acid or protein. For example, the presence of a nucleic acid encoding a MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238) can be detected by DNA-DNA or DNA-RNA hybridization or amplification using probes or fragments of nucleic acids encoding a MGES polypeptide.


Amplification methods include, e.g., polymerase chain reaction, PCR (PCR PROTOCOLS, A GUIDE TO METHODS AND APPLICATIONS, ed. Innis, Academic Press, N.Y., 1990 and PCR STRATEGIES, 1995, ed. Innis, Academic Press, Inc., N.Y.; each herein incorporated by reference in its entirety), ligase chain reaction (LCR) (see, e.g., Wu, Genomics 4:560, 1989; Landegren, Science 241:1077, 1988; Barringer, Gene 89:117, 1990; each herein incorporated by reference in its entirety); transcription amplification (see, e.g., Kwoh, Proc. Natl. Acad. Sci. USA 86:1173, 1989; herein incorporated by reference in its entirety); and, self-sustained sequence replication (see, e.g., Guatelli, Proc. Natl. Acad. Sci. USA 87:1874, 1990; herein incorporated by reference in its entirety); Q Beta replicase amplification (see, e.g., Smith, J. Clin. Microbiol. 35:1477-1491, 1997; herein incorporated by reference in its entirety), automated Q-beta replicase amplification assay (see, e.g., Burg, Mol. Cell. Probes 10:257-271, 1996; herein incorporated by reference in its entirety) and other RNA polymerase mediated techniques (e.g., NASBA, Cangene, Mississauga, Ontario); see also Berger, Methods Enzymol. 152:307-316, 1987; U.S. Pat. Nos. 4,683,195 and 4,683,202; Sooknanan, Biotechnology 13:563-564, 1995; each herein incorporated by reference in its entirety.


A guide to the hybridization of nucleic acids is found in e.g., Sambrook, ed., Molecular Cloning: A Laboratory Manual (3rd Ed.), Vols. 1-3, Cold Spring Harbor Laboratory, 2001; Current Protocols In Molecular Biology, Ausubel, ed. John Wiley & Sons, Inc., New York, 1997; Laboratory Techniques In Biochemistry And Molecular Biology: Hybridization With Nucleic Acid Probes, Part I. Theory and Nucleic Acid Preparation, Tijssen, ed. Elsevier, N.Y., 1993; each herein incorporated by reference in its entirety.


In some embodiments, a fragment of a nucleic acid of an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238) can encompass any portion of at least about 8 consecutive nucleotides of either SEQ ID NOS: 232, 234, 236, 238, 240, 242, or 244. In some embodiments, the fragment can comprise at least about 10 consecutive nucleotides, at least about 15 consecutive nucleotides, at least about 20 consecutive nucleotides, or at least about 30 consecutive nucleotides of either SEQ ID NOS: 232, 234, 236, 238, 240, 242, or 244. Fragments can include all possible nucleotide lengths between about 8 and about 100 nucleotides, for example, lengths between about 15 and about 100 nucleotides, or between about 20 and about 100 nucleotides. Nucleic acid amplification-based assays involve the use of oligonucleotides selected from sequences encoding a polypeptide encoded by an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238), to detect transformants which contain a nucleic acid encoding an MGES protein or polypeptide, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238.


Various techniques known in the art can be used to detect or quantify altered gene expression, RNA expression, or sequence, which include, but are not limited to, hybridization, sequencing, amplification, and/or binding to specific ligands (such as antibodies). Other suitable methods include allele-specific oligonucleotide (ASO), oligonucleotide ligation, allele-specific amplification, Southern blot (for DNAs), Northern blot (for RNAs), single-stranded conformation analysis (SSCA), PFGE, fluorescent in situ hybridization (FISH), gel migration, clamped denaturing gel electrophoresis, denaturing HLPC, melting curve analysis, heteroduplex analysis, RNase protection, chemical or enzymatic mismatch cleavage, ELISA, radio-immunoassays (RIA) and immuno-enzymatic assays (IEMA). Some of these approaches (such as SSCA and CGGE) are based on a change in electrophoretic mobility of the nucleic acids, as a result of the presence of an altered sequence. According to these techniques, the altered sequence is visualized by a shift in mobility on gels. The fragments can then be sequenced to confirm the alteration. Some other approaches are based on specific hybridization between nucleic acids from the subject and a probe specific for wild type or altered gene or RNA. The probe can be in suspension or immobilized on a substrate. The probe can be labeled to facilitate detection of hybrids. Some of these approaches are suited for assessing a polypeptide sequence or expression level, such as Northern blot, ELISA and RIA. These latter require the use of a ligand specific for the polypeptide, for example, the use of a specific antibody.


Embodiments of the invention provide for detecting whether expression of an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) is altered. In some embodiments, the gene alteration can result in increased or reduced gene expression and/or activity. In some embodiments, the gene alteration can also result in increased or reduced protein expression and/or activity.


An alteration in a MGES gene locus (e.g., where Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238 are located) can be any form of mutation(s), deletion(s), rearrangement(s) and/or insertions in the coding and/or non-coding region of the locus, alone or in various combination(s). Mutations can include point mutations. Insertions can encompass the addition of one or several residues in a coding or non-coding portion of the gene locus. Insertions can comprise an addition of between 1 and 50 base pairs in the gene locus. Deletions can encompass any region of one, two or more residues in a coding or non-coding portion of the gene locus, such as from two residues up to the entire gene or locus. Deletions can affect smaller regions, such as domains (introns) or repeated sequences or fragments of less than about 50 consecutive base pairs; although larger deletions can occur as well. Rearrangement includes inversion of sequences.


The MGES gene locus alteration (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) can result in amino acid substitutions, RNA splicing or processing, product instability, the creation of stop codons, frame-shift mutations, and/or truncated polypeptide production. The alteration can result in the production of a MGES polypeptide with altered function, stability, targeting or structure. The alteration can also cause a reduction in protein expression. In some embodiments, the alteration in a MGES gene locus can comprise a point mutation, a deletion, or an insertion in the MGES gene or corresponding expression product. The alteration can be determined at the level of the DNA, RNA, or polypeptide.


In some embodiments, the detecting comprises detecting in a biological sample whether there is a reduction in an mRNA encoding an MGES polypeptide, or a reduction in a MGES protein, or a combination thereof. In some embodiments, the detecting comprises detecting in a biological sample whether there is a reduction in an mRNA encoding an MGES polypeptide, or a reduction in a MGES protein, or a combination thereof. The presence of such an alteration is indicative of the presence or predisposition to a nervous system cancer (e.g., a glioma). The presence of an alteration in an MGES gene encoding an MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) in the sample is detected through the genotyping of a sample, for example via gene sequencing, selective hybridization, amplification, gene expression analysis, or a combination thereof.


Methods for detecting and quantifying MGES polypeptides (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238 polypeptides) and MGES polynucleotides (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238 polynucleotides) in biological samples are known the art. For example, protocols for detecting and measuring the expression of a polypeptide encoded by an MGES gene, such as Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238, using either polyclonal or monoclonal antibodies specific for the polypeptide are well established. Non-limiting examples include enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), and fluorescence activated cell sorting (FACS). A two-site, monoclonal-based immunoassay using monoclonal antibodies reactive to two non-interfering epitopes on a polypeptide encoded by an MGES gene (e.g, Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) can be used, or a competitive binding assay can be employed. In some embodiments, expression or over-expression of an MGES gene product (e.g., a MGES polypeptide or MGES mRNA) can be determined. In some embodiments, a biological sample comprises, a blood sample, serum, cells (including whole cells, cell fractions, cell extracts, and cultured cells or cell lines), tissues (including tissues obtained by biopsy), body fluids (e.g., urine, sputum, amniotic fluid, synovial fluid), or from media (from cultured cells or cell lines). The methods of detecting or quantifying MGES polynucleotides (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) include, but are not limited to, amplification-based assays with signal amplification) hybridization based assays and combination amplification-hybridization assays. For detecting and quantifying MGES polypeptides (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238), an exemplary method is an immunoassay that utilizes an antibody or other binding agents that specifically bind to a MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) or epitope of such, for example, ELISA or RIA assays.


Labeling and conjugation techniques are known by those skilled in the art and can be used in various nucleic acid and amino acid assays. Methods for producing labeled hybridization or PCR probes for detecting sequences related to nucleic acid sequences encoding an MGES protein (such as, e.g., Stat3, C/EBPβ, C/EBPβ, RunX1, FosL2, bHLH-B2, or ZNF238), include, but are not limited to, oligolabeling, nick translation, end-labeling, or PCR amplification using a labeled nucleotide. Alternatively, a nucleic acid sequence encoding a polypeptide encoded by an MGES gene can be cloned into a vector for the production of an mRNA probe. Such vectors are known in the art, are commercially available, and can be used to synthesize RNA probes in vitro by addition of labeled nucleotides and an appropriate RNA polymerase such as T7, T3, or SP6. These procedures can be conducted using a variety of commercially available kits (Amersham Pharmacia Biotech, Promega, and US Biochemical). Suitable reporter molecules or labels which can be used for ease of detection include radionuclides, enzymes, and fluorescent, chemiluminescent, or chromogenic agents, as well as substrates, cofactors, inhibitors, and/or magnetic particles.


Host cells transformed with a nucleic acid sequence encoding an MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238), can be cultured under conditions suitable for the expression and recovery of the protein from cell culture. The polypeptide produced by a transformed cell can be secreted or contained intracellularly depending on the sequence and/or the vector used. Expression vectors containing a nucleic acid sequence encoding an MGES polypeptide can be designed to contain signal sequences which direct secretion of soluble polypeptide molecules encoded by an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238), through a prokaryotic or eukaryotic cell membrane, or which direct the membrane insertion of a membrane-bound polypeptide molecule encoded by an MGES gene.


Other constructions can also be used to join a gene sequence encoding an MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) to a nucleotide sequence encoding a polypeptide domain which would facilitate purification of soluble proteins. Such purification facilitating domains include, but are not limited to, metal chelating peptides such as histidine-tryptophan modules that allow purification on immobilized metals, protein A domains that allow purification on immobilized immunoglobulin, and the domain utilized in the FLAGS extension/affinity purification system (Immunex Corp., Seattle, Wash.). Including cleavable linker sequences (i.e., those specific for Factor Xa or enterokinase (Invitrogen, San Diego, Calif.)) between the purification domain and a polypeptide encoded by an MGES gene also can be used to facilitate purification. One such expression vector provides for expression of a fusion protein containing a polypeptide encoded by an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) and 6 histidine residues preceding a thioredoxin or an enterokinase cleavage site. The histidine residues facilitate purification by immobilized metal ion affinity chromatography, while the enterokinase cleavage site provides a means for purifying the polypeptide encoded by an MGES gene.


An MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) can be purified from any human or non-human cell which expresses the polypeptide, including those which have been transfected with expression constructs that express an MGES protein. A purified MGES polypeptide (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) can be separated from other compounds which normally associate with the MGES polypeptide in the cell, such as certain proteins, carbohydrates, or lipids, using methods practiced in the art. Non-limiting methods include size exclusion chromatography, ammonium sulfate fractionation, affinity chromatography, ion exchange chromatography, and preparative gel electrophoresis.


Nucleic acid sequences comprising an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) that encode a polypeptide can be synthesized, in whole or in part, using chemical methods known in the art. Alternatively, an MGES polypeptide can be produced using chemical methods to synthesize its amino acid sequence, such as by direct peptide synthesis using solid-phase techniques. Protein synthesis can either be performed using manual techniques or by automation. Automated synthesis can be achieved, for example, using Applied Biosystems 431 A Peptide Synthesizer (Perkin Elmer). Optionally, fragments of MGES polypeptides can be separately synthesized and combined using chemical methods to produce a full-length molecule. In some embodiments, a fragment of a nucleic acid sequence that comprises an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPβ, RunX1, FosL2, bHLH-B2, or ZNF238) can encompass any portion of at least about 8 consecutive nucleotides of SEQ ID NO: 232, 234, 236, 238, 240, 242, or 244. In some embodiments, the fragment can comprise at least about 10 nucleotides, at least about 15 nucleotides, at least about 20 nucleotides, or at least about 30 nucleotides of SEQ ID NO: 232, 234, 236, 238, 240, 242, or 244. Fragments include all possible nucleotide lengths between about 8 and about 100 nucleotides, for example, lengths between about 15 and about 100 nucleotides, or between about 20 and about 100 nucleotides.


An MGES fragment can be a fragment of an MGES protein, such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, and ZNF238. For example, the MGES fragment can encompass any portion of at least about 8 consecutive amino acids of SEQ ID NO: 231, 233, 235, 237, 239, 241, or 243. The fragment can comprise at least about 10 consecutive amino acids, at least about 20 consecutive amino acids, at least about 30 consecutive amino acids, at least about 40 consecutive amino acids, a least about 50 consecutive amino acids, at least about 60 consecutive amino acids, at least about 70 consecutive amino acids, or at least about 75 consecutive amino acids of SEQ ID NO: 231, 233, 235, 237, 239, 241, or 243. Fragments include all possible amino acid lengths between about 8 and 100 about amino acids, for example, lengths between about 10 and about 100 amino acids, between about 15 and about 100 amino acids, between about 20 and about 100 amino acids, between about 35 and about 100 amino acids, between about 40 and about 100 amino acids, between about 50 and about 100 amino acids, between about 70 and about 100 amino acids, between about 75 and about 100 amino acids, or between about 80 and about 100 amino acids.


A synthetic peptide can be substantially purified via high performance liquid chromatography (HPLC). The composition of a synthetic MGES polypeptide can be confirmed by amino acid analysis or sequencing. Additionally, any portion of an amino acid sequence comprising a protein encoded by an MGES gene (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, and ZNF238) can be altered during direct synthesis and/or combined using chemical methods with sequences from other proteins to produce a variant polypeptide or a fusion protein.


The invention further encompasses methods for using a protein or polypeptide encoded by a nucleic acid sequence of an MGES gene, such as the sequences shown in SEQ ID NOS: 231, 233, 235, 237, 239, 241, or 244. In some embodiments, the polypeptide can be modified, such as by glycosylations and/or acetylations and/or chemical reaction or coupling, and can contain one or several non-natural or synthetic amino acids. An example of an MGES polypeptide has the amino acid sequence shown in either SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244. In certain embodiments, the invention encompasses variants of a human protein encoded by an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, and ZNF238). Such variants can include those having at least from about 46% to about 50% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 50.1% to about 55% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 55.1% to about 60% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having from at least about 60.1% to about 65% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having from about 65.1% to about 70% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 70.1% to about 75% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 75.1% to about 80% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 80.1% to about 85% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 85.1% to about 90% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 90.1% to about 95% identity to SEQ ID NO 231, 233, 235, 237, 239, 241, or 244, or having at least from about 95.1% to about 97% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244, or having at least from about 97.1% to about 99% identity to SEQ ID NO: 231, 233, 235, 237, 239, 241, or 244.


Identifying MGES Modulating Compounds


The invention provides methods for identifying compounds which can be used for controlling and/or regulating mesenchymal signature genes (i.e., MGES genes such as Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238) of nervous system cancers. In addition, the invention provides methods for identifying compounds which can be used for the treatment of a nervous system cancers, such as malignant glioma. The methods can comprise the identification of test compounds or agents (e.g., peptides (such as antibodies or fragments thereof), small molecules, nucleic acids (such as siRNA or antisense RNA), or other agents) that can bind to a MGES polypeptide molecule and/or have a stimulatory or inhibitory effect on the biological activity of MGES or its expression, and subsequently determining whether these compounds can regulate mesenchymal signature genes of nervous system cancers in a subject or can have an effect on tumor growth in an in vitro or an in vivo assay (i.e., examining whether there is a decrease in tumor growth).


As used herein, a “MGES modulating compound” refers to a compound that interacts with an MGES transcription factor and modulates its DNA binding activity and/or its expression. The compound can either increase a MGES' activity or expression (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238). Conversely, the compound can decrease a MGES' activity or expression (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238). The compound can be a MGES inhibitor, agonist, or a MGES antagonist. Some non-limiting examples of MGES modulating compounds include peptides (such as MGES peptide fragments, or antibodies or fragments thereof), small molecules, and nucleic acids (such as MGES siRNA or antisense RNA specific for a MGES nucleic acid). Agonists of a MGES molecule can be molecules which, when bound to a MGES (such as Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238) increase the expression, or increase or prolong the activity of a MGES molecule. Agonists of a MGES include, but are not limited to, proteins, nucleic acids, small molecules, or any other molecule which activates MGES. Antagonists of a MGES molecule can be molecules which, when bound to MGES or a variant thereof, decrease the amount or the duration of the activity of a MGES molecule. Antagonists include proteins, nucleic acids, antibodies, small molecules, or any other molecule which decrease the activity of MGES.


The term “modulate”, as it appears herein, refers to a change in the activity or expression of a MGES molecule (such as, Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238). For example, modulation can cause an increase or a decrease in protein activity, binding characteristics, or any other biological, functional, or immunological properties of a MGES molecule.


In some embodiments, a MGES modulating compound can be a peptide fragment of a MGES protein that binds to the MGES or the upstream DNA region where the MGES transcription factor binds to. Peptide fragments can be obtained commercially or synthesized via liquid phase or solid phase synthesis methods (Atherton et al., (1989) Solid Phase Peptide Synthesis: a Practical Approach. IRL Press, Oxford, England; herein incorporated by reference in its entirety). The MGES peptide fragments can be isolated from a natural source, genetically engineered, or chemically prepared. These methods are well known in the art.


A MGES modulating compound can also be a protein, such as an antibody (monoclonal, polyclonal, humanized, and the like), or a binding fragment thereof, directed against the MGES. An antibody fragment can be a form of an antibody other than the full-length form and includes portions or components that exist within full-length antibodies, in addition to antibody fragments that have been engineered. Antibody fragments can include, but are not limited to, single chain Fv (scFv), diabodies, Fv, and (Fab′)2, triabodies, Fc, Fab, CDR1, CDR2, CDR3, combinations of CDR's, variable regions, tetrabodies, bifunctional hybrid antibodies, framework regions, constant regions, and the like (see, Maynard et al., (2000) Ann. Rev. Biomed. Eng. 2:339-76; Hudson (1998) Curr. Opin. Biotechnol. 9:395-402; each herein incorporated by reference in its entirety). Antibodies can be obtained commercially, custom generated, or synthesized against an antigen of interest according to methods established in the art (e.g., see Beck et al., Nat Rev Immunol. 2010 May; 10(5):345-52; Chan et al., Nat Rev Immunol. 2010 May; 10(5):301-16; and Kontermann, Curr Opin Mol. Ther. 2010 April; 12(2):176-83, each of which are incorporated by reference in their entireties).


Inhibition of RNA encoding a MGES molecule can effectively modulate the expression of the MGES gene from which the RNA is transcribed. Inhibitors are selected from the group comprising: siRNA, interfering RNA or RNAi; dsRNA; RNA Polymerase III transcribed DNAs; shRNAs; ribozymes; and antisense nucleic acid, which can be RNA, DNA, or artificial nucleic acid.


Antisense oligonucleotides, including antisense DNA, RNA, and DNA/RNA molecules, act to directly block the translation of mRNA by binding to targeted mRNA and preventing protein translation. For example, antisense oligonucleotides of at least about 15 bases and complementary to unique regions of the DNA sequence encoding a MGES polypeptide can be synthesized, e.g., by conventional phosphodiester techniques (Dallas et al., (2006) Med. Sci. Monit. 12(4):RA67-74; Kalota et al., (2006) Handb. Exp. Pharmacol. 173:173-96; Lutzelburger et al., (2006) Handb. Exp. Pharmacol. 173:243-59; each herein incorporated by reference in its entirety).


siRNA comprises a double stranded structure containing from about 15 to about 50 base pairs, for example from about 21 to about 25 base pairs, and having a nucleotide sequence identical or nearly identical to an expressed target gene or RNA within the cell. Antisense nucleotide sequences include, but are not limited to: morpholinos, 2′-O-methyl polynucleotides, DNA, RNA and the like. RNA polymerase III transcribed DNAs contain promoters, such as the U6 promoter. These DNAs can be transcribed to produce small hairpin RNAs in the cell that can function as siRNA or linear RNAs that can function as antisense RNA. The MGES modulating compound can contain ribonucleotides, deoxyribonucleotides, synthetic nucleotides, or any suitable combination such that the target RNA and/or gene is inhibited. In addition, these forms of nucleic acid can be single, double, triple, or quadruple stranded. See for example Bass (2001) Nature, 411, 428 429; Elbashir et al., (2001) Nature, 411, 494 498; and PCT Publication Nos. WO 00/44895, WO 01/36646, WO 99/32619, WO 00/01846, WO 01/29058, WO 99/07409, WO 00/44914; each of which are herein incorporated by reference in its entirety.


siRNA can be produced chemically or biologically, or can be expressed from a recombinant plasmid or viral vector (for example, see U.S. Pat. No. 7,294,504; U.S. Pat. No. 7,148,342; and U.S. Pat. No. 7,422,896; the entire disclosures of which are herein incorporated by reference). Exemplary methods for producing and testing dsRNA or siRNA molecules are described in U.S. Patent Application Publication No. 2002/0173478 to Gewirtz, and in U.S. Patent Application Publication No. 2007/0072204 to Hannon et al., the entire disclosures of which are herein incorporated by reference.


A MGES modulating compound can additionally be a short hairpin RNA (shRNA). The hairpin RNAs can be synthesized exogenously or can be formed by transcribing from RNA polymerase III promoters in vivo. Examples of making and using such hairpin RNAs for gene silencing in mammalian cells are described in, for example, Paddison et al., 2002, Genes Dev, 16:948-58; McCaffrey et al., 2002, Nature, 418:38-9; McManus et al., 2002, RNA, 8:842-50; Yu et al., 2002, Proc Natl Acad Sci USA, 99:6047-52; each herein incorporated by reference in its entirety. Such hairpin RNAs are engineered in cells or in an animal to ensure continuous and stable suppression of a desired gene. It is known in the art that siRNAs can be produced by processing a hairpin RNA in the cell.


When a nucleic acid such as RNA or DNA is used that encodes a protein or peptide of the invention, it can be delivered into a cell in any of a variety of forms, including as naked plasmid or other DNA, formulated in liposomes, in an expression vector, which includes a viral vector (including RNA viruses and DNA viruses, including adenovirus, lentivirus, alphavirus, and adeno-associated virus), by biocompatible gels, via a pressure injection apparatus such as the Powderject™ system using RNA or DNA, or by any other convenient means. Again, the amount of nucleic acid needed to sequester an Id protein in the cytoplasm can be readily determined by those of skill in the art, which also can vary with the delivery formulation and mode and whether the nucleic acid is DNA or RNA. For example, see Manjunath et al., (2009) Adv Drug Deliv Rev. 61(9):732-45; Singer and Verma, (2008) Curr Gene Ther. 8(6):483-8; and Lundberg et al., (2008) Curr Gene Ther. 8(6):461-73; each herein incorporated by reference in its entirety.


A MGES modulating compound can also be a small molecule that binds to the MGES and disrupts its function, or conversely, enhances its function. Small molecules are a diverse group of synthetic and natural substances having low molecular weights. They can be isolated from natural sources (for example, plants, fungi, microbes and the like), are obtained commercially and/or available as libraries or collections, or synthesized. Candidate small molecules that modulate MGES can be identified via in silico screening or high-throughput (HTP) screening of combinatorial libraries. Most conventional pharmaceuticals, such as aspirin, penicillin, and many chemotherapeutics, are small molecules, can be obtained commercially, can be chemically synthesized, or can be obtained from random or combinatorial libraries as described herein (Werner et al., (2006) Brief Funct. Genomic Proteomic 5(1):32-6; herein incorporated by reference in its entirety).


In some embodiments, the compound is selected from the group consisting of etoposide, 5-fluorouracil, Clostridium difficile Toxin B,




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and pharmaceutically acceptable salts thereof.


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In some embodiments, the compound is etoposide, 5-fluorouracil, or Clostridium difficile Toxin B. In some embodiments, the compound is etoposide. In some embodiments, the compound is 5-fluorouracil. In some embodiments, the compound is Clostridium difficile Toxin B.


Test compounds, such as MGES modulating compounds, can be screened from large libraries of synthetic or natural compounds (see Wang et al., (2007) Curr Med Chem, 14(2):133-55; Mannhold (2006) Curr Top Med Chem, 6 (10):1031-47; and Hensen (2006) Curr Med Chem 13(4):361-76; each herein incorporated by reference in its entirety). Various methods are currently used for random and directed synthesis of saccharide, peptide, and nucleic acid based compounds. Synthetic compound libraries are commercially available from Maybridge Chemical Co. (Trevillet, Cornwall, UK), AMRI (Albany, N.Y.), ChemBridge (San Diego, Calif.), and MicroSource (Gaylordsville, Conn.). A rare chemical library is available from Aldrich (Milwaukee, Wis.). Alternatively, libraries of natural compounds in the form of bacterial, fungal, plant and animal extracts are available from e.g. Pan Laboratories (Bothell, Wash.) or MycoSearch (N.C.), or are readily producible. Additionally, natural and synthetically produced libraries and compounds are readily modified through conventional chemical, physical, and biochemical means (Blondelle et al., (1996) Tib Tech 14:60; herein incorporated by reference in its entirety). Many of these compounds are available from commercial source vendors such as, for example, Asinex, IBS, ChemBridge, Enamine, Life, TimTech, and Sigma-Aldrich.


Methods for preparing libraries of molecules are well known in the art and many libraries are commercially available. Libraries of interest in the invention include peptide libraries, randomized oligonucleotide libraries, synthetic organic combinatorial libraries, and the like. Degenerate peptide libraries can be readily prepared in solution, in immobilized form as bacterial flagella peptide display libraries or as phage display libraries. Peptide ligands can be selected from combinatorial libraries of peptides containing at least one amino acid. Libraries can be synthesized of peptoids and non-peptide synthetic moieties. Such libraries can further be synthesized which contain non-peptide synthetic moieties, which are less subject to enzymatic degradation compared to their naturally-occurring counterparts. Libraries are also meant to include for example but are not limited to peptide-on-plasmid libraries, polysome libraries, aptamer libraries, synthetic peptide libraries, synthetic small molecule libraries, neurotransmitter libraries, and chemical libraries. The libraries can also comprise cyclic carbon or heterocyclic structure and/or aromatic or polyaromatic structures substituted with one or more of the functional groups described herein.


Small molecule combinatorial libraries can also be generated and screened. A combinatorial library of small organic compounds is a collection of closely related analogs that differ from each other in one or more points of diversity and are synthesized by organic techniques using multi-step processes. Combinatorial libraries include a vast number of small organic compounds. One type of combinatorial library is prepared by means of parallel synthesis methods to produce a compound array. A compound array can be a collection of compounds identifiable by their spatial addresses in Cartesian coordinates and arranged such that each compound has a common molecular core and one or more variable structural diversity elements. The compounds in such a compound array are produced in parallel in separate reaction vessels, with each compound identified and tracked by its spatial address. Examples of parallel synthesis mixtures and parallel synthesis methods are provided in U.S. Ser. No. 08/177,497, filed Jan. 5, 1994 and its corresponding PCT published patent application WO95/18972, published Jul. 13, 1995 and U.S. Pat. No. 5,712,171 granted Jan. 27, 1998 and its corresponding PCT published patent application WO96/22529, each hereby incorporated by reference in its entirety.


Examples of chemically synthesized libraries are described in Fodor et al., (1991) Science 251:767-773; Houghten et al., (1991) Nature 354:84-86; Lam et al., (1991) Nature 354:82-84; Medynski, (1994) BioTechnology 12:709-710; Gallop et al., (1994) J. Medicinal Chemistry 37(9):1233-1251; Ohlmeyer et al., (1993) Proc. Natl. Acad. Sci. USA 90:10922-10926; Erb et al., (1994) Proc. Natl. Acad. Sci. USA 91:11422-11426; Houghten et al., (1992) Biotechniques 13:412; Jayawickreme et al., (1994) Proc. Natl. Acad. Sci. USA 91:1614-1618; Salmon et al., (1993) Proc. Natl. Acad. Sci. USA 90:11708-11712; PCT Publication No. WO 93/20242, dated Oct. 14, 1993; and Brenner et al., (1992) Proc. Natl. Acad. Sci. USA 89:5381-5383. Examples of phage display libraries are described in Scott et al., (1990) Science 249:386-390; Devlin et al., (1990) Science, 249:404-406; Christian, et al., (1992) J. Mol. Biol. 227:711-718; Lenstra, (1992) J. Immunol. Meth. 152:149-157; Kay et al., (1993) Gene 128:59-65; and PCT Publication No. WO 94/18318. In vitro translation-based libraries include but are not limited to those described in PCT Publication No. WO 91/05058; and Mattheakis et al., (1994) Proc. Natl. Acad. Sci. USA 91:9022-9026. Each of the foregoing publications are incorporated by reference herein in their entireties.


Computer modeling and searching technologies permit the identification of compounds, or the improvement of already identified compounds, that can modulate MGES expression or activity. Having identified such a compound or composition, the active sites or regions of a MGES molecule can be subsequently identified via examining the sites as to which the compounds bind. These active sites can be ligand binding sites and can be identified using methods known in the art including, for example, from the amino acid sequences of peptides, from the nucleotide sequences of nucleic acids, or from study of complexes of the relevant compound or composition with its natural ligand. In the latter case, chemical or X-ray crystallographic methods can be used to find the active site by finding where on the factor the complexed ligand is found.


Screening the libraries can be accomplished by any variety of commonly known methods. See, for example, the following references, which disclose screening of peptide libraries: Parmley and Smith, (1989) Adv. Exp. Med. Biol. 251:215-218; Scott and Smith, (1990) Science 249:386-390; Fowlkes et al., (1992) BioTechniques 13:422-427; Oldenburg et al., (1992) Proc. Natl. Acad. Sci. USA 89:5393-5397; Yu et al., (1994) Cell 76:933-945; Staudt et al., (1988) Science 241:571-580; Bock et al., (1992) Nature 355:564-566; Tuerk et al., (1992) Proc. Natl. Acad. Sci. USA 89:6988-6992; Ellington et al., (1992) Nature 355:850-852; U.S. Pat. Nos. 5,096,815; 5,223,409; and 5,198,346, all to Ladner et al.; Rebar et al., (1993) Science 263:671-673; and PCT Pub. WO 94/18318. Each of the foregoing publications are incorporated by reference herein in their entireties.


The three dimensional geometric structure of an active site, for example that of a MGES polypeptide can be determined by known methods in the art, such as X-ray crystallography, which can determine a complete molecular structure. Solid or liquid phase NMR can be used to determine certain intramolecular distances. Any other experimental method of structure determination can be used to obtain partial or complete geometric structures. The geometric structures can be measured with a complexed ligand, natural or artificial, which can increase the accuracy of the active site structure determined. Potential MGES modulating compounds can also be identified using the X-ray coordinates of another MGES transcription factor that is similar in structure to a MGES (such as, Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238). In some embodiments, a compound that binds to a P2RY5 protein can be identified via: (1) providing an electronic library of test compounds; (2) providing atomic coordinates for at least 20 amino acid residues for the binding pocket of a MGES protein, wherein the coordinates have a root mean square deviation therefrom, with respect to at least 50% of Ca atoms, of not greater than about 5 Å, in a computer readable format; (3) converting the atomic coordinates into electrical signals readable by a computer processor to generate a three dimensional model of the rhodopsin protein, which is similar to the MGES protein; (4) performing a data processing method, wherein electronic test compounds from the library are superimposed upon the three dimensional model of the protein; and determining which test compound fits into the binding pocket of the three dimensional model, thereby identifying which compound binds to a MGES (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238).


Methods for predicting the effect on protein conformation of a change in protein sequence, are known in the art, and the skilled artisan can thus design a variant which functions as an antagonist according to known methods. One example of such a method is described by Dahiyat and Mayo in Science (1997) 278:82 87; herein incorporated by reference in its entirety, which describes the design of proteins de novo. The method can be applied to a known protein to vary only a portion of the polypeptide sequence. Similarly, Blake (U.S. Pat. No. 5,565,325; herein incorporated by reference iri its entirety.) teaches the use of known ligand structures to predict and synthesize variants with similar or modified function.


Other methods for preparing or identifying peptides that bind to a target are known in the art. Molecular imprinting, for instance, can be used for the de novo construction of macromolecular structures such as peptides that bind to a molecule. See, for example, Kenneth J. Shea, Molecular Imprinting of Synthetic Network Polymers: The De Novo synthesis of Macromolecular Binding and Catalytic Sites, TRIP Vol. 2, No. 5, May 1994; Mosbach, (1994) Trends in Biochem. Sci., 19(9); and Wulff, G., in Polymeric Reagents and Catalysts (Ford, W. T., Ed.) ACS Symposium Series No. 308, pp 186-230, American Chemical Society (1986); each herein incorporated by reference in its entirety. One method for preparing mimics of a MGES modulating compound involves the steps of: (i) polymerization of functional monomers around a known substrate (the template) that exhibits a desired activity; (ii) removal of the template molecule; and then (iii) polymerization of a second class of monomers in, the void left by the template, to provide a new molecule which exhibits one or more desired properties which are similar to that of the template. In addition to preparing peptides in this manner other binding molecules such as polysaccharides, nucleosides, drugs, nucleoproteins, lipoproteins, carbohydrates, glycoproteins, steroids, lipids, and other biologically active materials can also be prepared. This method is useful for designing a wide variety of biological mimics that are more stable than their natural counterparts, because they are prepared by the free radical polymerization of functional monomers, resulting in a compound with a nonbiodegradable backbone. Other methods for designing such molecules include for example drug design based on structure activity relationships, which require the synthesis and evaluation of a number of compounds and molecular modeling.


MGES modulating compounds of the invention can be incorporated into pharmaceutical compositions suitable for administration, for example in combination with a pharmaceutically acceptable carrier. The compositions can be administered alone or in combination with at least one other agent, such as a stabilizing compound, which can be administered in any sterile, biocompatible pharmaceutical carrier including, but not limited to, saline, buffered saline, dextrose, and water. The compositions can be administered to a patient alone, or in combination with other agents, drugs or hormones.


In some embodiments, the composition comprises a compound selected from the group consisting of etoposide, 5-fluorouracil, Clostridium difficile Toxin B,




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and pharmaceutically acceptable salts thereof.


In some embodiments, the composition comprises a compound selected from the group consisting of 5-fluorouracil, Clostridium difficile Toxin B,




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and pharmaceutically acceptable salts thereof.


In some embodiments, the composition comprises a compound selected from the group consisting of Clostridium difficile Toxin B,




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and pharmaceutically acceptable salts thereof.


In some embodiments, the composition comprises a compound selected from the group consisting of




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and pharmaceutically acceptable salts thereof.


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In some embodiments, the composition comprises etoposide, 5-fluorouracil, or Clostridium difficile Toxin B. In some embodiments, the composition comprises etoposide. In some embodiments, the composition comprises 5-fluorouracil. In some embodiments, the composition comprises Clostridium difficile Toxin B.


Pharmaceutical Compositions and Administration Therapy


According to the invention, a pharmaceutically acceptable carrier can comprise any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like, compatible with pharmaceutical administration. The use of such media and agents for pharmaceutically active substances is well known in the art. Any conventional media or agent that is compatible with the active compound can be used. Supplementary active compounds can also be incorporated into the compositions.


An MGES protein (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, and ZNF238) or an MGES modulating compound can be administered to the subject one time (e.g., as a single injection or deposition). Alternatively, and MGES protein or compounds of the invention can be administered once or twice daily to a subject in need thereof for a period of from about 2 to about 28 days, or from about 7 to about 10 days, or from about 7 to about 15 days. It can also be administered once or twice daily to a subject for a period of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 times per year, or a combination thereof. Furthermore, an MGES protein or a MGES modulating compound can be co-administrated with another therapeutic, such as a chemotherapy drug.


Some non-limiting examples of conventional chemotherapy drugs include: aminoglutethimide, amsacrine, asparaginase, bcg, anastrozole, bleomycin, buserelin, bicalutamide, busulfan, capecitabine, carboplatin, camptothecin, chlorambucil, cisplatin, carmustine, cladribine, colchicine, cyclophosphamide, cytarabine, dacarbazine, cyproterone, clodronate, daunorubicin, diethylstilbestrol, docetaxel, dactinomycin, doxorubicin, dienestrol, etoposide, exemestane, filgrastim, fluorouracil, fludarabine, fludrocortisone, epirubicin, estradiol, gemcitabine, genistein, estramustine, fluoxymesterone, flutamide, goserelin, leuprolide, hydroxyurea, idarubicin, levamisole, imatinib, lomustine, ifosfamide, megestrol, melphalan, interferon, irinotecan, letrozole, leucovorin, ironotecan, mitoxantrone, nilutamide, medroxyprogesterone, mechlorethamine, mercaptopurine, mitotane, nocodazole, octreotide, methotrexate, mitomycin, paclitaxel, oxaliplatin, temozolomide, pentostatin, plicamycin, suramin, tamoxifen, porfimer, mesna, pamidronate, streptozocin, teniposide, procarbazine, titanocene dichloride, raltitrexed, rituximab, testosterone, thioguanine, vincristine, vindesine, thiotepa, topotecan, tretinoin, vinblastine, trastuzumab, and vinorelbine.


In some embodiments, the chemotherapy drug is an alkylating agent, a nitrosourea, an anti-metabolite, a topoisomerase inhibitor, a mitotic inhibitor, an anthracycline, a corticosteroid hormone, a sex hormone, or a targeted anti-tumor compound.


A targeted anti-tumor compound is a drug designed to attack cancer cells more specifically than standard chemotherapy drugs can. Most of these compounds attack cells that harbor mutations of certain genes, or cells that overexpress copies of these genes. In some embodiments, the anti-tumor compound can be imatinib (Gleevec), gefitinib (Iressa), erlotinib (Tarceva), rituximab (Rituxan), or bevacizumab (Avastin).


An alkylating agent works directly on DNA to prevent the cancer cell from propagating. These agents are not specific to any particular phase of the cell cycle. In some embodiments, alkylating agents can be selected from busulfan, cisplatin, carboplatin, chlorambucil, cyclophosphamide, ifosfamide, dacarbazine (DTIC), mechlorethamine (nitrogen mustard), melphalan, and temozolomide.


An antimetabolite makes up the class of drugs that interfere with DNA and RNA synthesis. These agents work during the S phase of the cell cycle and are commonly used to treat leukemias, tumors of the breast, ovary, and the gastrointestinal tract, as well as other cancers. In some embodiments, an antimetabolite can be 5-fluorouracil, capecitabine, 6-mercaptopurine, methotrexate, gemcitabine, cytarabine (ara-C), fludarabine, or pemetrexed.


Topoisomerase inhibitors are drugs that interfere with the topoisomerase enzymes that are important in DNA replication. Some examples of topoisomerase I inhibitors include topotecan and irinotecan while some representative examples of topoisomerase II inhibitors include etoposide (VP-16) and teniposide.


Anthracyclines are chemotherapy drugs that also interfere with enzymes involved in DNA replication. These agents work in all phases of the cell cycle and thus, are widely used as a treatment for a variety of cancers. In some embodiments, an anthracycline used with respect to the invention can be daunorubicin, doxorubicin (Adriamycin), epirubicin, idarubicin, or mitoxantrone.


An MGES protein or an MGES modulating compound of the invention can be administered to a subject by any means suitable for delivering the protein or compound to cells of the subject. For example, it can be administered by methods suitable to transfect cells. Transfection methods for eukaryotic cells are well known in the art, and include direct injection of the nucleic acid into the nucleus or pronucleus of a cell; electroporation; liposome transfer or transfer mediated by lipophilic materials; receptor mediated nucleic acid delivery, bioballistic or particle acceleration; calcium phosphate precipitation, and transfection mediated by viral vectors.


The compositions of this invention can be formulated and administered to reduce the symptoms associated with a nervous system cancer (e.g, a glioma) by any means that produce contact of the active ingredient with the agent's site of action in the body of a human or non-human subject. They can be administered by any conventional means available for use in conjunction with pharmaceuticals, either as individual therapeutic active ingredients or in a combination of therapeutic active ingredients. They can be administered alone, but are generally administered with a pharmaceutical carrier selected on the basis of the chosen route of administration and standard pharmaceutical practice.


Pharmaceutical compositions for use in accordance with the invention can be formulated in conventional manner using one or more physiologically acceptable carriers or excipients. The therapeutic compositions of the invention can be formulated for a variety of routes of administration, including systemic and topical or localized administration. Techniques and formulations generally can be found in Remmington's Pharmaceutical Sciences, Meade Publishing Co., Easton, Pa. (201h ed., 2000), the entire disclosure of which is herein incorporated by reference. For systemic administration, an injection is useful, including intramuscular, intravenous, intraperitoneal, and subcutaneous. For injection, the therapeutic compositions of the invention can be formulated in liquid solutions, for example in physiologically compatible buffers, such as PBS, Hank's solution, or Ringer's solution. In addition, the therapeutic compositions can be formulated in solid form and redissolved or suspended immediately prior to use. Lyophilized forms are also included. Pharmaceutical compositions of the present invention are characterized as being at least sterile and pyrogen-free. These pharmaceutical formulations include formulations for human and veterinary use.


Any of the therapeutic applications described herein can be applied to any subject in need of such therapy, including, for example, a mammal such as a dog, a cat, a cow, a horse, a rabbit, a monkey, a pig, a sheep, a goat, or a human. Thus, in some embodiments, the subject is a mammal. In some embodiments, the subject is a dog, a cat, a cow, a horse, a rabbit, a monkey, a pig, a sheep, a goat, or a human. In some embodiments, the subject is a dog, a monkey, or a human. In some embodiments, the subject is a human.


A pharmaceutical composition of the invention is formulated to be compatible with its intended route of administration. Examples of routes of administration include parenteral, e.g., intravenous, intradermal, subcutaneous, oral (e.g., inhalation), transdermal (topical), transmucosal, and rectal administration. Solutions or suspensions used for parenteral, intradermal, or subcutaneous application can include the following components: a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose. pH can be adjusted with acids or bases, such as hydrochloric acid or sodium hydroxide. The parenteral preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.


Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor EM™ (BASF, Parsippany, N.J.) or phosphate buffered saline (PBS). The composition must be sterile and fluid to the extent that easy syringability exists. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, a pharmaceutically acceptable polyol like glycerol, propylene glycol, liquid polyetheylene glycol, and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. Prevention of the action of microorganisms can be achieved by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, ascorbic acid, and thimerosal. In many cases, it can be useful to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.


Sterile injectable solutions can be prepared by incorporating the MGES modulating compound in the required amount in an appropriate solvent with one or a combination of ingredients enumerated herein, as required, followed by filtered sterilization. Dispersions are prepared by incorporating the active compound into a sterile vehicle which contains a basic dispersion medium and the required other ingredients from those enumerated herein. In the case of sterile powders for the preparation of sterile injectable solutions, examples of useful preparation methods are vacuum drying and freeze-drying which yields a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.


Oral compositions include an inert diluent or an edible carrier. They can be enclosed in gelatin capsules or compressed into tablets. For the purpose of oral therapeutic administration, the active compound can be incorporated with excipients and used in the form of tablets, troches, or capsules. Oral compositions can also be prepared using a fluid carrier for use as a mouthwash, wherein the compound in the fluid carrier is applied orally and swished and expectorated or swallowed.


Pharmaceutically compatible binding agents, and/or adjuvant materials can be included as part of the composition. The tablets, pills, capsules, troches and the like can contain any of the following ingredients, or compounds of a similar nature: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose, a disintegrating agent such as alginic acid, Primogel, or corn starch; a lubricant such as magnesium stearate or sterotes; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent such as peppermint, methyl salicylate, or orange flavoring.


Systemic administration can also be by transmucosal or transdermal means. For transmucosal or transdermal administration, penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are known in the art, and include, for example, for transmucosal administration, detergents, bile salts, and fusidic acid derivatives. Transmucosal administration can be accomplished through the use of nasal sprays or suppositories. For transdermal administration, the active compounds are formulated into ointments, salves, gels, or creams as known in the art


A composition of the invention can be administered to a subject in need thereof. Subjects in need thereof can include but are not limited to, for example, a mammal such as a dog, a cat, a cow, a horse, a rabbit, a monkey, a pig, a sheep, a goat, or a human. Thus, in some embodiments, the subject is a mammal. In some embodiments, the subject is a dog, a cat, a cow, a horse, a rabbit, a monkey, a pig, a sheep, a goat, or a human. In some embodiments, the subject is a dog, a monkey, or a human. In some embodiments, the subject is a human.


A composition of the invention can also be formulated as a sustained and/or timed release formulation. Such sustained and/or timed release formulations can be made by sustained release means or delivery devices that are well known to those of ordinary skill in the art, such as those described in U.S. Pat. Nos. 3,845,770; 3,916,899; 3,536,809; 3,598,123; 4,008,719; 4,710,384; 5,674,533; 5,059,595; 5,591,767; 5,120,548; 5,073,543; 5,639,476; 5,354,556; and 5,733,566, the entire disclosures of which are each incorporated herein by reference. The pharmaceutical compositions of the invention (e.g, that have a therapeutic effect) can be used to provide slow or sustained release of one or more of the active ingredients using, for example, hydropropylmethyl cellulose, other polymer matrices, gels, permeable membranes, osmotic systems, multilayer coatings, microparticles, liposomes, microspheres, or the like, or a combination thereof to provide the desired release profile in varying proportions. Suitable sustained release formulations known to those of ordinary skill in the art, including those described herein, can be readily selected for use with the pharmaceutical compositions of the invention. Single unit dosage forms suitable for oral administration, such as, but not limited to, tablets, capsules, gel-caps, caplets, or powders, that are adapted for sustained release are encompassed by the invention.


In the methods described herein, an MGES protein or a MGES modulating compound can be administered to the subject either as RNA, in conjunction with a delivery reagent, or as a nucleic acid (e.g., a recombinant plasmid or viral vector) comprising sequences which express the gene product. Suitable delivery reagents for administration of the MGES protein or compounds include the Mirus Transit TKO lipophilic reagent; lipofectin; lipofectamine; cellfectin; or polycations (e.g., polylysine), or liposomes.


The dosage administered can be a therapeutically effective amount of the composition sufficient to result in amelioration of symptoms of a nervous system cancer in a subject (e.g, a decrease or inhibition of nervous system tumor cell proliferation, a decrease or inhibition of angiogenesis), and can vary depending upon known factors such as the pharmacodynamic characteristics of the active ingredient and its mode and route of administration; time of administration of active ingredient; age, sex, health and weight of the recipient; nature and extent of symptoms; kind of concurrent treatment, frequency of treatment and the effect desired; and rate of excretion.


In some embodiments, the effective amount of the administered MGES polypetide, MGES, polynucleotide, or MGES modulating compound is at least about 0.01 μg/kg body weight, at least about 0.025 μg/kg body weight, at least about 0.05 μg/kg body weight, at least about 0.075 μg/kg body weight, at least about 0.1 μg/kg body weight, at least about 0.25 μg/kg body weight, at least about 0.5 μg/kg body weight, at least about 0.75 μg/kg body weight, at least about 1 μg/kg body weight, at least about 5 μg/kg body weight, at least about 10 μg/kg body weight, at least about 25 μg/kg body weight, at least about 50 μg/kg body weight, at least about 75 μg/kg body weight, at least about 100 μg/kg body weight, at least about 150 μg/kg body weight, at least about 200 μg/kg body weight, at least about 250 μg/kg body weight, at least about 300 μg/kg body weight, at least about 350 μg/kg body weight, at least about 400 μg/kg body weight, at least about 450 μg/kg body weight, at least about 500 μg/kg body weight, at least about 550 μg/kg body weight, at least about 600 μg/kg body weight, at least about 650 μg/kg body weight, at least about 700 μg/kg body weight, at least about 750 μg/kg body weight, at least about 800 μg/kg body weight, at least about 850 μg/kg body weight, at least about 900 μg/kg body weight, at least about 950 μg/kg body weight, or at least about 1000 μg/kg body weight.


In some embodiments, the effective amount of the administered MGES polypetide, MGES, polynucleotide, or MGES modulating compound is at least about 0.1 mg/kg body weight, at least about 0.3 mg/kg body weight, at least about 0.5 mg/kg body weight, at least about 0.75 mg/kg body weight, at least about 1 mg/kg body weight, at least about 5 mg/kg body weight, at least about 10 mg/kg body weight, at least about 25 mg/kg body weight, at least about 50 mg/kg body weight, at least about 75 mg/kg body weight, at least about 100 mg/kg body weight, at least about 150 mg/kg body weight, at least about 200 mg/kg body weight, at least about 250 mg/kg body weight, at least about 300 mg/kg body weight, at least about 350 mg/kg body weight, at least about 400 mg/kg body weight, at least about 450 mg/kg body weight, at least about 500 mg/kg body weight, at least about 550 mg/kg body weight, at least about 600 mg/kg body weight, at least about 650 mg/kg body weight, at least about 700 mg/kg body weight, at least about 750 mg/kg body weight, at least about 800 mg/kg body weight, at least about 850 mg/kg body weight, at least about 900 mg/kg body weight, at least about 950 mg/kg body weight, or at least about 1000 mg/kg body weight.


In some embodiments, an MGES protein or a MGES modulating compound is administered at least once daily. In some embodiments, an MGES protein or a MGES modulating compound is administered at least twice daily. In some embodiments, an MGES protein or a MGES modulating compound is administered for at least 1 week, for at least 2 weeks, for at least 3 weeks, for at least 4 weeks, for at least 5 weeks, for at least 6 weeks, for at least 8 weeks, for at least 10 weeks, for at least 12 weeks, for at least 18 weeks, for at least 24 weeks, for at least 36 weeks, for at least 48 weeks, or for at least 60 weeks. In some embodiments, an MGES protein and/or an MGES modulating compound is administered in combination with a second therapeutic agent.


Toxicity and therapeutic efficacy of therapeutic compositions of the present invention can be determined by standard pharmaceutical procedures in cell cultures or experimental animals, e.g., for determining the LD50 (the dose lethal to 50% of the population) and the ED50 (the dose therapeutically effective in 50% of the population). The dose ratio between toxic and therapeutic effects is the therapeutic index and it can be expressed as the ratio LD50/ED50. Therapeutic agents that exhibit large therapeutic indices are useful. Therapeutic compositions that exhibit some toxic side effects can be used.


Gene Therapy and Protein Replacement Methods


In one aspect, the invention provides methods for treating a nervous system cancer in a subject, e.g., a glioma. In some embodiments, the method can comprise administering to the subject an MGES molecule (e.g, a MGES polypeptide or a MGES polynucleotide) or a MGES modulating compound, which can be a polypeptide, small molecule, antibody, or a nucleic acid.


Various approaches can be carried out to restore the activity or function of an MGES gene (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) in a subject, such as those carrying an altered MGES gene locus. For example, supplying wild-type MGES gene function (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) to such subjects can suppress the phenotype of a nervous system cancer in a subject (e.g., nervous system tumor cell proliferation, mervous system tumor size, or angiogenesis). Increasing and/or decreasing MGES gene expression levels or activity (such as, e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238) can be accomplished through gene or protein therapy.


A nucleic acid encoding an MGES gene, or a functional part thereof can be introduced into the cells of a subject. For example, the wild-type gene (or a functional part thereof) can also be introduced into the cells of the subject in need thereof using a vector as described herein. The vector can be a viral vector or a plasmid. The gene can also be introduced as naked DNA. The gene can be provided so as to integrate into the genome of the recipient host cells, or to remain extra-chromosomal. Integration can occur randomly or at precisely defined sites, such as through homologous recombination. For example, a functional copy of an MGES gene can be inserted in replacement of an altered version in a cell, through homologous recombination. Further techniques include gene gun, liposome-mediated transfection, or cationic lipid-mediated transfection. Gene therapy can be accomplished by direct gene injection, or by administering ex vivo prepared genetically modified cells expressing a functional polypeptide.


Delivery of nucleic acids into viable cells can be effected ex vivo, in situ, or in vivo by use of vectors, and more particularly viral vectors (e.g., lentivirus, adenovirus, adeno-associated virus, or a retrovirus), or ex vivo by use of physical DNA transfer methods (e.g., liposomes or chemical treatments). Non-limiting techniques suitable for the transfer of nucleic acid into mammalian cells in vitro include the use of liposomes, electroporation, microinjection, cell fusion, DEAE-dextran, and the calcium phosphate precipitation method (see, for example, Anderson, Nature, supplement to vol. 392, no. 6679, pp. 25-20 (1998); herein incorporated by reference in its entirety). Introduction of a nucleic acid or a gene encoding a polypeptide of the invention can also be accomplished with extrachromosomal substrates (transient expression) or artificial chromosomes (stable expression). Cells may also be cultured ex vivo in the presence of therapeutic compositions of the present invention in order to proliferate or to produce a desired effect on or activity in such cells. Treated cells can then be introduced in vivo for therapeutic purposes.


Nucleic acids can be inserted into vectors and used as gene therapy vectors. A number of viruses have been used as gene transfer vectors, including papovaviruses, e.g., SV40 (Madzak et al., 1992; herein incorporated by reference in its entirety), adenovirus (Berkner, 1992; Berkner et al., 1988; Gorziglia and Kapikian, 1992; Quantin et al., 1992; Rosenfeld et al., 1992; Wilkinson et al., 1992; Stratford-Perricaudet et al., 1990; each herein incorporated by reference in its entirety), vaccinia virus (Moss, 1992; herein incorporated by reference in its entirety), adeno-associated virus (Muzyczka, 1992; Ohi et al., 1990; each herein incorporated by reference in its entirety), herpesviruses including HSV and EBV (Margolskee, 1992; Johnson et al., 1992; Fink et al., 1992; Breakfield and Geller, 1987; Freese et al., 1990; each herein incorporated by reference in its entirety), and retroviruses of avian (Biandyopadhyay and Temin, 1984; Petropoulos et al., 1992; each herein incorporated by reference in its entirety), murine (Miller, 1992; Miller et al., 1985; Sorge et al., 1984; Mann and Baltimore, 1985; Miller et al., 1988; each herein incorporated by reference in its entirety), and human origin (Shimada et al., 1991; Helseth et al., 1990; Page et al., 1990; Buchschacher and Panganiban, 1992; each herein incorporated by reference in its entirety). Non-limiting examples of in vivo gene transfer techniques include transfection with viral (typically retroviral) vectors (see U.S. Pat. No. 5,252,479; herein incorporated by reference in its entirety) and viral coat protein-liposome mediated transfection (Dzau et al., Trends in Biotechnology 11:205-210 (1993); herein incorporated by reference in its entirety). For example, naked DNA vaccines are generally known in the art; see Brower, Nature Biotechnology, 16:1304-1305 (1998); herein incorporated by reference in its entirety. Gene therapy vectors can be delivered to a subject by, for example, intravenous injection, local administration (see, e.g., U.S. Pat. No. 5,328,470; herein incorporated by reference in its entirety) or by stereotactic injection (see, e.g., Chen, et al., 1994. Proc. Natl. Acad. Sci. USA 91: 3054-3057; herein incorporated by reference in its entirety). The pharmaceutical preparation of the gene therapy vector can include the gene therapy vector in an acceptable diluent, or can comprise a slow release matrix in which the gene delivery vehicle is imbedded. Alternatively, where the complete gene delivery vector can be produced intact from recombinant cells, e.g., retroviral vectors, the pharmaceutical preparation can include one or more cells that produce the gene delivery system.


For reviews of gene therapy protocols and methods see Anderson et al., Science 256:808-813 (1992); U.S. Pat. Nos. 5,252,479, 5,747,469, 6,017,524, 6,143,290, 6,410,010 6,511,847; and U.S. Application Publication Nos. 2002/0077313 and 2002/00069; each herein incorporated by reference in its entirety. For additional reviews of gene therapy technology, see Friedmann, Science, 244:1275-1281 (1989); Verma, Scientific American: 68-84 (1990); Miller, Nature, 357: 455-460 (1992); Kikuchi et al., J Dermatol Sci. 2008 May; 50(2):87-98; Isaka et al., Expert Opin Drug Deliv. 2007 September; 4(5):561-71; Jager et al., Curr Gene Ther. 2007 August; 7(4):272-83; Waehler et al., Nat Rev Genet. 2007 August; 8(8):573-87; Jensen et al., Ann Med. 2007; 39(2):108-15; Herweijer et al., Gene Ther. 2007 January; 14(2):99-107; Eliyahu et al., Molecules, 2005 Jan. 31; 10(1):34-64; and Altaras et al., Adv Biochem Eng Biotechnol. 2005; 99:193-260; each herein incorporated by reference in its entirety.


Protein replacement therapy can increase the amount of protein by exogenously introducing wild-type or biologically functional protein by way of infusion. A replacement polypeptide can be synthesized according to known chemical techniques or may be produced and purified via known molecular biological techniques. Protein replacement therapy has been developed for various disorders. For example, a wild-type protein can be purified from a recombinant cellular expression system (e.g., mammalian cells or insect cells-see U.S. Pat. No. 5,580,757 to Desnick et al.; U.S. Pat. Nos. 6,395,884 and 6,458,574 to Selden et al.; U.S. Pat. No. 6,461,609 to Calhoun et al.; U.S. Pat. No. 6,210,666 to Miyamura et al.; U.S. Pat. No. 6,083,725 to Selden et al.; U.S. Pat. No. 6,451,600 to Rasmussen et al.; U.S. Pat. No. 5,236,838 to Rasmussen et al. and U.S. Pat. No. 5,879,680 to Ginns et al.; each herein incorporated by reference in its entirety), human placenta, or animal milk (see U.S. Pat. No. 6,188,045 to Reuser et al.; herein incorporated by reference in its entirety), or other sources known in the art. After the infusion, the exogenous protein can be taken up by tissues through non-specific or receptor-mediated mechanism.


These methods described herein are by no means all-inclusive, and further methods to suit the specific application is understood by the ordinary skilled artisan. Moreover, the effective amount of the compositions can be further approximated through analogy to compounds known to exert the desired effect.


Nervous System Tumors and Tumor Targets


In some embodiments, the invention can be used to treat various nervous system tumors, for example gliomas (e.g., astrocytomas (such as anaplastic astrocytoma), Glioblastoma Multiforme (GBM), oligodendrogliomas, ependymoma) and meningiomas. The nervous system tumor can include, but is not limited to, cerebellar astrocytoma, medulloblastoma, ependymona, brain stem glioma, optic nerve glioma, acoustic neuromas, nerve sheath tumors, or germinoma. In some embodiments, the methods for treating cancer relate to methods for inhibiting proliferation of a cancer or tumor cell comprising administering to a subject a protein or other agent that decreases expression of a MGES gene (e.g., Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238, or a combination thereof) of the tumor or cancer cell.


Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Exemplary methods and materials are described below, although methods and materials similar or equivalent to those described herein can also be used in the practice or testing of the present invention.


All publications and other references mentioned herein are incorporated by reference in their entirety, as if each individual publication or reference were specifically and individually indicated to be incorporated by reference. Publications and references cited herein are not admitted to be prior art.


Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be within the scope of the present invention.


The invention is further described by the following non-limiting Examples.


EXAMPLES

Examples are provided herein to facilitate a more complete understanding of the invention. The following examples illustrate the exemplary modes of making and practicing the invention. However, the scope of the invention is not limited to specific embodiments disclosed in these Examples, which are for purposes of illustration only, since alternative methods can be utilized to obtain similar results.


Example 1
Id Proteins Stimulate Axonal Elongation

Recent work from the laboratory identified a new and unexpected function for Id proteins, namely the ability to stimulate axonal elongation (Iavarone and Lasorella, 2006; Lasorella et al., 2006; each herein incorporated by reference in its entirety). These studies originated from the identification of the Anaphase Promoting Complex (APC) as the ubiquitin ligase that primes Id2 for proteasomal-mediated degradation. Degradation of Id2 by APC is mediated by a highly conserved sequence, the destruction box (D-box), which is required for recognition by the APC co-activator Cdhl. It was found that mutation of the D-box of Id2 (Id2-DBM) resulted in marked stabilization of the protein in neural cells. Previous work had shown that APC-Cdhl restrains axonal growth in different types of CNS neurons (Konishi et al., 2004; herein incorporated by reference in its entirety). However, the natural targets of APC-Cdhl for the axonal growth phenotype remained unknown. The recent studies identified those targets. It was found that introduction of Id2-DBM in cortical and cerebellar neurons was sufficient to enhance axonal growth and override the inhibitory effects on axonal elongation imposed by myelin components. These effects are implemented by Id2-mediated silencing of a gene expression response induced by bHLH transcription factors. The products of the bHLHinducible genes repressed by Id2 in neurons are secreted molecules (Sema3F), ligands (jagged-2) and receptors (Nogo Recepotor, Unc5A, Notch-I) of multiple inhibitory and repellant signals for axons (Barallobre et al., 2005; Fiore and Puschel, 2003; Lesuisse and Martin, 2002; Sestan et al., 1999; Spencer et al., 2003; each herein incorporated by reference in its entirety).


Recovery following spinal cord injury (SCI) is limited because severed axons of the CNS fail to regenerate. Neverthless, some recovery of sensory and motor functions occurs over the first few weeks following incomplete injuries. Without being bound by theory, the most important Mechanism responsible for this recovery is the trigger of injury-induced plasticity, a phenomenon manifested by the establishment of new intraspinal circuits in the lesioned area. Although the mechanisms promoting injury-induced plasticity are poorly understood, an important event is up-regulation of genes that stimulate axonal growth and neurotrophic factors (jun, NT-3, BDNF, etc.) (Becker and Bonni, 2005; herein incorporated by reference in its entirety). Remarkably, injury of many types of neurons in vivo is associated with upregulation of Id genes. Without being bound by theory, expression of Id2 can generate beneficial effects for regeneration of damaged axons in the CNS.


Experimental Plan and Methods:


Here, the results observed in vitro following introduction of undegradable Id2 into neurons are extended to a mouse model of spinal cord injury. To do this, a pilot study will be performed using adeno-associated viruses (AAV) encoding Id2-DBM in mice that have received a spinal cord injury. Without being bound by theory, mice transduced with AAV-Id2-DBM will regenerate axons more efficiently than control mice (infected with AAVGFP) and display greater functional locomotor recovery.


Delivery of Virus.


The delivery system to be used is injection of the sensory-motor cortex with the AAV-based constructs. AAV is the most effective system to introduce exogenous proteins in post-mitotic neurons in the adult animal (Kaspar et al., 2003; Xiao et al., 1997; each herein incorporated by reference in its entirety). The most striking aspect of AAV transduction in the CNS is the absence of expression of the exogenous gene in glial cells (Burger et al., 2004; Passini et al., 2006; each herein incorporated by reference in its entirety). The AAV5 serotype was selected based on its superior ability to transducer mammalian brain in comparison with the other AAV serotypes (Passini et al., 2006; herein incorporated by reference in its entirety).


AAV5-Id2-DBM and AAV5-GFP will be produced and purified by Virapur (San Diego, Calif.) by cotransfection of Helper plasmid and a plasmid expressing the AAV5 rep and cap genes. To evaluate whether introduction of Id2-DBM promotes axonal regeneration in the CST, 5 μl of each viral preparation (approximate titer: 2×1011 genome copies/ml) will be stereotactically injected into the motor cortex of 20 mice (10 with AAV-GFP, 10 with AAV-Id2-DBM) using a single needle tract. In an additional group of 20 mice the AAVs will be injected directly in the spinal cord to transduce propriospinal neurons and evaluate whether Id2-DBM stimulates formation of new circuits and leads to better functional recovery in the behavioral tests. The total of 40 mice will undergo lateral hemisection injury of the thoracic spinal cord with severing of the dorsal cortico-spinal tract (CST) in the dorsal funiculus as well as the lateral CST. During the same operation as the lesion procedure, animals will be randomly divided into the two experimental groups (20 mice injected with AAVGFP, 20 mice injected with AAV-Id2-DBM) and will undergo stereotactic injection with each virus in the sensory-motor cortex controlateral to the lesion site or will be directly injected in the lesioned area of the spinal cord. The study will be terminated three months after SCI/AAV injection when the animals will be analyzed with end-point behavioral tests and sacrificed for pathological examination. Surgical and behavioral procedures will be performed at the CRF SCI Core, after which perfused, collected tissue will be shipped for histological analysis.


Behavioral Testing.


Animals will be monitored to analyze behavioral recovery weekly for nine weeks after injury in an open field environment by the BBB. Quantification will be performed in a blinded manner by two observers. Three months after lesion and just before sacrificing, the animals will be videotaped on a horizontal ladder beam test in a series of three trials and scored over 150 rungs by two independent observers. They will also undergo a final stage kinematic locomotor testing using CatWalk and DigiGait analysis. Results will be analyzed for statistically significant differences between the two experimental groups either a two-way ANOVA or by using a paired t test (significance <0.05).


Pathological Examination.


The integrity of the dorsal CST will be assessed by tracer (biotindextran amine, BDA) injection into the bilateral sensory-motor cortices 14 to 21 days prior to sacrifice. The retrograde tracer Fluorogold will also be injected below the injury site. Blocks extending 5 mm rostral and 5 mm caudal to the center of the injury will be sectioned in the sagittal plane. The far-rostral as well as the far-caudal segments will be sectioned in the transverse plane. The spinal cord will be dissected, fixed, embedded and sectioned. On each section the number of intersections of BDA-labeled fibers with a dorso-ventral line will be counted from 4 mm above to 4 mm below the lesion site. Axon number will be calculated as a percentage of the fibers seen 4 cm above the lesion where the CST is intact. For immunohistochemistry, frozen tissue will be obtained from an uninjured spinal cord and from each animal group.


REFERENCES



  • Barallobre, M. J., Pascual, M., Del Rio, J. A., and Soriano, E. (2005). The Netrin family of guidance factors: emphasis on Netrin-1 signalling. Brain Res Brain Res Rev 49, 22-47.

  • Becker, E. B., and Bonni, A. (2005). Beyond proliferation—cell cycle control of neuronal survival and differentiation in the developing mammalian brain. Semin Cell Dev Biol 16, 439-448.

  • Burger, C., Gorbatyuk, O, S., Velardo, M. J., Peden, C. S., Williams, P., Zolotukhin, S., Reier, P. J., Mandel, R. J., and Muzyczka, N. (2004). Recombinant AAV viral vectors pseudotyped with viral capsids from serotypes 1, 2, and 5 display differential efficiency and cell tropism after delivery to different regions of the central nervous system. Mol Ther 10, 302-317.

  • Fiore, R., and Puschel, A. W. (2003). The function of semaphorins during nervous system development. Front Biosci 8, s484-499.

  • Iavarone, A., and Lasorella, A. (2004). Id proteins in neural cancer. Cancer Lett 204, 189-196.

  • Iavarone, A., and Lasorella, A. (2006). ID proteins as targets in cancer and tools in neurobiology. Trends Mol Med 12, 588-594.

  • Kaspar, B. K., Llado, J., Sherkat, N., Rothstein, J. D., and Gage, F. H. (2003). Retrograde viral delivery of IGF-1 prolongs survival in a mouse ALS model. Science 301, 839-842.

  • Konishi, Y., Stegmuller, J., Matsuda, T., Bonni, S., and Bonni, A. (2004). Cdhl-APC controls axonal growth and patterning in the mammalian brain. Science 303, 1026-1030.

  • Lasorella, A., Stegmuller, J., Guardavaccaro, D., Liu, G., Carro, M. S., Rothschild, G., de la Torre-Ubieta, L., Pagano, M., Bonni, A., and Iavarone, A. (2006). Degradation of Id2 by the anaphase-promoting complex couples cell cycle exit and axonal growth. Nature 442, 471-474.

  • Lasorella, A., Uo, T., and Iavarone, A. (2001). Id proteins at the cross-road of development and cancer. Oncogene 20, 8326-8333.

  • Lesuisse, C., and Martin, L. J. (2002). Long-term culture of mouse cortical neurons as a model for neuronal development, aging, and death. J Neurobiol 51, 9-23.

  • Norton, J. D., Deed, R. W., Craggs, G., and Sablitzky, F. (1998). Id helix-loop-helix proteins in cell growth and differentiation. Trends Cell Biol 8, 58-65.

  • Passini, M. A., Dodge, J. C., Bu, J., Yang, W., Zhao, Q., Sondhi, D., Hackett, N. R., Kaminsky, S. M., Mao, Q., Shihabuddin, L. S., et al. (2006). Intracranial delivery of CLN2 reduces brain pathology in a mouse model of classical late infantile neuronal ceroid lipofuscinosis. J Neurosci 26, 1334-1342.

  • Perk, J., Iavarone, A., and Benezra, R. (2005). Id family of helix-loop-helix proteins in cancer. Nat Rev Cancer 5, 603-614.

  • Sestan, N., Artavanis-Tsakonas, S., and Rakic, P. (1999). Contact-dependent inhibition of cortical neurite growth mediated by notch signaling. Science 286, 741-746.

  • Spencer, T., Domeniconi, M., Cao, Z., and Filbin, M. T. (2003). New roles for old proteins in adult CNS axonal regeneration. Curr Opin Neurobiol 13, 133-139.

  • Xiao, X., Li, J., McCown, T. J., and Samulski, R. J. (1997). Gene transfer by adeno-associated virus vectors into the central nervous system. Exp Neurol 144, 113-124.

  • Ying, Q. L., Nichols, J., Chambers, I., and Smith, A. (2003). BMP induction of Id proteins suppresses differentiation and sustains embryonic stem cell self-renewal in collaboration with STAT3. Cell 115, 281-292.



Example 2
Transcriptional Regulation Module in High-Grade Glioma

Computational Identification of the MGES Transcriptional Regulation Module in High-Grade Glioma.


To identify Master Transcriptional Modules (MTM) and MRs of the MGES, ARACNe was applied to 176 AA and GBM samples (22, 66, 77; each herein incorporated by reference in its entirety), which had been previously classified into three molecular signature groups—proneural, proliferative, and mesenchymal (MGES) —by unsupervised cluster analysis (77; herein incorporated by reference in its entirety). The Master Regulator Analysis (MRA) algorithm was developed to infer a comprehensive repertoire of candidate MRs, regulating 102 genes that were overexpressed in the MGES. First, TFs were identified by their annotation in the Gene Ontology (3; herein incorporated by reference in its entirety). Then, for each TF the Fisher Exact Test (FET) was used to determine whether the intersection of its ARACNe predicted targets (the TF-regulon) with the MGES genes was statistically significant. From a global list of 1018 TFs, the MRA produced a subset of 55 MGES-specific, candidate MRs, at a False Discovery Rate, FDR ≦0.05. Among the 55 candidate MRs in the ARACNe network, the top six (Stat3, C/EBPβ/δ, bHLH-B2, Runx1, FosL2, and ZNF238) appear to collectively regulate 74% of the MGES genes (FIG. 1). This is a lower bound because ARACNe has a low false positive rate but a higher false negative rate. False negatives are not an issue in this analysis, as long as the number of TF-targets in the regulon is sufficient to assess statistically significant enrichment of MGES genes.


Multiple dataset and modality integration, using machine learning approaches such as Naïve Bayes classifiers, has been shown to significantly outperform individual analyses (36; herein incorporated by reference in its entirety). Additionally, since ARACNe trades off a low false-positive rate for a higher false-negative rate, appropriate integration of ARACNe's inferences from multiple datasets will be especially useful to achieve higher coverage of transcriptional interactions. Convergence of ARACNe inferences from distinct datasets was successfully shown (49; herein incorporated by reference in its entirety). High overlap between Master Regulators inferred from ARACNe analysis of completely independent Breast Cancer datasets was demonstrated. Thus, integration of target predictions from multiple datasets can improve the algorithm's performance without requiring data consolidation into a single dataset, which invariably introduces artifacts due to dataset specific bias.


Consistent with their previously reported activity, Pearson correlation analysis shows that five of the top six MRs (Stat3, C/EBPβ/δ, bHLH-B2, Runx1, and FosL2) are mostly activators of their regulon genes and only one (ZNF238) is a suppressor (2, 23; each herein incorporated by reference in its entirety). This can further indicate their respective potential as oncogenes or tumor suppressors. Since both C/EBPβ and C/EBPδ were among the top inferred MRs and they are known to form stoichiometric homo and heterodimers, with identical DNA binding specificity and redundant transcriptional activity (79; herein incorporated by reference in its entirety), the term C/EBP generically will be used to indicate these transcriptional complexes. The FET p-values for the enrichment of the MGES genes in the ARACNe-inferred MR regulons are respectively: ρFosL2=3.5E 44, ρZNF238=3.1E 31, ρbHLH-B2=3.0E 29, ρRunx1=7.8E 24, ρStat3=1.2E 21, ρC/EBPβ=3.2E 15. Thus, candidate MR regulons are highly enriched in MGES genes. The regulons of the six TFs show highly significant overlap, indicating their potential role in the combinatorial regulation of the MGES. Since TFs' expression is correlated, FET cannot compute statistical significance of this overlap. Significance was thus computed by comparing regulon overlap of each MR-pair against that of random TF-pairs with equivalent Mutual Information. Table I shows number of shared targets (lower left triangle) and p-value of regulon overlap (upper right triangle). For the TF pairs, the intersection between their regulon and the MGES is highly significant. This'further supports the role of these genes in a combinatorial Master Regulator Module (MRM), which controls the MGES program of GBM.









TABLE 1







Intersect between TFs and ARACNe targets (mesenchymal genes). The


number of mesenchymal genes shared as first neighbor by each pair of TFs


is reported on the lower left of the table. The statistical significance of


the target overlap for each pair of TFs after correction for the correlation


of the pair is shown on the upper right side of the table. The reported


P-values are test of independence between two TFs' neighborhoods


considering Mutual Information between TFs' gene expression profiles.













TF
BHLHB2
CEBPB
FOSL2
RUNX1
STAT3
ZNF238





BHLHB2
30
0.0e+00
0.0e+00
1.7e−03
2.5e−02
5.7e−03


CEBPB
12
20
0.0e+00
0.0e+00
5.2e−03
0.0e+00


FOSL2
23
18
48
0.0e+00
0.0e+00
0.0e+00


RUNX1
16
16
29
42
0.0e+00
0.0e+00


STAT3
10
 9
20
21
30
0.0e+00


ZNF238
13
14
27
26
25
39









Number of MES Targets

Alternative and Complementary MRA Analysis Tools.


Stepwise Linear Regression (SLR) was used to construct quantitative, albeit simplified MGES transcriptional regulation models (i.e. regulatory programs). In such models, log-expression of MGES genes is computed as a linear function of the log-expression of a few TFs (14, 96; each herein incorporated by reference in its entirety). Specifically, log 2 expression of the i-th MGES gene is the response variable and the log 2 expression of the TFs are the explanatory variables in the linear model log 2 xi=Σαij log2 fjij (96). Here, fj represents the expression of the j-th TF in the model and the (αij, βij) are linear coefficients computed by standard regression analysis. TFs were iteratively added to the model, by choosing the one yielding the smallest relative error E=Σ|xi−xi0|/xi0 between predicted and observed target expression. This was repeated until the decrease in relative error was no longer statistically significant, thus effectively preventing overfitting. TFs were chosen only among the 55 MRA-inferred MRs and TFs whose DNA binding signature was highly enriched in the proximal promoter of MGES genes and with a coefficient of variation (CV≧0.5), indicating a reasonable expression range in the dataset. This significantly reduces the number of candidate TFs. TFs were ranked based on the number of MGES target programs they affected. Surprisingly, the top six MRA-inferred TFs were among the top eight SLR-inferred TFs, showing significant robustness and consistency of the methods. The three TFs with the highest average coupling coefficients ( αiiαij) were C/EBP (αi=0.42), bHLH-B2 (αi=0.41), and Stat3 (αi=0.40), further indicating their potential role as MRs, with the next strongest modulator, ZNF238, showing a negative coefficient (αi=−0.34) indicating its role as a transcriptional repressor.


Analysis of Candidate MRs in Human Glioma.


To analyze the expression patterns of the six candidate MRs, semi-quantitative RT-PCR was used in an independent set of 17 primary malignant gliomas. The analysis included both normal human brain and the glioma cell line SNB75 whose expression profile correlates with the mesenchymal centroid. bHLH-B2, C/EBPβ, FosL2, Stat3 and Runx1 were expressed in the SNB75 cell line. Expression of each of these TFs was present and concordant in at least 9 of 17 tumor samples (FIG. 2). This is in agreement with the reported incidence of malignant glioma with a mesenchymal phenotype (−50%) (77; herein incorporated by reference in its entirety). The Runx1 transcript was almost uniform in tumor samples and was also detectable in normal brain. Importantly, bHLH-B2, C/EBPβ and FosL2 transcripts were absent in normal brain, thus indicating a possible specific role of these TFs in gliomagenesis and/or progression. Stat3 levels were higher in GBM samples carrying high expression of bHLH-B2, C/EBPβ and FosL2. Conversely, expression of ZNF238 was readily detectable in normal brain but absent in SNB75 cells and in primary gliomas with the exception of one sample (#2) that displayed minimal expression levels (FIG. 2). This finding is consistent with the notion that the ability of ZNF238 to function as repressor of the MGES confers to the ZNF238 gene a tumor suppressor activity that is invariably abrogated in malignant glioma.


Biochemical Validation of MR Binding Sites.


Each candidate MR was tested for its ability to bind to the promoter region (proximal regulatory DNA) of its predicted MGES targets. The target promoters were first analyzed in silico to identify putative binding sites. Promoter analysis was performed using the MatInspector software (www.genomatix.de; herein incorporated by reference in its entirety). A sequence of 2 kb upstream and 2 kb downstream from the transcription start site was analyzed for the presence of putative binding sites for each MR. ChIP assays were then performed near the best predicted site for each MR-target in the human glioma cell line SNB75, to validate targets of Stat3, bHLH-B2, C/EBPβ and FosL2, for which appropriate reagents were available. On average, 80% of the tested genomic regions can be immunoprecipitated by MR-specific antibodies but not by control antibodies (FIG. 3). Since binding can be co-factor mediated or occur in other promoter regions, this constitutes a lower-bound on the percent of MR-bound MGES genes. One can conclude that ARACNe accurately recapitulates the transcriptional activity of Stat3, bHLH-B2, C/EBPβ and FosL2 on the MGES genes in malignant gliomas.


Candidate MRs Form a Highly Connected and Hierarchically Organized Master Regulator Module.


From recent results in yeast and mammalian cells, MRs of key cellular processes (a) are involved in auto-regulatory (AR), feedback (FB), and feed-forward (FF) loops (44, 68; each herein incorporated by reference in its entirety), (b) participate in highly interconnected TF modules (12; herein incorporated by reference in its entirety), and (c) are organized within hierarchical control structures (108; herein incorporated by reference in its entirety). Thus, whether the topology of the five candidate MRs involved in positive control of the MGES displayed such properties was considered. ChIP assays revealed that Stat3 and C/EBP occupy their own promoter and are thus involved in AR loops (FIGS. 4A-B). Additionally, Stat3 occupies the FosL2 and Runx1 promoters; C/EBPβ occupies those of Stat3, FosL2, bHLH-B2, C/EBPβ, and C/EBPδ (the latter two confirm the redundant autoregulatory activity of the two C/EBP subunits, FIG. 4B) (65, 79; each herein incorporated by reference in its entirety); FosL2 occupies those of Runx1 and bHLH-B2 (FIG. 4C); finally bHLH-B2 occupies only that of Runx1 (FIG. 4D). The regulatory topology emerging from promoter occupancy analysis is thus highly interconnected (12/15 possible interactions are implemented), has a hierarchical structure and is very rich in FF loops (FIG. 4E). The large number of FF loops can contribute to lower the MGES program sensitivity to short, random fluctuations (37; herein incorporated by reference in its entirety). Stat3 and C/EBP, which are also involved in AR and FF loops with a large fraction of MGES genes, appear to be at the top of the hierarchy. Lentivirus-mediated shRNA silencing of Stat3 and C/EBPβ in human GBM-derived stem-like cells (GBM-BTSCs) led to downregulation of the other TFs, confirming the hierarchical MRM organization (FIG. 4F). Without being bound by theory, (a) at least five of the six MRs participate in a hierarchical MRM control structure and (b) Stat3 and C/EBP can be master initiators and regulators of the mesenchymal signature of malignant gliomas.


Combined Expression of C/EBPβ and Stat3 Prevents Neuronal Differentiation and Induces Mesenchymal and Oncogenic Transformation of NSCs.


Without being bound by theory, NSCs are the cell of origin for malignant gliomas in the mesenchymal subgroup (77; herein incorporated by reference in its entirety). However, whether mesenchymal transformation in glial tumors recapitulates a normal albeit rare cell fate determination event intrinsic to NSCs remains unknown (95, 98, 105; each herein incorporated by reference in its entirety). Whether combined expression of Stat3 and C/EBPβ in NSCs is sufficient to initiate mesenchymal gene expression and to trigger the mesenchymal properties that characterize high-grade glioma was considered. An early passage of the stable, clonal population of mouse NSCs known as C17.2 was used because its enhanced yet constitutively self-regulated expression of sternness genes permits its cells to be efficiently grown as undifferentiated monolayers in sufficiently large, homogeneous and viable quantities to ensure reproducible patterns of self-renewal and differentiation without ever behaving in a tumorigenic fashion in vitro or in vivo (43, 72, 74; each herein incorporated by reference in its entirety). Following ectopic expression of C/EBPβ and a constitutively active form of Stat3 (Stat3C, 13; herein incorporated by reference in its entirety), dramatic morphologic changes of NSCs were observed, consistent with loss of ability to differentiate along the neuronal lineage (FIG. 5A). Parental and vector-transfected NSCs have the classical spindle-shaped morphology that is associated with the neural stem/progenitor cell phenotype. When grown in the absence of mitogens, these cells display efficient neuronal differentiation characterized by formation of a neuritic network (FIG. 5A, top-right panel). Conversely, expression of C/EBPβ and Stat3C leads to cellular flattening and manifestation of a fibroblast-like morphology. Remarkably, depletion of mitogens resulted in additional flattening with complete loss of every neuronal trait (FIG. 5A, bottom-right panel). These results indicate that expression of C/EBPβ and Stat3C efficiently suppresses differentiation along the neuronal lineage and induces mesenchymal features.


Next, whether C/EBPβ and Stat3C induce expression of the respective targets predicted by ARACNe and, more importantly, whether the induced expression pattern is consistent with that of the global MGES was considered. mRNA was extracted from duplicate samples of two independent C/EBPβ/Stat3C expressing and control clones of NSCs and hybridized custom expression arrays (Agilent Technologies) containing probes for 6,308 glioma-specific mouse and human genes. The Gene Set Enrichment Analysis method (GSEA) (92; herein incorporated by reference in its entirety) was used to test the enrichment of the mesenchymal, proliferative and proneural signatures (77; herein incorporated by reference in its entirety) among differentially expressed genes in C/EBPβ/Stat3C-expressing versus control cells. In this method, the Kolmogorov-Smirnoff test is used to determine whether two gene lists are statistically correlated. In this case, one list includes genes on the microarray expression profile dataset, ranked by their differential expression statistics across two conditions (e.g. ectopically expressed Stat3C-C/EBPβ vs. control), from most over- to most under-expressed. The other list contains non-ranked genes in a specific signature (e.g. mesenchymal). This is very useful to detect, for instance, situations where signature genes can be differentially expressed as a whole, even though the fold-change can be small for each gene in isolation. In this case, a gene-by-gene test, such as a T-test, can not be able to reveal statistical significance. The algorithm was set to implement weighted scoring scheme and the enrichment score significance is assessed by 1,000 permutation tests to compute the enrichment p-value. The analysis demonstrated that the global mesenchymal and proliferative signatures are both highly enriched in genes that are overexpressed in C/EBPβ/Stat3C-expressing NSCs. Conversely, the proneural signature is enriched in genes that are underexpressed in these cells (FIG. 5B). A subset of Stat3 and C/EBPβ targets of the microarray results was validated by quantitative RT-PCR (qRT-PCR).


Next, whether activation of the MGES by Stat3 and C/EBPβ is sufficient to transform NSCs into cells that can efficiently migrate and invade was considered. Two assays were used to address this question. The first (“wound assay”) evaluates the ability to migrate and fill a scratch introduced in cultures of adherent cells (FIG. 5C). The second (“Matrigel invasion assay”) tests how cells invade a Boyden chamber filter coated with a physiologic mixture of extracellular matrix components and concentrate the lower side of the filter (FIG. 5D). When the two assays were performed on C/EBPβ/Stat3C-expressing and control NSCs clones, it was found that the expression of the two TFs robustly promoted migration and invasion through the extracellular matrix (FIGS. 5C-D). The effects of C/EBPβ and Stat3C on migration and invasion of NSCs were similar in the absence of mitogens or in the presence of PDGF (FIG. 5D). Similarly, ectopic bHLH-B2 was irrelevant for the MGES and phenotypic behavior of Stat3C-C/EBPβ-expressing NSCs.


To ask whether Stat3 and C/EBPβ confer tumorigenic potential to NSCs in vivo, sub-cutaneous heterotopic transplantation of C17.2-Stat3C-C/EBPβ (or empty vector as control) was used. C17.2-Stat3C/C/EBPβ cells developed fast-growing tumors with high efficiency (4 out of 4 mice in the group injected with 5×106 cells and 3 out of 4 mice in the group injected with 2.5×106 cells), whereas NSCs transduced with empty vector never formed tumors (FIG. 6A). Histological analysis demonstrated that the tumors resembled human high grade glioma, exhibited large areas of polymorphic cells, had tendency to form pseudopalisades with central necrosis and although injected in the flank, a low angiogenic site, displayed extensive vascular proliferation, as confirmed by immunostaining for the endothelial marker CD31 (FIGS. 6B-C). Proliferation in the tumors was very high as determined by reactivity for Ki67. In line with the presence of stem-like cells, human GBM regularly exhibit expression of primitive markers. Corroborating this, it was found that the tumors stained positive for the progenitor marker nestin (FIG. 6C). Finally, positive immunostaining for the mesenchymal signature proteins OSMR and the FGF receptor-1 (FGFR-1) indicated that oncogenic transformation of neural stem cells had occurred in the context of reprogramming towards the mesenchymal lineage (FIG. 6D). Together, these findings establish that introduction of the two MRs of MGES in NSCs not only induces expression of the entire MGES but is also sufficient to transduce to these cells the key phenotypic characteristics of glioma aggressiveness that have been previously associated with that signature.


Stat3 and C/EBPβ are Essential for Expression of the MGES and Aggressiveness of Human Glioma Cells and Primary Tumors.


To assess the significance of constitutive Stat3 and C/EBPβ in cells responsible for glioma tumor growth in humans, it was sought to abolish the expression of Stat3 and C/EBPβ in GBM-derived brain tumor stem-like cells that closely mimic the biology of the parental primary tumors and retain tumor-initiating capacity (GBM-BTSCs, 42; herein incorporated by reference in its entirety). Transduction of GBM-BTSCs with specific shRNA-carrying lentiviruses efficiently silenced endogenous Stat3 and C/EBPβ (FIG. 7A). Expression analysis using GSEA and qRT-PCR showed that depletion of Stat3 and C/EBPβ in GBM-BTSCs dramatically suppressed expression of the MGES genes (FIGS. 7B-C). Next, the “mesenchymal” human glioma cell line SNB19 was infected with shStat3 and shC/EBPβ lentiviruses and confirmed that silencing of Stat3 and C/EBPβ depleted the mesenchymal signature even in established glioma cell lines (FIG. 7D). Furthermore, silencing of the two TFs in SNB19 eliminated 80% of their ability to invade through Matrigel (FIG. 7E).


As final test for the mesenchymal regulatory role of Stat3 and C/EBPβ in human glioma, an immunohistochemical analysis for C/EBPβ and active, phospho-Stat3 in human tumor specimens was conducted and compared the expression of these TFs with YKL-40 (a well-established mesenchymal protein also known as CHI3L1, Refs. 66, 75; each herein incorporated by reference in its entirety) as well as patient outcome in a collection of 62 newly diagnosed GBMs. FET showed that expression of either C/EBPβ and Stat3 were significantly correlated with YKL-40 expression (C/EBPβ, p=4.9×10−5; Stat3, p=2.2×10−4). However, the correlation was higher when double positive tumors (C/EBPβ+/Stat3+) were compared to double negatives (C/EBPβ−/Stat3−, p=2.7×10−6). Furthermore, double positive tumors were associated with markedly worse clinical outcome than tumors that were either single or double negatives (log-rank test, p=0.0002, FIG. 7F). Positivity for either of the two TFs remained predictive of negative outcome but with lower statistical strength than double positivity (C/EBPβ, p=0.0022; Stat3, p=0.0017). These results provide compelling indication that the synergistic activation of C/EBPβ and Stat3 generates mesenchymal properties and marks the poorest survival in patients with GBM.


Computational Inference of MR Modulators.


MINDy is the first algorithm for the systematic identification of post-translational modulators of TF activity (100, 101; each herein incorporated by reference in its entirety). It identifies candidate TF-modulators by testing whether, given the expression of a putative modulator gene, the Conditional Mutual Information (CMI) I[TF; t|M] between a TF and one of its targets changes as a function of the availability of M. In Ref. 102 (herein incorporated by reference in its entirety), four modulators of the MYC TF in human B cells, including the STK38 kinase, the HDACl histone deacetylase, and two co-TF factors, bHLH-B2 and MEF2B were biochemically validated. FIG. 8 shows experimental data supporting the role of STK38 as a post-translational modulator of MYC activity. Experimental evidence for the other validated modulators is provided in the appendix (102; herein incorporated by reference in its entirety). In Ref. 100 (herein incorporated by reference in its entirety), MINDy analysis was extended to systematically reverse-engineer the interface between ˜800 signaling proteins (including protein kinases, phosphatases, and cell surface receptors) and an equivalent number of TFs expressed in human B cells. STK38 was experimentally validated as a pleiotropic serine-threonine kinase, affecting not just MYC but several other TFs. Thus, MINDy is able to identify post-translational modulators of transcriptional programs. For details on MINDy implementation, see Refs 55, 100; each herein incorporated by reference in its entirety.


MINDy's applicability has been significantly enhanced by the availability of a large set of microarray expression profile for high grade glioma from The Genome Cancer ATLAS/TCGA effort. This dataset is now equivalent in statistical power to the human B cell dataset used for the development of the MINDy approach. As discussed herein, the new MINDy analysis of Stat3 modulators recapitulates the major direct and pathway mediated modulators of Stat3 activity and demonstrates the feasibility of the MINDy algorithm. In Ref. 55 (herein incorporated by reference in its entirety), it was shown that MINDy outputs were able to build a genome-wide interactome and to infer both causal oncogenic lesions as well as mechanism of action of specific chemical perturbations. Furthermore, in Ref. 100 (herein incorporated by reference in its entirety), the complete and biochemically validated analysis of the interface between signaling proteins and TFs in human B cells was reported. Results from the latter, as also shown in FIG. 8, have allowed the computational identification of kinases silenced by lentivirus-mediated transduction of shRNA constructs in human B cell, using only transcriptional data.


A key requirement of the algorithm is the availability of ≧200 GEPs, so that the Conditional MI dependency on the modulator can be accurately measured. False negatives further improve with higher sample sizes (i.e. fewer modulators are missed). Studies were limited by a sample size that was too small to be effective (176 samples). However, a set of 236 GBM-related GEPs was recently made available by the ATLAS/TCGA project (1). Using this larger dataset sufficient statistical power was achieved to infer several post-translational modulators of Stat3 and C/EBPβ activity. MINDy-inferred modulators can be used for two independent goals. First, preliminary analysis of gene copy number (GCN) alterations from matched TCGA samples revealed that several genes encoding Stat3 and C/EBPβ modulators harbor genetic alterations in high-grade glioma, supporting their potential tumorigenic role (Table 2).









TABLE 2





Summary table of the post-translational modulators of STAT3 and


CEBPβ identified by MINDy in two separate analyses. Shown are TF and signaling


modulators, having significant copy number aberrations enrichment in patients with high


expression of YKL40, selected as marker gene. Patients were binned into three categories,


high, medium and low, according to the YKL40 expression level. Modulators are called


significant whenever there is an enrichment in the frequency of patients for the corresponding


aberration with a p-value of the χ2 < 5% and are sorted left to right by decreasing number of affected targets.
















Source Analysis
TF









Fsym
STAT3
CEBPB



















Cytoband
7q31.2
10p11.21
17q21
7q32
22q12.2
19q13.31
10p12
17q21
10p12


Modulator
TFEC
CREM
RARA
IRF5
PATZ1
ZNF576
MSRB2
RARA
MLLT10


YKL40 high


expression


levels


Enrichment in
Yes
No
No
Yes
No
Yes
No
No
No


Amplifications


Enrichment in
No
Yes
Yes
No
Yes
No
Yes
Yes
Yes


Deletions


Lowest χ
1.43%
0.46%
4.55%
2.18%
3.39%
2.53%
0.46%
4.55%
0.46%


Significant
Amplifica
Deletion
Deletion
Amplifica
Deletion
Amplifica
Deletion
Deletion
Deletion


Alteration











Source Analysis
Signaling









Fsym
STAT3
CEBPB

















Cytoband
10q26
7q22-q31.1
19q13.3
7p12
10q26
19q13
22q12|7p14.3-p14.1


Modulator
FGFR2
SRPK2
PRKD2
EGFR
FGFR2
VRK3
CAMK2B


YKL40 high


expression


levels


Enrichment in
No
Yes
Yes
Yes
No
Yes
Yes


Amplifications


Enrichment in
Yes
No
No
No
Yes
No
No


Deletions


Lowest χ
4.12%
1.05%
4.55%
0.67%
4.12%
4.55%
0.47%


Significant
Deletion
Amplifica
Amplification
Amplification
Deletion
Amplifica
Amplification


Alteration









This is important because the Stat3 and C/EBPβ loci are not direct targets of genetic alterations in GBM. Hence, one can predict that genetic alterations can target their upstream regulators. Specifically, several GCN alterations of Stat3 and C/EBPβ modulators co-segregate with overexpression of YKL40, a marker of MGES activation. Without being bound by theory, genetic alterations of the modulator genes can irreversibly activate these MRs, thus leading to constitutive activation of the MGES in high-grade glioma. Second, the modulator proteins can constitute appropriate drug targets for therapeutic intervention.


The inferred repertoire of Stat3 modulators was compared to literature data (21, 34; each herein incorporated by reference in its entirety). The analysis revealed that several inferred modulators are known to regulate Stat3 activity post-translationally, either by direct physical interaction, or by effecting well-characterized pathways known to affect Stat3 function, mostly through phsphorylation cascades. Among the putative Stat3 modulators, we found the β2 adrenergic receptor (ADRB2) and Src kinase Lyn, which mediate phosphorylation and activation of Stat3 (103, 107; each herein incorporated by reference in its entirety). Conversely, the cdk2 and GSK3β kinases and the tumor suppressor PTEN are negative regulators of Stat3 phosphorylation and activity (10, 90, 93; each herein incorporated by reference in its entirety). Our approach was also able to identify the α subunit of Protein Kinase C(PRKCA), the MAP kinase MEK2 (MAP2K2) and the Receptor 2 for FGF (FGFR2), three essential components of signaling pathways known to modulate Stat3 activity (28, 39, 71, 73; each herein incorporated by reference in its entirety). Finally, MINDy identified Dyrk2 as a Stat3 modulator and, in screening assays Dyrk kinases have emerged as phosphorylation kinases for Stat3 (60; herein incorporated by reference in its entirety). These findings mirror those obtained for MYC (101, 102; each herein incorporated by reference in its entirety) and indicate that MINDy is effective in the identification of post-translational modulators of MR activity.


Conclusions.


Computational, ChIP and functional experiments, motivated by the inferred network topology, showed that Stat3 and C/EBP are key MRs of the MGES. However, the participation of the transcriptional repressor ZNF238 as a principal negative regulator of the mesenchymal signature, combined with the invariable loss of expression of ZNF238 in primary GBM, indicate that the full manifestation of the MGES inevitably requires elimination of the constraints imposed by ZNF238. Initial results will be followed up with a comprehensive computational reconstruction of the transcriptional and post-translational interactions that structure the regulatory network driving the MGES. The mechanisms used by glioma cells to silence the expression of ZNF238 will also be determined and tested whether this TF is a tumor suppressor gene in malignant brain tumors. Finally, computational approaches will be used to identify post-translational modulators of the ‘mesenchymal TFs’ and validate in vivo their functional activity and their value as therapeutic targets.


Future Directions.


As shown in this Example, use of tumor biopsy GEPs was sufficient to discover candidate synergistic oncogenes and tumor suppressor genes. However, the highly heterogeneous nature of the disease can prevent dissection of many TF-targets and upstream modulators. Given the decreasing cost of GEP microarrays and the availability of high-throughput robotic platforms available to us, a new, highly informative dataset will be assembled using a cellular context that is highly specific to the transformation under study. Specifically, a connectivity map (40; herein incorporated by reference in its entirety), using ˜200 chemical perturbations of human GBM-derived BTSCs will be produced. These cells represent the best cellular model for human GBM because they closely mimic the genotype, gene expression profile and in vivo biology of their parental primary tumor (42, 99; each herein incorporated by reference in its entirety).


Furthermore, it was shown that MGES expression in GBM-BTSCs requires the activity of the MRs Stat3 and C/EBPβ (FIG. 7). Therefore, GBM-BTSCs represent a model human cellular system to produce a glioma connectivity map and to study regulation of the MRs of mesenchymal signature GBM in vitro. This new dataset will be highly complementary to the GBM data produced by the TCGA project and is of critical importance to achieve the aims of this proposal. Specifically, while TCGA GEPs represent the natural physiologic variability of GBM samples and can be representative of a variety of diverse genetic and epigenetic abnormalities, the connectivity map will reflect the response of high-grade (mesenchymal) glioma to non-physiologic (i.e., chemical) perturbations. Thus, the combination of the two resources will allow optimal dissection of both type of processes.


Compound Selection and Optimization.


˜200 compounds will be prioritized by analysis of MCF7, PC3, HL60, and SK-MEL5 connectivity map data (40; herein incorporated by reference in its entirety). Optimal compounds will be those producing the most informative profiles. Several methods can be used for this analysis, including Principal Component Analysis (PCA), unsupervised clustering, and greedy optimization techniques to select maximum-entropy GEP subsets, among others. The Genome wide 44Kx12 Illumina array (HumanHT-12 Expression BeadChip) supports analysis of ˜200 assays (in replicate) and appropriate controls for approximately. As opposed to Ref. 40 (herein incorporated by reference in its entirety), where compounds were screened at a fixed 10 μM concentration in DMSO, the selected compounds will be profiled at multiple concentrations to determine optimal parameters for ˜10% growth inhibition of GBM-BTSCs, G110, after 48 h. This will optimize the screening, providing maximally informative data. Higher concentrations can produce largely equivalent cellular stress responses (e.g., apoptosis), while lower concentrations will produce little or no effects on cell dynamics.


Perturbation Assays and Microarray Expression Profiling.


GBM-BTSCs will be treated with selected compounds at G110 concentration in replicate, harvested after 6 h (to minimize secondary response effects), and profiled using the Illumina HumanHT-12 Expression BeadChip array. These monitor ˜44,000 probes covering known human alternative splice transcripts. Appropriate negative controls will be generated using the compound delivery medium (DMSO). Arrays will be hybridized and read by the Columbia Cancer Center genomic core facility. The lab has significant experience using the Illumina array, including automation and optimization of mRNA extraction and labeling protocols on the Hamilton Star microfluidic station. Since ARACNe requires >100 GEPs and MINDy requires >250 GEPs to achieve sufficient statistical power, the dataset (˜400 GEPs) is adequately powered to support both analyses. The resulting dataset will be referred to as the High-grade Glioma Connectivity Map (HGCM). Additionally, two public datasets will be analyzed including expression profiles from tumor samples (42, 77; each herein incorporated by reference in its entirety) as well as the 236 samples from the TCGA, identified respectively as HGEPLee, HGEPPh, and HGEPTCGA.


Example 3
Creation of a High-Accuracy Map of Regulatory Interactions Effecting the MGES of High-Grade Glioma

In this example, the molecular interaction networks and transcriptional modules that regulate the mesenchymal phenotype of malignant glioma will be dissected, modeled, and interrogated. This phenotype, which displays a specific genetic signature identified by molecular profiling, is characterized by the activation of several genes involved in invasiveness and tumor angiogenesis and has been associated with a very poor prognosis. Genes causally involved in tumorigenesis or responsible for the aggressiveness of the malignant phenotype will be identified. Furthermore, computational tools will be designed and used to integrate the rich source of genetic, epigenetic, and functional data assembled by The Genome Cancer ATLAS/TCGA project on Glioblastoma Multiforme (GBM) to identify “druggable” proteins that can affect the mesenchymal phenotype, thus providing appropriate targets for therapeutic intervention (see EXAMPLES 5-7).


To find the Master Regulators of a malignant phenotype, the ARACNe algorithm, developed for the dissection of mammalian transcriptional networks and validated, will be coupled with new algorithms that model the regulatory process, by integrating DNA binding signatures. Preliminary studies (EXAMPLE 2) show that ARACNe identifies a small, tightly connected, self-regulating module comprising six transcription factors (TFs) that appears to regulate the mesenchymal signature of human high-grade glioma. This example discusses the reverse engineering and dissection of crucial mechanisms involved in the pathogenesis of GBM, one of the most lethal forms of human cancer.


A reverse engineering computational approach will be applied to dissect and validate the transcriptional network that drives the mesenchymal phenotype of high-grade glioma. The expression of mesenchymal and angiogenesis-associated genes in malignant human glioma is associated with very poor clinical outcome. ARACNe (Algorithm for the Reconstruction of Accurate Cellular Networks), one of the tools developed by the Columbia National Center for Biomedical Computing (MAGNet), has been used to identify transcription factors regulating a mesenchymal gene expression signature associated with poor prognosis. The latter was identified by hierarchical clustering of a wide collection of microarray expression profiles of malignant glioma.


The analysis has identified a highly interconnected module of six transcription factors that regulate each other as well as the vast majority of the mesenchymal genes. The computational analyses as also been extended to new algorithms able to predict post-translational modulators of the master transcriptional regulators (MINDy, Modulator Inference by Network Dynamics). New computational tools will be designed and used to integrate the many sources of genetic, epigenetic and functional date available on human brain tumors. The goals are: to reconstruct and experimentally manipulate the transcriptional and post-translational programs responsible for the expression of the mesenchymal signature of high-grade glioma (see EXAMPLE 2 and herein); to elucidate the mechanism by which high-grade glioma silence ZNF238, a transcriptional repressor of the mesenchymal signature, and test the role of ZNF238 gene inactivation in gliomagenesis in the mouse (EXAMPLE 4); to computationally identify and experimentally validate “druggable” genes that regulate the mesenchymal signature in malignant glioma and to test them as candidate therapeutic targets (EXAMPLE 5); to assemble and disseminate a genome-wide, Human Glioma interactome (HGi) that will integrate the diverse sources of genetic, epigenetic, and functional alterations that characterize the mesenchymal phenotype of high-grade glioma (EXAMPLE 6). The HGi will be accessible to the scientific community via the MAGNet Center dissemination infrastructure. Ultimately, the aim is to exploit the computationally inferred and experimentally validated regulators of glioma aggressiveness as invaluable new targets for therapeutic intervention.


Reconstruction of the Combinatorial Regulatory Program for the Expression of the Mesenchymal Signature of High-Grade Glioma and Phenotypic Analysis of its Disruption in GBM-BTSCs.


The goal of these experiments is the integration of the transcriptional network predicted by ARACNe, the post-translational interactions predicted by MINDy, the binding data generated by ChIP-on-Chip experiments, the proteomic TF-TF interaction experiments, and the expression profile analysis of the changes after inactivation of Stat3 and C/EBPβ TFs in GBM-BTSCs. By combining various data sources, the key proteins required for MGES activation and maintenance will be uncovered and a comprehensive view of the cellular network driving the MGES in malignant glioma will be provided.


ARACNe analysis. ARACNe will be used with 100 rounds of bootstrapping on each of four datasets (HGCM, HGEPLee, HGEPPh, and HGEPTCGA) to generate comprehensive high-grade glioma transcriptional networks (58; herein incorporated by reference in its entirety). TFs will be identified based on their specific molecular function annotation in the Gene Ontology. The analysis protocol described in Ref. 58 (herein incorporated by reference in its entirety) will be followed to accomplish the following:


Stat3 and C/EBP Target Identification


An exhaustive set of candidate targets of the Stat3 and C/EBP TFs will be examined. The new and comprehensive set of targets will be used to further elucidate the role of these validated MRs in the direct and indirect control of mesenchymal genes and in the transformation of NSCs. TF-targets can have been missed due to the relatively small and heterogeneous sample dataset used to reconstruct the MGES control network shown in FIG. 1. Thus, integration of data from four datasets will significantly increase the statistical power and usefulness of the approach. Specifically, the HGCM will provide information on interactions driven by non-physiologic perturbations, while the other three sets will provide information about physiologic transcriptional response.


Identification of Additional Regulators of the MGES


Decreasing TF-target false negatives will greatly enhance our ability to infer additional MRs, whose regulons can have been too small to assess enrichment when computed from the Aldape dataset. Additional metrics, other than FET, will be explored to rank candidate MRs, including target density odds ratio, coefficient analysis from SLR (described in EXAMPLE 2) and GSEA (49; herein incorporated by reference in its entirety). These metrics are not affected by regulon size and will provide a more unbiased ranking than the FET. Inferred MRs will be assembled into the MGES Master Regulatory Module (MRM).


The identification of physical interactions between MRM TFs will provide us with valuable information to design further experimental validations for bioinformatics results. Although the detailed experimental plan will obviously depend on the nature of the interaction(s) that will be demonstrated, the interactions between two activator TFs can be required for full activation of the target mesenchymal promoters. Conversely, interaction(s) between an activator TF and a repressor TF can function to restrain the activity of the activator TF bound to the DNA regulatory region of the mesenchymal promoters. Both overexpression and silencing experiments will be appropriate to interrogate the consequences of TF-TF interactions for the expression of selected mesenchymal genes and/or the entire MGES


Identification of Upstream Regulators


Additional TFs that are candidate upstream transcriptional regulators of the MRM TFs will be identified. If both genes are TFs, ARACNe cannot determine directionality. Thus, additional assays and analysis can be necessary, such as the identification of DNA binding site and ChIP assays.


Full Transcriptional Regulation Mapping


A complete transcriptional network will be inferred using ARACNe, involving TFs that are expressed in the cells of interest (EXAMPLE 6).


Evidence from the four datasets, as well as additional evidence sources such as interaction databases, literature data, and interactions in orthologous organisms will be integrated (55; herein incorporated by reference in its entirety). The Bayesian evidence integration approach using either Naíve Bayes classifiers or a Bayesian Network approach will be used, depending on the statistical correlation of the clues originating from each dataset (see Ref. 55; herein incorporated by reference in its entirety). The approach involves the use of established machine learning methods. Additional integrative approaches, such as Adaboost (9; herein incorporated by reference in its entirety) will also be tested and compared to the Bayesian evidence integration approach. Based on prior work (36; herein incorporated by reference in its entirety) and B cell interactome data (55; herein incorporated by reference in its entirety), one can expect that clues arising from different GEP sets will not be statistically independent and that a Bayesian Network analysis can be needed. Positive and Negative Gold standards will be based on evidence in TRANSFAC, other Protein-DNA interaction databases, and ChIP assays. This will provide an ideal complement of evidence from both tumor samples (heterogeneous context) and from the HGCM GBM-BTSC connectivity map (homogeneous context), thus allowing an ideal integration of TF-targets responding under diverse physiological and perturbation related stimuli.


MINDy Analysis.


MINDy (see EXAMPLE 2) will be used on the two datasets of sufficient size (HGCM and HGEPTCGA) to generate an accurate and comprehensive map of the interface between signaling proteins (including, among others, protein kinases, phosphatases, acetyltransferases, ubiquitin conjugating enzymes, and receptors) and TFs. This work will replicate the equivalent map generated for human B cells and will provide important clues about signaling pathway conservation in distinct cellular contexts (100; herein incorporated by reference in its entirety). Appropriate metrics will be used to assess the quality of the results, including overlap of predicted interactions with protein-protein interaction databases and NetworKIN algorithm inferences (50, 100; each herein incorporated by reference in its entirety). Additional opportunistic assays will be used to validate interactions of specific biological value. The analysis will be used to:


Identify Modulators of MRM TF Activity


Upstream modulators of MRM TFs, including Stat3 and C/EBP will be inferred. Modulators that silence the MGES when inhibited provide candidate therapeutic targets and will be experimentally followed up in EXAMPLE 5. Conversely, modulators that activate the MGES genes when either inhibited or activated will provide candidate hypotheses for focal gene loss or amplification in tumors, which will be searched from the TCGA-derived tumor Gene Copy Number platforms.


Identify Candidate Post-Translational Master Regulators of the Mesenchymal signature of GBM


As discussed in Ref. 100 (herein incorporated by reference in its entirety) MINDy can be used to associate a regulon* to each non-TF modulator protein. This is an extension of the classical TF-regulon concept to protein that directly or indirectly regulate one or more TFs. A regulon* represents the set of TF-targets indirectly regulated by a protein via the TF(s) it modulates (the modulon). Ref. 100 (herein incorporated by reference in its entirety) shows and biochemically validates that MINDy identified regulons* can be effectively used to identify the signaling proteins targeted by an shRNA silencing assay from GEP differential expression before and after silencing. This effectively validates the ability to infer post-translationally acting MRs. Specifically, MINDy will first be used to infer a regulon* for each analyzed signaling protein and then the MR approach will be applied to determine significance of regulon* overlap with MGES genes. Signaling proteins whose regulon* is significantly enriched in MGES genes will be (a) considered candidate post-translational MRs, (b) experimentally validated using siRNA assays, and (c) tested for genetic and epigenetic alterations.


Extension of the Enrichment Analysis


FET p-values are strongly dependent on datasets size. Additional approaches will be explored, such as the GSEA (92; herein incorporated by reference in its entirety), as discussed in Ref. 49 (herein incorporated by reference in its entirety). This requires a list L I of available genes ranked by their differential expression between two phenotypes and a list L2 of genes of interest (i.e. the MGES). Whether L2 is enriched in genes that are most up- or down-regulated in L1 will be tested. Since GSEA corrects for gene set size, this will be less sensitive to regulon/modulon size.


MINDy Extensions


MINDy is the first algorithm able to identify post-translational modulators of TF activity from gene expression profile data. However, it has several limitations that can prevent specific modulators from being identified. MINDy uses an extremely conservative, Bonferroni-corrected significance threshold for the CMI analysis because of the large number of tested modulator-TF-target triplets. Thus, some significant triplets can be missed causing two problems: (a) increased false negatives among TF-targets and (b) increased false negatives among inferred modulators. Less conservative threshold for triplet selection will be used and compute a null hypothesis on the minimum number of significant triplets with same TF and modulator, necessary to declare the modulator-TF interaction statistically significant. This is similar to the notion of statistical enrichment in GSEA where a set of genes, each one with modest p-value (i.e. not statistically significant on a single-gene basis), produces significant p-value for the gene set. In the preliminary results, this approach was used to compute Stat3 and C/EBPβ modulators from 236 ATLAS/TCGA GEPs. Specifically, a threshold of p<0.05, not Bonferroni-corrected, was used to select significant modulator-TF-target triplets. The probability p(n) of observing n significant triplets with the same TF (e.g. Stat3) and modulator was computed. The null hypothesis model was generated by sample-shuffling based CMI analysis. As discussed, this was highly effective in discovering known modulators of Stat3. Additionally, modulators discovered by regular MINDy rank high among the larger set of modulators inferred by this more sensitive analysis (p<1E-4). While the new approach infers many more modulators and modulator-dependent targets, and can have far fewer false negatives, the p-value computed by sample-shuffling can be less conservative. The plan is to correct this problem by exploring a variety of approaches to improve the null-hypothesis generation, such as fitting distribution mixtures, an approach shown to be highly successful in the study of ChIP-Chip data (57; herein incorporated by reference in its entirety). That the new analysis reduces false negatives without substantially increasing false positives will also be validated. Additionally, exploration of additional multivariate metrics such as the information theoretic concept of synergy S[TF; t; M]=1[TF; t; M]−1[TF; t]−1[TF; M] is planned. By replacing the CMI with synergy one can remove the limitation that only modulators that are statistically independent of the TF are inferred by MINDy. Since modulators and TFs can be part of regulatory loops that affect their expression in coordinated fashion, this can also lead to discovery of additional modulators.


Experimental Determination of the Combinatorial Mode of Action of the Mesenchymal TFs in Human Glioma.


Yeast assays have shown that deletion of a TF affects only a relatively modest subset of targets and fails to dramatically affect cell physiology (24; herein incorporated by reference in its entirety). Without being bound by theory, combinatorial regulation by multiple TFs can be more specific and effective in activating and suppressing specific genetic programs in the cell. Coherent FF loops, where two TFs share the same targets and one regulates the other, are well-investigated models to implement such redundant regulation logic. Several studies showed that coherent FF loops with an AND logic reduce transient noise in transcriptional regulation programs, since their targets are effectively regulated only through persistent signals. However, OR logic feed-forward loops can also compensate for the loss of a single TF. Thus, it is important to address the role of the regulatory motifs within the inferred MRM to discriminate their ability to filter transient noise from that of providing transcriptional redundancy. Specifically, one behavior is associated with synergistic control (i.e. both TFs are required for target regulation) while the other is associated with additive (i.e. compensatory) control (one TF compensates for the other but the effect is stronger in combination). Discriminating between these two “regulatory logics” is important to understand disease etiology and determine appropriate therapeutic targets.


In EXAMPLE 2, it was shown that at least 80% of the regulatory regions of the genes predicted as first neighbor of the mesenchymal TFs by the ARACNe network are physically bound by the corresponding TFs (FIG. 3). However, individual binding assays fail to characterize the complexity of the regulatory region upstream of a gene providing only a lower-bound on the actual TF binding activity. Thus, the full scope of the direct regulatory activity of the mesenchymal TFs for the mesenchymal subnetwork can only emerge from genome-wide ChIP assays (ChIP-on-Chip). Since preliminary data indicate that Stat3 and C/EBPβ, are both necessary and sufficient to induce the mesenchymal signature genes, one can obtain high-resolution maps of their genome-wide chromatin interactions by ChIP-on-Chip analysis.


The ChIP-on-chip Significance Analysis (CSA), a method for ChIP-Chip data analysis, was recently described, which significantly improves specificity and sensitivity (57; herein incorporated by reference in its entirety). For this reason, CSA is suited to identify regulatory program overlap of multiple TFs. CSA was used to demonstrate that 93% of NOTCH1 bound promoter also bound MYC (57; herein incorporated by reference in its entirety). This cannot be possible with methods yielding higher false negative rates. This analysis will provide a set of targets bound by both TFs, which can be interrogated in functional assays for synergistic vs. additive regulatory control. Individual TF-DNA complexes will be immunoprecipitated from the human “mesenchymal” glioma cell line SNB75 (FIG. 2) and hybridize global tiled arrays (Agilent Technologies) covering promoter regions of annotated human genes (approx. 17,000 genes). DNA microarrays contain 60-mer oligonucleotide probes covering the region from −8 kb to +2 kb relative to the transcription start sites for annotated human genes. This analysis will allow determination of the full set of Stat3 and C/EBPβ-occupied genes in human glioma cells, as well as their overlap. Consequently, one will be able to determine whether, as predicted by original computational analysis, the promoters of the 136 mesenchymal signature genes are enriched among the Stat3-C/EBPβ-occupied promoters in the genome. Although some TFs regulate genes from distances greater than 8 kb, 98% of known binding sites for human TFs occur within 8 kb of target genes. For these assays state-of-the-art ChIP-on-Chip protocols and DNA microarray technology that are known to minimize false positive rates will be used (12, 70; each herein incorporated by reference in its entirety). Most of the initial ChIP-on-Chip experiments used genomic arrays comprised of PCR products that only allowed crude mapping of binding sites and often resulted in lower quality results. The more recent experimental platforms for these assays use oligonucleotide tiling arrays that allow far higher resolution mapping of the binding regions by covering the region where an interaction can be detected with multiple independent probes, thus reducing both false positives and false negatives.


Biochemical and Computational Analysis


ChIP and ChIP-on-Chip experiments will be done according to the protocols recently described (31, 41, 57, 70; each herein incorporated by reference in its entirety). Bound genomic regions will be identified using CSA, which has been shown to produce a 10-fold increase in biochemically validated bound sites (57; each herein incorporated by reference in its entirety). For example, a global, genome-wide analysis can exhaustively determine the full set of Stat3 and C/EBPβ-bound promoters and establish whether the promoters of the 136 mesenchymal signature genes are enriched among the Stat3-C/EBPβ-occupied promoters. Therefore, the ChIP-on-Chip experiments will be expanded to a global, genome-wide scale. Chromatin immunoprecipitation products will be hybridized onto tiled arrays (commercially available from Agilent Technologies) covering promoter regions of annotated human genes (approx. 17,000 genes). A method that significantly improves ChIP-Chip analysis (ChIP-Chip Significance Analysis, CSA) will be carried out (57; each herein incorporated by reference in its entirety). CSA was used to show the almost perfect overlap between promoters binding NOTCH1 and MYC (93% of NOTCH1 binding promoters also bind MYC). Because of its very low false negative and false positive rate, CSA is uniquely suited to show the overlap between Stat3- and C/EBPβ-bound promoters.


Briefly, this approach generates a much more realistic null hypothesis for ChIP-Chip data by modeling the IP/WCE ratio (IP=Immunoprecipitated protein channel, WCE=whole cell extract channel) for unbound sites. This is done by fitting a non-parametric probability density to the left tail of the IP/WCE distribution, which is essentially not-affected by DNA binding events, and using it to extrapolate the right tail of the distribution to obtain a realistic p-value for rejecting the null-hypothesis. The approach has led to the identification of almost perfectly overlapping transcriptional programs, such as those of the Notch1 and MYC TFs in T cells, overlapping on 1,668 of the 1,804 genes bound by Notch1 (92.5%, p-value=3.6×10−12). As a result, it will be useful to determine the true extent and identity of the Stat3 and C/EBP target overlap. It will also provide high-accuracy bound sites that can be interrogated using a variety of DNA binding site analysis tools, such as DME (84-87; each herein incorporated by reference in its entirety) to identify known TFs whose DNA-binding profiles matches are enriched in the bound vs. unbound fragment as well as to discover new DNA-binding profiles de novo. Both approaches will be used to fully characterize the cis-regulatory modules that support the combinatorial regulation of the targets by multiple TFs and to infer synergistic TF interactions. The Promoclust tool (88; herein incorporated by reference in its entirety), which uses permutation pattern discovery across orthologous regulatory sequences in related organisms, will be performed to identify conserved cis-regulatory motifs comprising multiple DNA binding sites. This method will be applied to the analysis of the MGES genes to identify specific regions where TFs, including Stat3 and C/EBPβ can interact. This will identify the sites mediating possible synergistic regulation by TF-complexes. Validation of promoter occupancy will be performed by quantitative PCR analysis of IP and their corresponding WCE as described in recent publications (57, 70; each herein incorporated by reference in its entirety).


Combinatorial Regulation


As previously shown, ARACNe inferred targets of the MRM TFs are highly overlapping (see Table I). Without being bound by theory, some of the MRM TFs can form transcriptional complexes supporting a combinatorial logic. To test this possibility immunoprecipitation assays for each individual TF followed by Western blot for any of the other candidate synergistic TFs identified by ARACNe or by the cis-regulatory module analysis will be performed. For most of the currently identified MRM TFs (Stat3, C/EBPβ, bHLHB2, and FosL2), antibodies are available and were validated in the ChIP assays shown in FIG. 3. For additional MRM TFs, including those emerging from the additional ARACNe and cis-regulatory module analysis, appropriate antibodies will be identified, when available, and identical testing will be performed. Positive results will be further investigated by testing whether any of the candidate interaction occurs directly through in vitro experiments in which one of the two TF, expressed as a GST-fusion protein, will be interrogated for its ability to capture the candidate interacting factors that had been synthesized from a rabbit reticulocyte lysate. Without being bound by theory, an interaction between an activator TF and a repressor TF can function to restrain the activity of the activator TF bound to the DNA regulatory region of the mesenchymal promoters. Overexpression and silencing experiments of the genes coding for the TFs will interrogate the functional consequences of TF-TF interactions for the expression of selected mesenchymal genes and/or the entire MGES.


Stat3 and C/EBPβ as Targets to Impair Brain Tumor Formation.


It has been shown that constitutive expression of Stat3 and C/EBPβ induces the MGES in NSCs and confers them the ability to develop tumors (FIGS. 5-6). These findings establish that Stat3 and C/EBPβ are sufficient to promote mesenchymal transformation of NSCs. However, the ultimate goal is to exploit the computationally inferred MRs as invaluable targets for therapeutic intervention in malignant glioma. Without being bound by theory, functional inactivation of the drivers of MGES in glioma collapse not only the gene expression signature but also the phenotypic hallmarks endowed by the signature, namely glioma tumor aggressiveness. This will be tested in GBM-BTSCs, a cellular system modeling human GBM in vitro and in vivo. Thus, Stat3 and C/EBPβ will be depleted using a tetracycline regulatable lentiviral system (94; herein incorporated by reference in its entirety) and the functional consequences of loss of Stat3 and C/EBPβ in GBM-BTSCs will be explored. Two assays—one determining the percentage of clone-forming neural precursors (clonogenic index) and the second assessing the expansion of neural stem cell pool by growth kinetics analysis—will be used to determine the consequences of Stat3 and C/EBPβ silencing on self renewal of GBM-BTSCs.


Next, the expression of CD133, a marker enriched in normal and tumor stem cells of the nervous system will be measured. Without being bound by theory, silencing of Stat3 and C/EBPβ will limit stem cell behavior of GBM-BTSCs. Possible outcomes of silencing of Stat3 and C/EBPβ in GBM-BTSCs are growth arrest associated with differentiation along one or multiple neural lineages or apoptosis. Therefore, the expression of specific markers for the neuronal, astroglial and oligodendroglial lineage will be determined, proliferation rate will be measured by immunostaining for BrdU and apoptotic response will be tested by Tunel assay and Annexin V immunostaining. In order to obtain statistically relevant results in vitro experiments will be conducted in at least five independent GBM-BTSCs lines. The effects of Stat3 and C/EBPβ silencing on the tumor initiating capacity of GBM-BTSCs will be tested in vivo by the transplantation of GBM-BTSCs into the mouse brain. Transplantation of GBM-BTSCs into the brain of immunodeficient mice generates highly aggressive tumors displaying each of the phenotypic hallmarks of human GBM (proliferation, anaplasia, tumor angiogenesis, necrosis, formation of pseudopalisades). Consistent with the notion that lentiviruses efficiently transduce neural precursors (94; herein incorporated by reference in its entirety), infection of more than 90% of GBM-BTSCs cultures is routinely obtained. For silencing experiments, a small hairpin RNA expression cassette targeting endogenous Stat3 and C/EBPβ (H1-Stat3 shRNA or H1-C/EBPβ shRNA) is inserted downstream of the tetO sequence. The advantages of this design in a single vector is tight tet-dependent regulation of either the transgene or the shRNA, a fast on to off or off to on kinetics and high levels of drug responsiveness (94; herein incorporated by reference in its entirety). Moreover, the conditional knockdown of the selected endogenous gene is mirrored by the expression of GFP by the transduced cells, thus facilitating monitoring.


Transduction of GBM-BTSCs with lentiviruses will be performed following protocols established in the past for lentivirus-mediated transduction of NSCs and routinely used in our laboratory (11, 16; each herein incorporated by reference in its entirety). The key aspect of GBM-BTSCs cultures is the ability of such cells to maintain their stem cell state when grown as neurospheres in serum-free medium containing EGF and bFGF. To initiate exit from the stem cell state and promote differentiation, single cell suspensions will be cultured in the absence of serum and growth factors and allowed to adhere onto Matrigel-coated glass coverslips. To analyze differentiation, cells will be fixed in 4% paraformaldeyde and processed for immunofluorescence of neural antigens. To evaluate tumorigenicity in the brain, lentivirally transduced BTSC will be orthotopically transplanted following washing and resuspension in PBS at the concentration of 106 cells per ml (injection volume: 10 μl).


To activate the expression of Stat3 and C/EBPβ shRNA, mice will be treated by oral doxicyclin. Ten mice per group will be injected and survival analysis will be established by Kaplan-Meyer Longrank test. Without being bound by theory, inactivation of mesenchymal TFs impairs tumor formation and/or decreases migration and angiogenic capability. Similar experiments will be performed to ask whether enforced expression of ZNF238 synergizes with silencing of positive TFs to trigger the collapse of the MGES and suppresses the biological attributes of glioma aggressiveness that are linked to this signature.


Example 4
To Elucidate the Mechanism of ZNF238 Silencing in High-Grade Glioma and Test the Role of ZNF238 Gene Loss in Gliomagenesis in the Mouse

Somatic mutations affecting large TF hubs, controlling a large number of targets, have been shown to be associated with cancer (26; herein incorporated by reference in its entirety). Loss of multiple components and dysregulated expression and/or activity of key oncogenes and tumor suppressor genes occur in most forms of cancer. ZNF238 is the only large TF hub that emerged from the ARACNe analysis of GBM microarray collection as a candidate repressor of the MGES. We found that ZNF238 mRNA is markedly expressed in normal brain but undetectable in GBM (FIG. 2). Similar patterns of expression of ZNF238 mRNA from an independent set of normal brain vs. GBM samples available from the Oncomine database were detected (FIG. 9). Furthermore, ZNF238 can play important roles for differentiation of neural cells in the brain (8). ZNF238 codes for a 522-amino acid protein (also called RP58) that contains a N-terminal POZ domain displaying homology with the POZ domain of Bcl-6 and four sets of Kruppel-type C2H2 zinc fingers. It associates with condensed chromatin where it recruits the Dnmt3a DNA methyltransferase and is thought to function as a DNA-binding protein with transcriptional repression activity (2, 23; each herein incorporated by reference in its entirety).


Given the high degree of connectivity in the ARACNe inferred network between ZNF238 and the MGES targets and the significant target overlap between ZNF238 and the positively acting mesenchymal TFs, loss of ZNF238 expression and/or activity is essential to release the normal constrains imposed on the regulatory regions of the MGES genes. Without being bound by theory, loss of ZNF238 in GBM compared to normal brain indicates that loss of ZNF238 is a necessary step in tumor progression. However, the computational and expression data cannot discriminate whether loss of ZNF238 is sufficient or concurrent overexpression of Stat3 and C/EBPβ is also needed to initiate glial tumorigenesis along the mesenchymal phenotype. To test this, the expression of ZNF238 between tumors derived from Stat3-C/EBPβ-expressing NSCs and the same cells cultured in vitro by qRT-PCR as been compared. Interestingly, ZNF238 was markedly down-regulated in the tumor cells in vivo (FIG. 10). This finding raises the intriguing possibility that cells expressing Stat3 and C/EBPβ require ablation of ZNF238 before they emerge into tumors. Furthermore, siRNA-mediated knockdown of ZNF238 in NSCs expressing Stat3 and C/EBPβ led to significant up-regulation of mesenchymal signature genes, thus providing further validation to our finding that ZNF238 is a powerful repressor of the MGES (FIG. 11). Interestingly, the gene encoding ZNF238 maps to chromosome 1q44, a region that is sporadically deleted in human brain tumors (8; herein incorporated by reference in its entirety).


In summary, the ZNF238 gene in NSCs expressing Stat3 and C/EBPβ has been knocked down, and decrease of ZNF238 derepresses the expression of selected mesenchymal signature genes has been shown (Serpinel, PLAUR, Col4A1, see FIG. 11). These findings validate that ZNF238 operates as repressor of mesenchymal signature genes. To further validate that ZNF238 operates as a new tumor suppressor gene in brain tumors, it is shown that: i) ZNF238 is markedly down-regulated in the tumors derived from Stat3-C/EBPβ expressing NSCs (FIG. 10); ii) From the analysis of an independent set of glioblastoma multiforme samples from the Oncomine database for the expression of ZNF238, it was discovered that these human tumors display a significantly reduced expression of ZNF238, when compared with the expression of ZNF238 in normal brain (FIG. 9). Taken together, the new data functionally validate the notion that ZNF238 is a transcriptional repressor of mesenchymal signature genes and strengthen the rationale for the generation of the conditional knockout mouse of ZNF238 in the neural tissue. The systems described herein determine whether ZNF238 is a true tumor suppressor gene for neural tumors and whether it functions to repress the expression of the mesenchymal signature in vivo.


In this example, whether ZNF238 is required to restrain the activity of the MGES in the brain will be examined and whether loss of ZNF238 is a tumor-initiating event in neural cells will be asked. The mechanism(s) of ZNF238 loss in primary glial tumors will be identified through an integrated search of genetic and epigenetic alterations. The specific requirement for ZNF238 in the suppression of malignant transformation will be examined by ablating ZNF238 in the mouse brain. Once generated, ZNF238 mutant mice will be used to ask whether loss of ZNF238 is gliomagenic per se or requires collaborating lesions and evaluate whether concurrent overexpression of ZNF238 target genes contributes to tumor formation. Specifically, whether loss of ZNF238 expression leads to overexpression of the other TFs in the MRM, whether the opposite is true, or whether the two events are independent and both required for oncogenesis will be determined. Finally, GEPs of genetically distinct tumors and cross-species comparisons will be assembled to identify the genetic components necessary to reconstruct the human GBM mesenchymal signature in the mouse. Final outcome of the study will be to establish brain tumor models in which we will test the vulnerability to multi-target intervention strategies. As for Stat3 and C/EBPβ, the HGCM, HGEP1, and HGEP2 dataset will be used to create a repertoire of ZNF238 co-factors and upstream regulators, using the same methodology discussed in EXAMPLES 2-3.


ZNF238 as a tumor suppressor gene in high-grade glioma. Different genetic and/or epigenetic mechanisms can operate, alone or in combination, to silence ZNF238 gene expression in malignant glioma. First and foremost, the ZNF238 gene can be targeted by direct genetic alterations (deletion, recombination such as internal duplication or translocation and mutation). These alterations can specifically target the ZNF238 gene (e.g. point mutations) or be broad and involve also adjacent loci. Furthermore, they can cooperate with other epigenetic alterations to effectively silence the two ZNF238 alleles. A prior analysis of the genetic platforms available from the ATLAS TCGA network did not identify major rearrangements in the ZNF238 locus. However, focal alterations of the ZNF238 gene can only be excluded after complete resequencing of the corresponding genetic locus in a significant number of brain tumors samples. Furthermore, it is recognized that, in the absence of changes in the coding region, genetic alterations in the ZNF238 regulatory region (promoter) can knock out a crucial enhancer activity for ZNF238 mRNA expression in the nervous system. Therefore, beside the analysis of the ZNF238 coding region, the analysis will have to include the full ZNF238 promoter. The relevance of ZNF238 promoter targeting in brain tumors is underscored by the preliminary finding that the ZNF238 promoter is aberrantly methylated in glioma cells (FIG. 12).


Promoter methylation is a frequent mechanism for inactivation of tumor suppressor genes in human tumors and it will be explored in the next paragraph. Here, whether the ZNF238 promoter and/or its coding sequence are targets for broad or focal alterations in malignant brain tumors by double strand sequencing of tumor DNA is considered. The availability of 200 frozen GBM specimens harvested from anonymous donors and stored in the brain tumor bank of the Columbia Cancer Center Tissue Bank will be taken advantage of. The ZNF238 gene in the 18 human glioma cell lines available in the laboratory will be sequenced. The entire ZNF238 promoter (4,000 by upstream of the transcription start site) and coding region from genomic DNA derived from 200 GBM specimens will be sequenced. The primer pairs required for successful PCR amplification followed by direct double-strand sequencing coverage have been validated. Functional experiments will validate the significance of any ZNF238 mutation identified in the sequencing screen. The type of genetic mutation that will be detected in brain tumors can immediately direct one towards the functional consequences produced by that genetic event. However, subtle mutations in putative TF-binding sites in the ZNF238 promoter (e.g. point mutations) are detected, experiments will be designed to establish the consequences of the mutation on ZNF238 promoter activity by using luciferase-reporter assays. The assays will be conducted by preparing plasmid constructs in which the wild type ZNF238 promoter and the corresponding mutant(s) will be placed in front of a luciferase reporter gene. This system allows accurate quantitation of promoter activity and is ideally suited to identify the partial reduction of ZNF238 promoter activity that can be associated with certain mutations in TF-binding sites. Execution and evaluation of promoter-luciferase assays have been shown (31, 41; each herein incorporated by reference in its entirety). An alternative/complementary mechanism to the direct genetic inactivation of ZNF238 can include genetic/epigenetic targeting of upstream regulators of ZNF238. ARACNe can be used to infer TFs that are candidate upstream regulators of ZNF238, as described in EXAMPLE 3. A similar experimental plan will be implemented to search for alterations in the genes coding for these modulators. The availability of the ATLAS TCGA genetic platforms will be instrumental to identify/exclude major rearrangements.


Analysis of Promoter Methylation of ZNF238.


Computational and expression predictions converged towards the identification of a highly vulnerable structure of the regulatory region controlling ZNF238 expression. The ZNF238 promoter/enhancer is unusually rich in evolutionarily conserved CpG islands (FIG. 12A), which are targeted by DNA methyltransferases leading to gene expression silencing. Methylation of regulatory DNA regions is a common mechanism in human cancer and is implicated in the constitutive silencing of tumor suppressor genes in malignant glioma (109; herein incorporated by reference in its entirety). Thus, whether promoter methylation induces silencing of ZNF238 was considered. Pharmacological inhibition of methylation with an inhibitor of DNA methyltransferases (5-Azacytidine) elevated the expression of ZNF238 mRNA in the T98G glioma cell line (FIG. 12B) and repressed the expression of SerpineH1 and CH3IRL1 (FIG. 12C), two mesenchymal genes predicted as ZNF238 targets by ARACNe (FIG. 1). These results indicate that the aberrant methylation of the ZNF238 promoter can account for silencing of ZNF238 expression in primary GBM.


The extent by which the ZNF238 promoter is aberrantly methylated in the collection of 200 human GBM will be determined. Methylation status of the promoter regions of ZNF238 will be analyzed by matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) of PCR-amplified, bisulfate-modified high grade glioma DNA, as previously described (Sequenom, San Diego, Calif.) (19, 89; each herein incorporated by reference in its entirety). This method allows semiquantitative, high-throughput analysis of methylation status of multiple CpG units in each amplicon generated by base specific cleavage. The PCR product is cleaved U specifically. A methylated template carries a conserved cytosine, and, hence, the reverse transcript of the PCR product contains CG sequences. In an unmethylated template, the cytosine is converted to uracil. The reverse transcript of the PCR product therefore contains adenosines in the respective positions. The sequence changes from G to A yield 16-Da mass shifts. The spectrum can be analyzed for the presence/absence of mass signals to determine which CpGs in the template sequence are methylated, and the ratio of the peak areas of corresponding mass signals can be used to estimate the relative methylation. This assay enables the analysis of mixtures without cloning the PCR products.


The ZNF238 gene contains a large CpG island of approximately 2 kB that lies upstream of the coding region. Four independent amplicons that cover the entire region (#1, −3576 to −2894; #2, −2878 to −1643; #3, −1619 to −1416; #4, −1197 to −1090) will be analyzed. Methylation data will be viewed in GeneMaths XT v 1.5 (Applied Maths, Austin, Tex.). Similar approaches will be used to investigate co-factors and upstream regulators of ZNF238 that can emerge from the ARACNe analysis. Studies of the mechanisms of inactivation of tumor suppressor genes in primary tumors have been described (15, 32, 69; each herein incorporated by reference in its entirety) and, depending on the outcomes of the initial experiments, specific experimental strategies will be designed to validate the significance of genetic and/or epigenetic inactivation of ZNF238 in GBM and of any additional negative regulator of the mesenchymal signature genes emerging from the analysis.


Analysis of the Functional Effects of ZNF238 Expression in Glioma Cells.


A fundamental assay to test whether a gene has tumor suppressor function is its ability to inhibit tumor growth when re-introduced in cancer cells. Thus, whether ZNF238 fits this criteria will be evaluated by re-expressing the ZNF238 gene in the human glioma cell lines that lack endogenous expression of ZNF238. Through the use of a tetracycline-inducible system, the impact of ZNF238 expression for the MGES will be evaluated and the following functional experiments will be performed: i. Evaluate the effect of ectopic ZNF238 expression on cell proliferation in the glioma cell lines SNB75, T98G and SNB19. Like primary GBM, none of the three cell lines express detectable amounts of ZNF238 mRNA (FIG. 2). The effects of ZNF238 expression for proliferation will be tested by colony assays, cell counting, BrdU incorporation and FACS analyses; ii. Ask whether reconstitution of ZNF238 expression in glioma cells perturbs the ability to migrate and invade through the extracellular matrix using the in vitro and in vivo assays shown in FIGS. 5-6. These are the major phenotypic features of the MGES and similar experiments will also be done in the context of concurrent silencing of one or more of the positively connected “mesenchymal TFs.” Any additional key tumor suppressor gene candidate, emerging from the computational analysis, will be tested using similar approaches. In case a hierarchical control structure emerges from the analysis, one can start by validating the genes that are most upstream in the regulatory logic.


Generation of Mice Carrying a Conditional Mutant Allele of ZNF238.


Although in vitro experiments can provide valuable insights, the validation of ZNF238 as repressor of the MGES and glioma tumor suppressor gene comes from the genetic analysis of ZNF238 function in vivo. Therefore, one can develop a ZNF238 allele (ZNF238Flox) that contains LoxP sites flanking exons 1 of the mouse ZNF238 gene (FIG. 13). Exon 1, which contains the entire ZNF238 coding sequence, is deleted after expression of Cre recombinase to generate a ZNF238 null allele. Once the appropriate constructs have been generated and sequence verified, the final targeting vector is electroporated into mouse embryonic stem cells (ES) and, after G418 selection, ES colonies will be screened for recombination events by Southern blotting and PCR. Appropriate clones will be used to generate chimeric mice by microinjection into C57BL/6 blastocysts. F1 animals will be screened for germ line transmission of the mutant ZNF238 allele by tail-DNA genotyping. This will involve direct sequence of PCR products as well as southern blotting to demonstrate ablation of ZNF238. The primary focus will be to establish the function of ZNF238 in the nervous system. To achieve specific inactivation of the ZNF238 in the nervous system, ZNF238Flox mice will be crossed with the GFAP-Cre deleter strains to generate GFAP-ZNF238Flox. GFAP-Cre mouse strains are already available in our facility. Conditional knockout mouse models have recently been generated for three different genes (Id2, Id1 and Huwe1) and one is fully equipped to generate this new genetically modified mouse. Other mouse tumor models based on Cre-mediated recombination have been generated and tested (51, 52; each herein incorporated by reference in its entirety).


Analysis of GFAP-ZNF238 Conditional Mutant Mice to Address the Role of ZNF238 Loss in Tumor Development in the Brain.


The GFAP promoter is active in most embryonic radial glial cells that exhibit neural progenitor cells properties and mature astrocytes (53, 54, 67, 112; each herein incorporated by reference in its entirety). Early onset of the activity of the GFAP promoter in progenitor cells leads to Cre-mediated recombination in early neural cells as well as their progeny, including a large array of neural stem/progenitor cells in the sub-ventricular zone of the adult mouse as well as in mature neurons, astrocytes oligodendrocytes and cerebellar granule neurons (53, 54, 59, 62, 97, 112; each herein incorporated by reference in its entirety). One can compare the tumor initiating potential of ZNF238 loss with or without mutation in tumor suppressor gene NF1. The choice is based on the following data: 1) Individuals afflicted with neurofibromatosis type 1 (NF1) are predisposed to malignant astrocytoma in the brain (80; herein incorporated by reference in its entirety), and 2) Mice carrying NF1 loss in the GFAP-positive compartment in the brain (GFAP-Cre; Nf1 flox/flox) exhibit increased numbers of brain and optic nerve astrocytes, but they do not develop gliomas (5; herein incorporated by reference in its entirety). Therefore, they represent a model system to identify a specific role for loss of ZNF238 in transformation of neural cells. Nf1 flox mice are available through the NCI Mouse Models of Human Cancer Consortium. Additionally, one can consider other candidate oncogenes and tumor suppressor genes emerging from the MGES transcriptional program modeling effort described earlier.


ZNF238Flox mice will be crossed with hemizygous GFAP-cre transgenic mice (38; herein incorporated by reference in its entirety), generating GFAP-ZNF238Flox mice and then bred to appropriate strains to yield GFAP-ZNF238Flox; Nf1Flox/Flox progeny for the analysis. Genotyping of ZNF238 and NF1 alleles will be performed by PCR. Offspring with conditional mutation of ZNF238 will be examined for neural defects. If the ZNF238 mutant mice develop differentiation and/or proliferation abnormalities, one can use gene expression microarray to determine whether such abnormalities are sustained by deregulated activity of the MGES in vivo.


One can determine the kinetics of tumor formation by daily clinical examination and serial pathology. Adult mice will be monitored for development of tumor associated signs and sacrificed appropriately. Tumor tissue will be isolated, fixed for immunostaining and frozen for DNA/RNA/protein analysis. Tumor latency, penetrance and histopathological features will be monitored. Pathological examination will include, H&E for morphology, BrdU for proliferative index, and Tunel for apoptotic rates. Immunohistochemical marker analysis for GFAP, NeuN and Synaptophysin will be used to confirm or rule out glial or neuronal lineage of the tumor, respectively. Further characterization will include Nestin immunohistochemistry to uncover NSCs and early glial progenitors. Whenever possible, cell lines will be derived from tumors for biochemical analysis or explant studies. A key objective of the studies is to perform a transcriptomic microarray analysis of the tumor samples to generate a map of the mesenchymal signature in different biological states. To determine the extent to which mouse cancers express the GBM mesenchymal signature in a manner resembling the human tumors, the genes in the GBM mesenchymal signature will be used to cluster the mouse tumor data set hierarchically.


To determine whether there is hierarchical causal function of the mesenchymal TFs for tumor formation in a ZNF238-null background, the genes coding for each mesenchymal TF will be ectopically expressed either individually or in combination by in vivo electroporation of retroviral vectors. The requirement of these same genes will be tested by stably decreasing their expression in vivo with short-hairpin RNA-mediated interference (RNAi) lentivirus. Lentiviral and retroviral vectors for gene expression or silencing that co-express GFP are routinely used. These vectors will allow one to track infected cells. Tumors will be examined for histology and gene expression profiling. Collectively, results from these experiments will reconstruct in vivo the mode of cooperation of ZNF238 with the mesenchymal TFs for MGES expression and brain tumor formation.


Without being bound by theory, GFAP-ZNF238LoxP mice will develop proliferative alterations in the brain and loss of NF1 accelerates tumor formation and/or increase malignancy. It has been shown that the only proliferating cells in the adult mouse brain are those in the SVZ (18; herein incorporated by reference in its entirety). Therefore, this extremely low background will permit a sensitive survey of the brain for proliferating cells by BrdU incorporation. Further analysis of the regulatory control responsible for differentiating ZNF238 knock-out mice expression from expression in high grade glioma can provide additional insight on key co-factor of this TF required for oncogenesis.


Example 5
To Computationally Identify and Biochemically Validate “Druggable” Proteins and Co-Factors that Modulate the Mesenchymal Signature in GBM

Without being bound by theory, MGES genes will be dysregulated by several processes, including epigenetic silencing, gene copy number alterations, regulation by additional TFs missed by the preliminary analysis, and genetic/epigenetic alterations of regulators upstream of the identified regulatory module. For the latter, one can especially focus on modulators upstream of Stat3, C/EBPβ and ZNF238. For instance, to become transcriptionally competent, Stat3 must be converted to its active form by tyrosine kinase-mediated phosphorylation events (21, 34; each herein incorporated by reference in its entirety). Thus, targeting some of the kinases in this pathway can suppress Stat3 phosphorylation, ablating its transcriptional activity.


In this example, one can (a) investigate complementary approaches to identify candidate pharmacological targets and compounds for MGES silencing and (b) validate their ability to reduce the aggressive phenotype of high-grade gliomas. A first more “targeted” approach will investigate specific upstream modulators of Stat3, C/EBP, ZNF238, and other MGES MRs from EXAMPLES 2-4. The second approach will use the High-grade Glioma Connectivity map (HGCM) to investigate druggable proteins as candidate MGES modulators. Druggable proteins will be identified using the Druggable Genome database (30; herein incorporated by reference in its entirety). Candidate targets will first be prioritized and screened in silico and then tested in vitro using siRNA silencing assays. The targets emerging from this analysis will also be tested for synergism to model the combinatorial regulation of the MGES. Finally, one can use several computational, literature-based, and experimental approaches to identify compounds that can target the MGES modulators identified by this analysis and test them in vitro and in vivo for the ability to block glioma cell proliferation and invasion.


Targeted approach. One can start with a collection of (a) MINDy inferred candidate modulators of the MGES regulatory module's TFs (see EXAMPLE 3) and (b) candidate MRs of the MGES genes inferred by the regulon*-based MRA (see EXAMPLE 3). Inferred modulators will be first filtered, using the Druggable Genome database (30; herein incorporated by reference in its entirety), to identify Candidate Pharmacological Targets (CPT) and associated compounds. In the MYC modulator analysis, ˜50% of the 30 highest-confidence MINDy inferred modulators were bona fide MYC modulators in vitro (101, 102; each herein incorporated by reference in its entirety). This is a lower bound, because the untested genes can include additional modulators. One can use the statistics defined in Ref. 101, 102 (each herein incorporated by reference in its entirety) to identify high-confidence candidate modulators of the MGES MRs and appropriate statistics will be developed to infer equally high-confidence candidate MGES MRs using the regulon*-based approach.


Validation will proceed in two steps and will be used to inform the “unbiased” approach described herein. Modulators will be divided in two categories, depending on biological activity. TF activators will include genes that increase the TF's transcriptional activity while antagonists will include genes that repress it. Since most drugs act as substrate inhibitors, only activators of the MGES positive regulators (e.g. Stat3 and C/EBPβ) and antagonists of MGES negative regulators (e.g. ZNF238) will be considered. Similarly, for genes inferred by modulon-analysis, only MGES activators will be considered, such that their chemical inhibition can result in down-regulation of the signature. Based on previous analyses, and without being bound by theory, about 30-50 candidate targets could emerge from this analysis. One can use a two-step screening approach to minimize cost and maximize changes for correct target identification. In the first phase, one can pool siRNAs directed against three sequences to silence each one of the candidate targets and can perform qRT-PCR to validate suppression of the corresponding target mRNA. Samples showing substantial (>70%) reduction in mRNA level will be hybridized to Illumina arrays in duplicates. One can then compute the GSEA enrichment of differentially expressed genes against the MGES to determine the contribution of silencing candidate targets to MGES abrogation. Furthermore, use of two replicates can provide adequate power to test enrichment of a large TF signature, including 50 to several hundred targets. Without being bound by theory, a smaller number of candidate modulators will show significant repression of the MGES. These will be validated using the individual siRNAs in the pool and additional siRNAs, if available, to exclude possible off-target effects. Specifically, one can test that siRNAs that induce silencing of the target modulator will show a consistent repression of the MGES. Finally, one can test the effect of compounds that are reported in the database as active on specific targets emerging from this analysis.


Unbiased Approach.


The availability of the HGCM from EXAMPLES 2 and 3 will inform approaches tested in the MCF7 breast cancer cell line (48; herein incorporated by reference in its entirety). A key advantage of this approach is that candidate druggable targets will be tested directly against the MGES, without requiring interaction map inference. Thus, it can provide targets whose connectivity can not have been appropriately reconstructed by ARACNe or MINDy. FIG. 14 illustrates the process for one candidate druggable target gene. This will be repeated exhaustively for every candidate gene.


For example, if gDT is a CPT in the druggable genome database (30; herein incorporated by reference in its entirety), the following steps will determine if gDT is a candidate MGES activator and thus a candidate target for pharmacological inhibition:


Step 1.


One can first rank-sort the profiles in the HGCM according to the expression of gDT. Since perturbation assays were performed on a single cell line, modulation of gDT can be, on average, the dominant effect, i.e., induced by the chemical perturbation rather than by phenotypic assay variability. The first N profiles will thus represent assays where the perturbation induced transcriptional repression of gDT. This can be called the G↓DT set. Conversely, the last N profiles will represent assays where the perturbation induced transcriptional activation of gDT. This second set can be called the G↑DT set.


Step 2.


One can then assemble a list L of genes ranked according to the t-test statistics computed between the G↓DT and G↑DT sets. N can be chosen to be large enough so that gDT-independent processes are averaged out over the N samples, akin to mean field theory approaches in physics, yet small enough so that average expression of gDT is statistically different. This is similar to the corresponding set selection in MINDy (see EXAMPLES 2-3; where we show that choosing N to be about ⅓ of the total profile population produces optimal results). In this case, since true positive (TP) and false positive (FP) modulators biochemically validated will be available, one can select N such that it produces optimal recall and precision. One can compare the analytically and empirically derived values.


Step 3.


One can finally measure the MGES gene enrichment against differentially expressed genes in L, using the GSEA method. This allows one to treat the two sets, G↓DT and G↑DT, as “virtual” gDT perturbations and the list L as the specific signature that results from that perturbation. In FIG. 14, genes that are activated in the MGES are shown as short, blue, vertical lines. Repressed genes are shown as short, red, vertical lines. GSEA analysis will pinpoint gDT selections that will respectively enrich the blue genes among genes that are upregulated in G↑DT and enrich red genes among genes that are downregulated in G↓DT. This approach was used preliminarily to test which druggable genes induce apoptosis in MCF7 cells using published connectivity map data (40; herein incorporated by reference in its entirety). It was shown that known apoptosis inducing genes, such as the heat shock protein HSP38, were highly enriched among the top modulators inferred by the approach. Furthermore, testing of 8 high-ranking genes not previously associated with apoptosis, using known chemical inhibitors, identified two compounds that induce apoptosis in vitro with IC50 in the high-nanomolar to low micromolar regimens.


Apoptosis as a consequence of MGES Silencing.


While MGES recapitulates the hallmark of aggressive high-grade glioma, MGES genes are not completely overlapping with the genes that are differentially expressed upon co-silencing of Stat3 and C/EBPβ in GBM-BTSCs. As shown in FIG. 15, such co-silencing produces a markedly apoptotic phenotype, as demonstrated by immunostaining for caspase 3, which can recapitulate tumor oncogene-addiction properties (104; herein incorporated by reference in its entirety). Thus, the analysis of co-silencing of Stat3 and C/EBPβ versus vector transduced controls, will allow one to generate a differential expression signature, distinct from the MGES signature, which will recapitulate the specific effects of knockdown of Stat3 and C/EBPβ in glioma cells. This signature will be used, in addition to the MGES signature, for analyses to identify additional candidate druggable targets that can implement the desired pro-apoptotic phenotype. It will also be used to test the accuracy and properties of the Master Regulator Analysis method (MRA). Without being bound by theory, MRA analysis can predict Stat3 and C/EBP as the MRs of the experimentally induced transformation event. This will allow one to explore alternative metrics for MR ranking purposes and validate the method.


Experimental Validation of MGES Modulators.


Once a repertoire of post-translational modulators of the MRM TFs is identified, they will be first prioritized and validated biochemically in this example and then their biological function will be examined. The repertoire of post-translational modulators will provide a context for the rapid identification of targets of therapeutic value for the suppression of the MGES.


Three distinct but highly integrated approaches will be used:


a) Constitutive and Inducible Expression of Individual Genes


Individual genes that appear to have a critical role in the regulation of MRM TFs will be tested for their ability to influence the regulation of the module through the tetracycline inducible lentiviral system described in EXAMPLE 3. This experimental system has been repeatedly validated with GBM-BTSCs.


b) Inhibition of Individual Gene Expression Via Lentivirus-Mediated shRNA Transduction


The use of shRNAs to inhibit the expression of target genes in transduced cells has been established as the method of choice for ablating the function of individual genes in somatic cells. In EXAMPLE 2, it is shown that shRNA-mediated gene silencing in GBM-BTSCs can be successfully achieved through lentiviral-mediated transduction (see for example the analysis of the effects of silencing Stat3 and C/EBPβ in GBM-BTSCs shown in FIG. 7).


One can use these experimental systems to examine whether i) overexpression of candidate activators of Stat3 and C/EBPβ in NSCs enhances mesenchymal and invasion phenotype in vitro as assayed by immunofluorescence for mesenchymal markers (e.g. SMA, fibronectin, YKL40) and invasion assay and is gliomagenic in vivo following stereotactic injection into the brain; ii) silencing of candidate modulators of Stat3 and C/EBPβ in GBM-BTSCs diminishes the expression of mesenchymal markers, decreases migration and invasion in vitro and inhibits the gliomagenic phenotype in vivo. Similar experiments will be performed to examine the effects of overexpression or silencing of candidate modulators of ZNF238.


c) Pharmacological Inhibition of Specific Targets


An increasing number of pharmacological inhibitors of specific proteins are becoming available. Although some of these inhibitors are not entirely specific for individual gene products, a sizable fraction is used with significant specificity. These pharmacological inhibitors will be very useful experimental tools for the blockage of specific targets and validation of their potential use as therapeutic targets in vivo.


Example 6
To Assemble a Human Glioma Interactome (HGi) Including Transcriptional, Signaling, and Complex-Formation Interactions

There are three main types of utilization: 1) one can make the Human Glioma interactome (HGi) available to the research community using the same geWorkbench infrastructure used for the Human B Cell interactome. This will allow the research community to interrogate the HGi to retrieve transcriptional and post-translational interactions for any gene of interest and to identify sub-networks in the HGi that are differentially regulated in various disease sub-phenotypes; 2) one can integrate the HGi with our master regulator analysis tools, also integrated in geWorkbench, to allow the analysis of master regulators of other phenotypes, E.g. low-grade/high-grade vs. normal, rather than high-grade vs. low-grade, which is the subject of this proposal; 3) by extending the IDEA algorithm, one can allow using the HGi as an integrative tool to combine diverse sources of evidence about genetic, epigenetic, and functional alterations to discover sub-networks that are dysregulated within specific sub-phenotypes of interest and to dissect the mechanism of actions of commonly used anti-cancer compounds in these cells.


Recent work has shown that context-specific interactomes can be effectively used as integrative tools to dissect mechanisms of differential regulation/dysregulation in normal and pathologic human phenotypes (49, 55; each herein incorporated by reference in its entirety). In this Example, one can assemble a computationally inferred, biochemically validated interactome for high-grade glioma and use it as a reference anchor to integrate the genetic, epigenetic, and functional data produced by different GBM-related studies. One can integrate data from the ATLAS/TCGA effort, including expression profiles, gene-copy number alterations, promoter hyper and hypo-methylation, and sequence. To assemble the HGi, one can extend the evidence integration methodology described in the attached Ref. 55 (herein incorporated by reference in its entirety). The HGi will include protein-DNA (PD) and protein-protein (PP) interactions specific to glioma cells. The latter include stable (i.e., same-complex) as well as transient (i.e., signaling) interactions. The HGi will be generated by applying a Naïve Bayes Classifier to integrate a large number of experimental and computational evidence.


Appropriate positive and negative “gold-standard” references will be assembled from curated databases, as also described in EXAMPLES 2-5. Evidence sources will include: the four expression profiles defined in EXAMPLES 2 and 3, literature data-mining from Gene Ways (83; herein incorporated by reference in its entirety), TF-binding-motif enrichment, orthologous interactions from model organisms, and reverse engineering algorithms, including ARACNe and MINDy for regulatory and post-translational interaction inference. For each evidence source, a Likelihood Ratio (LR) will be assessed using the positive/negative gold standards. Individual LRs will then be combined into a global LR for each interaction. A threshold corresponding to a posterior probability p≧0.5 will be used to qualify interactions as present or absent. It is important to notice that, given the infrastructure for the assembly of cellular networks implemented by the MAGNet center, one will be able to access a large variety of data sources and algorithms that, otherwise, requires a significant effort to organize and coordinate.


Stable Protein-Protein Interactions.


A Positive Gold Standard (PGS) for PP interactions will be generated using 27,568 human PP interactions from HPRD (76; herein incorporated by reference in its entirety), 4,430 from BIND (4; herein incorporated by reference in its entirety), and 3,522 from IntAct (29; herein incorporated by reference in its entirety). These originate from low-throughput, high-quality assays. The resultant PGS will have 28,554 unique PP interactions between 7,826 gene-products (after homodimer removal). The Negative Gold Standard (NGS) will include gene-pairs for proteins in different cellular compartments, resulting in a large number of gene pairs with low probability of direct physical interaction. Pairs in the NGS that are also included in the PGS will be removed from the NGS. PP interactions will be inferred from the following source: (a) Interactions in the HPRD (76; herein incorporated by reference in its entirety), IntAct (29; herein incorporated by reference in its entirety), BIND (4; herein incorporated by reference in its entirety) and MIPS (63; herein incorporated by reference in its entirety) databases for four eukaryotic organisms (fly, mouse, worm, yeast); (b) human high-throughput screens (82, 91; each herein incorporated by reference in its entirety); (c) Gene Ways literature data mining algorithm (83; herein incorporated by reference in its entirety); (d) Gene Ontology (GO) biological process annotations (3; herein incorporated by reference in its entirety); (e) gene co-expression data from the HGSS, HGES1, and HGES2 expression profiles; and (e) Interpro protein domain annotations (64; herein incorporated by reference in its entirety).


To simplify prior computation, evidence sources will be represented as categorical data (i.e., continuous values will be binned as necessary). Only genes that are both expressed in the glioma expression profiles will be tested for potential interactions. Multiple methods to test for gene expression are being developed, including: (a) standard coefficient of variation analysis (e.g., cv >0.5), (b) methods based on the correlation of multiple probes within Affymetrix probeset for the same gene, and (c) information theoretic approaches based on the ability to measure information with other probesets. These methods will be tested using the PGS and NGS to determine if one is more effective than the others at removing non expressed genes. The prior odds for a PP interaction will be estimated approximately at 1 in 800, based on previous estimates of ˜300,000 PP interactions among 22,000 proteins in a human cell (27, 82; each herein incorporated by reference in its entirety). From this value, any protein pair, after evidence integration, has at least 50% probability of being involved in a PP interaction. PGS PP interactions will also be included in the HGi.


Protein-DNA Interactions.


A PGS for PD interactions will be generated from the TRANSFAC Professional (61; herein incorporated by reference in its entirety), BIND and Myc (MycDB) databases (110; herein incorporated by reference in its entirety). The NGS will include 100,000 random TF-target pairs, excluding pairs in the PGS interaction or in the same biological process in Gene Ontology. A TF-specific prior odds will be used, since the TF-regulon size is approximated by a power-law distribution (7; herein incorporated by reference in its entirety). ARACNe inferences (58; herein incorporated by reference in its entirety) will be used to estimate TF-regulon sizes and to compute the TF-specific prior odds. PD interactions will be inferred from the following evidence sources: (a) mouse interactions from the TRANSFAC Professional and BIND databases; (b) the ARACNe and MINDy algorithms; (c) TF binding site analysis in the promoter of candidate target genes (85; herein incorporated by reference in its entirety); (d) target gene conditional co-expression based on the gene expression profiles defined in EXAMPLES 2 and 3. PGS interactions will be included in the HGi.


Post-Translational Modification.


The MINDy algorithm predicts post-translational modulation events, where a TF and target appear to only have an interaction in the presence or absence of a third modulator gene (M). These 3-way interactions will be split into two distinct pairwise interactions: a PD interaction between the TF and its target and a TF-modulator interaction that can be either a P-TF or a TF-TF interaction, depending on whether the modulator is also a TF. For the interaction types, one can qualify the accuracy and sensitivity of the Interactome using ROC curves based on 5-fold cross validation. Basically, the PGS and NGS will be divided in 5 random subsets of equal size. For each subset, one can train the Naïve Bayes classifier using the remaining four subsets and assess the methods performance using the PGS and NGS subsets that were not used for training the classifier. The MINDy improvements discussed in EXAMPLES 2 and 3 will also be tested to determine the most effective algorithmic approach.


Use of Alternative Classifiers.


Several successful strategies for evidence integration exist and will be considered in alternative to the Naïve Bayes Classifier. These include the use of voting methods (35; herein incorporated by reference in its entirety), Bayesian Networks (36; herein incorporated by reference in its entirety), boosting algorithms (9; herein incorporated by reference in its entirety), and Markov Random Fields (17; herein incorporated by reference in its entirety). The latter is interesting in this context as it allows the integration of functional information on existing network structures.


The HGi as a Framework for Genetic/Epigenetic/Functional Data Integration.


As more and more, largely orthogonal data is amassed to inform analysis of tumorigenesis, a key question is how to integrate this data so that each data modality informs the others. Here, the HGi will be used as an integrative platform for genetic, epigenetic, and functional data related to alterations or dysregulation events in GBM. The simplest level of integration will proceed as in Ref. 55 (herein incorporated by reference in its entirety), by determining whether the topological neighborhood of each gene is enriched in genetic/epigenetic alterations or in interactions that are dysregulated within the malignant phenotype. Each gene or gene interaction will be assigned a score based on the dysregulation events that affect it. For instance, if the promoter of a gene is found to be differentially methylated in cancer samples, then each transcriptional interaction upstream of that gene will be assigned a score. Similarly, if a gene copy number alteration affecting a region that includes N genes is detected, then each gene will be assigned a score. Differential mutual information on each interaction in normal vs. malignant samples will also be used to assign a dysregulation score to each gene-gene interaction (55; herein incorporated by reference in its entirety).


For each gene, we will then use several enrichment analysis methods, including the Fisher Exact test, GSEA, and others, to assess whether its neighborhood (i.e. other genes and interactions in its proximity within the HGi) is unusually enriched in alterations. As a result, one can plan to study methods that propagate dysregulation/alteration information on the network, which can reduce the dependency on hub size. Since the HGi network includes both directed and adirected interactions, use of individual approaches such as Bayesian Networks or Markov Random Fields is not an option. One can thus explore mixed approaches such as integrating information on two sub-networks, one fully directed and one fully adirected, at alternate time steps as well as using some recent graph-theoretic approaches that were specifically designed for this type of mixed networks. One can define a probability to each gene in the network, that is proportional to the gene's role in tumorigenesis and progression to high-grade tumors and to integrate information sources to compute such probability.


Additional Analyses Supported by the HGi.


Availability of the HGi will allow a rich set of interactomes-based methodologies to be tested on GBM data. For instance, while this research is specifically aimed at the genetic mechanisms that implement and maintain the most aggressive form of glioma, characterized by a mesenchymal signature and phenotype, other important avenues of investigations of the disease are around the dissection of the basic mechanisms of GBM tumorigenesis and the mechanism of action of drugs for the treatment of GBM. Availability of a complete and unbiased HGi, which represents the full complement of genome-wide molecular interactions in the disease, will be a significant tool for additional analyses and we expect that this resource will be heavily used by the community. For instance, the IDEA and MRA can be used to dissect normal vs. tumor phenotypes rather than high-grade vs. low-grade glioma as described in this proposal. Additionally, the approach in EXAMPLES 2-4 and discussed herein can be applied to identify drugs able to implement an apoptotic phenotype in GBM.


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Example 7
A Transcriptional Module Synergistically Initiates and Maintains Mesenchymal Transformation in the Brain

Using a combination of cellular-network reverse engineering algorithms and experimental validation assays, a small transcriptional module was identified, including six transcription factors (TFs), that synergistically regulates the mesenchymal signature of malignant glioma. This is a poorly understood molecular phenotype, never observed in normal neural tissue (A 1-3; each herein incorporated by reference in its entirety). It represents the hallmark of tumor aggressiveness in high-grade glioma, and its upstream regulation is so far unknown (A1). Overall, the newly discovered transcriptional module regulates >74% of the signature genes, while two of its TFs (Stat3 and C/EBPβ) display features of initiators and master regulators of mesenchymal transformation. Ectopic co-expression of Stat3 and C/EBPβ is sufficient to reprogram neural stem cells along the aberrant mesenchymal lineage, while simultaneously suppressing genes associated with the normal neuronal state (pro-neural signature). These effects promote tumor formation in the mouse and endow neural stem cells with the phenotypic hallmarks of the mesenchymal state (migration and invasion). Silencing the two TFs in human high grade glioma-derived stem cells and glioma cell lines leads to the collapse of the mesenchymal signature with corresponding reduction in tumor aggressiveness. In human tumor samples, combined expression of Stat3 and C/EBPβ correlates with mesenchymal differentiation of primary glioma and it is a powerful predictor of poor clinical outcome. Taken together, these results reveal that synergistic activation of a small transcriptional module, inferred using a systems biology approach, is necessary and sufficient to reprogram neural stem cells towards a transformed mesenchymal state. This provides the first experimentally validated computational approach to infer master transcriptional regulators from signatures of human cancer.


To discover TFs causally linked to the expression of the MGES+ signature the conventional paradigm of microarray expression profile based cancer research was inverted. Rather than asking which genes are part of the MGES+ signature, a computationally inferred, genomewide transcriptional interaction map was interrogated to identify which TFs in the human genome can induce its overexpression in vivo. Such an unbiased, genome-wide approach was not previously attempted because knowledge of the transcriptional regulatory interactions within a specific cellular phenotype is extraordinarily sparse, especially in a mammalian context. Thus, only a handful of candidate TFs can be previously interrogated in this fashion and only after obtaining large-scale binding and functional assays in the specific cellular context of interest (A10; herein incorporated by reference in its entirety). Recently, however, reverse engineering approaches have been pioneered for the genome-wide inference of regulatory networks in mammalian cells (A11, A12; herein incorporated by reference in its entirety) and have been applied to the identification of lesions associated with the dysregulation of tumor-related pathways (A13; herein incorporated by reference in its entirety). It has been reasoned that these algorithms can allow one to use causal logic rather than statistical associations (A14, 15; herein incorporated by reference in its entirety) towards the identification of master regulators of the MGES+ signature. It is shown that the integration of multiple reverse engineering algorithms, based on expression profile and sequence data from glioma patients, produces highaccuracy maps of the regulatory relationships in normal and transformed neural cells. These computational findings were biochemically validated and subsequently used to identify the transcriptional events responsible for initiation and maintenance of the mesenchymal phenotype of high-grade glioma.


Specifically, computational, functional, and chromatin immunoprecipitation (ChIP) experiments motivated by the inferred regulatory network topology point to two TFs (Stat3 and C/EBPβ) as master regulators of the mesenchymal signature of human glioma. Ectopic co-expression of the two factors in neural stem cells is sufficient to initiate expression of the mesenchymal set of genes, suppress proneural genes and trigger invasion and a malignant mesenchymal phenotype in the mouse. Conversely, silencing of these TFs depletes glioma stem cells and cell lines of mesenchymal attributes and greatly impairs their ability to invade. Most notably, independent immunohistochemistry experiments in 62 human glioma specimens show that concurrent expression of Stat3 and C/EBPβ is significantly associated to the expression of mesenchymal proteins and is an accurate predictor of poorest outcome in glioma patients.


Methods


ARACNe Network Reconstruction.


ARACNe (Algorithm for the Reconstruction of Accurate Cellular Networks), an information-theoretic algorithm for inferring transcriptional interactions, was used to identify a repertoire of candidate transcriptional regulators of the MGES genes. Expression profiles used in the analysis were previously characterized using Affymetrix HU-133A microarrays and preprocessed by MAS 5.0 normalization procedure 1. First, candidate interactions between a TF (x) and its potential target (y) are identified by computing pairwise mutual information, MI[x; y], using a Gaussian kernel estimator (A39) and by thresholding the mutual information based on the null-hypothesis of statistical independence (p<0.05 Bonferroni corrected for the number of tested pairs). Then, indirect interactions are removed using the data processing inequality, a well known property of the mutual information. For each TFtarget pair (x, y) we considered a path through any other TF (z) and remove any interaction such that MI[x; y]<min(MI[x; z], MI[y; z]).


Stepwise Linear Regression (SLR) Analysis.


A regulatory program for each MGES gene was computed as follows: the log2 expression of the i-thMGES gene was considered as the response variable and the log2-expression of the TFs as the explanatory variables in the linear model log xi=Σαij log fjij (A24). Here, fj represents the expression of the j-th TF in the model and the (αij, βij) are linear coupling coefficients computed by standard regression analysis. TFs are iteratively added to the model, by choosing each time the one producing the smallest relative error E=Σ|xi−xi0|/xi0 between predicted and observed target expression. This is repeated until the decrease in relative error is no longer statistically significant. To avoid excessive multiple hypothesis testing correction, TFs were chosen only among the following: (a) the 55 inferred by ARACNe at FDR <0.05 and (b) TFs whose DNA binding signature was significantly enriched in the proximal promoter of the MGES genes and that are expressed in the dataset, based on the coefficient of variation (CV≧0.5). Then, for each TF, the number of MGES target programs it contributed to and the average value of the coupling coefficient were counted.


Cell Lines and Cell Culture Conditions.


SNB75, SNB19, 293T and Rat1 cell lines were grown in DMEM plus 10% Fetal Bovine Serum (FBS, Gibco/BRL). GBM-derived BTSCs were grown as neurospheres in NBE media consisting of Neurobasal media (Invitrogen), N2 and B27 supplements (0.5× each; Invitrogen), human recombinant bFGF and EGF (50 ng/ml each; R&D Systems). Murine neural stem cells (mNSCs) (from an early passage of clone C17.2) (A27-29; each herein incorporated by reference in its entirety) were cultured in DMEM plus 10% Fetal Bovine Serum (FBS), 5% Horse serum (HS, Gibco/BRL) and 1% L-Glutamine (Gibco/BRL). Subclones are extremely easy to make from this line of mNSCs. For such stable mNSC subclones, 10% DMEM Tet system Approved (Clontech) was used.


To generate stable mNSC subclones, the cells were transfected with pBigibHLH-B2-FLAG, pcDNA6-V5-C/EBPβ and pBabe-FLAG-Stat3C using Lipofectamine 2000 (Invitrogen), according to the manufacturer's instructions. Cells were selected with 3 μg/ml Puromycin (Sigma), 6.5 μg/ml Blasticydin (SIGMA), and 300 μg/ml Hygromycin B (Invitrogen). Single clones were isolated and analyzed for the expression of the recombinant proteins using monoclonal antobodies anti-FLAG (M2, SIGMA) and anti-V5 (Invitrogen). bHLH-B2 expression was induced with 2 μg/ml Doxyxycline (Sigma) for 24 hrs. To induce neuronal differentiation, mNSCs were grown in 0.5% Horse serum for 10 days.


Brain tumor stem cells were grown as neurospheres in Neurobasal medium (Invitrogen) containing N2 and B27 supplements and 50 ng/ml of EGF and basic FGF. Cells were transduced with lentiviruses expressing shRNA for Stat3 and C/EBPβ or the empty vector and were analyzed 6 days after infection.


Plasmid Constructs.


pcDNA6-V5-C/EBPβ was constructed as follows. cDNA encoding murine C/EBPβ was amplified from pcDNA3.1-mC/EBPβ using the following primers: C/EBPβ-EcoRI-for (5′-GCCTTGGAATTCATGGAAGTGGCCAACTTC-3′; SEQ ID NO: 1) and C/EBPβ-XbaI-rev (5′-GCCTTGTCTAGACGGCAGTGACCGGCCGAGGC-3′; SEQ ID NO: 2). The amplified sequence was digested with EcoRI and XbaI and subcloned into pcDNA6 in frame with V5 tag. To create pBig21-b-HLH-B2-FLAG, pcDNA3.1-bHLHB2-FLAG was digested with EcoRI and subcloned into pBig21. pBabe-Flag-Stat3C, expressing a constitutive active form of murine Stat3.


Chromatin Immunoprecipitation (ChIP).


Chromatin immunoprecipitaion was performed as described in (A40; herein incorporated by reference in its entirety). SNB75 cells were cross-linked with 1% formaldehyde for 10 min and stopped with 0.125 M glycine for 5 min. Fixed cells were washed in PBS and harvested in sodium dodecyl sulfate buffer. After centrifugation, cells were resuspended in ice-cold immunoprecipitation buffer and sonicated to obtain fragments of 500-1000 pb. Lysates were centrifuged at full speed and the supernatant was precleared with Protein A/G beads (Santa Cruz) and incubated at 4° C. overnight with 1 μg of polyclonal antibody specific for C/EBPβ (sc-150, Santa Cruz), Stat3 (sc-482, Santa Cruz), FosL2 (Fra2, sc-604, Santa Cruz), bHLH-B2 (A300-649A, BETHYL laboratories), or 1 μg of normal rabbit immunoglobulins (Santa Cruz). The immunocomplexes were recovered by incubating the lysates with protein A/G for 1 additional hour at 4° C. After washing, the immunocomplexes were eluted, reverse cross-linked and DNA was recovered by phenolchloroform extraction and ethanol precipitation. DNA was eluted in 200 μl of water and 1 μl was analyzed by PCR with Platinum Taq (Invitrogen).


A modified protocol was developed for the ChIP assays testing interaction of TFs with the promoters of mesenchymal genes in primary GBM samples. Briefly, 30 mg of frozen GBM samples per antibody were chopped into small pieces with a razor blade and transferred in a tube with 1 ml of culture medium, fixed with 1% formaldehyde for 15 min and stopped with 0.125 M glycine for 5 min. Samples were centrifuged at 4000 rpm for 2 min, washed twice and diluted in PBS. Tissues were homogenized using a pestel and suspended in 3 ml of ice-cold immunoprecipitation buffer with protease inhibitors and sonicated. ChIP was then performed as described herein.


Promoter Analysis.


Promoter analysis was performed using the MatInspector software (www.genomatix.de). A sequence of 2 kb upstream and 2 kb downstream from the transcription start site was analyzed for the presence of putative binding sites for each TFs. Primers used to amplify sequences surroundings the predicted binding sites were designed using the Primer3 software (http://frodo.wi.mitedu/cgibin/primer3/primer3_www.cgi; herein incorporated by reference in its entirety).


Quantitative RT—PCR and Immunohistochemistry.


RNA was prepared with RiboPure kit (Ambion) and subsequently used for first strand cDNA synthesis using random primers and SuperScriptll Reverse Transcriptase (Invitrogen). Real-time PCR was performed using iTaq SYBR Green from Biorad. For mNSC subclones, gene expression was normalized to GAPDH. For human GBM cell lines and GBM-derived BTSCs 18S ribosomal RNA was used.


Immunohistochemistry was performed as previously described (A41; herein incorporated by reference in its entirety). Briefly, tumors from patients with newly diagnosed glioblastoma (none of which were included in the original microarray analyses) were collected from the archival collection of the MD Anderson Pathology department. Following sectioning and deparaffinization, tumor samples were subject to antigen retrieval and incubated overnight at 4° C. with the primary antibody. The primary antibodies and dilutions were anti-YKL-40 (rabbit polyclonal, Quidel, 1:750), anti C/EBPβ, (rabbit polyclonal, Santa Cruz, 1:250) and anti-p-STAT3 (rabbit monoclonal, Cell Signaling 1:25). Scoring for YKL-40 and was based on a 3-tiered system, where 0 was <5% of tumor cells positive, 1 was 5-30% positivity and 2 was >30% of tumor cells positive. Scores of 1 and 2 were later collapsed into a single value for display purposes on Kaplan-Meier curves. Associations between C/EBPβ/Stat3 and YKL-40 were assessed using the Fisher exact test (FET). Associations between C/EBPβ/Stat3 and patients survival were assessed using the log-rank (Mantel-Cox) test of equality of survival distributions.


Microarray Analysis.


RNA was prepared with RiboPure kit (Ambion) and assessed for quality with an Agilent 2100 Bioanalyzer. Cy3 labeled cRNA was prepared with Agilent low RNA input linear amplification kit according to the manufacturer's instructions, and hybridized to an Agilent 8×15K one-color customized array. The array was designed with E-array software 4.0 (Agilent, Palo Alto, Calif.) and included 14,851 probe sets corresponding to 2,945 mouse and 3,363 human genes. For the analysis, each array was normalized to its 75% quantile so that gene expression profiles can be compared across samples.


Gene Set Enrichment Analysis (GSEA).


To test whether specific gene signatures were globally differentially regulated, we used the Gene Set Enrichment analysis method (A31; herein incorporated by reference in its entirety). In this method, the Kolmogorov-Smirnoff test is used to determine whether two gene lists are statistically correlated. In this case, one list includes genes on the microarray expression profile dataset, ranked by their differential expression statistics across two conditions (e.g. ectopically expressed Stat3C/C/EBPβ vs. control), from most over- to most underexpressed. The other list contains non-ranked genes in a specific signature (e.g. mesenchymal). This is very useful to detect, for instance, situations where signature genes can be differentially expressed as a whole, even though the fold-change can be small for each gene in isolation. In this case, a gene-by-gene test, such as a T-test, cannot reveal statistical significance. The algorithm was set to implement weighted scoring scheme and the enrichment score significance was assessed by 1000 permutation tests.


Migration and Invasion Assays.


For the wound assay testing migration, mNSCs were plated in 60 mm dishes and grown until 95% confluence. To initiate the experiment, a scratch of approximately 400 μm was made with a P1000 pipet tip and images were taken every 24 h over the course of 4 days with an inverted microscope. In the PDGF experiment, the cells were incubated for 24 h with 20 μg/ml PDGF-BB (R&D systems) before making the scratch.


For the Matrigel invasion assay, mNSCs (1×104) were added to the top of the chamber of a 24 well BioCoat Matrigel Invasion Chambers (BD) in 500 μl volume of serum free DMEM. The lower compartment of the chamber was filled with DMEM containing either 0.5% horse serum or 20 μg/ml PDGF-BB (R&D systems) as chemoattractants. After incubation for 24 h, invading cells were fixed, stained and counted according to the manufacturer's instructions. For SNB19 transduced with shRNA expressing lentivirus, 1.5×104 cells were plated in the top of the chamber. The lower compartment contained 5% FBS.


Lentivirus Production and Infection.


Lentiviral expression vectors carrying shRNAs (short hairpin RNAs) specific for C/EBPβ and Stat3 were purchased from Sigma and virus stocks were prepared as recommended by the supplier. The C/EBPβ specific shRNA (shC/EBPβ) has the following sequence: 5′-CCGGCATCGACTACAAACGGAACTT CTCGAGAAGTTCCGTTTGTAGTCGATGTTTTTG-3′ (SEQ ID NO: 3). The Stat3-specific shRNA (shStat3) has the following sequence: 5′-CCGGCCTGAGTTGAATTATCAGCTTCT CGAGAAGCTGATAATTCAACTCAGGTTTTTG-3′ (SEQ ID NO: 4). To generate lentiviral particles, the lentiviral plasmids were co-transfected along with helper plasmids into human embryonic kidney 293T cells. Each shRNA expression plasmid (5 μg) was mixed with pCMVdR8.91 (2.5 μg) and pCMV-MD2.G (1 μg) vectors and transfected into human embryonic kidney 293T cells using the Fugene 6 reagent (Roche). Media from these cultures were collected after 24 h, centrifuged 10 min at 2500 rpm, passed through a 0.45-μm filter and used as source for lentiviral shRNAs. A second virus collection was performed 48 h after transfection.


To knockdown Stat3 and C/EBPβ, SNB19 (1×105) were plated in 6 well culture plates and incubated for 24 h. Cells were transduced with Stat3 and C/EBPβ sh-RNA or non target control shRNA lentiviral particles. After overnight incubation, fresh culture media were exchanged, and the transduced cells were cultured in a CO2 incubator for 5 days.


To infect GBM-derived BTSCs, lentiviral stocks were prepared as follows. Briefly, 293T cells were transfected as before with shRNA expression plasmids or non target control and supernatant collected after 24 h, centrifuged 10 min at 2500 rpm and passed through a 0.45-μm filter. The lentiviral particles were then ultracentrifuged for 1.5 h at 25,000 rpm with a SW28 rotor and diluted in 100 μl PBS1% BSA. The lentiviral titer was determined after transfection of Rat1 cells with serial dilution of the virus. GBM-derived BTSCs were plated as neurospheres in 24 well plates at 1×104 cells/well and infected with shRNA expressing lentiviral stock at a multiplicity of infection (MOI) of 25. After 6 h 500 μl of fresh neurobasal medium was added. Cells were harvested after 5 days and subjected to gene expression analysis by qRT-PCR and microarray gene expression profiles.


Tumor Growth in Nude Mice and Immunohistochemistry.


6 weeks BALBc/nude mice were injected subcutaneously with C17.2 neural stem cell transduced with empty vector (bottom flank, left) or expressing Stat3C plus C/EBPβ (bottom flank, right). Four mice were injected with 2.5×106 and four mice were injected with 5×106 cells in 200 μA PBS/Matrigel. Mice were sacrificed after 10 (5×106) or 13 weeks (2.5×106) after the injection. Tumors were removed, fixed in formalin overnight and processed for the analysis of tumor histology and immunohistochemistry. Tumor sections were subjected to deparaffinization, followed by antigen retrieval and incubated overnight at 4 degrees (Nestin, CD31, FGFR-1 and OSMR) or 1 h at room temperature (Ki67) with the primary antibody. Primary antibodies and dilutions were Nestin (mouse monoclonal, BD, 1:150), CD31, (mouse monoclonal, BD, 1:100), Ki67 (rabbit polyclonal, Novocastra laboratories, 1:1000), FGFR1 (rabbit polyclonal, Abgent, 1:100), and OSMR (goat polyclonal, R&D, 1:50).


Results


Computational Identification of the Transcriptional Regulation Module Driving the Mesenchymal Signature of High-Grade Glioma.


ARACNe (Algorithm for the Reconstruction of Accurate Cellular Networks) was used to compute a comprehensive, genome-wide repertoire of regulatory interactions between any TF and the 102 genes in the MGES+ signature of high grade glioma. TFs were identified based on their Gene Ontology annotation (A16; herein incorporated by reference in its entirety) and only genes represented in the microarray expression profile data were considered in the analysis.


ARACNe is an information theoretic approach for the reverse engineering of transcriptional interactions from large sets of microarray expression profiles. This algorithm was able to identify validated targets of the MYC and NOTCH1 TFs in B and T cells (A11, A17; each herein incorporated by reference in its entirety). Here ARACNe was adapted towards a far more challenging goal, namely the unbiased identification of TFs associated with a given gene expression signature (MGES of human high grade glioma). The dataset used in this analysis included 176 grade III (anaplastic astocytoma) and grade IV (glioblastoma multiforme, GBM) samples (A1, A18, A19; each herein incorporated by reference in its entirety). These samples were previously classified into three molecular signature groups—proneural, proliferative, and mesenchymal—based on the identification of coordinated expression of specific gene sets by unsupervised cluster analysis1.


The Fisher Exact Test (FET) was then used to determine whether the ARACNe inferred targets of a TF overlaps with the MGES genes in a statistically significant way, thus indicating specificity in the regulation of the MGES+. From a list of 1018 TFs, a subset of 55 MGES+ specific regulators was inferred, at a false discovery rate (FDR) smaller than 5%. This suggests that relatively few TFs synergistically control the MGES+ signature, as indicated from a combinatorial, scale-free regulation model (hubs). Remarkably, the six most statistically significant TFs emerging from this analysis (Stat3, C/EBPβ/δ, bHLH-B2, Runx1, FosL2, and ZNF238) collectively control >74% of the MGES genes (FIG. 1). Clearly, this is a lower bound because ARACNe has a very low false positive rate but a relatively high false negative rate. Thus, many targets will be missed by the analysis.


Consistent with their previously reported activity (A20, A21; each herein incorporated by reference in its entirety), correlation analysis reveals that five are activators (Stat3, C/EBPβ/δ, bHLH-B2, Runx1, and FosL2) and one is a repressor (ZNF238) of the MGES+ genes. This can further indicate their potential as oncogenes or tumor suppressors, respectively. Since both C/EBPβ and C/EBPδ were among the top TF hubs and are known to form stoichiometric homo and heterodimers with identical DNA binding specificity and redundant transcriptional activity (A22), the term C/EBP is used generically to indicate the TF complex. The interactions inferred for each TF show statistically significant overlap, indicating that the six TFs are involved in combinatorial regulation of the MGES targets. This biochemically validated finding suggests a hierarchical, combinatorial control mechanism that provides both redundancy and fine-grain control of the mesenchymal signature of brain tumor cells by a handful of TFs.


Computational Validation of the Mesenchymal TFs Network as Regulator of the MGES.


A stepwise linear regression (SLR) method was then used to infer a simple quantitative transcriptional regulation model (i.e. a regulatory program) for the MGES+ genes. In this model, the log-expression of each target gene is approximated by a linear combination of the log-expression of a small set of TFs using linear regression (A23, A24; each herein incorporated by reference in its entirety). This allows a convenient linear representation of multiplicative interactions between TF activities (combinatorial regulation). TFs are added one at the time to the model, by choosing the one that produces the greatest reduction in the relative error on the predicted vs. observed expression, until the reduction is no longer statistically significant. TFs were then looked for that were used to model the largest number of MGES genes (see Methods). The top six TFs inferred by the FET analysis on ARACNe targets were also among the top eight inferred by SLR. Among them, the three TFs with the highest average value of their linear coupling coefficient were C/EBP (α=0.42), bHLH-B2 (α=0.41), and Stat3 (α=0.40), indicating their potential role as master regulators of the MGES genes with the next strongest TF, ZNF238, showing a negative coefficient (α=−0.34).


Biochemical Validation of TF Binding Sites.


To further validate the inferred MGES regulation network, each TF was tested for its ability to bind to the promoter region (proximal regulatory DNA) of its predicted mesenchymal targets. The target promoters were first analyzed in silico to identify putative binding sites (see Methods). ChIP assays were then performed near predicted sites in the human glioma cell line SNB75 to validate targets of Stat3, bHLH-B2, C/EBPβ and FosL2, for which appropriate reagents were available. On average, about 80% of the tested genomic regions were immunoprecipitated by specific antibodies for these TFs but not control antibodies (FIG. 3). Given that binding can occur via co-factor or outside of the selected region, this provides a conservative lowerbound of the number of actual mesenchymal targets bound by these TFs. One can conclude that ARACNe accurately recapitulates the transcriptional activity of Stat3, bHLH-B2, C/EBPβ and FosL2 on the MGES genes in malignant glioma.


Mesenchymal TFs from Malignant Glioma Form a Highly Connected and Hierarchically Organized Module.


ChIP assays revealed that Stat3 and C/EBP occupy their own promoter and are thus involved in autoregulatory (AR) loops (FIG. 4A, 4B). Additionally, Stat3 occupies the FosL2 and Runx1 promoters; C/EBPβ occupies those of Stat3, FosL2, bHLH-B2, C/EBPβ, and C/EBPδ (the latter two confirm the redundant autoregulatory activity of the two C/EBP subunits, FIG. 3b) (A22, A25; each herein incorporated by reference in its entirety); FosL2 occupies those of Runx1 and bHLH-B2 (FIG. 4C); finally bHLH-B2 occupies only that of Runx1 (FIG. 4D). The MGES+ control topology that emerges from this promoter occupancy analysis is remarkably modular (high number of intra-module interactions) and displays a clearly hierarchical structure (FIG. 4E). At the very top of this hierarchical control structure, we find Stat3 and C/EBP, which are also involved in AR and form feed-forward (FF) loops with a large fraction of the MGES genes. FF loops involving only positive regulation have been shown to filter short input transient signals and thus help make such a network topology less sensitive to short, random fluctuations (A26; herein incorporated by reference in its entirety). Whether the interactions between these two TFs and the promoters of their mesenchymal targets is conserved in tumor tissues was then tested. Experimental conditions were developed to perform Stat3 and C/EBPβ ChIP assays in two human GBM samples in the mesenchymal signature group. The experiments confirmed that, also in this in vivo context, Stat3 and C/EBPβ bind to the MGES targets predicted by the computational algorithms (FIGS. 16A-16B). Taken together, these findings suggest that the six inferred TFs form a hierarchical regulatory module and that Stat3 and C/EBP can operate as master regulators of the mesenchymal signature of malignant gliomas.


Combined Expression of C/EBPβ and Stat3 Prevents Neuronal Differentiation and Reprograms Neural Stem Cells Towards the Mesenchymal Lineage.


Without being bound by theory, Neural stem cells (NSCs) are the cell of origin for malignant gliomas in the mesenchymal subgroup (A1; herein incorporated by reference in its entirety). However, whether mesenchymal transformation in glial tumors recapitulates a normal albeit rare cell fate determination event intrinsic to NSCs remains unknown (A2, A3, A9; each herein incorporated by reference in its entirety). Whether combined expression of Stat3 and C/EBPβ in NSCs is sufficient to initiate mesenchymal gene expression and to trigger the mesenchymal properties that characterize high-grade gliomas was next considered. To do this, an early passage of the stable, clonal population of mouse NSCs known as C17.2 was used. The enhanced, yet constitutively self-regulated expression of sternness genes permits these cells to be efficiently grown as undifferentiated monolayers in sufficiently large, homogeneous and viable quantities to ensure reproducible patterns of self-renewal and differentiation without ever behaving in a tumorigenic fashion in vitro or in vivo (A27-29; each herein incorporated by reference in its entirety).


Following ectopic expression of C/EBPβ and a constitutively active form of Stat3 (Stat3C) (A30; herein incorporated by reference in its entirety) in NSCs, we observed dramatic morphologic changes, consistent with loss of ability to differentiate along the neuronal lineage (FIG. 5A). Parental and vectortransfected NSCs have the classical spindle-shaped morphology that is associated with the neural stem/progenitor cell phenotype. When grown in the absence of mitogens, these cells display efficient neuronal differentiation characterized by formation of a neuritic network (FIG. 5A, top-right panel). Conversely, expression of C/EBPβ and Stat3C leads to cellular flattening and manifestation of a fibroblast-like morphology. Remarkably, depletion of mitogens resulted in additional flattening with complete loss of every neuronal trait (FIG. 5A, bottom-right panel). These results indicate that expression of C/EBPβ and Stat3C efficiently suppresses differentiation along the neuronal lineage and induces established mesenchymal features.


Next, whether C/EBPβ and Stat3C induce expression of the MGES+ genes in vivo was considered. To do this, mRNA was extracted from duplicate samples of two independent C/EBPβ/Stat3C expressing and control clones of NSCs and hybridized custom expression arrays (Agilent Technologies), containing probes for 6,308 glioma-specific mouse and human genes. The Gene Set Enrichment Analysis method (GSEA, (A31; herein incorporated by reference in its entirety)) was used to test the enrichment of the mesenchymal, proliferative and'proneural signatures (A1; herein incorporated by reference in its entirety) among differentially expressed genes in C/EBPβ/Stat3C expressing versus control cells. The algorithm was set to implement weighted scoring scheme and the enrichment score significance is assessed by 1,000 permutation tests to compute the enrichment p-value. The analysis demonstrated that the global mesenchymal and proliferative signatures are both highly enriched in genes that are overexpressed in C/EBPβ/Stat3C-expressing NSCs. Conversely, the proneural signature is enriched in genes that are underexpressed in these cells (FIG. 5B). Consistent with these findings, several mesenchymal-specific gene categories are highly enriched in C/EBPβ/Stat3C expressing NSCs.


Quantitative RT-PCR (qRT-PCR) of the microarray results was also validated for a subset of Stat3 and C/EBPβ targets. Interestingly, the genes coding for the receptors of the growth factors PDGF, EGF and bFGF were among the most upregulated genes in NSCs expressing Stat3C and C/EBPβ. Outputs from these growth factors provide essential signals for proliferation and invasion of glial tumor cells and are able to revert mature neural cells into pluripotent stem-like cells, an effect that can contribute to the mesenchymal transformation of NSCs (A32, A33; each herein incorporated by reference in its entirety). Other genes markedly overexpressed in C/EBPβ/Stat3C expressing NSCs are those coding for the morphogenetic proteins BMP4 and BMP6, two crucial inducers of tumor invasion and angiogenesis (A34, A35; each herein incorporated by reference in its entirety). Thus, Stat3 and C/EBPβ are sufficient to induce reprogramming of neuralstem cells towards an aberrant mesenchymal lineage.


Neural Stem Cells Expressing Stat3 and C/EBPβ Acquire the Hallmarks of Mesenchymal Aggressiveness and Tumorigenic Capability In Vitro and In Vivo.


Whether activation of the MGES by Stat3 and C/EBPβ is sufficient to transform NSCs into cells that can efficiently migrate and invade, two properties invariably associated with MGES+ in high grade glioma (A1, A2; each herein incorporated by reference in its entirety) was considered. The first assay used to address this question (“wound assay”) evaluates the ability to migrate and fill a scratch introduced in cultures of adherent cells (FIG. 5C). The second (“Matrigel invasion assay”) tests how cells invade a Boyden chamber filter coated with a physiologic mixture of extracellular matrix components and concentrate the lower side of the filter (FIG. 5D). When the two assays were performed on C/EBPβ/Stat3C-expressing and control NSCs clones, we found that the expression of the two TFs robustly promoted migration and invasion through the extracellular matrix (FIGS. 5C-5D). The effects of C/EBPβ and Stat3C on migration and invasion of NSCs were similar in the absence of mitogens or in the presence of PDGF (FIG. 5D). Conversely, ectopic bHLHB2 was irrelevant for the MGES and phenotypic behavior of Stat3C-C/EBPβ-expressing NSCs.


To ask whether Stat3 and C/EBPβ confer tumorigenic potential to neural stem cells in vivo, sub-cutaneous heterotopic transplantation of C17.2-Stat3C/C/EBPβ (and empty vector as control) was used. Male, six-week old BALB/nude mice (a total of eight animals in two separate experiments) were injected subcutaneously with 2.5×106 and 5×106 C17.2-Stat3C/C/EBPβ cells (right flank) or C17.2-Vector (left flank) in PBS-Matrigel. C17.2-Stat3C/C/EBPβ cells developed fast-growing tumors with high efficiency (4 out of 4 mice in the group injected with 5×106 cells and 3 out of 4 mice in the group injected with 2.5×106 cells), whereas neural stem cells transduced with empty vector never formed tumors (FIG. 6A). Histological analysis demonstrated that the tumors resembled human high grade glioma, exhibited large areas of polymorphic cells, had tendency to form pseudopalisades with central necrosis and although injected in the flank, a low angiogenic site, displayed vascular proliferation, as confirmed by immunostaining for the endothelial marker CD31 (FIGS. 6B-6C). Proliferation in the tumors was very high as determined by reactivity for Ki67. In line with the presence of stem-like cells, human GBM regularly exhibit expression of primitive markers. Corroborating this, it was found that the tumors stained positive for the progenitor marker nestin (FIG. 6C). Finally, positive immunostaining for the mesenchymal signature proteins OSMR and the FGF receptor-1 (FGFR-1) indicated that oncogenic transformation of neural stem cells had occurred in the context of reprogramming towards the mesenchymal lineage (FIG. 6D). Together, these findings establish that introduction of the two master regulators of MGES in NSCs not only induces expression of the entire mesenchymal signature but is also sufficient to transduce to these cells the key phenotypic characteristics of glioma aggressiveness that have been previously associated with the signature.


Stat3 and C/EBPβ are Essential for Expression of the MGES and Aggressiveness of Human Glioma Cells and Primary Tumors.


To assess the significance of constitutive Stat3 and C/EBPβ in the glioma cells responsible for tumor growth in humans, it was sought to abolish the expression of Stat3 and C/EBPβ in GBM-derived brain tumor stem-like cells that closely mimic the genotype, gene expression and biology of their parental primary tumors (GBM-BTSCs) (A36; herein incorporated by reference in its entirety). Transduction of GBMBTSCs with specific shRNA-carrying lentiviruses efficiently silenced endogenous Stat3 and C/EBPβ (FIG. 7A). Gene expression profile analysis using GSEA showed that depletion of Stat3 and C/EBPβ in GBM-BTSCs dramatically suppressed expression of the MGES genes (FIGS. 7B-7C). Loss of Stat3 and C/EBPβ from GBM-BTSCs led to marked down-regulation of the expression of the second layer of TFs (bHLH-B2, FosL2, Runx1) associated with the glioma derived MGES (FIG. 4F). This finding validates the hierarchical nature of the mesenchymal TFs subnetwork that emerged from ChIP (FIG. 7D).


Next, the human glioma cell line SNB19 (that clusters with tumors of the mesenchymal group) was infected with the shStat3 and shC/EBPβ lentiviruses and confirmed that silencing of Stat3 and C/EBPβ depleted the mesenchymal signature even in established glioma cell lines (FIG. 7D). Furthermore, silencing of the two master TFs of MGES in SNB19 cells eliminated 80% of their ability to invade through Matrigel (FIG. 7E). As final test for the mesenchymal regulatory role of Stat3 and C/EBPβ in human glioma, immunohistochemical analysis for C/EBPβ and active, phospho-Stat3 was conducted in human tumor specimens, and expression of these TFs was compared with YKL-40 (a well-established mesenchymal protein also known as CHI3L1) (A19, A37; herein incorporated by reference in its entirety) as well as patient outcome in a collection of 62 newly diagnosed GBMs. FET showed that expression of either C/EBPβ and Stat3 were significantly correlated with YKL-40 expression (C/EBPβ, p=4.9×10−5; Stat3, p=2.2×10−4). However, the correlation was higher when double positive tumors (C/EBPβ+/Stat3+) were compared to double negatives (C/EBPβ−/Stat3−, p=2.7×10−6). Furthermore, double positive tumors were associated with markedly worse clinical outcome than tumors that were either single or double negatives (log-rank test, p=0.0002, FIG. 7F). Positivity for either of the two TFs remained predictive of negative outcome but with lower statistical strength than double positivity (C/EBPβ, p=0.0022; Stat3, p=0.0017). These results provide compelling indication that the synergistic activation of C/EBPβ and Stat3 generates mesenchymal properties and marks the worst survival group of GBM patients.


Discussion


It has been shown that expression of Stat3 and C/EBPβ is necessary and sufficient to initiate and maintain the mesenchymal signature of high-grade glioma in neural cells. Remarkably, these two genes were identified in a completely unbiased and genome-wide fashion by a computational systems biology approach. In this context, the traditional paradigm of gene expression profile based cancer research, yielding long lists of differentially expressed genes (i.e., cancer signatures), becomes just a starting point for a more detailed and rational cellular-network based analysis where the regulators of the differentially expressed signature are identified using a causal model, reflecting physical TF-DNA interactions, rather than statistical associations. This yields a repertoire of candidate transcriptional interactions that can be further interrogated using both computational and experimental techniques to determine topology, modularity, and master regulation properties. Further computational and experimental analysis revealed that among candidate TFs, Stat3 and C/EBPβ not only directly regulate their own set of transcriptional mesenchymal targets but also participate in the hierarchical regulation of several other TFs, which were in turn validated as regulators of the MGES genes.


Taken together, these results indicate that the co-expression of C/EBPβ and constitutively active Stat3 convert neural stem cells towards a mesenchymal lineage fate with coordinated induction of a MGES+. Consistently, C/EBPβ/Stat3C-expressing neural stem cells lose their ability to differentiate along the neuronal lineage and express the normal proneural signature genes. Such a finding reflects the mutually exclusive expression of the proneural and mesenchymal signatures observed in primary GBM (A1; herein incorporated by reference in its entirety) and is further indication that C/EBPβ and Stat3C are master regulator genes, capable of inducing the mesenchymal signature of high-grade glioma in neural stem cells. Without being bound by theory, the neuroepithelial to mesenchymal reprogramming induced by Stat3 and C/EBPβ TFs in neural stem cells recapitulates the epithelial to mesenchymal transition frequently described in epithelial neoplasms undergoing progression towards a more invasive and metastatic tumor type (A38; herein incorporated by reference in its entirety). Thus, an exciting implication of this work is that, by acting upstream of the mesenchymal genes, C/EBP/Stat3-mediated transcription reprograms the cell fate of neural stem cells towards an aberrant “mesenchymal” lineage. This transformation triggers the most aggressive properties of malignant brain tumors, namely invasion and neo-angiogenesis. Since expression of Stat3 and C/EBPβ is essential to maintain the mesenchymal properties of human glioma cells, they provide important clues for diagnostic and pharmacological intervention. Immunohistochemistry assays in independent GBM samples confirmed that, based on the correlation with YKL-40, Stat3 and C/EBPβ are strongly linked to the mesenchymal state and their combined expression provides an excellent prognostic biomarker for tumor aggressiveness.


In conclusion, the studies present the first evidence that computational systems biology methods can be effectively used to infer master regulator genes that choreograph the malignant transformation of a human cell. This is a general new paradigm that will be applicable to the dissection of any normal and pathologic phenotypic state.


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Example 8
A Transcriptional Module Initiates and Maintains Mesenchymal Transformation in Brain Tumors

Using a combination of cellular-network reverse-engineering algorithms and experimental validation assays, a transcriptional module, including six transcription factors (TFs) that synergistically regulates the mesenchymal signature of malignant glioma was identified. This is a poorly understood molecular phenotype, never observed in normal neural tissue. It represents the hallmark of tumor aggressiveness in high-grade glioma, and its upstream regulation is so far unknown. Overall, the newly discovered transcriptional module regulates >74% of the signature genes, while two of its TFs (C/EBPβ and Stat3) display features of initiators and master regulators of mesenchymal transformation. Ectopic co-expression of C/EBPβ and Stat3 is sufficient to reprogram neural stem cells along the aberrant mesenchymal lineage, while simultaneously suppressing differentiation along the default neural lineages (neuronal and glial). Conversely, silencing the two TFs in human glioma cell lines and glioblastoma-derived tumor initiating cells leads to collapse of the mesenchymal signature with corresponding loss of tumor aggressiveness in vitro and in immunodeficient mice after intracranial injection. In human tumor samples, combined expression of C/EBPβ and Stat3 correlates with mesenchymal differentiation of primary glioma and is a predictor of poor clinical outcome. Taken together, these results reveal that activation of a small regulatory module—inferred from the accurate reconstruction of transcriptional networks—is necessary and sufficient to initiate and maintain an aberrant phenotypic state in eukaryotic cells.


High-grade gliomas (HGGs) are the most common brain tumors in humans and are essentially incurable (Ohgaki, 2005; herein incorporated by reference in its entirety). Just as the ability to metastasize identifies the highest degree of malignancy in epithelial tumors, the defining hallmarks of aggressiveness of glioblastoma multiforme (GBM) are local invasion and neo-angiogenesis {Demuth, 2004; Kargiotis, 2006; each herein incorporated by reference in its entirety}. Drivers of these phenotypic traits include intrinsic autocrine signals produced by brain tumor cells to invade the adjacent normal brain and stimulate formation of new blood vessels {Hoelzinger, 2007; herein incorporated by reference in its entirety}. It has been suggested that GBM re-engages pre-established ontogenetic motility and invasion signals that normally operate in neural stem cells (NSCs) and immature progenitors {Visted, 2003; herein incorporated by reference in its entirety}. A recently established notion postulates that neoplastic transformation in the central nervous system (CNS) converts neural stem cells into cell types manifesting a mesenchymal phenotype, a state associated with uncontrolled ability to invade and stimulate angiogenesis {Phillips, 2006; Tso, 2006; each herein incorporated by reference in its entirety}. Differentiation along the mesenchymal lineage, however, is virtually undetectable in normal neural tissue during development. Specifically, gene expression studies have established that over-expression of a “mesenchymal” gene expression signature (MGES) and loss of a proneural signature (PNGES), co-segregate with the poorest prognosis group of glioma patients {Phillips, 2006; herein incorporated by reference in its entirety}. The MGES↑PNGES↓ phenotype can thus be referred to as the mesenchymal phenotype of high-grade glioma. Without being bound by theory, drift toward the mesenchymal lineage may be exclusively an aberrant event that occurs during brain tumor progression. Without being bound by theory, glioma cells may recapitulate the rare mesenchymal plasticity of NSCs {Phillips, 2006; Takashima, 2007; Tso, 2006; Wurmser, 2004; each herein incorporated by reference in its entirety}. The molecular events that trigger activation of the MGES and suppression of the PNGES signatures, imparting a highly aggressive phenotype to glioma cells, remain unknown.


To discover transcription factors (TFs) causally linked to overexpression of MGES genes, the conventional paradigm of gene expression profile-based cancer research was inverted. Rather than asking which genes comprise the MGES, a genome-wide, glioma-specific map of transcriptional interactions was inferred and then interrogated to identify TFs controlling MGES induction in vivo. Efforts to identify TFs associated with specific cancer signatures from regulatory networks have yet to produce experimentally validated discoveries, likely because these networks are still poorly mapped, especially within specific mammalian cellular contexts {Rhodes, 2005; herein incorporated by reference in its entirety}. However, extension of reverse engineering approaches to the genome-wide inference of regulatory networks in mammalian cells have recently shown some promise {Basso, 2005, Margolin, 2006; each herein incorporated by reference in its entirety}. These methods have been further refined to identify causal, rather than associative interactions {Margolin, 2006; herein incorporated by reference in its entirety}, and have been successfully applied to the identification of dysregulated genes within developmental and tumor-related pathways {Zhao, 2009, Lim, 2009, Mani, 2007, Palomero, 2006, Taylor, 2008; each herein incorporated by reference in its entirety}. It was reasoned that the context-specific regulatory networks inferred by these algorithms may provide sufficient accuracy to allow estimating (a) the activity of TFs from that of their transcriptional targets or regulons and (b) TFs that are Master Regulators (MRs) of specific eukaryotic signatures {Hanauer, 2007; Lander, 2004; each herein incorporated by reference in its entirety} from the overlap between their regulons and the signatures. Thus, by studying the overlap between the MGES of malignant glioma and the computationally-inferred regulon of each TF, the aim was to unravel the complement of primary TFs activated and suppressed in that phenotype and, more specifically, those associated with its induction in human brain tumors.


TFs causally linked with MGES activation were first identified using the published dataset {Phillips, 2006; herein incorporated by reference in its entirety}. Next, it was discovered that the same TFs are associated with induction of a poor prognosis signature in the distinct GBM sample set from the Atlas-TCGA consortium {Network, 2008; herein incorporated by reference in its entirety}. Comprehensive computational and experimental assays converged on two of these TFs (C/EBP and Stat3) as synergistic initiators and essential MRs of the MGES of human glioma. Indeed, ectopic co-expression of the two factors in NSCs was sufficient to initiate expression of the mesenchymal set of genes, suppress proneural genes, promote mesenchymal transformation and trigger invasion. Conversely, silencing of these TFs consistently depleted GBM-derived brain tumor initiating cells (GBM-BTICs) and glioma cell lines of mesenchymal attributes and greatly impaired their ability to initiate brain tumor formation after intracranial transplantation in the mouse brain. Most notably, independent immunohistochemistry experiments in 62 human glioma specimens showed that concurrent expression of C/EBPβ and Stat3 is significantly associated to the expression of mesenchymal proteins and is an accurate predictor of the poorest outcome of glioma patients.


Computational Identification of the Transcriptional Regulation Module Driving the Mesenchymal Signature of High-Grade Glioma.


To identify the causal events that activate the MGES in HGGs, whether copy number variation alone may account for the aberrant expression of all or some of its genes was first asked. Integrated analysis of 76 HGGs for gene expression profiling and array comparative genomic hybridization (aCGH) failed to show any correlation between mean expression value and DNA copy number of MGES genes in tumors from any of the molecular subgroups (proneural, mesenchymal, and proliferative, see Methods and FIG. 23). Thus, it was sought to identify candidate MR-TFs, which may functionally activate the MGES in HGGs, using an unbiased computational approach.


The ARACNe reverse-engineering algorithm {Basso, 2005; herein incorporated by reference in its entirety} was used to assemble a genome-wide repertoire of HGGs-specific transcriptional interactions (the HGG-interactome), from 176 gene expression profiles of grade III (anaplastic astrocytoma) and grade IV (GBM) samples {Freije, 2004; Nigro, 2005; Phillips, 2006; each herein incorporated by reference in its entirety}. These specimens had been previously classified into three molecular signature groups—proneural, proliferative, and mesenchymal—based on the coordinated expression of specific gene sets by unsupervised cluster analysis {Phillips, 2006; herein incorporated by reference in its entirety} (see Table 3A-C). ARACNe is an information theoretic approach for the inference of TF-target interactions from large sets of microarray expression profiles. It previously identified targets of MYC and NOTCH 1 in B and T cells respectively, which were experimentally validated {Basso, 2005; Palomero, 2006; each herein incorporated by reference in its entirety}. It was later refined to infer directed (i.e. causal) interactions by considering only those involving at least one GO-annotated TF {Ashburner, 2000; herein incorporated by reference in its entirety} (see Methods) and by assuming that direct information transfer between mRNA species is mostly mediated by transcriptional interactions {Margolin, 2006; herein incorporated by reference in its entirety}. Thus, all interactions in the HGG-interactome, except those between two TFs (<10% of the total), are directed and thus explicitly model causality. These included 117,789 transcriptional interactions, 1,563 of which were between TFs and 102 of the 149 MGES genes {Phillips, 2006; herein incorporated by reference in its entirety} represented across all the gene expression profile data.


Next, a Master Regulator Analysis (MRA) algorithm was applied to the HGG-interactome (see Methods). The algorithm used the statistical significance of the overlap between each TF regulon (the ARACNe-inferred targets of the TF) and the MGES genes (MGES-enrichment) to infer the TFs that are more likely to regulate signature activity. Enrichment p-values were measured by Fisher Exact Test (FET). From a list of 928 TFs (Table 4), the MRA inferred 53 MGES-specific TFs, at a False Discovery Rate (FDR) <5% (Table 5A). These were ranked based on the total number of MGES targets they regulated. The top six TFs (Stat3, C/EBPβ/δ, bHLH-B2, Runx1, FosL2, and ZNF238) collectively controlled >74% of the MGES genes, suggesting that a signature core may be controlled by a relatively small number of TFs (FIG. 1). Consistent with their previously reported activity {Aoki, 1998; Fuks, 2001; each herein incorporated by reference in its entirety}, Spearman correlation analysis revealed that five of these TFs are likely activators (Stat3, C/EBPβ/δ, bHLH-B2, Runx1, and FosL2) and one is likely a repressor (ZNF238). Overlap between the regulons of the six TFs was highly significant (Table 6), suggesting coordinated and potentially synergistic regulation of the MGES. Both C/EBPβ and C/EBPδ were among the most MGES-enriched TFs. These are known to form stoichiometric homo and heterodimers with identical DNA binding specificity and redundant transcriptional activity {Ramji, 2002; herein incorporated by reference in its entirety}. One can thus use the term C/EBP to indicate the TF complex and the union of their targets as the corresponding regulon.


Similar MRA analysis of the Proneural (PNGES) and Proliferative (PROGES) signatures of HGGs was conducted (Table 7). Virtually no overlap among candidate MRs of the three signatures was detected, with the notable exception of a handful of TFs inversely associated with MGES and PNGES activation (OLIG2, for instance, activates 46 proneural and represses 12 mesenchymal genes, respectively). These results are consistent with the notion that proneural and mesenchymal genes in HGGs are mutually exclusive {Phillips, 2006; herein incorporated by reference in its entirety}. It also indicates that the reconstruction of the network topology and the application of the MRA algorithm to HGG samples are not biased towards the identification of specific TFs. Note that the impact of potential false negatives from ARACNe is considerably reduced since MRA analysis is based on enrichment criteria rather than on the identification of specific targets.


Inference of Regulatory Programs Controlling Individual MGES Genes.


Stepwise linear regression (SLR) was then used to infer simple, quantitative regulation models for each MGES gene (i.e. a regulatory program). In these models, the log-expression of each MGES gene is approximated by a linear combination of the log-expression of 53 ARACNe-inferred and 52 additional TFs, whose DNA-binding signature was enriched in MGES gene promoters (see Methods). Six TFs were in both lists, for a total of 99 TFs (Table 5B). The log-transformation allows convenient linear representation of multiplicative interactions between TF activities {Bussemaker, 2001; Tegner, 2003; each herein incorporated by reference in its entirety}. TFs were individually added to the model, each time selecting the one contributing the most significant reduction in relative expression error (predicted vs. observed), until error-reduction was no longer significant. Thus, expression of each MGES gene was defined as a function of a small number of TFs (1 to 5). Finally, TFs were ranked based on the fraction of MGES genes they regulated. Surprisingly, the top six MRA-inferred TFs were also among the eight controlling the largest number of MGES targets, based on SLR analysis (Table 8). This finding provides further support for a regulatory role of these TFs in the control of the MGES. Among them, the three TFs with the highest linear-regression coefficient values were C/EBP (α=0.40), bHLH-B2 (α=0.41), and Stat3 (α=0.40), thus establishing them as likely MGES-MR candidates. The next strongest TF, ZNF238, had a negative coefficient (α=−0.34) confirming its role as a strong MGES repressor.


Biochemical and Functional Validation of the ARACNe/MRA Regulatory Module.


It was sought to experimentally validate the TFs inferred as positive regulators of the MGES in HGGs. The first consideration was whether these TFs could bind the promoter region (proximal regulatory DNA) of their predicted MGES targets. Target promoters were first analyzed in silico to identify putative binding sites (see Methods). Chromatin Immunoprecipitation (ChIP) assays were then performed near predicted sites in a human glioma cell line to validate the ARACNe-inferred targets of four of the five TFs (C/EBPβ, Stat3, bHLH-B2, and FosL2), for which appropriate reagents were available. On average, TF-specific antibodies (but not control antibodies) immunoprecipitated with 80% of the tested genomic regions (FIG. 3). Given that binding may occur via co-factors, via non-canonical binding sites, or outside the selected region, this provides a conservative lower-bound on the number of their bound MGES targets.


Next, lentivirus-mediated shRNA silencing of the five TFs (C/EBPβ, Stat3, bHLH-B2, FosL2, and Runx1) was performed in the SNB19 human glioma cell line, followed by gene expression profiling using HT-12v3 Illumina BeadArrays in triplicate. GSEA analysis revealed: (a) that genes differentially expressed following shRNA-mediated silencing of each TF were enriched in its ARACNe-inferred regulon genes (but not in those of equivalent control TFs) (Table 9A); (b) that, consistent with predicted TF-regulon overlap, cross-enrichment among the TFs was also significant (Table 9A), suggesting that these TFs may work as a regulatory module; and (c) that genes differentially expressed following silencing of each TF were also enriched in MGES genes (Table 9B). Taken together, these results suggest that ARACNe and MRA accurately predicted the modular regulation of the MGES by these five TFs in malignant glioma.


TFs Controlling MGES in Malignant Glioma Form a Highly Connected and Hierarchically Organized Module.


It was considered whether the inferred TFs could be organized into a regulatory module. ChIP assays revealed that C/EBPβ and Stat3 occupy their own promoter and are thus likely involved in autoregulatory (AR) loops (FIG. 4A-B). Additionally, Stat3 occupies the FosL2 and Runx1 promoters (FIG. 4A); C/EBPβ occupies those of Stat3, FosL2, bHLH-B2, C/EBPβ, and C/EBPβ, thus confirming the redundant autoregulatory activity of the two C/EBP subunits (FIG. 4B) {Niehof, 2001; Ramji, 2002; each herein incorporated by reference in its entirety}; FosL2 occupies those of Runx1 and bHLH-B2 (FIG. 4C) and bHLH-B2 occupies only the promoter of Runx1 (FIG. 4D). The MGES regulatory-control topology that emerges from promoter occupancy analysis is highly modular, with 8 of 10 possible intra-module interactions implemented (p=1.0×10−8 by FET, based on the ratio of intra- vs. inter-module interactions for equally connected TFs) and displays a clearly hierarchical structure (FIG. 4E). At the very top of this hierarchical control structure, we find C/EBP and Stat3, which are also involved in AR loops and form feed-forward (FF) loops with the largest fraction of MGES genes (43%) than any of the other TF-pairs. Accordingly, shRNA-mediated co-silencing of C/EBPβ and Stat3 in glioma cells produced >2-fold reduction of the levels of the mRNAs coding for the second layer TFs in the FF loops (bHLH-B2, FosL2, and Runx1), thus further supporting a hierarchical modular structure (FIG. 16A). Whether C/EBPβ and Stat3 bound the promoters of their MGES targets also in primary tumors was tested. Experimental conditions were developed to perform C/EBPβ and Stat3 ChIP assays in two human GBM samples belonging to the mesenchymal signature group. These assays confirmed that C/EBPβ and Stat3 bind to their inferred MGES targets also in this in vivo context (FIG. 28).


Cross-Species Integrative Analysis of Mouse and Human Cells Carrying Perturbations of C/EBPβ and Stat3.


The above results suggest that C/EBPβ and Stat3 may operate as cooperative and possibly synergistic MRs of MGES activation in malignant glioma. To functionally validate this hypothesis, gain and loss-of-function experiments were conducted for the two TFs in NSCs and human glioma cells, respectively. NSCs have been proposed as the cell of origin for malignant glioma in the mesenchymal subgroup {Phillips, 2006; herein incorporated by reference in its entirety}. Two populations of murine NSCs were infected with retroviruses expressing C/EBPβ and a constitutively active form of Stat3 (Stat3C) {Bromberg, 1999; herein incorporated by reference in its entirety}. These included an early passage of the stable, clonal population of v-myc immortalized mouse NSCs known as C17.2 {Lee, 2007; Park, 2006; Parker, 2005; each herein incorporated by reference in its entirety} as well as primary murine NSCs derived from the mouse telencephalon at embryonic day 13.5.


For loss-of-function experiments, lentivirus-mediated shRNA silencing of C/EBPβ and Stat3 in the human glioma cell line SNB19 and in early-passage cultures of tumor cells derived from primary GBM was performed. The latter were grown in serum-free conditions, in the presence of the growth factors bFGF and EGF. These culture conditions preserve the tumor stem cell-like features of GBM-derived cells and propel the formation of GBM-like tumors after intracranial transplantation in immunodeficient mice {Lee, 2006; herein incorporated by reference in its entirety} (GBM-derived brain tumor initiating cells, GBM-BTICs, see FIG. 22 for the analysis of their tumor-initiating capacity). At least three replicates for each condition were produced and a global dataset of 89 individual samples was generated, including 55 knockdown experiments in human glioma cells and 34 ectopic expression experiments in mouse NSCs. Gene expression profiles of human samples were produced with the HT-12v3 Illumina BeadArrays (including 24,385 human genes), while murine samples were profiled on mouse-6V2 Illumina BeadArrays (including 20,311 mouse genes). 14,857 murine genes were mapped to human orthologs, using the homologene database (http://www.ncbi.nlm.nih.gov/homologene; herein incorporated by reference in its entirety). Of the 149 genes in the MGES, 118 could be mapped to murine genes represented on the mouse-6V2 array.


Quantitative RT-PCR (qRT-PCR) analysis performed on each sample showed that C/EBPβ and Stat3 were effectively silenced and overexpressed (Table 10). Following C/EBPβ shRNA silencing in GBM-BTICs and SNB19, C/EBPβ mRNA levels measured by qRT-PCR were significantly reduced compared to non-target control transduced cells (fold ratio=0.26, p≦0.00108, by U-test). Slightly stronger reduction was observed for Stat3 mRNA in Stat3-shRNA silenced cells (fold ratio=0.205, p≦0.00109, U-test). Reciprocal changes followed ectopic expression of the two TFs in C17.2 and NSC cells (Table 10) qRT-PCR values and microarray-based measurements were highly correlated for Stat3 but not for C/EBPβ mRNA (FIG. 24). Moreover, the Stat3C and C/EBPβ constructs used in the ectopic expression experiments in mouse NSCs lack the 3′ UTR sequence targeted by the Illumina probes. Thus, the qRT-PCR values for C/EBPβ and Stat3 were used, rather than the microarray measurements, as more accurate read-outs for their mRNA expression across the 89 samples.


First, it was considered whether this large set of experiments demonstrated specific regulation of C/EBPβ and Stat3 ARACNe-inferred targets. GSEA analysis confirmed that genes co-expressed with the two TFs across the 89 samples were significantly enriched in their respective ARACNe-inferred regulon genes but not in those of control TFs (Table 11). More importantly, the GSEA analysis showed that perturbation of either C/EBPβ (FIG. 17A, FIG. 17D) or Stat3 (FIG. 17B, FIG. 17E) affected the MGES signature specifically (p=2.67×10−2 and p=2.0×10−4, respectively by GSEA). Interestingly, common targets of both C/EBP and Stat3 were 8-fold more enriched in MGES genes than targets controlled individually by each TF (FIG. 17G) (p=2.25×10−5), suggesting synergistic regulation. To test whether the two TFs may be involved in synergistic MGES control, a metagene (C/EBPβ×Stat3) was created whose expression was proportional to the product of their mRNAs. The expression profile of any target regulated synergistically by the two TFs (i.e., by multiplicative rather than additive logic) should be highly correlated with such a metagene (FIG. 17C). GSEA analysis confirmed that genes ranked by Spearman correlation to the C/EBPPxStat3 metagene were significantly enriched in MGES genes (FIG. 17F). This suggests that at least a subset of the MGES follows a multiplicative (synergistic) model of regulation, while another subset may be individually regulated by C/EBPβ or Stat3 (complementarity). Taken together, these experiments support a cooperative and synergistic control of the MGES by C/EBPβ and Stat3 across a large subset of murine NSC and human glioma contexts, with MGES genes responding to both silencing and overexpression of the two TFs.


Signature and Dataset-Independent Validation of the Identification of MRs in HGG.


The MGES was originally identified as common biological attribute of a fraction of the samples associated with the poorest prognosis group of HGGs. It was sought to establish whether i) MRs inferred by the procedure would also be inferred when using an entirely independent glioma sample datasets and it) MRs identified purely on the basis of clinical outcome would overlap significantly with those inferred from analysis of the MGES signature. The MRA and SLR approaches were thus applied to the independent glioma dataset provided by the Atlas-TCGA consortium {Network, 2008; herein incorporated by reference in its entirety}. This dataset includes 77 and 21 samples associated with worst- and best-prognosis, respectively (92 samples with intermediate prognosis were not considered). Differential expression analysis identified a TCGA Worst-Prognosis Signature (TWPS), comprising 884 genes differentially expressed in the worst-prognosis samples compared to the best-prognosis ones (p≦0.05 by Student's t-test, Table 12).


GSEA analysis confirmed that MGES genes identified in Phillips, 2006; herein incorporated by reference in its entirety were markedly enriched in the TWPS signature (p≦1.0×10−4, FIG. 25), suggesting that the poor-prognosis group in the Atlas-TCGA dataset also displays a markedly mesenchymal phenotype. However, overlap between MGES and TWPS genes was partial (22.8%), indicating that other previously unrecognized “mesenchymal” genes should be added to the MGES and/or that other biologically relevant functions may cooperate with mesenchymal transformation to produce the poor-prognosis cluster of HGGs. Nonetheless, five of the 10 most significant MRs identified by MRA analysis from the original dataset, including 4 out of 5 of our positive MGES modulators (C/EBPβ, C/EBPδ, Stat3, bHLH-B2, and FosL2), were also found among the 10 most significant TFs identified by TWPS-based analysis of the Atlas-TCGA dataset. Specifically, C/EBP was inferred as the most significant TF (C/EBPδ and C/EBPβ were 3rd and 10th, respectively), while Stat3 was in 7th position. Additionally, among the top 10 TFs, C/EBPβ and C/EBPδ had respectively the first and second best linear-regression coefficient by SLR analysis (Table 13). These results suggest significant robustness of the approach both to dataset and signature selection. Furthermore, these findings suggest that the MGES and a more comprehensive signature broadly associated with the poorest-prognosis are regulated by the same TFs, including C/EBP and Stat3 among the top-ranking ones. Recently, there have been several unsuccessful attempts to identify common expression signatures from different sample sets representative of the same phenotype {Ein-Dor, 2005; herein incorporated by reference in its entirety}. These findings indicate that MRs of mammalian phenotype signatures may be significantly more conserved than their specific genes.


Concurrent Expression of Active C/EBPβ and Stat3 Reprograms NSCs Toward the Mesenchymal Lineage.


Having shown that manipulation of C/EBPβ and Stat3 results in corresponding changes in the MGES, the next question was whether these effects are associated with phenotypic changes. First, it was considered whether combined and/or individual expression of Stat3C and C/EBPβ in NSCs is sufficient to trigger the mesenchymal phenotypic properties that characterize high-grade gliomas. Ectopic expression of C/EBPβ and Stat3C in C17.2 NSCs induced dramatic morphologic changes, consistent with loss of ability to differentiate along the default neuronal lineage (FIG. 5A, FIG. 26A). Parental and vector-transfected NSCs have the classical spindle-shaped morphology that is associated with the neural stem/progenitor cell phenotype. When grown in the absence of mitogens, these cells display efficient neuronal differentiation characterized by extensive formation of a neuritic network. Conversely, expression of Stat3C and C/EBPβ led to cellular flattening and manifestation of a fibroblast-like morphology (FIG. 26A).


Ectopic expression of C/EBPβ and Stat3C cooperatively induced the expression of mesenchymal markers in NSCs. This was shown with immunofluorescence staining for SMA and fibronectin in C17.2 expressing the indicated TFs. SMA positive cells were quantified. For fibronectin immunostaining, the intensity of fluorescence was quantified. QRT-PCR analysis of mesenchymal targets in C17.2 expressing the indicated TFs or transduced with the empty vector was also carried out. Gene expression was normalized to the expression of 18S ribosomal RNA.


The morphological changes were associated with gain of the expression of the mesenchymal marker proteins SMA and fibronectin and induced mRNA expression of the mesenchymal genes Chi311/YKL40, Acta2/SMA, CTGF and OSMR. However, the individual expression of Stat3C or C/EBPβ was generally insufficient to induce either mesenchymal marker proteins or expression of mesenchymal genes. Rather than triggering differentiation along the neuronal lineage, removal of mitogens to Stat3C/C/EBPβ-expressing C17.2 cells resulted in further increase of the expression of mesenchymal genes and complete acquisition of mesenchymal features such as positive alcian blue staining, a specific assay for chondrocyte differentiation (FIG. 18A-B, FIG. 26A-B). Consistent with the cellular properties conferred by mesenchymal transformation to multiple cell types, we found that the expression of Stat3C and C/EBPβ robustly promoted migration in a wound assay and triggered invasion through the extracellular matrix in a Matrigel invasion assay (FIG. 5C-D). Invasion through Matrigel by C17.2 was stimulated by Stat3C and C/EBPβ in the absence of mitogens or in the presence of PDGF, a known inducer of cell migration, therefore indicating that the Stat3C/C/EBPβ-induced migration and invasion are likely cell intrinsic effects (FIG. 5D). Next, it was sought to establish the effects of C/EBPβ and Stat3 in primary NSCs. NSCs isolated from the mouse cortex at embryonic day 13 were cultured and infected with retroviruses expressing Stat3C together with a puromycin-resistance gene and/or C/EBPβ together with a green fluorescence protein (GFP). Also in this primary system the combined but not the individual expression of Stat3C and C/EBPβ efficiently induced mesenchymal marker proteins and mesenchymal gene expression (FIG. 19A-C). Conversely, Stat3C and C/EBPβ abolished differentiation along the neuronal and glial lineages that is normally triggered in NSCs by removal of mitogens (EGF and bFGF) from the medium (FIG. 19D-F). The C/EBPβ/Stat3C-induced mesenchymal transformation of primary NSCs was associated with withdrawal from cell cycle. Thus, the combined introduction of active C/EBPβ and Stat3 in NSCs prevents differentiation along the normal neural lineages and triggers reprogramming toward an aberrant mesenchymal lineage.


C/EBPβ and Stat3 are Essential for Mesenchymal Transformation and Aggressiveness of Human Glioma Cells In Vitro, in the Mouse Brain and in Primary Human Tumors.


To assess the significance of constitutive C/EBPβ and Stat3 in the cells responsible for brain tumor growth in humans, it was sought to abolish the expression of C/EBPβ and Stat3 in cells freshly derived from primary human GBM and grown in serum-free medium, a condition optimal for retention of stem-like properties and tumor initiating ability (GBM-BTICs, see FIG. 7E AND FIG. 21) {Lee, 2006; herein incorporated by reference in its entirety}. Transduction of GBM-BTICs cultures derived from two GBM patients (BTSC-20 and BTSC-3408) with specific shRNA-carrying lentiviruses silenced endogenous C/EBPβ and Stat3 and efficiently eliminated expression of mesenchymal genes and depleted the tumor cells of the mesenchymal marker proteins fibronectin, collagen-5A1 and YKL40 (FIG. 20A-D, FIG. 20H, and FIG. 20I). Individual silencing of C/EBPβ or Stat3 produced variable inhibitory effects with the silencing of C/EBPβ typically carrying the most severe consequences (see for example the quantitative analysis of YKL40 staining in FIG. 20D). Combined or individual silencing of C/EBPβ and Stat3 in the human glioma cell line SNB19 produced effects similar to those observed in GBM-BTICs (FIG. 20E-G, FIG. 20J).


Next, it was considred whether loss of C/EBPβ and Stat3 in glioma cells reduced tumor aggressiveness in vitro and in vivo. First, it was found that silencing of the two TFs in SNB19 and GBM-BTICs eliminated >70% of their ability to invade through Matrigel (FIG. 22A, FIG. 7E). Then, the impact of C/EBPβ and Stat3 knockdown for brain tumorigenesis in vivo was determined. SNB19 cells transduced with non-targeting control shRNA lentivirus or shRNA targeting C/EBPβ and/or Stat3 were xenografted into the striatum of immunocompromised mice. Efficient tumor formation was observed in all mice injected with shRNA control and shStat3 cells. However, only one of four mice from the shC/EBPβ and one of five mice from the shC/EBPβ+shStat3 groups developed tumors after 120 days from the injection (FIG. 22B). The histologic analysis demonstrated high-grade tumors, which displayed peripheral invasion of the surrounding brain as single cells and cell clusters in the shRNA control group as shown by the staining pattern produced by a human specific vimentin antibody (FIG. 22C). Staining for the endothelial marker CD31 revealed marked vascularization in the shRNA control group of tumors. Conversely, the single tumor in the shC/EBPβ+shStat3 group grew well circumscribed and was less angiogenic. Tumors in the shStat3 group and the single tumor in the shC/EBPβ group had an intermediate growth pattern and limited angiogenesis (FIG. 22C-D). Consistent with the notion that the expression of mesenchymal markers correlates with brain tumor aggressiveness, it was found that staining for fibronectin, collagen-5A1 and YKL40 was readily detected in the tumors from the control group but absent or barely detectable in the single tumors from the shC/EBPβ and shC/EBPβ+shStat3 groups. Tumors derived from shStat3 cells displayed an intermediate phenotype with reduced expression of mesenchymal markers compared with tumors in the shcontrol group but higher than that observed in the tumors in the shC/EBPβ and shC/EBPβ+shStat3 groups (shcontrol>shStat3>shC/EBPβ>shC/EBPβ+shStat3).


Intracranial transplantation of GBM-BTICs transduced with shRNA control lentivirus produced extremely invasive tumor cell masses extending through the corpus callosum to the controlateral brain. Combined knockdown of C/EBPβ and Stat3 led to a significant decrease of the tumor area and tumor cell density as evaluated by human vimentin staining (FIG. 21B), markedly reduced the proliferation index (FIG. 21A) and abolished the expression of mesenchymal markers fibronectin and collagen-5A1 (FIG. 21D-E).


As final test for the significance of the expression of C/EBPβ and Stat3 for the mesenchymal phenotype and aggressiveness of human glioma, an immunohistochemical analysis was conducted for C/EBPβ and active, phospho-Stat3 in human tumor specimens, and the expression of these TFs was compared with YKL-40 (a well-established mesenchymal protein expressed in primary human GBM) {Nigro, 2005; Pelloski, 2005; each herein incorporated by reference in its entirety} and patient outcome in a collection of 62 newly diagnosed GBMs (FIG. 29A-B). FET analysis showed that expression of either C/EBPβ or Stat3 were significantly associated with YKL-40 expression (C/EBPβ, p=4.9×10−5; Stat3, p=2.2×10−4). However, the association was higher when double positive tumors (C/EBPβ+/Stat3+) were compared to double negatives (C/EBPβ−/Stat3−, p=2.7×10−6). Furthermore, double positive tumors were associated with markedly worse clinical outcome than tumors that were either single or double negatives (log-rank test, p=0.0002, FIG. 21E). Positivity for either of the two TFs remained predictive of negative outcome but with lower statistical strength than double positivity (C/EBPβ, p=0.0022; Stat3, p=0.0017). Together, the above results provide compelling indication that the activities of C/EBPβ and Stat3 are essential to maintain mesenchymal properties and aggressiveness of human glioma, and mark the worst survival group of GBM patients.


Discussion


Recent progress in systems biology has allowed the reconstruction of cellular networks proposed to play important functions in various phenotypic states, including cancer {Ergun, 2007; Rhodes, 2005; each herein incorporated by reference in its entirety}. However, network-based methods have yet to identify MRs of predefined tumor phenotypes that could withstand rigorous experimental validation. Similarly, synergistic/cooperative regulations of human phenotypes are virtually unexplored using network-based approaches. Here, it is shown that context-specific inference of a regulatory network in HGGs can be used to identify a transcriptional regulatory module that controls the expression of genes associated with the mesenchymal signature and poorest-prognosis of HGGs. Two of the module TFs, C/EBPβ and Stat3, were further characterized as first level controllers of module activity, via a large number of FF loops, and cooperative/synergistic initiators and MRs of the MGES. FF loops contribute to stabilizing positive regulation of the signature and to making its activity relatively insensitive to short regulatory fluctuations{Kalir, 2005; Milo, 2002, Science; each herein incorporated by reference in its entirety}.


In the proposed approach presented here, the traditional paradigm of gene expression profile based cancer research, yielding long lists of differentially expressed genes (i.e., cancer signatures), becomes a starting point for a cellular-network analysis where a causal regulatory model identifies the TFs that control the signatures and related phenotypes. As shown, the stability of the MRs across distinct datasets surpasses by far that of the signature genes. Indeed, poor overlap of cancer signatures and lack of validation across distinct datasets has been a long-standing concern {Ein-Dor, 2005; herein incorporated by reference in its entirety}. Yet the new approach produced virtually identical regulatory MR modules when applied to two completely distinct datasets and signatures associated with poor-prognosis in HGGs. Conversely, attempts to test several more conventional statistical association methods failed to identify the two MRs. This suggests that enrichment analysis of ARACNe-inferred TF regulons is specifically useful for the identification of MRs of tumor-related phenotypes. Due to the hyperexponential complexity in the number of parent regulators, other graph-theoretical methods such as Bayesian Networks may be less suited to explore regulatory modules where a large number of TFs cooperatively and synergistically determine signature regulation. The results do not exclude that such approaches may however provide further fine-grain regulatory insight once the number of candidate MRs is reduced to a handful by methods such as those proposed here. Yet, once a relatively small number of TFs is identified, direct experimental validation is feasible and will provide more conclusive results, as shown here.


While such an approach is of general applicability, it also presents some limitations. For instance, the activity of some TFs may be modulated only post-translationally, thus preventing the identification of their targets by ARACNe. Furthermore, due to false negatives, the regulons of some TFs may be too small to detect statistically significant enrichment, thus preventing their identification as potential MRs. The latter is partially mitigated by the fact that TFs with small regulons may be less likely to produce the broad regulatory changes associated with phenotypic transformations.


The experimental follow-up established that C/EBPβ and Stat3 are sufficient in NSCs and necessary in human glioma cells for mesenchymal transformation. Interestingly, C/EBPβ and Stat3 are expressed in the developing nervous system {Barnabe-Heider, 2005; Bonni, 1997; Nadeau, 2005; Sterneck, 1998; each herein incorporated by reference in its entirety}. However, while Stat3 induces astrocyte differentiation and inhibits neuronal differentiation of neural stem/progenitor cells, C/EBPβ promotes neurogenesis and opposes gliogenesis {He, 2005; Menard, 2002; Nakashima, 1999; Paquin, 2005; each herein incorporated by reference in its entirety}. How can the combined activity of C/EBPβ and Stat3 promote differentiation toward an aberrant lineage (mesenchymal) and oppose the genesis of the normal neural lineages (neuronal and glial)? Without being bound by theory, it is proposed that mesenchymal transformation results from concurrent activation of two conflicting transcriptional regulators normally operating to funnel opposing signals (neurogenesis vs. gliogenesis). This scenario is intolerable by normal neural stem/progenitor cells whereas it operates to permanently drive the mesenchymal phenotype in the context of the genetic and epigenetic changes that accompany high-grade gliomagenesis (EGFR amplification, PTEN loss, Akt activation, etc.) {Phillips, 2006; herein incorporated by reference in its entirety}.


The finding that C/EBPβ/Stat3C-expressing NSCs become unable to differentiate along the default neuronal lineage and lose expression of the normal proneural signature genes reflects the mutually exclusive expression of the proneural and mesenchymal signatures observed in primary GBM {Phillips, 2006; herein incorporated by reference in its entirety}. Without being bound by theory, it is proposed that the neuroepithelial to mesenchymal reprogramming induced by C/EBPβ and Stat3 recapitulates the epithelial to mesenchymal transition frequently described in epithelial neoplasms undergoing progression toward a more invasive and metastatic tumor type {Tarin, 2005; herein incorporated by reference in its entirety}. Thus, an exciting implication of this work is that, by acting upstream of the mesenchymal genes, C/EBP/Stat3-mediated transcription reprograms the cell fate of NSCs toward an aberrant “mesenchymal” lineage. In the context of other genetic and epigenetic alterations, this transformation triggers the most aggressive properties of malignant brain tumors, namely invasion and neo-angiogenesis. Since the expression of C/EBPβ and Stat3 in human glioma cells is essential to maintain the tumor initiating capacity and the ability to invade the normal brain, the two TFs provide important clues for diagnostic and pharmacological intervention. Consistent with this notion, the combined expression of C/EBPβ and Stat3 is linked to the mesenchymal state of primary GBM and provides an excellent prognostic biomarker for tumor aggressiveness.


In conclusion, the first evidence that computational systems biology methods can be effectively used to infer MRs that choreograph the malignant transformation of a human cell is presented. This is a general new paradigm that will be applicable to the dissection of normal and pathologic phenotypic states.


Methods


ARACNe Network Reconstruction.


ARACNe (Algorithm for the Reconstruction of Accurate Cellular Networks), an information-theoretic algorithm for inferring transcriptional interactions, was used to identify a repertoire of candidate transcriptional regulators of the MGES genes. Expression profiles used in the analysis were previously characterized using Affymetrix HU-133A microarrays and preprocessed by MAS 5.0 normalization procedure {Phillips, 2006; herein incorporated by reference in its entirety}. First, candidate interactions between a TF (x) and its potential target (y) are identified by computing pairwise mutual information, MI[x; y], using a Gaussian kernel estimator {Margolin, 2006; herein incorporated by reference in its entirety} and by thresholding the mutual information based on the null-hypothesis of statistical independence (p<0.05 Bonferroni corrected for the number of tested pairs). Then, indirect interactions are removed using the data processing inequality, a well known property of the mutual information. For each TF-target pair (x, y) a path through any other TF (z) was considered and any interaction such that MI[x; y]<min(MI[x; z], MI[y; z]) was removed.


Transcription Factor Classification.


To identify human transcription factors (TFs), the human genes annotated as “transcription factor activity” in Gene Ontology and the list of TFs from TRANSFAC were selected. From this list, general TFs (e.g. stable complexes like polymerases or TATA-box-binding proteins) were removed, and some TFs not annotated by GO were added, producing a final list of 928 TFs that were represented on the HG-U133A microarray gene set.


Master Regulator Analysis.


The MRA has two steps. First, for each TF its MGES-enrichment is computed as the p-value of the overlap between the TF-regulon and the MGES genes, assessed by Fisher Exact Test (FET). Since FET depends on regulon size, it can be used to assess MGES-enriched TFs but not to rank them. MGES-enriched TFs are thus ranked based on the total number of MGES genes in their regulon, under the assumption that TFs controlling a larger fraction of MGES genes will be more likely to determine signature activity.


Stepwise Linear Regression (SLR) Analysis.


A regulatory program for each MGES gene was computed as follows: the log2 expression of the i-th MGES gene was considered as the response variable and the log2-expression of the TFs as the explanatory variables in the linear model log xi=Σαij log fjij {Tegner, 2003}. Here, fj represents the expression of the j-th TF in the model and the (αij, βij) are linear coupling coefficients computed by standard regression analysis. TFs are iteratively added to the model, by choosing each time the one producing the smallest relative error E=Σ|xi−xi0|/xi0 between predicted and observed target expression. This is repeated until the decrease in relative error is no longer statistically significant, based on permutation testing. To avoid excessive multiple hypothesis testing correction, TFs were chosen only among the following: (a) the 55 inferred by ARACNe at FDR <0.05 and (b) TFs whose DNA binding signature was significantly enriched in the proximal promoter of the MGES genes and that are expressed in the dataset, based on the coefficient of variation (CV≧0.5). TFs were then ranked based on the number of MGES target they regulated, with the average Linear-Regression coefficient providing additional insight.


Cell Lines and Cell Culture Conditions.


SNB75, SNB19, 293T and Phoenix cell lines were grown in DMEM plus 10% Fetal Bovine Serum (FBS, Gibco/BRL). GBM-derived BTICs were grown as neurospheres in Neurobasal media (Invitrogen) containing N2 and B27 supplements (Invitrogen), and human recombinant FGF-2 and EGF (50 ng/ml each; Peprotech). Murine neural stem cells (mNSCs) (from an early passage of clone C17.2) (27-29; each herein incorporated by reference in its entirety) were cultured in DMEM plus 10% heat inactivated FBS, (Gibco/BRL), 5% Horse serum (Gibco/BRL) and 1% L-Glutamine (Gibco/BRL). Neuronal differentiation of mNSCs was induced by growing cells in DMEM supplemented with 0.5% Horse serum. For chondrocyte differentiation, cells were treated with STEMPRO chondrogenesis differentiation kit (Gibco/BRL) for 20 days.


Primary murine neural stem cells were isolated from E13.5 mouse telencephalon and cultured in the presence of FGF-2 and EGF (20 ng/ml each) as described {Bachoo, 2002; herein incorporated by reference in its entirety} Differentiation of neural stem cells was induced by culturing neurospheres on laminin-coated dishes in NSC medium in the absence of growth factors. mNSC expressing Stat3C and C/EBPβ, were generated by retroviral infections using supernatant from Phoenix ecotropic packaging cells transfected with pBabe-Stat3C-FLAG and/or pLZRS-T7-His-C/EBPβ-2-IRES-GFP.


Promoter Analysis and Chromatin Immunoprecipitation (ChIP).


Promoter analysis was performed using the MatInspector software (www.genomatix.de; herein incorporated by reference in its entirety). A sequence of 2 kb upstream and 2 kb downstream from the transcription start site was analyzed for the presence of putative binding sites for each TFs. Primers used to amplify sequences surroundings the predicted binding sites were designed using the Primer3 software (http://frodo.wi.mit.edu/cgi-bin/primer3/primer3_www.cgi; herein incorporated by reference in its entirety) and are listed in Table 15.


Chromatin immunoprecipitaion was performed as described in Frank, 2001; herein incorporated by reference in its entirety. SNB75 cells lysates were precleared with Protein A/G beads (Santa Cruz) and incubated at 4° C. overnight with 1 μl of polyclonal antibody specific for C/EBPβ (sc-150, Santa Cruz), Stat3 (sc-482, Santa Cruz), FosL2 (Fra2, sc-604, Santa Cruz), bHLH-B2 (A300-649A, BETHYL Laboratories), or normal rabbit immunoglobulins (Santa Cruz). DNA was eluted in 200 μl of water and 1 μl was analyzed by PCR with Platinum Taq (Invitrogen). For primary GBM samples, 30 mg of frozen tissue was transferred in a tube with 1 ml of culture medium, fixed with 1% formaldehyde for 15 min and stopped with 0.125 M glycine for 5 min. Samples were centrifuged at 4000 rpm for 2 min, washed twice and diluted in PBS. Tissues were homogenized using a pestle and suspended in 3 ml of ice-cold immunoprecipitation buffer with protease inhibitors and sonicated. ChIP was then performed as described above.


QRT—PCR and Microarray Analysis.


RNA was prepared with RiboPure kit (Ambion), and used for first strand cDNA synthesis using random primers and SuperScriptll Reverse Transcriptase (Invitrogen). QRT-PCR was performed using Power SYBR Green PCR Master Mix (Applied Biosystems). Primers are listed in Table 16. QRT-PCR results were analyzed by the ΔΔCT method (Livak & Schmittgen, Methods 25:402, 2001; herein incorporated by reference in its entirety) using GAPDH or 18S as housekeeping genes.


RNA amplification for Array analysis was performed with Illumina TotalPrep RNA Amplification Kit (Ambion). 1.5 μg of amplified RNA was hybridized on Illumina HumanHT-12v3 or MouseWG-6 expression BeadChip according to the manufacturer's instructions. Hybridization data was obtained with an iScan BeadArray scanner (Illumina) and pre-processed by variance stabilization and robust spline normalization implemented in the lumi package under the R-system (Du, P., Kibbe, W. A. and Lin, S. M., (2008) ‘lumi: a pipeline for processing Illumina microarray’, Bioinformatics 24(13):1547-1548; herein incorporated by reference in its entirety).


Immunofluorescence and Immunohistochemistry.


Immunofluorescence staining was performed as previously described {Rothschild, 2006; herein incorporated by reference in its entirety}. Primary antibodies and dilutions were: SMA (mouse monoclonal, Sigma, 1:200), Fibronectin (mouse monoclonal, BD Biosciences, 1:200), Tau (rabbit polyclonal, Dako, 1:400), βIIITubulin (mouse monoclonal, Promega, 1:1000), CTGF (rabbit polyclonal, Santa Cruz, 1:200), YKL40 (rabbit polyclonal, Quidel, 1:200) and Col5A1 (rabbit polyclonal, Santa Cruz, 1:200). Confocal images acquired with a Zeiss Axioscop2 FS MOT microscope were used to score positive cells. At least 500 cells were scored for each sample. Quantification of the fibronectin intensity staining in mNSC was performed using NIH Image J software (http://rsb.info.nih.gov/ij/, NIH, USA; herein incorporated by reference in its entirety). The histogram of the intensity of fluorescence of each point of a representative field for each condition was generated. The fluorescence intensity of three fields from three independent experiments was scored, standardized to the number of cells in the field and divided by the intensity of the vector. For immunostaining of xenograft tumors, mice were perfused trans-cardially with 4% PFA, brains were dissected and post-fixed for 48 h in 4% PFA. Immunostaining was performed as previously described {Zhao, 2008; herein incorporated by reference in its entirety}. Primary antibodies and dilutions were fibronectin (mouse moclonal, BD Bioscences, 1; 100), Col5A1 (rabbit polyclonal, Santa Cruz, 1:100), YKL40 (rabbit polyclonal, Quidel, 1; 100), human vimentin (mouse monoclonal, Sigma, 1:50), Ki67 (rabbit polyclonal, Novocastra laboratories, 1:1000). Quantification of the tumor area was obtained by measuring the human vimentin positive area in the section using the NIH Image J software (http://rsb.info.nih.gov/ij/, NIH, USA; herein incorporated by reference in its entirety). Five tumors for each group were analyzed. For quantification of Ki67, the percentage of positive cells was scored in 5 tumors per each group. In histogram values represents the mean values; error bars are standard deviations. Statistical significance was determined by t test (with Welch's Correction) using GraphPad Prism 4.0 software (GraphPad Inc., San Diego, Calif.). Immunohistochemistry of primary human GBM was performed as previously described {Simmons, 2001; herein incorporated by reference in its entirety}. The primary antibodies and dilutions were anti-YKL-40 (rabbit polyclonal, Quidel, 1:750), anti C/EBPβ, (rabbit polyclonal, Santa Cruz, 1:250) and anti-p-Stat3 (rabbit monoclonal, Cell Signaling, 1; 25), Scoring for YKL-40 was based on a 3-tiered system, where 0 was <5% of tumor cells positive, 1 was 5-30% positivity and 2 was >30% of tumor cells positive. Scores of 1 and 2 were later collapsed into a single value for display purposes on Kaplan-Meier curves. Associations between C/EBPβ/Stat3 and YKL-40 were assessed using the Fisher exact test (FET). Associations between C/EBPβ/Stat3 and patients survival were assessed using the log-rank (Mantel-Cox) test of equality of survival distributions.


Migration and Invasion Assays.


For the wound assay testing migration, mNSCs were plated in 60 mm dishes and grown until 95% confluence. A scratch of approximately 1000 μm was made with a P1000 pipet tip and images were taken every 24 h with an inverted microscope. For the Matrigel invasion assay, mNSCs and SNB19 (1×104) were added to the upper compartment of a 24 well BioCoat Matrigel Invasion Chamber (BD Bioscences) in serum free DMEM. The lower compartment of the chamber was filled with DMEM containing either 0.5% horse serum or 20 μg/ml PDGF-BB (R&D systems) as chemoattractant. After 24 h, invading cells were fixed, stained according to the manufacturer's instructions and counted. For GBM-derived BTICs, 5×104 cells were plated on the upper chamber in the absence of growth factors. In the lower compartment Neurobasal medium containing B27 and N2 supplements plus 20 μg/ml PDGF-BB (R&D systems) was used as chemoattractant.


Lentivirus Infection.


Lentiviral expression vectors carrying shRNAs were purchased from Sigma. The sequences are listed in Table 17. To generate lentiviral particles, each shRNA expression plasmid was co-transfected with pCMV-dR8.91 and pCMV-MD2.G vectors into human embryonic kidney 293T cells using Fugene 6 (Roche). Lentiviral infections were performed as described {Zhao, 2008; herein incorporated by reference in its entirety}.


Intracranial Injection.


Intracranial injection of SNB19 glioma cell line and GBM-derived BTICs was performed in 6-8 weeks NOD/SCID mice (Charles River laboratories) in accordance with guidelines of the International Agency for Reserch on Cancer's Animal Care and Use Committee. Briefly, 48 h after lentiviral infection, 2×105 SNB19 or 3×105 BTICs were injected 2 mm lateral and 0.5 mm anterior to the bregma, 3 mm below the skull. Mice were monitored daily and sacrificed when neurological symptoms appeared. Kaplan-Meier survival curve of the mice injected with SNB19 glioma cells was generated using the DNA Statview software package (AbacusConcepts, Berkeley Calif.).









TABLE 3A







Table 3A. Genes in the MGES signature.











AffyID
Gene Symbol
Gene ID
MRA
Illumina














200660_at
S100A11
6282
*



200808_s_at
ZYX
7791
*
*


200859_x_at
FLNA
2316
*
*


200879_s_at
EPAS1
2034
*
*


200974_at
ACTA2
59
*


201058_s_at
MYL9
10398
*


201169_s_at
BHLHB2
8553
*
*


201204_s_at
RRBP1
6238
*
*


201315_x_at
IFITM2
10581
*
*


201389_at
ITGA5
3678
*
*


201473_at
JUNB
3726
*
*


201474_s_at
ITGA3
3675
*
*


201645_at
TNC
3371
*
*


201666_at
TIMP1
7076
*
*


201750_s_at
ECE1
1889
*
*


202180_s_at
MVP
9961
*
*


202627_s_at
SERPINE1
5054
*
*


202628_s_at
SERPINE1
5054
*
*


202637_s_at
ICAM1
3383
*
*


202638_s_at
ICAM1
3383
*
*


202669_s_at
EFNB2
1948
*
*


202765_s_at
FBN1
2200
*


202771_at
FAM38A
9780
*


202827_s_at
MMP14
4323
*
*


202833_s_at
SERPINA1
5265
*
*


202856_s_at
SLC16A3
9123
*
*


202888_s_at
ANPEP
290
*
*


202910_s_at
CD97
976
*
*


203370_s_at
PDLIM7
9260
*


203691_at
PI3
5266
*


203729_at
EMP3
2014
*
*


203828_s_at
IL32
9235
*


203835_at
LRRC32
2615
*


203887_s_at
THBD
7056
*
*


203888_at
THBD
7056
*
*


204036_at
LPAR1
1902
*
*


204037_at
LPAR1
1902
*
*


204166_at
SBNO2
22904
*
*


204293_at
SGSH
6448
*
*


204306_s_at
CD151
977
*
*


204879_at
PDPN
10630
*


204908_s_at
BCL3
602
*
*


204981_at
SLC22A18
5002
*
*


205226_at
PDGFRL
5157
*
*


205266_at
LIF
3976
*
*


205418_at
FES
2242
*
*


205463_s_at
PDGFA
5154
*


205547_s_at
TAGLN
6876
*
*


205572_at
ANGPT2
285
*
*


205580_s_at
HRH1
3269
*
*


205729_at
OSMR
9180
*
*


205936_s_at
HK3
3101
*
*


206178_at
PLA2G5
5322
*
*


206306_at
RYR3
6263
*
*


206359_at
SOCS3
9021
*
*


207714_s_at
SERPINH1
871
*
*


208394_x_at
ESM1
11082
*
*


208637_x_at
ACTN1
87
*
*


208789_at
PTRF
284119
*
*


208790_s_at
PTRF
284119
*
*


209356_x_at
EFEMP2
30008
*
*


209359_x_at
RUNX1
861
*


209360_s_at
RUNX1
861
*


209395_at
CHI3L1
1116
*
*


209396_s_at
CHI3L1
1116
*
*


209626_s_at
OSBPL3
26031
*
*


209663_s_at
ITGA7
3679
*
*


210287_s_at
FLT1
2321
*
*


210510_s_at
NRP1
8829
*
*


210735_s_at
CA12
771
*
*


210762_s_at
DLC1
10395
*
*


210772_at
FPR2
2358
*
*


210845_s_at
PLAUR
5329
*
*


210992_x_at
FCGR2C
9103
*


211012_s_at
PML
5371
*


211148_s_at
ANGPT2
285
*
*


211160_x_at
ACTN1
87
*
*


211429_s_at
SERPINA1
5265
*
*


211564_s_at
PDLIM4
8572
*
*


211668_s_at
PLAU
5328
*
*


211844_s_at
NRP2
8828
*
*


211924_s_at
PLAUR
5329
*
*


211926_s_at
MYH9
4627
*


211964_at
COL4A2
1284
*
*


211966_at
COL4A2
1284
*
*


211980_at
COL4A1
1282
*
*


211981_at
COL4A1
1282
*
*


212067_s_at
C1R
715
*
*


212203_x_at
IFITM3
10410
*
*


212647_at
RRAS
6237
*
*


212951_at
GPR116
221395
*
*


213746_s_at
FLNA
2316
*
*


213895_at
EMP1
2012
*
*


214196_s_at
TPP1
1200
*
*


214660_at
PELO
53918
*
*


214752_x_at
FLNA
2316
*
*


214853_s_at
SHC1
6464
*
*


215498_s_at
MAP2K3
5606
*
*


215760_s_at
SBNO2
22904
*
*


215870_s_at
PLA2G5
5322
*
*


216331_at
ITGA7
3679
*
*


217867_x_at
BACE2
25825
*
*


217875_s_at
PMEPA1
56937
*
*


218272_at
TTC38
55020
*


218424_s_at
STEAP3
55240
*
*


218880_at
FOSL2
2355
*
*


218983_at
C1RL
51279
*
*


219025_at
CD248
57124
*
*


219042_at
LZTS1
11178
*
*


219566_at
PLEKHF1
79156
*
*


219869_s_at
SLC39A8
64116
*
*


220442_at
GALNT4
8693
*
*


220681_at
C22orf26
55267
*


220975_s_at
C1QTNF1
114897
*
*


221293_s_at
DEF6
50619
*
*


221807_s_at
TRABD
80305
*
*


221870_at
EHD2
30846
*
*


221898_at
PDPN
10630
*


221920_s_at
SLC25A37
51312
*
*


222206_s_at
NCLN
56926
*


222222_s_at
HOMER3
9454
*


222528_s_at
SLC25A37
51312
*
*


222723_at
LOC727901
727901


222817_at
HSD3B7
80270

*


223321_s_at
FGFRL1
53834

*


223333_s_at
ANGPTL4
51129
*
*


223994_s_at
SLC12A9
56996

*


224197_s_at
C1QTNF1
114897
*
*


224710_at
RAB34
83871

*


224822_at
DLC1
10395
*
*


224942_at
PAPPA
5069
*
*


225262_at
FOSL2
2355
*
*


225548_at
SHROOM3
57619

*


225868_at
TRIM47
91107

*


225869_s_at
UNC93B1
81622
*
*


225955_at
METRNL
284207

*


226328_at
KLF16
83855

*


226401_at
PARP10
84875


226498_at
FLT1
2321
*
*


226621_at
FGG
2266
*
*


226658_at
PDPN
10630
*


226722_at
FAM20C
56975

*


227055_at
METTL7B
196410

*


227272_at
C15orf52
388115


227325_at
LOC255783
255783


227345_at
TNFRSF10D
8793
*


227458_at
PDCD1LG1
29126

*


227592_at
ALDH16A1
126133

*


227697_at
SOCS3
9021
*
*


228498_at
B4GALT1
2683
*
*


229438_at
LOC100132244
100132244


229661_at
SALL4
57167

*


230046_at
SPRED3
399473

*


230283_at
NEURL2
140825

*


230501_at




231420_at
GGN
199720

*


231698_at
FLJ36848
647115


231876_at
TRIM56
81844

*


232078_at
PVRL2
5819
*
*


232079_s_at
PVRL2
5819
*
*


232545_at
LRRC29
26231


232748_at
PAPPA
5069
*
*


233695_s_at
CECR2
27443

*


235417_at
SPOCD1
90853


235489_at
RHOJ
57381

*


238938_at
THADA
63892
*
*


239507_at
LOC151300
151300


241645_at
MYO1D
4642
*
*


243033_at
TWF1
5756


41469_at
PI3
5266
*
















TABLE 3B







Table 3B. Genes in the PNGES signature.












Gene




AffyID
Symbol
Gene ID















200612_s_at
AP2B1
163



200831_s_at
SCD
6319



200946_x_at
GLUD1
2746



200965_s_at
ABLIM1
3983



201718_s_at
EPB41L2
2037



201830_s_at
NET1
10276



202022_at
ALDOC
230



202178_at
PRKCZ
5590



202455_at
HDAC5
10014



203146_s_at
GABBR1
2550



203381_s_at
APOE
348



203382_s_at
APOE
348



203485_at
RTN1
6252



203609_s_at
ALDH5A1
7915



203619_s_at
FAIM2
23017



203631_s_at
GPRC5B
51704



203853_s_at
GAB2
9846



203928_x_at
MAPT
4137



203929_s_at
MAPT
4137



204072_s_at
FRY
10129



204100_at
THRA
7067



204134_at
PDE2A
5138



204411_at
KIF21B
23046



204513_s_at
ELMO1
9844



204749_at
NAP1L3
4675



204754_at
HLF
3131



204762_s_at
GNAO1
2775



204953_at
SNAP91
9892



205050_s_at
MAPK8IP2
23542



205110_s_at
FGF13
2258



205278_at
GAD1
2571



205289_at
BMP2
650



205290_s_at
BMP2
650



205318_at
KIF5A
3798



205330_at
MN1
4330



205358_at
GRIA2
2891



205575_at
C1QL1
10882



205730_s_at
ABLIM3
22885



205751_at
SH3GL2
6456



205754_at
F2
2147



205903_s_at
KCNN3
3782



205960_at
PDK4
5166



206103_at
RAC3
5881



206117_at
TPM1
7168



206137_at
RIMS2
9699



206196_s_at
RUNDC3A
10900



206243_at
TIMP4
7079



206298_at
ARHGAP22
58504



206320_s_at
SMAD9
4093



206355_at
GNAL
2774



206356_s_at
GNAL
2774



206401_s_at
MAPT
4137



206453_s_at
NDRG2
57447



206518_s_at
RGS9
8787



206604_at
OVOL1
5017



206785_s_at
KLRC1
3821



206850_at
RASL10A
10633



207091_at
P2RX7
5027



207093_s_at
OMG
4974



207210_at
GABRA3
2556



207276_at
CDR1
1038



207302_at
SGCG
6445



207414_s_at
PCSK6
5046



207501_s_at
FGF12
2257



207723_s_at
KLRC3
3823



208017_s_at
MCF2
4168



208102_s_at
PSD
5662



208552_at
GRIK4
2900



209283_at
CRYAB
1410



209293_x_at
ID4
3400



209347_s_at
MAF
4094



209504_s_at
PLEKHB1
58473



209558_s_at
HIP1R
9026



209610_s_at
SLC1A4
6509



209611_s_at
SLC1A4
6509



209839_at
DNM3
26052



209889_at
SEC31B
25956



209981_at
CSDC2
27254



209987_s_at
ASCL1
429



209988_s_at
ASCL1
429



209991_x_at
GABBR2
9568



210035_s_at
RPL5
6125



210222_s_at
RTN1
6252



210414_at
FLRT1
23769



210432_s_at
SCN3A
6328



210657_s_at
SEPT4
5414



210753_s_at
EPHB1
2047



210815_s_at
CALCRL
10203



211006_s_at
KCNB1
3745



211162_x_at
SCD
6319



211184_s_at
USH1C
10083



211203_s_at
CNTN1
1272



211484_s_at
DSCAM
1826



211520_s_at
GRIA1
2890



211663_x_at
PTGDS
5730



211679_x_at
GABBR2
9568



211708_s_at
SCD
6319



211748_x_at
PTGDS
5730



211819_s_at
SORBS1
10580



211898_s_at
EPHB1
2047



211925_s_at
PLCB1
23236



212187_x_at
PTGDS
5730



212419_at
ZCCHC24
219654



212611_at
DTX4
23220



212812_at
SERINC5
256987



212884_x_at
APOE
348



212914_at
CBX7
23492



213091_at
CRTC1
23373



213217_at
ADCY2
108



213222_at
PLCB1
23236



213411_at
ADAM22
53616



213433_at
ARL3
403



213486_at
COPG2IT1
53844



213549_at
SLC18A2
6571



213601_at
SLIT1
6585



213664_at
SLC1A1
6505



213724_s_at
PDK2
5164



213744_at
ATRNL1
26033



213824_at
OLIG2
10215



213825_at
OLIG2
10215



213841_at





213880_at
LGR5
8549



213904_at





213924_at
MPPE1
65258



214046_at
FUT9
10690



214071_at
MPPE1
65258



214111_at
OPCML
4978



214162_at
LOC284244
284244



214251_s_at
NUMA1
4926



214279_s_at
NDRG2
57447



214376_at





214434_at
HSPA12A
259217



214487_s_at
RAP2A
5911



214589_at
FGF12
2257



214680_at
NTRK2
4915



214762_at
ATP6V1G2
534



214834_at
PAR5
8123



214874_at
PKP4
8502



214914_at
FAM13C1
220965



214930_at
SLITRK5
26050



214952_at
NCAM1
4684



214954_at
SUSD5
26032



215306_at





215323_at
LUZP2
338645



215444_s_at
TRIM31
11074



215469_at





215522_at
SORCS3
22986



215687_x_at
PLCB1
23236



215767_at
ZNF804A
91752



215785_s_at
CYFIP2
26999



215789_s_at
AJAP1
55966



215794_x_at
GLUD2
2747



216594_x_at
AKR1C1
1645



216925_s_at
TAL1
6886



217077_s_at
GABBR2
9568



217359_s_at
NCAM1
4684



217455_s_at
SSTR2
6752



217681_at
WNT7B
7477



217897_at
FXYD6
53826



217969_at
C11orf2
738



218228_s_at
TNKS2
80351



218723_s_at
C13orf15
28984



218790_s_at
TMLHE
55217



218796_at
FERMT1
55612



218862_at
ASB13
79754



218935_at
EHD3
30845



218938_at
FBXL15
79176



218952_at
PCSK1N
27344



218976_at
DNAJC12
56521



219005_at
TMEM59L
25789



219093_at
PID1
55022



219107_at
BCAN
63827



219144_at
DUSP26
78986



219170_at
FSD1
79187



219196_at
SCG3
29106



219230_at
TMEM100
55273



219273_at
CCNK
8812



219305_x_at
FBXO2
26232



219370_at
RPRM
56475



219415_at
TTYH1
57348



219521_at
B3GAT1
27087



219537_x_at
DLL3
10683



219732_at
RP11-
54886




35N6.1



219743_at
HEY2
23493



219961_s_at
C20orf19
55857



220005_at
P2RY13
53829



220061_at
ACSM5
54988



220188_at
JPH3
57338



221310_at
FGF14
2259



221527_s_at
PARD3
56288



221552_at
ABHD6
57406



221578_at
RASSF4
83937



221623_at
BCAN
63827



221679_s_at
ABHD6
57406



221792_at
RAB6B
51560



221824_s_at
9-Mar
220972



221861_at





221959_at
FAM110B
90362



222171_s_at
PKNOX2
63876



222783_s_at
SMOC1
64093



222784_at
SMOC1
64093



222898_s_at
DLL3
10683



222957_at
NEU4
129807



223315_at
NTN4
59277



223552_at
LRRC4
64101



223614_at
C8orf57
84257



223839_s_at
SCD
6319



223865_at
SOX6
55553



223885_at
CALN1
83698



224215_s_at
DLL1
28514



224393_s_at
CECR6
27439



224482_s_at
RAB11FIP4
84440



224763_at
RPL37
6167



225379_at
MAPT
4137



225482_at
KIF1A
547



226186_at
TMOD2
29767



226587_at





226591_at





226623_at
PHYHIPL
84457



226680_at
IKZF5
64376



226913_s_at
SOX8
30812



226918_at
JPH4
84502



227202_at
CNTN1
1272



227341_at
C10orf30
222389



227401_at
IL17D
53342



227425_at
REPS2
9185



227440_at
ANKS1B
56899



227498_at





227550_at
LOC143381
143381



227769_at





227845_s_at
SHD
56961



227949_at
PHACTR3
116154



227984_at
LOC650392
650392



228017_s_at
NKAIN4
128414



228018_at
NKAIN4
128414



228051_at
LOC202451
202451



228165_at
C12orf53
196500



228170_at
OLIG1
116448



228193_s_at
C13orf15
28984



228206_at
HS3ST4
9951



228376_at
GGTA1
2681



228403_at
C9orf165
375704



228509_at
SPHKAP
80309



228598_at
DPP10
57628



228608_at
NALCN
259232



228679_at





229233_at
NRG3
10718



229234_at
ZC3H12B
340554



229294_at
JPH3
57338



229378_at
STOX1
219736



229459_at
FAM19A5
25817



229463_at
NTRK2
4915



229545_at
FERMT1
55612



229590_at
RPL13
6137



229612_at





229613_at





229655_at
FAM19A5
25817



229724_at
GABRB3
2562



229799_s_at
NCAM1
4684



229831_at
CNTN3
5067



229875_at
ZDHHC22
283576



229901_at
ZNF488
118738



229921_at





230287_at
SGSM1
129049



230307_at
SLC25A21
89874



230336_at





230551_at
KSR2
283455



230568_x_at
DLL3
10683



230577_at





230771_at
NKAIN4
128414



230869_at
FAM155A
728215



230932_at





230942_at
CMTM5
116173



231103_at





231131_at
FAM133A
286499



231214_at





231650_s_at
SEZ6L
23544



231798_at
NOG
9241



231935_at
ARPP-21
10777



231977_at
GRID1
2894



231978_at
TPCN2
219931



231980_at





232010_at
FSTL5
56884



232059_at
DSCAML1
57453



232192_at
LOC153811
153811



232195_at
GPR158
57512



232833_at





233051_at
SLITRK2
84631



234472_at
GALNT13
114805



234996_at
CALCRL
10203



235118_at





235527_at
DLGAP1
9229



235591_at
SSTR1
6751



236038_at





236095_at
NTRK2
4915



236287_at





236290_at
DOK6
220164



236333_at





236433_at





236536_at
GALNT13
114805



236538_at
GRIA2
2891



236576_at





236748_at
RASGEF1C
255426



236771_at
C6orf159
134701



237094_at
FAM19A5
25817



238458_at
EFHA2
286097



238521_at





238603_at
LOC254559
254559



238663_x_at
GRIA4
2893



239293_at
NRSN1
140767



239509_at





239787_at
KCTD4
386618



239827_at
C13orf15
28984



240067_at





240218_at
DSCAM
1826



240228_at
CSMD3
114788



240433_x_at





240512_x_at
KCTD4
386618



240578_at





240869_at





241255_at





241365_at





241729_at
DOK6
220164



241909_at
TNKS2
80351



242571_at
REPS2
9185



242651_at





243526_at
WDR86
349136



243779_at
GALNT13
114805



243952_at
psiTPTE22
387590



244184_at





244218_at





244623_at
KCNQ5
56479



35846_at
THRA
7067



43511_s_at





49111_at





60474_at
FERMT1
55612



89977_at
ACSM5
54988



91920_at
BCAN
63827

















TABLE 3C







Table 3C. Genes in the PROGES signature.











AffyID
Gene Symbol
Gene ID















200934_at
DEK
7913



201016_at
EIF1AX
1964



201202_at
PCNA
5111



201291_s_at
TOP2A
7153



201292_at
TOP2A
7153



201477_s_at
RRM1
6240



201663_s_at
SMC4
10051



201664_at
SMC4
10051



201764_at
TMEM106C
79022



201890_at
RRM2
6241



201930_at
MCM6
4175



201970_s_at
NASP
4678



202107_s_at
MCM2
4171



202276_at
SHFM1
7979



202412_s_at
USP1
7398



202503_s_at
KIAA0101
9768



202532_s_at
DHFR
1719



202533_s_at
DHFR
1719



202534_x_at
DHFR
1719



202589_at
TYMS
7298



202904_s_at
LSM5
23658



202979_s_at
CREBZF
58487



203046_s_at
TIMELESS
8914



203213_at
CDC2
983



203276_at
LMNB1
4001



203344_s_at
RBBP8
5932



203347_s_at
MTF2
22823



203358_s_at
EZH2
2146



203362_s_at
MAD2L1
4085



203401_at
PRPS2
5634



203560_at
GGH
8836



203675_at
NUCB2
4925



203764_at
DLGAP5
9787



203830_at
C17orf75
64149



203925_at
GCLM
2730



203960_s_at
HSPB11
51668



203967_at
CDC6
990



203968_s_at
CDC6
990



203976_s_at
CHAF1A
10036



204005_s_at
PAWR
5074



204023_at
RFC4
5984



204026_s_at
ZWINT
11130



204092_s_at
AURKA
6790



204146_at
RAD51AP1
10635



204159_at
CDKN2C
1031



204162_at
NDC80
10403



204170_s_at
CKS2
1164



204240_s_at
SMC2
10592



204244_s_at
DBF4
10926



204252_at
CDK2
1017



204342_at
SLC25A24
29957



204485_s_at
TOM1L1
10040



204517_at
PPIC
5480



204531_s_at
BRCA1
672



204641_at
NEK2
4751



204709_s_at
KIF23
9493



204775_at
CHAF1B
8208



204784_s_at
MLF1
4291



204822_at
TTK
7272



204825_at
MELK
9833



204833_at
ATG12
9140



204886_at
PLK4
10733



204947_at
E2F1
1869



204962_s_at
CENPA
1058



205023_at
RAD51
5888



205034_at
CCNE2
9134



205046_at
CENPE
1062



205061_s_at
EXOSC9
5393



205063_at
SIP1
8487



205071_x_at
XRCC4
7518



205167_s_at
CDC25C
995



205176_s_at
ITGB3BP
23421



205260_s_at
ACYP1
97



205339_at
STIL
6491



205345_at
BARD1
580



205393_s_at
CHEK1
1111



205394_at
CHEK1
1111



205628_at
PRIM2
5558



206102_at
GINS1
9837



206172_at
IL13RA2
3598



206316_s_at
KNTC1
9735



206364_at
KIF14
9928



207039_at
CDKN2A
1029



207165_at
HMMR
3161



208051_s_at
PAIP1
10605



208079_s_at
AURKA
6790



208443_x_at
SHOX2
6474



208808_s_at
HMGB2
3148



208995_s_at
PPIG
9360



209172_s_at
CENPF
1063



209507_at
RPA3
6119



209642_at
BUB1
699



209644_x_at
CDKN2A
1029



209709_s_at
HMMR
3161



210093_s_at
MAGOH
4116



210691_s_at
CACYBP
27101



211200_s_at
EFCAB2
84288



211675_s_at
MDFIC
29969



211713_x_at
KIAA0101
9768



211747_s_at
LSM5
23658



212094_at
PEG10
23089



212533_at
WEE1
7465



212918_at
RECQL
5965



212949_at
NCAPH
23397



213007_at
FANCI
55215



213017_at
ABHD3
171586



213226_at
CCNA2
890



213253_at
SMC2
10592



213353_at
ABCA5
23461



213424_at
KIAA0895
23366



214224_s_at
PIN4
5303



214431_at
GMPS
8833



214710_s_at
CCNB1
891



214804_at
CENPI
2491



216228_s_at
WDHD1
11169



218349_s_at
ZWILCH
55055



218355_at
KIF4A
24137



218585_s_at
DTL
51514



218602_s_at
FAM29A
54801



218662_s_at
NCAPG
64151



218663_at
NCAPG
64151



218726_at
HJURP
55355



218772_x_at
TMEM38B
55151



218875_s_at
FBXO5
26271



218883_s_at
MLF1IP
79682



218894_s_at
MAGOHB
55110



218911_at
YEATS4
8089



218981_at
ACN9
57001



219105_x_at
ORC6L
23594



219174_at
IFT74
80173



219208_at
FBXO11
80204



219288_at
C3orf14
57415



219512_at
DSN1
79980



219555_s_at
CENPN
55839



219587_at
TTC12
54970



219650_at
ERCC6L
54821



219703_at
MNS1
55329



219736_at
TRIM36
55521



219758_at
TTC26
79989



219787_s_at
ECT2
1894



219918_s_at
ASPM
259266



219978_s_at
NUSAP1
51203



219990_at
E2F8
79733



220060_s_at
C12orf48
55010



220144_s_at
ANKRD5
63926



220175_s_at
CBWD1
55871



220840_s_at
C1orf112
55732



221258_s_at
KIF18A
81930



221521_s_at
GINS2
51659



221677_s_at
DONSON
29980



222606_at
ZWILCH
55055



222768_s_at
TRMT6
51605



222848_at
CENPK
64105



223133_at
TMEM14B
81853



223274_at
TCF19
6941



223381_at
NUF2
83540



223542_at
ANKRD32
84250



223544_at
TMEM79
84283



223700_at
MND1
84057



224204_x_at
ARNTL2
56938



224428_s_at
CDCA7
83879



224443_at
C1orf97
84791



224444_s_at
C1orf97
84791



224715_at
WDR34
89891



224944_at
TMPO
7112



225078_at
EMP2
2013



225297_at
CCDC5
115106



226117_at
TIFA
92610



226223_at
PAWR
5074



226231_at
PAWR
5074



226287_at
CCDC34
91057



226452_at
PDK1
5163



226908_at
LRIG3
121227



226936_at
C6orf173
387103



227314_at
ITGA2
3673



227350_at
HELLS
3070



227793_at





228033_at
E2F7
144455



228280_at
ZC3HAV1L
92092



228654_at
SPIN4
139886



228729_at
CCNB1
891



228776_at
GJC1
10052



229305_at
MLF1IP
79682



229490_s_at





229551_x_at
ZNF367
195828



229974_at
EVC2
132884



230121_at
C1orf133
574036



230165_at
SGOL2
151246



230696_at





230860_at
C3orf34
84984



232065_x_at
CENPL
91687



232242_at





233970_s_at
TRMT6
51605



234863_x_at
FBXO5
26271



235004_at
RBM24
221662



235113_at
PPIL5
122769



235425_at
SGOL2
151246



235572_at
SPC24
147841



235609_at





235644_at
CCDC138
165055



235949_at





236222_at
C3orf15
89876



236641_at
KIF14
9928



236915_at
C4orf47
441054



237469_at
TOP2A
7153



237585_at
C4orf47
441054



238021_s_at
hCG_1815491
643911



238022_at
hCG_1815491
643911



238075_at





238843_at
NPHP1
4867



238865_at
PABPC4L
132430



239413_at
CEP152
22995



239680_at





241705_at
ABCA5
23461



242560_at
FANCD2
2177



243198_at
TEX9
374618



48808_at
DHFR
1719

















TABLE 4







List of 928 Transcription Factors used by the MRA analysis.








No.
TF Name











1
AATF


2
ADNP


3
AEBP1


4
AFF1


5
AFF3


6
AFF4


7
AHCTF1


8
AHR


9
ALX4


10
AR


11
ARID3A


12
ARID4A


13
ARNT


14
ARNT2


15
ARNTL


16
ARNTL2


17
ASCL1


18
ASCL2


19
ATBF1


20
ATF1


21
ATF2


22
ATF3


23
ATF4


24
ATF5


25
ATF6


26
ATF7


27
ATOH1


28
BACH1


29
BACH2


30
BAPX1


31
BARX2


32
BATF


33
BAZ1B


34
BCL6


35
BHLHB2


36
BHLHB3


37
BLZF1


38
BNC1


39
BRD8


40
BRF1


41
BRPF1


42
BTAF1


43
BUD31


44
C2orf3


45
CBFA2T2


46
CBFA2T3


47
CBFB


48
CBL


49
CCRN4L


50
CDX1


51
CDX2


52
CDX4


53
CEBPA


54
CEBPB


55
CEBPD


56
CEBPE


57
CEBPG


58
CEBPZ


59
CHES1


60
CIITA


61
CIR


62
CITED1


63
CITED2


64
CLOCK


65
CNBP


66
CNOT7


67
CNOT8


68
CREB1


69
CREB3


70
CREB3L1


71
CREB3L2


72
CREB5


73
CREBBP


74
CREBL1


75
CREBL2


76
CREG1


77
CREM


78
CRX


79
CSDA


80
CTBP1


81
CTBP2


82
CTCF


83
CTNNB1


84
CUTL1


85
CUTL2


86
DAXX


87
DBP


88
DDIT3


89
DEK


90
DENND4A


91
DLX2


92
DLX4


93
DLX5


94
DLX6


95
DMTF1


96
DR1


97
DRAP1


98
DSCR1


99
DUX1


100
E2F1


101
E2F2


102
E2F3


103
E2F4


104
E2F5


105
E2F6


106
E2F8


107
E4F1


108
EDF1


109
EGR1


110
EGR2


111
EGR3


112
EGR4


113
ELF1


114
ELF2


115
ELF3


116
ELF4


117
ELF5


118
ELK1


119
ELK3


120
ELK4


121
EMX1


122
EMX2


123
EN1


124
EN2


125
ENO1


126
EP300


127
EPAS1


128
ERCC6


129
ERF


130
ERG


131
ESR1


132
ESR2


133
ESRRA


134
ESRRB


135
ESRRG


136
ETS1


137
ETS2


138
ETV1


139
ETV3


140
ETV4


141
ETV5


142
ETV6


143
ETV7


144
EVI1


145
EVX1


146
EWSR1


147
FALZ


148
FEV


149
FEZF2


150
FLI1


151
FMNL2


152
FOS


153
FOSB


154
FOSL1


155
FOSL2


156
FOXA1


157
FOXA2


158
FOXB1


159
FOXD1


160
FOXD3


161
FOXE1


162
FOXE3


163
FOXF1


164
FOXF2


165
FOXG1B


166
FOXH1


167
FOXI1


168
FOXJ1


169
FOXJ2


170
FOXJ3


171
FOXK2


172
FOXL1


173
FOXM1


174
FOXN1


175
FOXO1A


176
FOXO3A


177
FOXP1


178
FOXP3


179
FUBP1


180
FUBP3


181
GABPB2


182
GAS7


183
GATA1


184
GATA2


185
GATA3


186
GATA4


187
GATA6


188
GATAD1


189
GATAD2A


190
GBX2


191
GLI2


192
GLI3


193
GMEB1


194
GRLF1


195
GTF2IRD1


196
HAND1


197
HAND2


198
HBP1


199
HCFC1


200
HCLS1


201
HES1


202
HES2


203
HESX1


204
HEY1


205
HEY2


206
HEYL


207
HHEX


208
HIC1


209
HIF1A


210
HIF3A


211
HIRA


212
HIVEP1


213
HIVEP2


214
HIVEP3


215
HKR3


216
HLF


217
HLX1


218
HLXB9


219
HMBOX1


220
HMG20A


221
HMG20B


222
HMGA1


223
HMGA2


224
HMGB1


225
HMGB2


226
HMX1


227
HNF4A


228
HNF4G


229
HOP


230
HOXA1


231
HOXA10


232
HOXA11


233
HOXA2


234
HOXA3


235
HOXA4


236
HOXA5


237
HOXA6


238
HOXA7


239
HOXA9


240
HOXB13


241
HOXB2


242
HOXB5


243
HOXB6


244
HOXB7


245
HOXB8


246
HOXB9


247
HOXC10


248
HOXC11


249
HOXC4


250
HOXC5


251
HOXC6


252
HOXD1


253
HOXD10


254
HOXD11


255
HOXD12


256
HOXD13


257
HOXD3


258
HOXD4


259
HOXD9


260
H-plk


261
HR


262
HSF1


263
HSF2


264
HSF4


265
HTLF


266
IKZF1


267
IKZF4


268
IKZF5


269
ILF2


270
INSM1


271
IPF1


272
IRF1


273
IRF2


274
IRF3


275
IRF4


276
IRF5


277
IRF6


278
IRF7


279
IRF8


280
IRX4


281
IRX5


282
ISGF3G


283
ISL1


284
JARID1A


285
JARID1B


286
JUN


287
JUNB


288
JUND


289
KIAA0415


290
KIAA0963


291
KLF1


292
KLF10


293
KLF11


294
KLF12


295
KLF13


296
KLF15


297
KLF2


298
KLF3


299
KLF4


300
KLF5


301
KLF6


302
KLF7


303
KLF9


304
KNTC1


305
L3MBTL


306
LASS2


307
LASS4


308
LASS6


309
LBX1


310
LHX2


311
LHX3


312
LHX5


313
LHX6


314
LMO1


315
LMO4


316
LMX1B


317
LOC645682


318
LYL1


319
LZTFL1


320
LZTR1


321
LZTS1


322
MAF


323
MAFB


324
MAFF


325
MAFG


326
MAFK


327
MAML3


328
MAX


329
MAZ


330
MBD1


331
MDS1


332
MECP2


333
MEF2A


334
MEF2B


335
MEF2C


336
MEF2D


337
MEIS1


338
MEIS2


339
MEIS3P1


340
MEOX1


341
MEOX2


342
MGA


343
MITF


344
MIZF


345
MLL


346
MLL4


347
MLLT10


348
MLLT7


349
MLX


350
MLXIP


351
MLXIPL


352
MNT


353
MSC


354
MSL3L1


355
MSRB2


356
MSX1


357
MSX2


358
MTA1


359
MTA2


360
MTF1


361
MXD1


362
MYB


363
MYBL1


364
MYBL2


365
MYC


366
MYCL1


367
MYCN


368
MYF6


369
MYNN


370
MYOD1


371
MYOG


372
MYST2


373
MYT1


374
MYT1L


375
MZF1


376
NANOG


377
NCOR1


378
NEUROD1


379
NEUROD2


380
NEUROG1


381
NEUROG3


382
NFAT5


383
NFATC1


384
NFATC3


385
NFATC4


386
NFE2


387
NFE2L1


388
NFE2L2


389
NFE2L3


390
NFIB


391
NFIC


392
NFIL3


393
NFIX


394
NFKB1


395
NFKB2


396
NFRKB


397
NFX1


398
NFYA


399
NFYB


400
NFYC


401
NHLH1


402
NHLH2


403
NKRF


404
NKX2-2


405
NKX2-5


406
NKX2-8


407
NKX3-1


408
NKX6-1


409
NOTCH2


410
NPAS2


411
NPAS3


412
NPAT


413
NR0B1


414
NR0B2


415
NR1D2


416
NR1H2


417
NR1H3


418
NR1H4


419
NR1I2


420
NR1I3


421
NR2C1


422
NR2C2


423
NR2E1


424
NR2E3


425
NR2F1


426
NR2F2


427
NR2F6


428
NR3C1


429
NR3C2


430
NR4A1


431
NR4A2


432
NR4A3


433
NR5A1


434
NR5A2


435
NR6A1


436
NRF1


437
NRL


438
OLIG2


439
ONECUT1


440
OVOL1


441
PAX1


442
PAX2


443
PAX3


444
PAX4


445
PAX6


446
PAX7


447
PAX8


448
PAX9


449
PBX1


450
PBX2


451
PBX3


452
PCGF2


453
PEG3


454
PFDN1


455
PGR


456
PHF2


457
PHOX2A


458
PHOX2B


459
PHTF1


460
PHTF2


461
PITX1


462
PITX3


463
PKNOX1


464
PKNOX2


465
PLAG1


466
PLAGL1


467
PLAGL2


468
PML


469
POU2F1


470
POU2F2


471
POU2F3


472
POU3F1


473
POU3F2


474
POU3F3


475
POU3F4


476
POU4F1


477
POU4F2


478
POU6F1


479
POU6F2


480
PPARA


481
PPARD


482
PPARG


483
PRDM1


484
PRDM16


485
PRDM2


486
PREB


487
PROP1


488
PRRX1


489
PRRX2


490
PTTG1


491
PURA


492
RARA


493
RARB


494
RARG


495
RAX


496
RB1


497
RBL2


498
RBPSUH


499
RBPSUHL


500
REL


501
RELA


502
RELB


503
RERE


504
REST


505
REXO4


506
RFX1


507
RFX2


508
RFX3


509
RFX5


510
RFXANK


511
RFXAP


512
RLF


513
RNF4


514
RORA


515
RORB


516
RORC


517
RREB1


518
RUNX1


519
RUNX1T1


520
RUNX2


521
RUNX3


522
RXRA


523
RXRB


524
RXRG


525
SALL1


526
SALL2


527
SATB1


528
SATB2


529
SCAND1


530
SCAND2


531
SCML1


532
SCML2


533
SHOX


534
SHOX2


535
SIM2


536
SIX1


537
SIX2


538
SIX3


539
SIX5


540
SIX6


541
SLC26A3


542
SLC2A4RG


543
SLC30A9


544
SMAD1


545
SMAD2


546
SMAD3


547
SMAD4


548
SMAD5


549
SMAD6


550
SMAD7


551
SMAD9


552
SMARCA3


553
SMARCA4


554
SNAI1


555
SNAI2


556
SNAPC2


557
SNAPC4


558
SNAPC5


559
SNFT


560
SOLH


561
SOX1


562
SOX10


563
SOX11


564
SOX12


565
SOX13


566
SOX15


567
SOX17


568
SOX18


569
SOX2


570
SOX21


571
SOX3


572
SOX4


573
SOX5


574
SOX9


575
SP1


576
SP140


577
SP2


578
SP3


579
SP4


580
SPDEF


581
SPI1


582
SPIB


583
SREBF1


584
SREBF2


585
SRF


586
ST18


587
STAT1


588
STAT2


589
STAT3


590
STAT4


591
STAT5A


592
STAT5B


593
STAT6


594
SUPT4H1


595
SUPT6H


596
T


597
TADA2L


598
TADA3L


599
TAF1B


600
TAF5L


601
TAL1


602
TARDBP


603
TBR1


604
TBX1


605
TBX10


606
TBX19


607
TBX2


608
TBX21


609
TBX3


610
TBX4


611
TBX5


612
TBX6


613
TCEAL1


614
TCF1


615
TCF12


616
TCF15


617
TCF2


618
TCF21


619
TCF25


620
TCF3


621
TCF4


622
TCF7


623
TCF7L1


624
TCF7L2


625
TCF8


626
TCFL5


627
TEAD1


628
TEAD3


629
TEAD4


630
TEF


631
TFAM


632
TFAP2A


633
TFAP2B


634
TFAP2C


635
TFAP4


636
TFCP2


637
TFCP2L1


638
TFDP1


639
TFDP2


640
TFDP3


641
TFE3


642
TFEB


643
TFEC


644
TGIF


645
TGIF2


646
THRA


647
THRB


648
TLX1


649
TLX2


650
TNRC4


651
TP53


652
TP73


653
TP73L


654
TRERF1


655
TRIM22


656
TRIM25


657
TRIM28


658
TRIM29


659
TRPS1


660
TSC22D1


661
TSC22D2


662
TSC22D3


663
TSC22D4


664
TULP4


665
TWIST1


666
UBN1


667
UBP1


668
USF2


669
VAV1


670
VAX2


671
VDR


672
VENTX


673
VEZF1


674
VPS72


675
VSX1


676
WT1


677
XBP1


678
YBX1


679
YEATS4


680
YWHAE


681
YWHAZ


682
YY1


683
YY2


684
ZBTB16


685
ZBTB17


686
ZBTB22


687
ZBTB25


688
ZBTB38


689
ZBTB43


690
ZBTB6


691
ZBTB7A


692
ZBTB7B


693
ZF


694
ZFHX1B


695
ZFHX4


696
ZFP36L1


697
ZFP36L2


698
ZFP37


699
ZFP95


700
ZFX


701
ZFY


702
ZHX2


703
ZHX3


704
ZIC1


705
ZIM2


706
ZKSCAN1


707
ZMYM2


708
ZMYM3


709
ZMYM4


710
ZNF10


711
ZNF117


712
ZNF12


713
ZNF124


714
ZNF131


715
ZNF132


716
ZNF133


717
ZNF134


718
ZNF135


719
ZNF136


720
ZNF137


721
ZNF14


722
ZNF140


723
ZNF141


724
ZNF142


725
ZNF143


726
ZNF146


727
ZNF148


728
ZNF154


729
ZNF155


730
ZNF16


731
ZNF160


732
ZNF167


733
ZNF174


734
ZNF175


735
ZNF177


736
ZNF180


737
ZNF184


738
ZNF185


739
ZNF187


740
ZNF189


741
ZNF192


742
ZNF193


743
ZNF195


744
ZNF197


745
ZNF20


746
ZNF200


747
ZNF202


748
ZNF204


749
ZNF205


750
ZNF207


751
ZNF211


752
ZNF212


753
ZNF215


754
ZNF217


755
ZNF219


756
ZNF22


757
ZNF221


758
ZNF222


759
ZNF223


760
ZNF224


761
ZNF225


762
ZNF226


763
ZNF227


764
ZNF228


765
ZNF230


766
ZNF232


767
ZNF235


768
ZNF236


769
ZNF238


770
ZNF239


771
ZNF24


772
ZNF248


773
ZNF250


774
ZNF253


775
ZNF259


776
ZNF26


777
ZNF263


778
ZNF264


779
ZNF266


780
ZNF267


781
ZNF268


782
ZNF271


783
ZNF273


784
ZNF274


785
ZNF277


786
ZNF278


787
ZNF281


788
ZNF282


789
ZNF286


790
ZNF287


791
ZNF289


792
ZNF291


793
ZNF292


794
ZNF294


795
ZNF3


796
ZNF302


797
ZNF304


798
ZNF306


799
ZNF307


800
ZNF313


801
ZNF318


802
ZNF32


803
ZNF322B


804
ZNF323


805
ZNF324


806
ZNF329


807
ZNF330


808
ZNF331


809
ZNF334


810
ZNF335


811
ZNF337


812
ZNF33B


813
ZNF34


814
ZNF343


815
ZNF345


816
ZNF35


817
ZNF350


818
ZNF354A


819
ZNF358


820
ZNF364


821
ZNF365


822
ZNF384


823
ZNF394


824
ZNF395


825
ZNF403


826
ZNF407


827
ZNF408


828
ZNF409


829
ZNF410


830
ZNF415


831
ZNF419A


832
ZNF42


833
ZNF423


834
ZNF426


835
ZNF43


836
ZNF430


837
ZNF432


838
ZNF434


839
ZNF435


840
ZNF44


841
ZNF440


842
ZNF443


843
ZNF444


844
ZNF446


845
ZNF447


846
ZNF45


847
ZNF451


848
ZNF460


849
ZNF467


850
ZNF468


851
ZNF471


852
ZNF473


853
ZNF480


854
ZNF484


855
ZNF493


856
ZNF500


857
ZNF506


858
ZNF507


859
ZNF508


860
ZNF510


861
ZNF516


862
ZNF518


863
ZNF528


864
ZNF529


865
ZNF532


866
ZNF536


867
ZNF544


868
ZNF549


869
ZNF550


870
ZNF551


871
ZNF552


872
ZNF556


873
ZNF557


874
ZNF562


875
ZNF573


876
ZNF574


877
ZNF576


878
ZNF580


879
ZNF586


880
ZNF587


881
ZNF588


882
ZNF589


883
ZNF592


884
ZNF593


885
ZNF606


886
ZNF609


887
ZNF611


888
ZNF614


889
ZNF623


890
ZNF629


891
ZNF638


892
ZNF643


893
ZNF646


894
ZNF652


895
ZNF654


896
ZNF659


897
ZNF665


898
ZNF667


899
ZNF668


900
ZNF669


901
ZNF671


902
ZNF672


903
ZNF673


904
ZNF675


905
ZNF682


906
ZNF688


907
ZNF692


908
ZNF695


909
ZNF696


910
ZNF7


911
ZNF701


912
ZNF702


913
ZNF706


914
ZNF710


915
ZNF711


916
ZNF74


917
ZNF75


918
ZNF79


919
ZNF8


920
ZNF81


921
ZNF83


922
ZNF84


923
ZNF85


924
ZNF91


925
ZNF93


926
ZNF96


927
ZNFN1A1


928
ZSCAN5
















TABLE 5





Ranked list of the TFs most frequently connected to the MGES


predicted by ARACNe and the TFs with consensus enrichment in


MGES promoters. TFs marked in blue are MRA-inferred TFs


with significant enrichment of binding site in MGES promoters,


and TFs marked in pink are enriched in DNA binding and


highly connected to MGES in the ARACNe inferred networks.


(a) MRA (b) DNA-Binding









embedded image


















TABLE 6







Table 6. Regulon overlap analysis. The proportion of target genes


shared by pairs of TFs is significantly higher than expected by chance.


The top-right portion of the table shows the odds ratio and the


bottom-left portion the FET p-value for the contingency table of


the number of target genes specific and shared by each TF among


all genes tested by ARACNe as potential targets.













Stat3
C/EBPβ
FosL2
bHLH-B2
Runx1
















Stat3

4.81
10.6
9.39
6.29


C/EBPβ
1.77E−09

13.9
6.63
13.5


FosL2
3.00E−46
4.12E−40

13.6
12.3


bHLH-B2
2.15E−25
4.76E−17
1.76E−41

5.87


Runx1
9.56E−28
1.78E−44
2.26E−68
8.45E−17
















TABLE 7





Master Regulators inferred by the MRA and SLR


algorithms using the MGES signature..









embedded image









embedded image















TABLE 8







Table 8. TFs with more than 20 connections with MGES, PNGES


and PROGES in the transcriptional networks. TFs marked in red


control more than one signature.









MGES Analysis












TF
MRA-rank
Overlap
p-value
SLR-rank
LR-Coeff















FOSL2
1
45
9.4E−39
5
0.21


ZNF238
2
37
9.6E−28
2
−0.34


RUNX1
3
37
2.3E−24
4
0.13


C/EBP(*)
4
30
3.2E−19
1
0.40


C/EBPδ
5
27
1.2E−19
6
0.42


STAT3
6
26
1.2E−16
7
0.40


BHLHB2
7
25
7.8E−21
9
0.41


MYCN
8
25
6.2E−20
37
−0.11


FOSL1
9
23
3.6E−25
47
0.24


ELF4
10
21
7.0E−09
34
0.1


C/EBPβ
11
20
2.2E−15
28
0.35


LZTS1
12
20
3.8E−14
3
0.22


TBX2
13
17
4.6E−12
23
0.17


SATB1
14
17
1.4E−07
21
−0.32


IRF1
15
16
2.0E−11
19
0.48


EPAS1
16
16
2.6E−09
16
0.21


NFIB
17
15
5.4E−07
8
−0.32


KLF6
18
14
2.0E−11

0.16


NFYB
19
14
3.5E−07
14
−0.55


ELK3
20
14
1.8E−06
53
0.24





‘—’ indicate that TF is not significant in regulon enrichment analysis and not included in SLR analysis


(*)The C/EBP metagene includes targets of both C/EBPβ and C/EBPδ













TABLE 9





shRNA mediated knock-down of MR-TFs in human glioma cells. a,


Enrichment of each MR-TF regulon on each TF-knock-down gene expression profile by


GSEA. Five additional TFs showing similar regulon size were added to the analysis as


negative controls: ATF2 for Stat3, SOX15 for C/EBPβ, ZNF500 for FosL2 and Runx1, and


ZNF277 for bHLH-B2. b, Enrichment of the MGES on genes downregulated after each MR-TF


knock-down. Shown is the normalized enrichment score (nES) and p-value estimated by permuting genes.







Table 9a














Silencing
C/EBPβ
Stat3
FosL2
bHLH-B2
Runx1




















Regulon
Size
nES
p-value
nES
p-value
nES
p-value
nES
p-value
nES
p-value





Module TFs
Stat3
366
2.49
0.0077
1.78
0.0397
3.29
0.0011
3.04
0.0016
2.18
0.0146



C/EBPβ
209
1.91
0.0306
2.43
0.0092
2.30
0.0121
1.66
0.0539
3.62
0.0001



FosL2
403
3.83
0.0001
4.98
<1E−4
3.83
0.0001
3.39
0.0007
3.66
0.0001



bHLH-B2
226
1.74
0.0429
0.59
0.2773
2.17
0.0171
1.39
0.0870
3.09
0.0014



Runx1
490
0.55
0.2910
2.41
0.0097
1.18
0.1267
1.98
0.0274
2.13
0.0168


Control TFs
ATF2
386
1.54
0.0615
−0.24
0.5965
1.42
0.0865
0.20
0.4134
−1.49
0.9293



SOX15
213
0.28
0.3908
−2.81
0.9976
−0.12
0.5496
−0.28
0.6070
0.70
0.2397



ZNF500
469
−0.24
0.5970
0.20
0.4185
0.85
0.2012
−0.74
0.7698
0.11
0.4543



ZNF277
238
−0.79
0.7852
−0.55
0.7116
0.41
0.3433
0.90
0.1849
−0.91
0.8162










Table 9b













C/EBPβ
Stat3
FosL2
bHLH-B2
Runx1

















Silencing
nES
p value
nES
p value
nES
p value
nES
p value
nES
p value





MGES Enrich.
3.23
0.0001
3.59
0.0001
3.92
<1E−4
4.36
4.67E−06
3.82
<1E−4
















TABLE 10







Table 10. mRNA levels for C/EBPβ and Stat3 after silencing and over-


expression experiments. Shown is the median ± MAD and U-test


p-value for the C/EBPβ and Stat3 mRNA levels relative to non-target


shRNA transduced cells and mRNA levels for the


GAPDH mRNA housekeeping gene.










C/EBPβ mRNA
Stat3 mRNA












Median ±

Median ±




MAD
p-value
MAD
p-value
















Si-
C/EBPβ
0.26 ± 0.119
0.00108
1.13 ± 0.43 
0.153


lencing
Stat3
0.87 ± 0.111
0.149
0.205 ± 0.052 
0.00109



C/EBPβ ×
0.25 ± 0.163
0.00165
 0.2 ± 0.074
0.00165



Stat3


Over-
C/EBPβ
45.53 ± 23.929
0.00781
0.89 ± 0.393
0.383


ex-
Stat3
1.17 ± 0.541
0.313
3.79 ± 2.758
0.00781


pression
CEBPβ ×
155.1 ± 57.11 
0.00391
2.79 ± 1.171
0.00391



Stat3
















TABLE 11







Table 11. GSEA of ARACNe regulons on the gene expression profile rank-


sorted by its correlation with the mRNA levels of C/EBPβ, Stat3, and C/EBPβ × Stat3


(the metagene). Shown is the regulon size, normalized enrichment score (nES), sample


permutation-based p-value and leading-edge odds ratio (LEOR) for the MR-TFs:


C/EBPβ, Stat3, FosL2, bHLH-B2 and Runx1; and 5 randomly selected control TFs with


comparable number of target genes.











C/EBPβ mRNA
Stat3 mRNA
C/EBPβ × Stat3

















nES
p-value
LEOR
nES
p-value
LEOR
nES
p-value
LEOR




















C/EBPβ
2.05
0.0290
2.29
3.17
0.0008
3.46
2.67
0.0038
2.75


Stat3
1.91
0.0340
1.94
3.21
0.0007
2.38
2.60
0.0046
2.56


FosL2
2.03
0.0210
2.35
3.60
0.0002
3.51
3.02
0.0013
3.26


bHLH-
2.07
0.0190
2.37
3.48
0.0002
3.28
2.82
0.0024
2.91


B2


Runx1
2.16
0.0170
1.81
4.04
<1E−4
2.56
3.24
0.0006
2.25


ATF2
−1.37
0.8800

−1.43
0.9220

−1.57
0.9290



SOX15
0.15
0.4370

0.36
0.3850

0.42
0.3460



ZNF500
−1.50
0.9190

−0.77
0.7530

−1.34
0.8990



ZNF277
−0.29
0.6060

0.56
0.3120

0.20
0.4250

















TABLE 12







List of 884 genes in TCGA Worst Prognosis Signature (TWPS),


identified by differential expression analysis


(p < 0.05 based on Student's t-test) between 77


low- and 21 high-survival samples in the TCGA dataset.










Rank
Gene ID
p-value
Overlap













1
IL8
1.1E−06



2
PTX3
2.8E−06


3
EFEMP2
5.9E−06
1


4
SSR3
6.7E−06


5
TAGLN2
6.8E−06


6
PDPN
1.7E−05
1


7
EMP3
2.7E−05
1


8
TFRC
2.9E−05


9
GLT8D1
5.2E−05


10
PSMD13
5.3E−05


11
ADM
5.8E−05


12
LGALS8
6.6E−05


13
PLOD2
7.3E−05


14
CHI3L1
7.4E−05
1


15
TMEM22
8.0E−05


16
NRN1
8.5E−05


17
LGALS1
8.7E−05


18
RIG
9.0E−05


19
IGFBP2
9.6E−05


20
C6orf62
1.0E−04


21
MT1M
1.2E−04


22
LDHA
1.4E−04


23
NOL3
1.5E−04


24
TIMP1
1.6E−04
1


25
SCG2
1.7E−04


26
CLIC1
1.7E−04


27
ARFIP2
1.7E−04


28
HFE
2.0E−04


29
COPB1
2.2E−04


30
MDK
2.5E−04


31
DUSP6
2.5E−04


32
NSUN5C
2.7E−04


33
KRT10
2.9E−04


34
PGK1
3.0E−04


35
DKK3
3.2E−04


36
POLR1D
3.2E−04


37
FAS
3.4E−04


38
PCNP
3.6E−04


39
NSUN5
4.2E−04


40
DYNLT3
4.2E−04


41
TUBB2A
4.4E−04


42
UPP1
4.4E−04


43
ABHD3
4.5E−04


44
SPP1
5.0E−04


45
DDIT3
5.1E−04


46
NNMT
5.2E−04


47
SPA17
5.5E−04


48
SSBP2
5.5E−04


49
DLAT
5.6E−04


50
DRG2
5.6E−04


51
FAM3C
5.8E−04


52
ATP2B1
6.4E−04


53
DNAJB9
6.4E−04


54
ARNTL
6.4E−04


55
CD63
6.4E−04


56
MT1F
6.6E−04


57
FLJ11286
6.8E−04


58
SDC2
6.8E−04


59
RAB33B
7.5E−04


60
PIGB
7.7E−04


61
DERA
7.9E−04


62
PEX7
8.1E−04


63
RIOK3
8.2E−04


64
KIAA0409
8.4E−04


65
HRASLS3
9.5E−04


66
TAF9
9.5E−04


67
FZD7
9.5E−04


68
SLC25A24
9.6E−04


69
TRIP4
9.6E−04


70
FRAG1
9.6E−04


71
CARS
9.7E−04


72
EGLN3
9.7E−04


73
FAHD2A
9.9E−04


74
ANGPT1
1.0E−03


75
FLJ11506
1.0E−03


76
CD44
1.0E−03


77
GBE1
1.0E−03


78
NTAN1
1.0E−03


79
SLC35A3
1.0E−03


80
LOC390940
1.1E−03


81
REXO2
1.1E−03


82
FLNC
1.1E−03


83
RPL23AP7
1.1E−03


84
FABP3
1.1E−03


85
AACS
1.2E−03


86
SLC38A6
1.2E−03


87
PTS
1.2E−03


88
SLC43A3
1.2E−03


89
HRH4
1.2E−03


90
TRIB3
1.2E−03


91
AP3S1
1.2E−03


92
C13orf18
1.2E−03


93
COQ10B
1.2E−03


94
RGN
1.2E−03


95
GTF2H5
1.3E−03


96
NUP160
1.4E−03


97
DDX47
1.4E−03


98
LSM5
1.5E−03


99
TPI1
1.5E−03


100
KIAA0495
1.5E−03


101
S100A13
1.6E−03


102
ARTS-1
1.6E−03


103
CYCS
1.6E−03


104
TMEM158
1.6E−03


105
IL1RAPL2
1.7E−03


106
HEMK1
1.7E−03


107
C3orf60
1.7E−03


108
NUP98
1.8E−03


109
TMBIM1
1.8E−03


110
HIGD1A
1.8E−03


111
SSH3
1.9E−03


112
MDS032
1.9E−03


113
EIF1
1.9E−03


114
DALRD3
1.9E−03


115
SYPL1
2.0E−03


116
APOE
2.0E−03


117
PTPN12
2.0E−03


118
TOM1L1
2.0E−03


119
EIF4E2
2.0E−03


120
C7orf25
2.0E−03


121
KIAA0895
2.0E−03


122
HEBP1
2.1E−03


123
ECHDC2
2.1E−03


124
IQCG
2.2E−03


125
FKBP9
2.2E−03


126
SOD2
2.3E−03


127
RBP1
2.3E−03


128
MRPL17
2.3E−03


129
SLC2A3
2.3E−03


130
DUS4L
2.5E−03


131
CCDC109B
2.5E−03


132
C12orf29
2.6E−03


133
FBXO17
2.6E−03


134
CAMK2N1
2.6E−03


135
RIC8A
2.6E−03


136
HK2
2.6E−03


137
PLSCR1
2.7E−03


138
G0S2
2.7E−03


139
DCTD
2.8E−03


140
SDHD
2.8E−03


141
MT1E
2.8E−03


142
POLR2L
2.8E−03


143
OSTM1
2.8E−03


144
F3
2.9E−03


145
RNH1
2.9E−03


146
CCL20
2.9E−03


147
CSRP1
2.9E−03


148
FLJ22222
2.9E−03


149
PDLIM3
2.9E−03


150
ATG12
3.0E−03


151
COG5
3.0E−03


152
CBR1
3.1E−03


153
MTRR
3.2E−03


154
MAFF
3.3E−03


155
LIN7C
3.3E−03


156
SPRY2
3.4E−03


157
BCL2A1
3.4E−03


158
BCAP29
3.4E−03


159
STEAP3
3.4E−03
1


160
CTNNB1
3.4E−03


161
CYP3A43
3.5E−03


162
SMS
3.6E−03


163
GRPEL1
3.6E−03


164
DOK3
3.6E−03


165
CCL2
3.6E−03


166
ARSJ
3.6E−03


167
ITGA7
3.6E−03
1


168
FKBP2
3.7E−03


169
WWTR1
3.7E−03


170
PGCP
3.7E−03


171
VLDLR
3.7E−03


172
STK19
3.8E−03


173
LOC201229
3.8E−03


174
TFPI
3.8E−03


175
POP5
3.8E−03


176
GAP43
3.8E−03


177
FAM62A
3.8E−03


178
MT1G
3.8E−03


179
TUSC2
3.9E−03


180
MET
3.9E−03


181
EPS8
3.9E−03


182
C19orf10
4.0E−03


183
ATP13A3
4.1E−03


184
UNC84A
4.1E−03


185
GRB10
4.1E−03


186
STK17A
4.1E−03


187
RQCD1
4.2E−03


188
C19orf53
4.3E−03


189
EXOC3
4.3E−03


190
HSD17B12
4.3E−03


191
PDGFA
4.3E−03
1


192
RPL14
4.4E−03


193
HES1
4.4E−03


194
TMEM41B
4.4E−03


195
SYNJ2
4.5E−03


196
TRAM1
4.5E−03


197
RCP9
4.5E−03


198
SP100
4.6E−03


199
TNFRSF12A
4.6E−03


200
VAMP4
4.6E−03


201
CDC5L
4.7E−03


202
CHL1
4.7E−03


203
ANGPTL4
4.8E−03
1


204
TNPO1
4.8E−03


205
TCEB1
4.8E−03


206
HBXIP
4.9E−03


207
DNPEP
4.9E−03


208
ACOX2
4.9E−03


209
TNFAIP6
4.9E−03


210
ARL4C
5.0E−03


211
FAM18B
5.0E−03


212
LITAF
5.1E−03


213
PMP22
5.2E−03


214
ADFP
5.2E−03


215
RRAS2
5.2E−03


216
TSPAN13
5.2E−03


217
TIPARP
5.3E−03


218
ARPC3
5.3E−03


219
NUP37
5.3E−03


220
TBCA
5.3E−03


221
S100A4
5.3E−03


222
NSUN5B
5.3E−03


223
GOLT1B
5.3E−03


224
UGCG
5.3E−03


225
HMBS
5.3E−03


226
ISG20
5.3E−03


227
IFT57
5.3E−03


228
CALR
5.5E−03


229
TBCE
5.5E−03


230
MEOX2
5.5E−03


231
CSRP2
5.5E−03


232
PDIA4
5.6E−03


233
SMEK2
5.6E−03


234
OBSL1
5.7E−03


235
CD164
5.7E−03


236
PRPS2
5.7E−03


237
PTDSS2
5.8E−03


238
SPAG4
5.8E−03


239
RBPMS
5.8E−03


240
FN3KRP
5.9E−03


241
MXRA7
5.9E−03


242
HEXB
6.0E−03


243
MGC14376
6.0E−03


244
ATP5L
6.0E−03


245
TMEM38B
6.0E−03


246
GRB14
6.1E−03


247
BUD31
6.1E−03


248
NDP
6.1E−03


249
GCA
6.1E−03


250
CLN5
6.2E−03


251
ASB4
6.2E−03


252
TSPAN4
6.2E−03


253
S100A6
6.2E−03


254
ILK
6.2E−03


255
GNG12
6.2E−03


256
BRP44L
6.4E−03


257
ABCB9
6.4E−03


258
MRPL49
6.4E−03


259
RNF14
6.4E−03


260
ARL8B
6.4E−03


261
TBL2
6.4E−03


262
NXPH4
6.5E−03


263
CYP3A7
6.5E−03


264
CHCHD2
6.6E−03


265
LECT1
6.7E−03


266
SLC2A1
6.7E−03


267
COPS2
6.7E−03


268
ARF6
6.7E−03


269
MAOB
6.7E−03


270
SMYD2
6.8E−03


271
SLC2A10
6.8E−03


272
CD58
6.8E−03


273
C19orf42
6.8E−03


274
IL1RAP
6.9E−03


275
MPV17
6.9E−03


276
NPY2R
6.9E−03


277
TIMM10
7.0E−03


278
PIPOX
7.1E−03


279
PUS7
7.3E−03


280
ORMDL2
7.3E−03


281
HOXC6
7.3E−03


282
MAB21L2
7.3E−03


283
TM2D1
7.3E−03


284
GNAT3
7.3E−03


285
HOMER1
7.4E−03


286
C5orf21
7.5E−03


287
AP1S1
7.5E−03


288
TCTA
7.6E−03


289
TRIM5
7.6E−03


290
UQCRQ
7.6E−03


291
ACTL6A
7.7E−03


292
MYD88
7.7E−03


293
FXC1
7.8E−03


294
FLOT1
7.8E−03


295
CA12
7.8E−03
1


296
HUS1
8.0E−03


297
EN2
8.0E−03


298
ITPR1
8.0E−03


299
HOXA1
8.2E−03


300
WEE1
8.3E−03


301
CUL5
8.3E−03


302
LRRC16
8.3E−03


303
CAST
8.3E−03


304
S100A10
8.4E−03


305
FXYD3
8.4E−03


306
UEVLD
8.4E−03


307
PRNP
8.5E−03


308
TAPBPL
8.5E−03


309
PI3
8.5E−03
1


310
IL1A
8.6E−03


311
SUB1
8.6E−03


312
PTRH2
8.6E−03


313
TXN
8.6E−03


314
MPL
8.7E−03


315
GSTO1
8.8E−03


316
KRAS
8.8E−03


317
CNDP2
8.8E−03


318
IGFBP5
8.9E−03


319
MYCBP
8.9E−03


320
ANXA2
9.0E−03


321
TANK
9.1E−03


322
ZNF226
9.1E−03


323
CAPG
9.1E−03


324
TOB1
9.1E−03


325
C3orf28
9.2E−03


326
PKM2
9.2E−03


327
GAPDH
9.2E−03


328
POLR2A
9.3E−03


329
SNUPN
9.4E−03


330
CHPF
9.4E−03


331
EIF5
9.4E−03


332
CD151
9.4E−03
1


333
AK2
9.5E−03


334
LYPLA1
9.6E−03


335
CNR2
9.6E−03


336
CRTAP
9.7E−03


337
ATF3
9.7E−03


338
RPL37A
9.8E−03


339
ICT1
9.8E−03


340
PDCD10
9.8E−03


341
TNFRSF11B
9.8E−03


342
MOSC2
9.8E−03


343
CXCL3
9.8E−03


344
TAF10
9.8E−03


345
IKBKE
9.9E−03


346
C12orf41
9.9E−03


347
FLJ10292
9.9E−03


348
PRR13
9.9E−03


349
SLFN12
1.0E−02


350
NPAS3
1.0E−02


351
SCARB1
1.0E−02


352
ACACA
1.0E−02


353
SPCS1
1.0E−02


354
IPO7
1.0E−02


355
CA3
1.0E−02


356
GGCX
1.0E−02


357
PSMA1
1.0E−02


358
ANXA5
1.1E−02


359
SLC30A5
1.1E−02


360
ANGPT2
1.1E−02
1


361
AP4S1
1.1E−02


362
PLA2G2A
1.1E−02


363
MPP6
1.1E−02


364
CCL8
1.1E−02


365
CTTN
1.1E−02


366
SERPINB6
1.1E−02


367
CDR2
1.1E−02


368
LEPR
1.1E−02


369
TMBIM4
1.1E−02


370
SSX2IP
1.1E−02


371
RYR3
1.1E−02
1


372
TPST1
1.1E−02


373
SNRPA1
1.2E−02


374
TMEM5
1.2E−02


375
ALG8
1.2E−02


376
TIMM8B
1.2E−02


377
PARVA
1.2E−02


378
NDFIP1
1.2E−02


379
THOC7
1.2E−02


380
TBC1D15
1.2E−02


381
DNAJC6
1.2E−02


382
EPPB9
1.2E−02


383
LSM4
1.2E−02


384
GLRA1
1.2E−02


385
UBB
1.2E−02


386
MINA
1.2E−02


387
TRAPPC4
1.2E−02


388
SAR1B
1.3E−02


389
ANGEL2
1.3E−02


390
TAF1B
1.3E−02


391
DIRAS3
1.3E−02


392
MLX
1.3E−02


393
HSPB7
1.3E−02


394
C17orf75
1.3E−02


395
C5orf28
1.3E−02


396
CEBPB
1.3E−02


397
TRSPAP1
1.3E−02


398
RFK
1.3E−02


399
CNIH
1.3E−02


400
HSPA5
1.3E−02


401
GNS
1.3E−02


402
CHPT1
1.3E−02


403
ELOVL6
1.3E−02


404
BNIP3
1.3E−02


405
COX5B
1.3E−02


406
G6PC3
1.3E−02


407
ZNF143
1.4E−02


408
DUSP3
1.4E−02


409
YIPF2
1.4E−02


410
DOHH
1.4E−02


411
GNAT1
1.4E−02


412
ARF5
1.4E−02


413
PSPH
1.4E−02


414
OSMR
1.4E−02
1


415
GALNT7
1.4E−02


416
HSPE1
1.4E−02


417
SLC39A14
1.4E−02


418
FTL
1.4E−02


419
ANXA2P2
1.4E−02


420
SMC4
1.4E−02


421
PDK1
1.4E−02


422
PSMC6
1.4E−02


423
TPD52L1
1.4E−02


424
PCDH8
1.4E−02


425
ACTN1
1.5E−02
1


426
SWAP70
1.5E−02


427
FER1L4
1.5E−02


428
CHRNA2
1.5E−02


429
C17orf42
1.5E−02


430
MAS1
1.5E−02


431
IRF7
1.5E−02


432
PDCD6
1.5E−02


433
DHRS7B
1.5E−02


434
TMEM9B
1.5E−02


435
GLRX
1.5E−02


436
TMED7
1.5E−02


437
CCDC59
1.5E−02


438
CAPZA2
1.5E−02


439
ZNF552
1.5E−02


440
BHLHB2
1.5E−02
1


441
FAM96B
1.5E−02


442
GPNMB
1.5E−02


443
SMPD1
1.5E−02


444
TMCO3
1.5E−02


445
SNX3
1.5E−02


446
CHST2
1.5E−02


447
MGC3196
1.5E−02


448
POLR2G
1.5E−02


449
LRP12
1.6E−02


450
CD47
1.6E−02


451
EXT2
1.6E−02


452
CHMP2A
1.6E−02


453
EFEMP1
1.6E−02


454
TMEM14A
1.6E−02


455
IGF2BP3
1.6E−02


456
BCL3
1.6E−02
1


457
CHN2
1.6E−02


458
RARRES2
1.6E−02


459
FNTA
1.7E−02


460
CPD
1.7E−02


461
CLEC5A
1.7E−02


462
LEF1
1.7E−02


463
SNX10
1.7E−02


464
PCDH9
1.7E−02


465
ABCC3
1.7E−02


466
ARHGAP29
1.7E−02


467
ELOVL2
1.7E−02


468
NENF
1.7E−02


469
UNC50
1.7E−02


470
APITD1
1.7E−02


471
ARPC4
1.7E−02


472
VIL2
1.7E−02


473
USP33
1.7E−02


474
POLR2C
1.7E−02


475
PAM
1.7E−02


476
LZTFL1
1.7E−02


477
UTP6
1.7E−02


478
HIG2
1.7E−02


479
MIA2
1.7E−02


480
STK3
1.8E−02


481
CPEB1
1.8E−02


482
GADD45B
1.8E−02


483
RGS3
1.8E−02


484
C14orf109
1.8E−02


485
CFLAR
1.8E−02


486
SLC25A20
1.8E−02


487
VAMP5
1.8E−02


488
COMMD8
1.8E−02


489
ST8SIA5
1.8E−02


490
SLC33A1
1.8E−02


491
IFRD1
1.8E−02


492
PLP2
1.8E−02


493
PLS3
1.8E−02


494
PSMC3IP
1.8E−02


495
POSTN
1.8E−02


496
PCBD1
1.9E−02


497
CHI3L2
1.9E−02


498
DUSP14
1.9E−02


499
LYRM2
1.9E−02


500
PPIC
1.9E−02


501
ATP5S
1.9E−02


502
CFI
1.9E−02


503
GMPR
1.9E−02


504
ARMET
1.9E−02


505
HSP90B1
1.9E−02


506
SLC4A3
1.9E−02


507
CASP3
1.9E−02


508
RHEB
1.9E−02


509
ATPBD1C
1.9E−02


510
MAP7
1.9E−02


511
MGC5618
1.9E−02


512
ARPC5
1.9E−02


513
ACAA2
1.9E−02


514
FKBP1B
1.9E−02


515
Magmas
2.0E−02


516
UBE2NL
2.0E−02


517
MTCH2
2.0E−02


518
AZGP1
2.0E−02


519
PPP1R15A
2.0E−02


520
BBS10
2.0E−02


521
HOXA5
2.0E−02


522
HS2ST1
2.0E−02


523
ATP6V1D
2.0E−02


524
C11orf58
2.0E−02


525
STOML1
2.0E−02


526
HRH1
2.0E−02
1


527
TGFBI
2.0E−02


528
ATP5G1
2.0E−02


529
CASP4
2.1E−02


530
TIAM2
2.1E−02


531
RGS16
2.1E−02


532
SNAPC5
2.1E−02


533
GLS
2.1E−02


534
PUS1
2.1E−02


535
CHMP2B
2.1E−02


536
C9orf53
2.1E−02


537
RRAS
2.1E−02
1


538
CHCHD7
2.1E−02


539
AKAP12
2.1E−02


540
LARP6
2.1E−02


541
PPP3CC
2.1E−02


542
ATP5F1
2.2E−02


543
CLDN10
2.2E−02


544
ALAS1
2.2E−02


545
CHN1
2.2E−02


546
SACM1L
2.2E−02


547
IFI44
2.2E−02


548
PSMD14
2.2E−02


549
IL6
2.2E−02


550
FABP7
2.2E−02


551
ZNF593
2.2E−02


552
RS1
2.2E−02


553
EFHC2
2.2E−02


554
B3GALNT1
2.3E−02


555
GRPR
2.3E−02


556
EI24
2.3E−02


557
GINS4
2.3E−02


558
DLG1
2.3E−02


559
LTBP1
2.3E−02


560
LOX
2.3E−02


561
GLIPR1
2.3E−02


562
P4HA2
2.3E−02


563
RIMBP2
2.4E−02


564
MRPL2
2.4E−02


565
PLA2G5
2.4E−02
1


566
IER3IP1
2.4E−02


567
MCFD2
2.4E−02


568
SRPX2
2.4E−02


569
EBNA1BP2
2.4E−02


570
RPL39L
2.4E−02


571
TMED9
2.4E−02


572
RNASE1
2.4E−02


573
C14orf2
2.4E−02


574
BHLHB9
2.4E−02


575
ARL1
2.4E−02


576
TSC22D2
2.4E−02


577
EFNB2
2.4E−02
1


578
PTPN21
2.4E−02


579
YAP1
2.5E−02


580
WSB2
2.5E−02


581
IL1RN
2.5E−02


582
CYBRD1
2.5E−02


583
GUK1
2.5E−02


584
ORC5L
2.5E−02


585
XPOT
2.5E−02


586
LIAS
2.5E−02


587
ITGB1BP1
2.5E−02


588
CTBS
2.5E−02


589
GTF2H1
2.5E−02


590
TMEM106C
2.5E−02


591
COX17
2.5E−02


592
HOMER3
2.5E−02
1


593
SDC4
2.5E−02


594
DUSP5
2.5E−02


595
GPX3
2.6E−02


596
APIP
2.6E−02


597
IFRD2
2.6E−02


598
RPA3
2.6E−02


599
GGH
2.6E−02


600
HOXC10
2.6E−02


601
CD99
2.6E−02


602
HPCAL1
2.6E−02


603
FAH
2.6E−02


604
PPFIA4
2.6E−02


605
C14orf45
2.6E−02


606
MC3R
2.6E−02


607
PIGG
2.6E−02


608
PCSK5
2.6E−02


609
ITGA5
2.6E−02
1


610
RBKS
2.7E−02


611
C18orf10
2.7E−02


612
AUH
2.7E−02


613
CD97
2.7E−02
1


614
RNF7
2.7E−02


615
PIGN
2.7E−02


616
C12orf24
2.7E−02


617
C11orf51
2.7E−02


618
DRAM
2.7E−02


619
CYP51A1
2.7E−02


620
ANXA1
2.7E−02


621
PLAUR
2.7E−02
1


622
SHQ1
2.7E−02


623
CD46
2.8E−02


624
RECQL
2.8E−02


625
KMO
2.8E−02


626
GUCA1A
2.8E−02


627
PDK3
2.8E−02


628
PSMD9
2.8E−02


629
SPINK1
2.8E−02


630
UBE1C
2.8E−02


631
MTERFD1
2.8E−02


632
RAGE
2.8E−02


633
PVR
2.8E−02


634
SLC35E3
2.8E−02


635
MMP12
2.9E−02


636
NRGN
2.9E−02


637
CSDA
2.9E−02


638
ATP6V1C1
2.9E−02


639
PIK3C2A
2.9E−02


640
PSMB3
2.9E−02


641
FGA
2.9E−02


642
PCGF1
2.9E−02


643
MRPL22
2.9E−02


644
SLC22A5
2.9E−02


645
HMOX1
2.9E−02


646
AQP1
2.9E−02


647
HR44
2.9E−02


648
CGRRF1
2.9E−02


649
PSMC2
2.9E−02


650
RMND5B
2.9E−02


651
CRP
2.9E−02


652
MRPL23
2.9E−02


653
PEX16
3.0E−02


654
GABRB2
3.0E−02


655
GBAS
3.0E−02


656
DLC1
3.0E−02
1


657
PPP2R1B
3.0E−02


658
CAMK1
3.0E−02


659
SLC25A32
3.0E−02


660
SEPX1
3.0E−02


661
CDK10
3.0E−02


662
ADAM8
3.0E−02


663
MSN
3.0E−02


664
PIR
3.0E−02


665
PMM2
3.1E−02


666
PLA2G3
3.1E−02


667
MT1X
3.1E−02


668
NEDD4L
3.1E−02


669
ARPC2
3.1E−02


670
CD300A
3.1E−02


671
ZCCHC10
3.1E−02


672
SLC3A1
3.1E−02


673
ABCA1
3.1E−02


674
ITGB5
3.1E−02


675
ASS1
3.1E−02


676
BCAT1
3.1E−02


677
POT1
3.1E−02


678
UBE2N
3.2E−02


679
DARS
3.2E−02


680
RINT1
3.2E−02


681
HSPB2
3.2E−02


682
NME5
3.2E−02


683
KIAA0101
3.2E−02


684
VAV3
3.2E−02


685
TMEM111
3.2E−02


686
MAX
3.2E−02


687
PSMB2
3.2E−02


688
TAAR5
3.3E−02


689
PDHX
3.3E−02


690
ZNF415
3.3E−02


691
SEC24A
3.3E−02


692
CXCL5
3.3E−02


693
AMDHD2
3.3E−02


694
SPATA6
3.3E−02


695
C9orf3
3.3E−02


696
C1QBP
3.3E−02


697
SEC24D
3.3E−02


698
PSRC1
3.3E−02


699
LAMP2
3.3E−02


700
FKBP11
3.3E−02


701
LAMC1
3.3E−02


702
CASP1
3.3E−02


703
MCL1
3.3E−02


704
SLC35A2
3.3E−02


705
C2orf28
3.3E−02


706
HCCS
3.4E−02


707
WDR61
3.4E−02


708
S100A14
3.4E−02


709
BDH1
3.4E−02


710
UFM1
3.5E−02


711
DKFZP586H2123
3.5E−02


712
CYP27A1
3.5E−02


713
NIT2
3.5E−02


714
CSGlcA-T
3.5E−02


715
CD83
3.5E−02


716
GIP
3.5E−02


717
DERL2
3.5E−02


718
MASP2
3.5E−02


719
PEX3
3.5E−02


720
NUPL1
3.5E−02


721
GSDMDC1
3.5E−02


722
PCK2
3.5E−02


723
TFAP2C
3.6E−02


724
CLDN15
3.6E−02


725
KIAA1660
3.6E−02


726
PRMT3
3.6E−02


727
ECAT8
3.6E−02


728
MS4A2
3.6E−02


729
IFI35
3.6E−02


730
SLC31A1
3.6E−02


731
ASNS
3.6E−02


732
NRL
3.6E−02


733
PON2
3.6E−02


734
MPI
3.6E−02


735
OAS1
3.6E−02


736
BAG2
3.6E−02


737
NUPR1
3.6E−02


738
SLC35A5
3.6E−02


739
NUDT15
3.6E−02


740
SDF2L1
3.6E−02


741
MDH2
3.6E−02


742
RER1
3.7E−02


743
SQRDL
3.7E−02


744
SDS
3.7E−02


745
SNX2
3.7E−02


746
FLJ20035
3.7E−02


747
NAGLU
3.7E−02


748
TTC27
3.7E−02


749
TRIP6
3.7E−02


750
COPS8
3.7E−02


751
C21orf62
3.7E−02


752
FGF5
3.7E−02


753
TMEM168
3.7E−02


754
LEP
3.7E−02


755
KIAA0692
3.7E−02


756
MIS12
3.7E−02


757
CCR4
3.7E−02


758
CCNB1
3.7E−02


759
C12orf47
3.8E−02


760
EMP1
3.8E−02
1


761
APOBEC3F
3.8E−02


762
GLB1
3.8E−02


763
CGA
3.8E−02


764
SRPRB
3.8E−02


765
KIAA0143
3.8E−02


766
NEK11
3.8E−02


767
REEP5
3.8E−02


768
NMI
3.8E−02


769
CXCL14
3.8E−02


770
TUFT1
3.8E−02


771
ADAM7
3.8E−02


772
NUBP2
3.8E−02


773
NEDD9
3.8E−02


774
LMO4
3.9E−02


775
CTSB
3.9E−02


776
KIAA0415
3.9E−02


777
TNFRSF1A
3.9E−02


778
PRDX4
3.9E−02


779
HOXD11
3.9E−02


780
SH3BGR
3.9E−02


781
CNGA3
3.9E−02


782
PHEX
3.9E−02


783
CNIH4
4.0E−02


784
YKT6
4.0E−02


785
RWDD3
4.0E−02


786
AGTR1
4.0E−02


787
NRAS
4.0E−02


788
SLC4A7
4.0E−02


789
CCDC53
4.0E−02


790
ZAK
4.0E−02


791
DYNC1LI1
4.0E−02


792
AP2S1
4.1E−02


793
PIGL
4.1E−02


794
C1RL
4.1E−02
1


795
SNAPC1
4.1E−02


796
HOXA2
4.1E−02


797
CNNM1
4.1E−02


798
RASAL1
4.1E−02


799
RGS12
4.1E−02


800
PAQR3
4.1E−02


801
HCG2P7
4.2E−02


802
DIABLO
4.2E−02


803
CCT6A
4.2E−02


804
SERPINE1
4.2E−02
1


805
ETV5
4.2E−02


806
IDS
4.2E−02


807
GSTM5
4.2E−02


808
TIMM44
4.2E−02


809
PTPRR
4.2E−02


810
MEA1
4.2E−02


811
C1orf107
4.2E−02


812
XKR8
4.2E−02


813
PPL
4.2E−02


814
MTHFS
4.3E−02


815
PHLDB1
4.3E−02


816
PHLDA2
4.3E−02


817
SDF2
4.3E−02


818
LYRM1
4.3E−02


819
APOBEC3B
4.3E−02


820
CASP7
4.3E−02


821
TM9SF1
4.3E−02


822
TAX1BP3
4.4E−02


823
LACTB2
4.4E−02


824
C9orf95
4.4E−02


825
TRIM36
4.4E−02


826
SIGLEC7
4.4E−02


827
SPRY1
4.4E−02


828
POLR2H
4.4E−02


829
HTR5A
4.4E−02


830
WNT11
4.4E−02


831
IL6ST
4.4E−02


832
COMMD9
4.4E−02


833
FAM82B
4.5E−02


834
MRPS18A
4.5E−02


835
FBXO9
4.5E−02


836
IBSP
4.5E−02


837
RPLP2
4.5E−02


838
NDUFB5
4.5E−02


839
RAB32
4.5E−02


840
PDLIM4
4.5E−02
1


841
OXTR
4.6E−02


842
MMP14
4.6E−02
1


843
PSMB8
4.6E−02


844
LDLR
4.6E−02


845
DUSP4
4.6E−02


846
CCDC72
4.6E−02


847
SS18L2
4.6E−02


848
PITX1
4.6E−02


849
LIF
4.6E−02
1


850
CRYBA2
4.6E−02


851
LRRC50
4.6E−02


852
SNX11
4.7E−02


853
RFNG
4.7E−02


854
LAMP3
4.7E−02


855
EBAG9
4.7E−02


856
ABCA5
4.7E−02


857
KIAA0323
4.8E−02


858
ACTR1B
4.8E−02


859
CDKN3
4.8E−02


860
CD1A
4.8E−02


861
CSH1
4.8E−02


862
HOXC4
4.8E−02


863
SIPA1L1
4.8E−02


864
TMEM2
4.8E−02


865
CROT
4.8E−02


866
PTDSS1
4.8E−02


867
HK3
4.8E−02
1


868
SRPR
4.8E−02


869
UCHL3
4.9E−02


870
ANXA4
4.9E−02


871
YIPF4
4.9E−02


872
TRIAP1
4.9E−02


873
ZFYVE21
4.9E−02


874
BST1
4.9E−02


875
SCN4A
4.9E−02


876
IFI6
4.9E−02


877
WTAP
4.9E−02


878
MBD4
5.0E−02


879
HOXD10
5.0E−02


880
LOH11CR2A
5.0E−02


881
ZNF443
5.0E−02


882
CTR9
5.0E−02


883
HOP
5.0E−02


884
CP
5.0E−02
















TABLE 13







Table 13. MRs discovered by MRA and SLR using the TCGA data and TWPS signature.










MGES Analysis
TCGA Prognosis Analysis

















MRA-


SLR-
LR-
MRA-


LR-


TF
rank
Overlap
P-value
rank
Coeff
rank
Overlap
P-value
Coeff



















FOSL2
1
45
9.4E−39
5
0.21
4
69
1.9E−16
0.25


ZNF238
2
37
9.6E−28
2
−0.34






RUNX1
3
37
2.3E−24
4
0.13






C/EBP(*)
4
30
3.2E−19
1
0.40
1
91
1.0E−28
0.42


C/EBPδ
5
27
1.2E−19
6
0.42
3
75
1.8E−27
0.41


STAT3
6
26
1.2E−16
7
0.40
7
60
9.4E−17
0.21


BHLHB2
7
25
7.8E−21
9
0.41
2
78
5.3E−41
0.36


MYCN
8
25
6.2E−20
37
−0.11






FOSL1
9
23
3.6E−25
47
0.24
19 
30
1.0E−11
0.28


ELF4
10
21
7.0E−09
34
0.1





C/EBPβ
11
20
2.2E−15
28
0.35
10 
45
1.5E−13
0.44


LZTS1
12
20
3.8E−14
3
0.22






TBX2
13
17
4.6E−12
23
0.17
21 
28
1.6E−06
0.13


SATB1
14
17
1.4E−07
21
−0.32






IRF1
15
16
2.0E−11
19
0.48






EPAS1
16
16
2.6E−09
16
0.21






NFIB
17
15
5.4E−07
8
−0.32






KLF6
18
14
2.0E−11

0.16






NFYB
19
14
3.5E−07
14
−0.55






ELK3
20
14
1.8E−06
53
0.24
14 
35
2.1E−05
0.19





‘—’ indicate that TF is not significant in regulon enrichment analysis and not included in SLR analysis


(*)The C/EBP metagene includes targets of both C/EBPβ and C/EBPδ













TABLE 14





Immunohistochemistry results of GBM tumor specimens for C/EBPβ


and p-Stat3 and comparison with YKL-40 expression.




















STAT3−
STAT3+







YKL40−
12
 2



YKL40+
14
34



FET
0.00022








CEBPB−
CEBPB+







YKL40−
9
 5



YKL40+
4
44



FET
4.9E−05








DOUBLE−
DOUBLE+







YKL40−
8
 1



YKL40+
2
32



FET
2.7E−06










Tumors were scored as positive or negative as described in the Methods herein. Expression of either C/EBPβ or STAT3 was significantly associated with YKL40 expression (C/EBPβ, P=4.9×10−5; STAT3, P=2.2×10−4), with higher association in double-positive tumours (C/EBPβ+ STAT3+, P=2.7×10−6) versus double-negative ones (C/EBPβ STAT3, Table 14).









TABLE 15





Primers used for ChIP assays.



















SEQ




ID


ChIP_Stat3
Primers
NO:





Rrpb1_3655_f1
ATCTGGATGGCATTTTCAGG
5


Rrpb1_3801_r1
GGGGTAACATTCGCAGTTGT
6


Serpinh1_3546
CCTCACCATCTCTCCTTTGC
7


Serpinh1_3677_r
GGGTCCCAAACACTTGAGAG
8


Chi3I1_3311_f
CTGAGGTCTCTTGCCGAATC
9


Chi3I1_3511_r
TGTCGATGTGATCGTTGCTT
10


Timp1_2035_f
GGTGGGTGGATGAGTAATGC
11


Timp1_2194_r
CCCTGCTTACCTCTGGTGTC
12


Socs3_f_1876_f
GCGCTCAGCCTTTCTCTG
13


Socs3_r_2025_r
GGAGCAGGGAGTCCAAGTC
14


Osmr_3468_f
TGGGTGGGGTGTTTCATTAT
15


Osmr_3666_r
GAACAAATGCTACGGGGAAA
16


Actn1_1054_f
TAGATCACTCGGGGTTGTCC
17


Actn1_1290_r
ACTGCTCTCAGAGGCTACCG
18


Slc16a3_3601_
CCAGTGAGGTGCCAAATGT
19


Slc16a3_3731_r
GACGCCCTGAGCTCTGTCT
20


Col4a1_2620_f
TTTGGGCGTATTTCTCCTTG
21


Col4a1_2806_r
AGAAGGCAACGAGTTGAGGA
22


Col4a2_1023_f
AGAAGGCAACGAGTTGAGGA
23


Col4a2_1209_r
TTTGGGCGTATTTCTCCTTG
24


Itga7_3019_f
GCAGCAGCTGTAGCAGTGAG
25


Itga7_3246_r
GCCAAGGATACAGGCAACAT
26


Cd151_3821
AGGGGCATAGCCTGTCTGT
27


Cd151_3983_r
CAGGCCTGTTTACGGTCTGT
28


Icam1_365_f
CCCAGGTGGATTTTTGTCTG
29


Icam1_488_r
ACAATGGTGCCGTTCTTTTC
30


Runx1_2719_f
TGCGAGTAAGTTGTGCTGGT
31


Runx1-2849_r
CAGCATGCCGAGTTAAGGAT
32


Bhlhb2_1160_f
TTCCCATGGGGTGACATC
33


Bhlhb2_1277_r
CAGAGGCTGGGGTTTCTTTC
34


Fosl2_275_f
TGACCCCGAGTATTGTTTGG
35


Fosl2_423_r
GGGGTGTTGGTAGCAGAGAA
36


Stat3_1501_f
CAGGAGGGAGCTGTATCAGG
37


Stat3_1630_r
AGGACTTGGGCACAGAAGC
38





ChIP_CEBPβ
Primers





Ptrf_1587_f
GCAAGGGTCCTTTTGTGCT
39


Ptrf_1700_r
GCTCATCCGAAAATCCTCAA
40


Shc1_1367_f2
CGCAACCACTTTGTTTTACG
41


Shc1_1514_r2
GCTGAGGGCACAAGGAATTA
42


Mvp_3222_f2
CGGCTCCGTCCTTTGATAAC
43


Mvp_3354_r2
AGCTCCCACTTCAGATGAGC
44


Serpine1_720_f
GGGCTCCCACTGATTCTACA
45


Serpine1_843_r
ATGGTTTCGGGATGATTCAA
46


Timp1_2314_f2
GGGCTAGTCTAGGGGGAAGA
47


Timp1_2390_r2
GGGGTTCTAGGGAGTTTGGA
48


Serpina1_914_f4
TGTGCTGTCATCCAGAGTTTG
49


Serpina1_1057_r4
GGGTCTAGTGCTGCTGATGA
50


S100a11_2551_f
CATTGGCTCTCCACACCAG
51


S100a11_2642_r
ACATGTGTGTGCATGTGCTG
52


Slc26a3_2504_f
CGCAACACCCTGAACACTC
53


Slc26a3_2580_r
CACTTCCCTGCACGGTCT
54


Myl9_502_f
TGGGATAACTGGCACAACCT
55


Myl9_571_r
TCAGGACAATTTTCACATTGATT
56


Stat3_2639_f2
CTGGCTGGTCGTGGGTAG
57


Stat3_2755_r2
GGGAGCATAATTTAACCTAGAAAAAG
58


Cebpb_401_f
ACCCCAGCTCAGCAGATAAC
59


Cebpb_450_r
ACCTCTCTGCCACTCCTAGC
60


Fosl2_516_f1
TCCTCATAAGGACCCTGTGG
61


Fosl2_626_r1
TGTAGCGGAAGTCAGGGAAC
62


Runx1_1362_f
AAGTTGTCCATTTAGGGGGAAT
63


Bhlhb2_434_f1
TGGCCTCGATACAATTTTCC
69


Bhlhb2_555_r1
TAGGCGCTGCACTAGTTGAT
65





ChIP_FosL2
Primers





Actn1(2)_3581_f
CAGCCAAAGGCATCCTGTAT
66


Actn1(2)_3711_r
GGTCATCCTGCTTTGAGGAA
67


Itga5(1)_1894_f
GCGGGCTCAGAGTTCCAG
68


Itga5(1)2027_r
CGCTTCCTAAACCTCCCAGA
69


Socs3_1734_f
CCTTCGAACTTGCTTTGCAT
70


Socs3_1816_r
GCAGCCACCTAGACTTACCG
71


S100a11(1)_1185_f
CTCCGGGACACCTGTGTATT
72


S100a11(1)_1308_r
CTGAGGAGTGGATGCATGTG
73


c1r(3)_3178_f
ACTGAGGGGAGAAGCACAGA
74


c1r(3)_3308_r
AAGCTGAGGCACAGTGGTTT
75


Flna(2)_3196_f
CACCCACCTCCTGACACTCT
76


Flna(2)_3295_r
CTGGGTTGTCTGGGTTCATT
77


Tagln_1202_f
TATTGACACTGCCCACTGGA
78


Tagln_1351_r
CACCCTTTCAATTGGACCAC
79


Emp3_2706_f
TCCCTGGTGCTTAGAGATGG
80


Emp3_2848_r
CCGACATCAGGATTGAGGAG
81


Plau_278_f
TTGGCTCTGAAGCCTATAGCA
82


Plau_420_r
CCTGCTGGGGAAAGTACAAG
83


Thbd(1)_38_f
AACGAGGTTCCTGCCCTTAT
84


Thbd(1)_180_r
AGTCAAGCTGTGGCTGCCTA
85


Tnc(2)_1060_f
ACTCCCTTAAATGCCCCTGT
86


Tnc(2)_1180_r
ATAAGCTGCGCCTTTGCTT
87


Acta2_135_f
AAAATTCACAGGGCTGTTGC
88


Acta2_580_r
TCTCTGGCCCTGTAACTTGC
89


Ehd2_645_f2
AGGGGAGAGAGTGAGGCATT
90


Ehd2_814_r2
CCACCTACATCTCCCCTGTC
91


Bace2(2)_1027_f
CAGCTGGAGGAGGTACAAAGA
92


Bace2(2)_1175_r
GCCAAGACGCAGAAATGC
93


Slc16a3_282_f
GGCAGATGTGGAAGGTGTCT
94


Slc16a3_415_r
GGGTCCCCTATGGGGTATT
95


Runx1_3473_f5
TGATGGTTTGGCAAAGCTG
96


Runx1_3609_r5
GCATTCCCCTGCTCACTTAG
97


Stat3_3395_f3
TTGGTTCAGCCAGTTTTCTATC
98


Stat3_3544_r3
TCCAGACTTGTTTCCCCATC
99


Cebpb_1129_f1
GATTGCAGCTGGGAGAAGTG
100


Cebpb_1278_r1
CTGCTCGAGGCTTGGACAC
101


Fosl2_434_f1
CCACCCCCAGTTTTCTGAG
102


Fosl2_551_r1
GGCTTGCCTGGGTGTTTAC
103


Bhlhb2_1361_f2
GGGCTGGAGCTAGCAAGG
104


Bhlhb2_1503_r2
AGGGGGAGAAGTTGGTAACG
105





ChIP_b-HLH-B2
Primers





Serpine1_1227_f
TCAGGGGCACAGAGAGAGTC
106


Serpine1_1375_r
CAGCCACGTGATTGTCTAGG
107


Efemp2_885_f
ATGGTGGTGGCAGAGTGG
108


Efemp2_1027_r
CTGCTTATCCCCGCAGTC
109


Slc16a3_3151_f
GGAGGGAAGGAACTGAGGAG
110


Slc16a3_3290_r
ACCCCAGACTCTGTCCACAC
111


Bcl3_1175_f
AGCCCCTTTAGACCCACAG
112


Bcl3_1318_r
AGCCGTTTCCTCCTTAGTGG
113


Pdpn_2946_f
GCTTCCGAGGAGTGTGAGTG
114


Pdpn_3046_r
CACTGATGTTGTTGCCCAAG
115


Ifitm3_3298_f
GAGCCGAGTCCTGTATCAGC
116


Ifitm3_3443_r
CCTGCTCAGTCTCAGAACCAC
117


Flna_3577_f
GCACCCCCTAACACCACTAC
118


Flna_3718_r
CATGCCCAAATATGGTTGAC
119


Fcgr2c_112_f
GCCAATTTACCGAGAGCAAG
120


Fcgr2c_214_r
TGGAGGGGAAAGAGGAAGAG
121


Socs3_1058_f
ACCTCCCTGAACCTGAGTTG
122


Socs3_1207_r
ACAAGGCAGGCATTCTCATC
123


Slc39a8_523_f
CCTGATGAAAGGCAAGAACG
124


Slc39a8_1030_r
GGACTTCCTGAGGCTGTGTC
125


Lif_82_f
CCTGGTCACATGGATTTGG
126


Lif_219_r
ATCTCCTGCACAAGGACCTG
127


Runx1_674_f
TTTCTGAAGTGCCTGTGCTG
128


Runx1_815_r
GCTCTGCTCTGCCTACATCC
129


Stat3_1376_f
AGGAGTTGGGTCCCCAGAG
130


Stat3_1520_r
CCTGATACAGCTCCCTCCTG
131


Cebpb_3549_f2
TTTCGAAGTTGATGCAATCG
132


Cebpb_3673_r
AACAAGCCCGTAGGAACATC
133


Olr_f
ACTGCACCTGGCCAACTTTT
134


Olr_r
TGCAAAGAAAAGAATACACAAAGGA
135
















TABLE 16





Primers used for qRT-PCR.

















Primers

SEQ


mesenchymal genes

ID


mouse
Sequence (5′-3′)
NO:





mSerpinh1_f
GCCGAGGTGAAGAAACCCC
136


mSerpinh1_r
CATCGCCTGATATAGGCTGAAG
137


mCol4a1f
CCAGGTGAAAGGGGAGAAAAAG
138


mCol4a1_r
CCAGGTTGACACTCCACAATG
139


mPlau_f
CCTTCAGAAACCCTACAATGCC
140


mPlau_r
CAAACTGCCTTAGGCCAATCT
141


mActa2f
GGACGTACAACTGGTATTGTGC
142


mActa2_r
CGGCAGTAGTCACGAAGGAAT
193


mSocs3_f
TGCGCCTCAAGACCTTCAG
144


mSocs3_r
GAGCTGTCGCGGATCAGAAA
195


mSerpine1_f
CATCCCCCATCCTACGTGG
146


mSerpine1_r
CCCCATAGGGTGAGAAAACCA
147


mItga7_qPCR_F1
CTGCTGTGGAAGCTGGGATTC
148


mItga7_qPCR_R1
CTCCTCCTTGAACTGCTGTCG
149


mOsmr_qPCR_f1
CATCCCGAAGCGAAGTCTTGG
150


mOsmr_qPCR_r1
GGCTGGGACAGTCCATTCTAAA
151


mTimpl_qPCR_f1
CTTGGTTCCCTGGCGTACTC
152


mTimpl_qPCR_r1
ACCTGATCCGTCCACAAACAG
153


mPlaur_qPCR_f1
CAGAGCTTTCCACCGAATGG
154


mPlaur_qPCR_r1
GTCCCCGGCAGTTGATGAG
155


mGapdh_f
TGACCACAGTCCATGCCATC
156


mGapdh_r
GACGGACACATTGGGGGTAG
157


mCtgf_f
GGGCCTCTTCTGCGATTTC
158


mCtgf_r
ATCCAGGCAAGTGCATTGGTA
159


mFibfonectin_f
GCAGTGACCACCATTCCTG
160


mFibronectin_r
GGTAGCCAGTGAGCTGAACAC
161


mCyr61_f
CTGCGCTAAACAACTCAACGA
162


mCyr61_r
GCAGATCCCTTTCAGAGCGG
163


mSparc_f
GTGGAAATGGGAGAATTTGAGGA
164


mSparc_r
CTCACACACCTTGCCATGTTT
165


mActn1_f
GACCATTATGATTCCCAGCAGAC
166


mActn1_r
CGGAAGTCCTCTTCGATGTTCTC
167


mBace2_f
GGAGCCTGTCAGGGCTACT
168


mBace2_r
CCACAAGAATCTGTACCTTCTGC
169


mGfap_f
CGGAGACGCATCACCTCTG
170


mGfap_r
AGGGAGTGGAGGAGTCATTCG
171


mDoublecortin_f
AAACTGGAAACCGGAGTTGTC
172


m_Doublecortin_r
CGTCTTGGTCGTTACCTGAGT
173


m_Olig2_f
CTGGTGTCTAGTCGCCCATC
174


m_Olig2_r
GGGCTCAGTCATCTGCTTCT
175


mBetaIIITubulin_f
TGGACAGTGTTCGGTCTGG
176


mBetaIIITubulin_r
CCTCCGTATAGTGCCCTTTGG
177


rCebpb_f
ATCGACTTCAGCCCCTACCT
178


rCebpb_r
GGCTCACGTAACCGTAGTCG
179


m18s_f
TCAAGAACGAAAGTCGGAGG
180


m18s_r
GGACATCTAAGGGCATCACA
181


mStat3_f
TGGCACCTTGGATTGAGAGTC
182


mStat3_r
GCAGGAATCGGCTATATTGCT
183


mChi3I1_f
GTACAAGCTGGTCTGCTACTTC
184


mChi3I1_r
ATGTGCTAAGCATGTTGTCGC
185


mβActin_f
GATGACGATATCGCTGCGCTG
186


mβActin_f
GTACGACCAGAGGCATACAGG
187





Primers




mesenchymal genes




human
Sequence (5′-3′)





hSOCS3_f
GAGCTGTCGCGGATCAGAAA
188


hSOCS3_r
TGACCAACATTGATAGCTCAGAC
189


hlTGA7_f
GCGCAGGATAACCACAGCA
190


hlTGA7_r
AGGATTGAAACATCCAATGTCA
191


hOSMR_f
GCTCCAGAAATTTGGCTCAG
192


hOSMR_r
CCACCCTAATCAAGGAAATGA
193


hCHl3L1_f
TGAAATCCAGGTGTTGGGATA
194


hCHl3L1_r
TCAAGATGACCAAGATGTATAAAGG
195


hTIMP1_f
GCAGTTTTCCAGCAATGAGA
196


hTIMP1_r
CTGACATTCCCAAGGAGGAG
197


hSTAT3_136_f
AGGTGAGGGACTCAAACTGC
198


hSTAT3_331_r
ATCGACTTCAGCCCGTACC
199


hCEBP13_412 _f
CCGTAGTCGTCGGAGAAGAG
200


hCEBP13_575_r
CGCCGCTAGAGGTGAAATTC
201


h18s-f
CGCCGCTAGAGGTGAAATTC
202


h18s-r
CTTTCGCTCTGGTCCGTCTT
203


hCOL1A2_f
TCTGGATGGATTGAAGGGACA
204


hCOL1A2_r
CCAACACGTCCTCTCTCACC
205


hFN_f
GAAGGCTTGAACCAACCTACG
206


hFN_r
TGATTCAGACATTCGTTCCCAC
207


hCDH11_f
TCCCAGGGAAGACATGAGATT
208


hCDH11_r
TGTAGCCACCACATAGAGGAA
209


hTNC_f
GCACACAGTAGATGGGGAAAA
210


hTNC_r
CAGCAGCTCCTTAACATCAGG
211


hIGFBP5_f
TGTGACCGCAAAGGATTCTAC
212


hIGFBP5_r
GCAGCTTCATCCCGTACTTG
213


hCOL5A1_f
GCATTTCCCGAGGACTTCTCC
214


hCOL5A1_r
AATCTGCTGGATACCCTGCTC
215


hFOSL2_f
TATCCCGGGAACTTTGACAC
216


hFOSL2_r
TGAGCCAGGCATATCTACCC
217


hBHLHB2_f
CAGCAGCAGAAAATCATTGC
218


hBHLHB2_r
TTCAGGTCCCGAGTGTTCTC
219


hRUNX1_f
CCCATCGCTTTCAAGGTG
220


hRUNX1_r
TGGTCAGAGTGAAGCTTTTCC
221


hCTGF_f
GGCAAAAAGTGCATCCGTACT
222


hCTGF_r
CCGTCGGTACATACTCCACAG
223
















TABLE 17







shRNA sequences










Gene
Gene ID
TRC number
Clone ID





Stat3
6774
TRCN0000020843
NM_003150.2-361s1c1








SEQ ID
CCGGGCAAAGAATCACATGCCACTTCTCGAGAAGTGGCATGTGATTCTTTGCTTTTT


NO: 224














C/EBPβ
1051
TRCN0000007442
NM_005194.2-540s1c1








SEQ ID
CCGGCGACTTCCTCTCCGACCTCTTCTCGAGAAGAGGTCGGAGAGGAAGTCGTTTTT


NO: 225














Fosl2
2355
TRCN0000016142
NM_005253.3-1368s1c1








SEQ ID
CCGGCACGGCCCAGTGTGCAAGATTCTCGAGAATCTTGCACACTGGGCCGTGTTTTT


NO: 226














bHLHB2
8553
TRCN0000013249
NM_003670.1-512s1c1








SEQ ID
CCGGGCACTAACAAACCTAATTGATCTCGAGATCAATTAGGTTTGTTAGTGCTTTTT


NO: 227














Runx1
 861
TRCN0000013660
NM_001754.2-1051s1c1








SEQ ID
CCGGCCTCGAAGACATCGGCAGAAACTCGAGTTTCTGCCGATGTCTTCGAGGTTTTT


NO: 228









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Example 9
Transient Analysis of Reporters Transfected into Glioma Cells

SNB19 human glioma cells were transiently transfected with the plasmids expressing luciferase under the control of the indicated Stat3 or C/EBPbeta binding sites in the presence or absence of siRNA oligonucleotides targeting Stat3 or C/EBPbeta, respectively (FIG. 35). Luciferase activity was measured on a luminometer and the results are shown after normalization with a control renilla-expression vector driven by a CMV-promoter plasmid. Stat3-driven luciferase activity is efficiently down-regulated in cells with silenced Stat3 expression and C/EBPbeta-driven luciferase activity is partially reduced in cells with silenced C/EBPbeta expression.


SNB19 human glioma cells were stably transfected with the C/EBPbeta-driven luciferase plasmid (FIG. 36). Several clones were isolated and propagated. Results are shown for clone #9 in combination with cells expressing a control renilla-expression vector driven by a CMV-promoter plasmid (clone #19) (FIG. 36). Cells were transfected with control siRNAs or siRNA oligonucleotides targeting C/EBPbeta (for example, SEQ ID NO: 228 or SEQ ID NO: 229). The control siRNA sequence is the Dharmacon ON-TARGETpIus Non-targeting Pool (Cat#: D-001810-10-20). Luciferase activity was measured on a luminometer and the results are shown after normalization with renilla. C/EBPbeta-driven luciferase activity is efficiently down-regulated in cells with silenced C/EBPbeta expression.


SNB19 human glioma cells were stably transfected with the C/EBPbeta-driven luciferase plasmid (FIG. 37). Several clones were isolated and propagated. Results are shown for clone #9 in combination with cells expressing a control renilla-expression vector driven by a CMV-promoter plasmid (clone #19). Cells were transfected with control siRNAs or two different siRNA oligonucleotides targeting C/EBPbeta (siCEBPb05: CCUCGCAGGUCAAGAGCAA [SEQ ID NO: 228]; and siCEBP06: CUGCUUGGCUGCUGCGUAC [SEQ ID NO: 229]) (FIG. 37). The control siRNA sequence is the Dharmacon ON-TARGETplus Non-targeting Pool (Cat#: D-001810-10-20). Luciferase activity was measured on a luminometer and the results are shown after normalization with renilla. There is a correlation between the efficiency of down-regulation of C/EBPbeta-driven luciferase activity and the efficiency of silencing C/EBPbeta expression.


SNB19 human glioma cells will be stably transfected with the Stat3-driven luciferase plasmid (FIG. 35). Several clones will be isolated and propagated. Cells will then be transfected with control siRNAs or an siRNA oligonucleotide targeting Stat3 (for example, CAGCCUCUCUGCAGAAUUCAA [SEQ ID NO: 230). The control siRNA sequence used will be the Dharmacon ON-TARGETpIus Non-targeting Pool (Cat#: D-001810-10-20). Luciferase activity will be measured on a luminometer and the results will be normalized with renilla.


SNB19 human glioma cells will also be stably transfected with either a C/EBPδ-driven luciferase plasmid, a RunX1-driven luciferase plasmid, a FosL2-driven luciferase plasmid, a bHLH-B2-driven luciferase plasmid, or a ZNF238-driven luciferase plasmid. Several clones will be isolated and propagated. Cells expressing a C/EBPδ-driven luciferase plasmid, a RunX1-driven luciferase plasmid, a FosL2-driven luciferase plasmid, a bHLH-B2-driven luciferase plasmid, or a ZNF238-driven luciferase plasmid will then be transfected with control siRNAs or an siRNA oligonucleotide(s) targeting either C/EBPδ, RunX1, FosL2, bHLH-B2, or ZNF238, respectively. The control siRNA sequence used will be the Dharmacon ON-TARGETpIus Non-targeting Pool (Cat#: D-001810-10-20). Luciferase activity will be measured on a luminometer and the results will be normalized with renilla.


Example 10
Identification of Compounds that Interfere with C/EBP-Mediated Transcriptional Activity

A screening for the identification of compounds that could specifically interfere with C/EBP-mediated transcriptional activity was developed in the mesenchymal glioma cell line SNB19. A multimerized C/EBPbeta-luciferase reporter was stably introduced in SNB19 and a screening of ˜9,800 compounds was done to identify positive candidates. In a first pilot screen with 2000 compounds, the chemotherapeutic drug etoposide was the most specific and potent compound identified by screening a microsource library (2000 compounds) and was found to not only inhibit the CCAAT/enhancer-binding protein (CEBP) luciferase reporter, but also the active form of the signal transducer and activator of transcription 3 protein (phospho-STAT3). From the later screen of ˜9,800 compounds, molecules were identified for their ability to inhibit the reporter signal >50%. The list of the molecules is included in Table 18. Further studies are aimed to determine specificity and validate in multiple in vitro and in vivo systems of glioma.


Additional compounds have also been tested for inhibition of C/EBPb activity including 5-fluorouracil and Toxin B from clostridium difticilis. Graphs showing inhibition using a C/EBPb gene reporter assay for both compounds are shown in FIG. 38 and FIG. 39. FIG. 38A shows CEBPb reporter activity at 48 hr upon inhibition with various dosages of 5-fluorouracil (5-FU). FIG. 38B shows ATP cell viability at 24 hr and 48 hr upon inhibition with various dosages of 5-FU. FIG. 39A shows CEBPb reporter activity at 48 hr upon inhibition with various dosages of clostridium difficilis Toxin B (CD Toxin B). FIG. 39B shows ATP cell viability at 24 hr and 48 hr upon inhibition with various dosages of CD Toxin B.









TABLE 18







Compounds that inhibit C/EBPbeta-luciferase reporter signal > 50%.









ID
Vendor
Structure





STOCK6S-71833
IBS


embedded image







BAS 00293383
Asinex


embedded image







BAS 00702176
Asinex


embedded image







ST057175
TimTech


embedded image







F3205-0060
Life


embedded image







9123281
ChemBridge


embedded image







BAS 01109087
Asinex


embedded image







T5756459
Enamine


embedded image







T0505-3249
Enamine


embedded image







BAS 00389694
Asinex


embedded image







STOCK6S-69648
IBS


embedded image







STOCK1S-41380
IBS


embedded image







F1065-0197
Life


embedded image







ASN 16287147
Asinex


embedded image







BAS 00873812
Asinex


embedded image







T6261669
Enamine


embedded image







5338884
ChemBridge


embedded image







STOCK2S-10951
IBS


embedded image







STOCK6S-65265
IBS


embedded image







STOCK1S-62600
IBS


embedded image







BAS 02946522
Asinex


embedded image







BAS 00318863
Asinex


embedded image







T5225535
Enamine






BAS 02256215
Asinex


embedded image







T5756959
Enamine


embedded image







5106399
ChemBridge


embedded image







ST057180
TimTech


embedded image







STOCK2S-14814
IBS


embedded image







T0519-1108
Enamine


embedded image







T5552290
Enamine


embedded image







ST084242
TimTech


embedded image







STOCK4S-73514
IBS


embedded image







BAS 02140954
Asinex


embedded image







STOCK6S-76426
IBS


embedded image







BAS 02592298
Asinex


embedded image







5570087
ChemBridge


embedded image







T5636062
Enamine


embedded image







ASN 07731410
Asinex


embedded image







T5414273
Enamine


embedded image







BAS 01236576
Asinex


embedded image







T5691624
Enamine


embedded image







STOCK6S-83108
IBS


embedded image







ST079841
TimTech


embedded image







STOCK3S-62210
IBS


embedded image







6102842
ChemBridge


embedded image







STOCK2S-03855
IBS


embedded image







ASN 19852408
Asinex


embedded image







T5644376
Enamine


embedded image







STOCK3S-68420
IBS


embedded image







BAS 06632970
Asinex


embedded image







ASN 17325346
Asinex


embedded image







STOCK4S-01916
IBS


embedded image







ST4093613
TimTech


embedded image









text missing or illegible when filed








Although the invention has been described and illustrated in the foregoing illustrative embodiments, it is understood that the present disclosure has been made only by way of example, and that numerous changes in the details of implementation of the invention can be made without departing from the spirit and scope of the invention, which is limited only by the claims that follow. Features of the disclosed embodiments can be combined and rearranged in various ways to obtain additional embodiments within the scope and spirit of the invention.

Claims
  • 1. A method for treating nervous system cancer in a subject in need thereof comprising administering to the subject a compound that inhibits a MGES protein.
  • 2. The method of claim 1, wherein the compound is selected from the group consisting of etoposide, 5-fluorouracil, Clostridium difficile Toxin B,
  • 3. The method of claim 2, wherein the compound is selected from the group consisting of 5-fluorouracil, Clostridium difficile Toxin B,
  • 4. The method of claim 3, wherein the compound is selected from the group consisting of Clostridium difficile Toxin B,
  • 5. The method of claim 1, wherein the MGES protein is C/EPB or Stat3.
  • 6. The method of claim 1, wherein the cancer is glioma or meningioma.
  • 7. The method of claim 1, wherein the cancer is astrocytoma, Glioblastoma Multiforme, oligodentroglioma, ependymoma or meningioma.
  • 8. The method of claim 1, wherein the cancer is cerebellar astrocytoma, medulloblastoma, ependymona, brain stem glioma, optic nerve glioma, acoustic neuromas, nerve sheath tumors, or germinoma.
  • 9. A method for decreasing MGES protein activity in a subject having a nervous system cancer, the method comprising administering to the subject a compound that inhibits a MGES protein.
  • 10. The method of claim 9, wherein the compound is selected from the group consisting of etoposide, 5-fluorouracil, Clostridium difficile Toxin B,
  • 11. The method of claim 10, wherein the compound is selected from the group consisting of 5-fluorouracil, Clostridium difficile Toxin B,
  • 12. The method of claim 11, wherein the compound is selected from the group consisting of Clostridium difficile Toxin B,
  • 13. The method of claim 9, wherein the MGES protein is C/EPB or Stat3.
  • 14. The method of claim 9, wherein the cancer is glioma or meningioma.
  • 15. The method of claim 9, wherein the cancer is astrocytoma, Glioblastoma Multiforme, oligodentroglioma, ependymoma or meningioma.
  • 16. The method of claim 9, wherein the cancer is cerebellar astrocytoma, medulloblastoma, ependymona, brain stem glioma, optic nerve glioma, acoustic neuromas, nerve sheath tumors, or germinoma.
  • 17. A method for inhibiting a MGES protein comprising contacting said protein with an effective amount of a compound selected from the group consisting of etoposide, 5-fluorouracil, Clostridium difficile Toxin B,
  • 18. The method of claim 17, wherein the compound is selected from the group consisting of 5-fluorouracil, Clostridium difficile Toxin B,
  • 19. The method of claim 18, wherein the compound is selected from the group consisting of Clostridium difficile Toxin B,
  • 20. The method of claim 17, wherein the MGES protein is C/EPB or Stat3.
  • 21. A method for detecting the presence of or a predisposition to a nervous system cancer in a human subject, the method comprising: (a) obtaining a biological sample from a subject; and(b) detecting whether or not there is an alteration in the expression of a Mesenchymal-Gene-Expression-Signature (MGES) gene in the subject as compared to a subject not afflicted with a nervous system cancer.
  • 22. The method of claim 21, wherein the MGES gene comprises Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238, or a combination thereof.
  • 23. The method of claim 21, wherein the detecting comprises detecting in the sample whether there is an increase in a MGES mRNA, a MGES polypeptide, or a combination thereof.
  • 24. The method of claim 23, wherein the MGES gene comprises Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, or a combination thereof.
  • 25. The method of claim 21, wherein the detecting comprises detecting in the sample whether there is a decrease in a MGES mRNA, a MGES polypeptide, or a combination thereof.
  • 26. The method of claim 25, wherein the MGES gene comprises ZNF238.
  • 27. The method of claim 21, wherein the nervous system cancer comprises a glioma.
  • 28. The method of claim 27, wherein the glioma comprises an astrocytoma, a Glioblastoma Multiforme, an oligodendroglioma, an ependymoma, or a combination thereof.
  • 29. A method for inhibiting proliferation of a nervous system tumor cell or for promoting differentiation of a nervous system tumor cell, the method comprising decreasing the expression of a Mesenchymal-Gene-Expression-Signature (MGES) molecule in a nervous system tumor cell, thereby inhibiting proliferation or promoting differentiation.
  • 30. The method of claim 29, wherein the proliferation comprises cell invasion, cell migration, or a combination thereof.
  • 31. A method for inhibiting angiogenesis in a nervous system tumor, the method comprising decreasing the expression of a Mesenchymal-Gene-Expression-Signature (MGES) molecule in a nervous system tumor cell, thereby inhibiting angiogenesis.
  • 32. A method for treating a nervous system tumor in a subject, the method comprising administering to a nervous system tumor cell in the subject an effective amount of a composition that decreases the expression of a Mesenchymal-Gene-Expression-Signature (MGES) molecule in a nervous system tumor cell, thereby treating nervous system tumor in the subject.
  • 33. A method for identifying a compound that binds to a Mesenchymal-Gene-Expression-Signature (MGES) protein, the method comprising: a) providing an electronic library of test compounds;b) providing atomic coordinates for at least 20 amino acid residues for the binding pocket of the MGES protein, wherein the coordinates have a root mean square deviation therefrom, with respect to at least 50% of Cα atoms, of not greater than about 5 Å, in a computer readable format;c) converting the atomic coordinates into electrical signals readable by a computer processor to generate a three dimensional model of the MGES protein;d) performing a data processing method, wherein electronic test compounds from the library are superimposed upon the three dimensional model of the MGES protein; ande) determining which test compound fits into the binding pocket of the three dimensional model of the MGES protein,
  • 34. The method of claim 33, further comprising: f) obtaining or synthesizing the compound determined to bind to the Mesenchymal-Gene-Expression-Signature (MGES) protein or to modulate MGES protein activity;g) contacting the MGES protein with the compound under a condition suitable for binding; andh) determining whether the compound modulates MGES protein activity using a diagnostic assay.
  • 35. The method of claim 33, wherein the MGES protein comprises Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238
  • 36. The method of claim 33, wherein the compound is a MGES antagonist or MGES agonist.
  • 37. The method of claim 36, wherein the antagonist decreases MGES protein or RNA expression or MGES activity by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 75%, at least about 80%, at least about 90%, at least about 95%, at least about 99%, or 100%.
  • 38. The method of claim 36, wherein the antagonist is directed to Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2 or a combination thereof.
  • 39. The method of claim 36, wherein the agonist increases MGES protein or RNA expression or MGES activity by at least about 10%, at least about 20%, at least about 30%, at least about 40%, at least about 50%, at least about 60%, at least about 70%, at least about 75%, at least about 80%, at least about 90%, at least about 95%, at least about 99%, or 100%.
  • 40. The method of claim 36, wherein the agonist is directed to ZNF238.
  • 41. A compound identified by the method of claim 33, wherein the compound binds to the active site of MGES.
  • 42. A method for decreasing MGES gene expression in a subject having a nervous system cancer, the method comprising: a) administering to the subject an effective amount of a composition comprising a MGES inhibitor compound,thereby decreasing MGES expression in the subject.
  • 43. The method of claim 33 or claim 42, wherein the compound comprises an antibody that specifically binds to a MGES protein or a fragment thereof; an antisense RNA or antisense DNA that inhibits expression of MGES polypeptide; a siRNA that specifically targets a MGES gene; a shRNA that specifically targets a MGES gene; or a combination thereof.
  • 44. A diagnostic kit for determining whether a sample from a subject exhibits increased or decreased expression of at least 2 or more MGES genes, the kit comprising nucleic acid primers that specifically hybridize to an MGES gene, wherein the primer will prime a polymerase reaction only when a nucleic acid sequence comprising any one of SEQ ID NOS: 232, 234, 236, 238, 240, 242, or 244 is present.
  • 45. The kit of claim 44, wherein the MGES gene is Stat3, C/EBPβ, C/EBPδ, RunX1, FosL2, bHLH-B2, ZNF238, or a combination thereof.
Parent Case Info

This application is a continuation-in-part of International Application PCT/US2010/047556, filed on Sep. 1, 2010, which claims priority to U.S. Provisional Application Nos. 61/238,964, filed on Sep. 1, 2009; 61/244,816, filed on Sep. 22, 2009; and 61/294,190, filed Jan. 12, 2010, the contents of each of which are incorporated herein by reference in their entireties.

GOVERNMENT SUPPORT

The work described herein was supported in whole, or in part, by National Cancer Institute Grant Nos. R01-CA85628 and R01-CA101644, National Institute of Allergy and Infectious Diseases grant No. R01-A1066116, and National Centers for Biomedical Computing NIH Roadmap Initiative grant No. U54CA121852. Thus, the United States Government has certain rights to the invention.

Provisional Applications (3)
Number Date Country
61238964 Sep 2009 US
61244816 Sep 2009 US
61294190 Jan 2010 US
Continuation in Parts (1)
Number Date Country
Parent PCT/US2010/047556 Sep 2010 US
Child 13409998 US