∆Np63 is a master regulator of squamous cell identity and regulates several signaling pathways that crucially contribute to the development of squamous cell carcinoma (SCC) tumors. Its contribution to coordinating the expression of genes involved in oncogenesis, epithelial identity, DNA repair, and genome stability has been extensively studied and characterized. For SCC, the expression of ∆Np63 is an essential requirement to maintain the malignant phenotype. Additionally, ∆Np63 functionally contributes to the development of cancer resistance toward therapies inducing DNA damage. SCC patients are currently treated with the same conventional Cisplatin therapy as they would have been treated 30 years ago. In contrast to patients with other tumor entities, the survival of SCC patients is limited, and the efficacy of the current therapies is rather low. Considering the rising incidences of these tumor entities, the development of novel SCC therapies is urgently required. Targeting ∆Np63, the transcription factor, is a potential alternative to improve the therapeutic response and clinical outcomes of SCC patients. However, ∆Np63 is considered “undruggable.” As is commonly observed in transcription factors, ∆Np63 does not provide any suitable domains for the binding of small molecule inhibitors. ∆Np63 regulates a plethora of different pathways and cellular processes, making it difficult to counteract its function by targeting downstream effectors. As ∆Np63 is strongly regulated by the ubiquitin–proteasome system (UPS), the development of deubiquitinating enzyme inhibitors has emerged as a promising therapeutic strategy to target ∆Np63 in SCC treatment. This work involved identifying the first deubiquitinating enzyme that regulates ∆Np63 protein stability. Stateof-the-art SCC models were used to prove that USP28 deubiquitinates ∆Np63, regulates its protein stability, and affects squamous transcriptional profiles in vivo and ex vivo. Accordingly, SCC depends on USP28 to maintain essential levels of ∆Np63 protein abundance in tumor formation and maintenance. For the first time, ∆Np63, the transcription factor, was targeted in vivo using a small molecule inhibitor targeting the activity of USP28. The pharmacological inhibition of USP28 was sufficient to hinder the growth of SCC tumors in preclinical mouse models. Finally, this work demonstrated that the combination of Cisplatin with USP28 inhibitors as a novel therapeutic alternative could expand the limited available portfolio of SCC therapeutics. Collectively, the data presented within this dissertation demonstrates that the inhibition of USP28 in SCC decreases ∆Np63 protein abundance, thus downregulating the Fanconi anemia (FA) pathway and recombinational DNA repair. Accordingly, USP28 inhibition reduces the DNA damage response, thereby sensitizing SCC tumors to DNA damage therapies, such as Cisplatin.

Wilms tumor (WT) is the most common renal tumor in childhood. Among others, MYCN copy number gain and MYCN P44L and MAX R60Q mutations have been identified in WT. The proto-oncogene MYCN encodes a transcription factor that requires dimerization with MAX to activate transcription of numerous target genes. MYCN gain has been associated with adverse prognosis. The MYCN P44L and MAX R60Q mutations, located in either the transactivating or basic helix-loop-helix domain, respectively, are predicted to be damaging by different pathogenicity prediction tools. These mutations have been reported in several other cancers and remain to be functionally characterized. In order to further describe these events in WT, we screened both mutations in a large cohort of unselected WT patients, to check for an association of the mutation status with certain histological or clinical features. MYCN P44L and MAX R60Q revealed frequencies of 3 % and 0.9 % and also were significantly associated to higher risk of relapse and metastasis, respectively. Furthermore, to get a better understanding of the MAX mutational landscape in WT, over 100 WT cases were analyzed by Sanger sequencing to identify other eventual MAX alterations in its coding sequence. R60Q remained the only MAX CDS alteration described in WT to date. To analyze the potential functional consequences of these mutations, we used a doxycycline-inducible system to overexpress each mutant in HEK293 cells. This biochemical characterization identified a reduced transcriptional activation potential for MAX R60Q, while the MYCN P44L mutation did not change activation potential or protein stability. The protein interactome of N-MYC-P44L was likewise not altered as shown by mass spectrometric analyses of purified N-MYC complexes. However, we could identify a number of novel N-MYC partner proteins, several of these known for their oncogenic potential. Their correlated expression in WT samples suggested a role in WT oncogenesis and they expand the range of potential biomarkers for WT stratification and targeting, especially for high-risk WT.

The transcription factor MYC is a onco-protein, found to be deregulated in many human cancers. High MYC levels correlate with an aggressive tumor outcome and poor survival rates. Despite MYC being discovered as an oncogene already in the 1970s, how MYC regulates transcription of its target genes, which are involved in cellular growth and proliferation, is not fully understood yet. In this study, the question how MYC influences factors interacting with the RNA polymerase II ensuring productive transcription of its target genes was addressed using quantitative mass spectrometry. By comparing the interactome of RNA polymerase II under varying MYC levels, several potential factors involved in transcriptional elongation were identified. Furthermore, the question which of those factors interact with MYC was answered by employing quantitative mass spectrometry of MYC itself. Thereby, the direct interaction of MYC with the transcription elongation factor SPT5, a subunit of the DRB-sensitivity inducing factor, was discovered and analyzed in greater detail. SPT5 was shown to be recruited to chromatin by MYC. In addition, the interaction site of MYC on SPT5 was narrowed down to its evolutionary conserved NGN-domain, which is the known binding site for SPT4, the earlier characterized second subunit of the DRB-sensitivity inducing factor. This finding suggests a model in which MYC and SPT4 compete for binding the NGN-domain of SPT5. Investigations of the SPT5-interacting region on MYC showed binding of SPT5 to MYC’s N-terminus including MYC-boxes 0, I and II. In order to analyze proteins interacting specifically with the N-terminal region of MYC, a truncated MYC-mutant was used for quantitative mass spectrometric analysis uncovering reduced binding for several proteins including the well-known interactor TRRAP and TRRAP-associated complexes. Summarized, ...

The Notch signaling pathway is crucial for mammalian heart development. It controls cell-fate decisions, coordinates patterning processes and regulates proliferation and differentiation. Critical Notch effectors are Hey bHLH transcription factors (TF) that are expressed in atrial (Hey1) and ventricular (Hey2) cardiomyocytes (CM) and in the developing endocardium (Hey1/2/L). The importance of Hey proteins for cardiac development is demonstrated by knockout (KO) mice, which suffer from lethal cardiac defects, such as ventricular septum defects (VSD), valve defects and cardiomyopathy. Despite this clear functional relevance, little is known about Hey downstream targets in the heart and the molecular mechanism by which they are regulated. Here, I use a cell culture system with inducible Hey1, Hey2 or HeyL expression to study Hey target gene regulation in HEK293 cells, in murine embryonic stem cells (ESC) and in ESC derived CM. In HEK293 cells, I could show that genome wide binding sites largely overlap between all three Hey proteins, but HeyL has many additional binding sites that are not bound by Hey1 or Hey2. Shared binding sites are located close to transcription start sites (TSS) where Hey proteins preferentially bind to canonical E boxes, although more loosely defined modes of binding exist. Additional sites only bound by HeyL are more scattered across the genome. The ability of HeyL to bind these sites depends on the C-terminal part of the protein. Although there are genes which are differently regulated by HeyL, it is unclear whether this regulation results from binding of additional sites by HeyL. Additionally, Hey target gene regulation was studied in ESC and differentiated CM, which are more relevant for the observed cardiac phenotypes. ESC derived CM contract in culture and are positive for typical cardiac markers by qRT PCR and staining. According to these markers differentiation is unaffected by prolonged Hey1 or Hey2 overexpression. Regulated genes are largely redundant between Hey1 and Hey2. These are mainly other TF involved in e.g. developmental processes, apoptosis, cell migration and cell cycle. Many target genes are cell type specifically regulated causing a shift in Hey repression of genes involved in cell migration in ESC to repression of genes involved in cell cycle in CM. The number of Hey binding sites is reduced in CM and HEK293 cells compared to ESC, most likely due to more regions of dense chromatin in differentiated cells. Binding sites are enriched at the proximal promoters of down-regulated genes, compared to up-or non-regulated genes. This indicates that up-regulation primarily results from indirect effects, while down-regulation is the direct results of Hey binding to target promoters. The extent of repression generally correlates with the amount of Hey binding and subsequent recruitment of histone deacetylases (Hdac) to target promoters resulting in histone H3 deacetylation. However, in CM the repressive effect of Hey binding on a subset of genes can be annulled, likely due to binding of cardiac specific activators like Srf, Nkx2-5 and Gata4. These factors seem not to interfere with Hey binding in CM, but they recruit histone acetylases such as p300 that may counteract Hey mediated histone H3 deacetylation. Such a scenario explains differential regulation of Hey target genes between ESC and CM resulting in gene and cell-type specific regulation.

Störungen des PI3K-AKT-Signalweges treten besonders häufig in Endometrium und Ovarialkarzinomen auf. Ursache kann eine Überaktivierung von Wachstumsfaktor-Rezeptoren, Mutationen oder der Funktionsverlust von PTEN sein, was zu einer Störung der Regulation und damit zu einer Überaktivierung des PI3K-AKTSignalweges führt und so das Einleiten autophagischer Prozesse verhindert. Hierauf kommt es zu unkontrollierter Zellvermehrung, welche zur Tumorentstehung und Tumorprogression beiträgt [12][23]. Die in dieser Arbeit durchgeführten Untersuchungen konnten zeigen, dass die Hemmung des PI3K-AKT-Signalweges durch den PI3K-Inhibitor AEZS-126 erfolgversprechende antiproliferative Effekte in in vitro-Modellen des Ovarialkarzinoms zeigte. In vitro konnte die niedermolekulare Pyridopyrazin-Verbindung AEZS-126 das Wachstum und die Progression von Zellen der parentalen Ovarialkarzinom-Zelllinie A2780, der daraus abgeleiteten cis-Platin-resistenten Tochterzelllinie Acis2780 und der aus einem Ovar-Adenokarzinom gewonnenen Zelllinie SKOV-3 signifikant hemmen. In Vitalitätsassays ermittelte IC50-Werte lagen im mikromolaren Bereich und zeigten konzentrationsabhängige Antitumor-Effekte. Neben den AEZS-126-abhängigen Effekten wurde auch die Wirksamkeit des mTOR-Inhibitors Rapamycin auf die Zelllinien A2780 und Acis2780 untersucht. Es zeigten sich ebenfalls konzentrationsabhängige antiproliferative Effekte. Durch die Kombination der beiden Inhibitoren AEZS-126 und Rapamycin konnte zusätzlich eine gesteigerte Wirksamkeit gegen die Tumorzellen erzielt werden und synergistische Effekte traten auf. ImWestern-Blot konnte nach Inkubation der Ovarialkarzinomzelllinien mit AEZS-126 durch den Einsatz von AEZS-126 eine verminderte Expression von pAKT nachgewiesen werden, welche insbesondere bei den cis-Platin-resistenten Acis2780-Zellen durch die Kombination mit Rapamycin noch verstärkt wurde. Durch FACS-Analysen konnte gezeigt werden, dass die Ovarialkarzinomzellen durch die Behandlung mit AEZS-126 im Wachstum gehemmt werden und unabhängig von ihrer Zellzyklusphase in den Zelltod geführt werden können. So zeigte sich in den Zellzyklusanalysen eine konzentrationsabhängige Verschiebung der Zellzahl von der G0/G1-Phase in die sub-G0-Phase, welche die Population der toten Zellen darstellt. Eine Spezifizierung des Zelltod-Mechanismuses erfolgte einerseits durch Annexin-V-FITC-FACS-Analysen und andererseits durch Vitalitätsassays mit Koinkubation von AEZS-126 mit dem Caspase-Inhibitor zVAD-fmk, dem Nekroptose-Inhibitor Necrostatin-1 und dem Nekrose-Inhibitor Necrox-2. Aus diesen Untersuchungen ging klar hervor, dass AEZS-126 in den Zelllinien A2780, Acis2780 und SKOV-3 Nekroptose induziert. Rapamycin alleine zeigte sowohl apoptotische als auch nekrotische Wirkmechanismen. Die Kombination der beiden Inhibitoren AEZS-126 und Rapamycin führte zu einer synergistischen Wirkverstärkung, was sich in einem verstärkten Absterben der Zellen schon bei geringeren eingesetzten Konzentrationen der beiden Inhibitoren zeigte. Auch hier traten hauptsächlich nekrotische Effekte auf. Von besonderem Interesse war die Interaktion von Ovarialkarzinomzellen (A2780, Acis2780), die mit AEZS-126 vorbehandelt worden waren, mit Zellen des Immunsystems. So konnte gezeigt werden, dass AEZS-126 eine verbesserte Zelllyse der Tumorzellen durch NK-Zellen ermöglicht. Zusätzlich konnten die cis-Platin-resistenten Acis2780-Zellen durch Vorbehandlung mit entsprechende Konzentrationen des PI3KInhibitors in vergleichbarem Ausmaß wie die parentalen A2780-Zellen für die Lyse durch NK-Zellen zugänglich gemacht werden. AEZS-126 scheint auf Grund dieser Ergebnisse und der schon nachgewiesenen guten antiproliferativen Wirkung von AEZS-126 auf verschiedene Zelllinien ein geeigneter Kandidat für weiterführende in vivo-Versuche zu sein. Zusätzlich sollte erwogen werden, neben der Inhibiton des PI3K-AKT-Signalweges eine zeitgleiche Hemmung des Ras-Raf-MEK-ERK-Signalweges in Betracht zu ziehen. Durch die Interaktionen der beiden Signalwege könnte es sonst bei der Inaktivierung des einen zur Aktivierung des anderen Signalweges kommen [143]. Durch eine Überexpression von pAKT durch eine PTEN-Mutation kommt es beispielsweise zur Inaktivierung von Ras und der darauf folgenden Signalkaskade, während ein erhöhtes Expressionsniveau an pAKT im PI3K-AKT-Signalweg zu einer Aktivierung von mTOR und damit zur Hemmung autophagischer Prozesse führt [23]. So kann die Phosphorylierung des Proteins p70S6K, dem Schlüsselmolekül zwischen den beiden Signalwegen, welches mTOR nachgeschaltet ist, durch Rapamycin gehemmt werden und damit zu einer erhöhten Aktivierung von AKT und ERK führen [143]. Durch die Kombinationsbehandlung mit Inhibitoren des PI3K-AKT-Signalweges, die an verschiedenen Stellen der Signalkaskade angreifen, kann, wie in dieser Arbeit gezeigt wurde, die Antitumorwirkung verstärkt werden. Die in dieser Arbeit untersuchten Inhibitoren AEZS-126 und Rapamycin zeigten bei den parentalen Ovarialkarzinom- zellen A2780 und den cis-Platin-resistenten Acis2780-Zellen in der Kombinationsbehandlung synergistische Effekte und führten schon bei geringen Konzentrationen zu verstärkter antiproliferativer Wirksamkeit. Aus den erzielten Ergebnissen geht hervor, dass die Kombinationsbehandlung mit AEZS-126 und Rapamycin geeignet wäre, in in vivo-Experimenten weiter untersucht zu werden.