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Research Article
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The Wnt signaling receptor Fzd9 is essential for Myc-driven tumorigenesis in pancreatic islets

View ORCID ProfileMariano F Zacarías-Fluck, Toni Jauset, View ORCID ProfileSandra Martínez-Martín, View ORCID ProfileJastrinjan Kaur, View ORCID ProfileSílvia Casacuberta-Serra, View ORCID ProfileDaniel Massó-Vallés, Erika Serrano del Pozo, Génesis Martín-Fernández, View ORCID ProfileÍñigo González-Larreategui, View ORCID ProfileSergio López-Estévez, View ORCID ProfileLamorna Brown-Swigart, View ORCID ProfileMarie-Eve Beaulieu, View ORCID ProfileJonathan R Whitfield, Babita Madan, View ORCID ProfileDavid M Virshup, View ORCID ProfileGerard I Evan, View ORCID ProfileLaura Soucek  Correspondence email
Mariano F Zacarías-Fluck
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Mariano F Zacarías-Fluck
Toni Jauset
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
2Peptomyc SL, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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Sandra Martínez-Martín
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Sandra Martínez-Martín
Jastrinjan Kaur
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Jastrinjan Kaur
Sílvia Casacuberta-Serra
2Peptomyc SL, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Sílvia Casacuberta-Serra
Daniel Massó-Vallés
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Daniel Massó-Vallés
Erika Serrano del Pozo
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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Génesis Martín-Fernández
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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Íñigo González-Larreategui
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Íñigo González-Larreategui
Sergio López-Estévez
2Peptomyc SL, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Sergio López-Estévez
Lamorna Brown-Swigart
3Department of Pathology and Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, San Francisco, CA, USA
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  • ORCID record for Lamorna Brown-Swigart
Marie-Eve Beaulieu
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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  • ORCID record for Marie-Eve Beaulieu
Jonathan R Whitfield
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
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Babita Madan
4Program in Cancer and Stem Cell Biology, Duke-National University of Singapore (NUS) Medical School, Singapore, Singapore
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David M Virshup
4Program in Cancer and Stem Cell Biology, Duke-National University of Singapore (NUS) Medical School, Singapore, Singapore
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  • ORCID record for David M Virshup
Gerard I Evan
5Department of Biochemistry, University of Cambridge, Cambridge, UK
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Laura Soucek
1Mouse Models of Cancer Therapy Group, Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
2Peptomyc SL, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
6Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
7Department of Biochemistry and Molecular Biology, Universitat Autònoma de Barcelona, Bellaterra, Spain
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  • ORCID record for Laura Soucek
  • For correspondence: lsoucek@vhio.net
Published 2 March 2021. DOI: 10.26508/lsa.201900490
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  • Figure S1.
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    Figure S1. Fzd9 deficiency does not produce phenotypic abnormalities in pancreatic islets of adult mice.

    Pancreatic islets from 12-wk-old Fzd9WT/WT and Fzd9KO/KO stained using H&E (4×, scale bar: 200 μm).

  • Figure 1.
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    Figure 1. The absence of Fzd9 impairs the development of Myc-driven pancreatic insulinomas.

    (A, B) H&E staining (4×) of pancreas sections from Fzd9-proficient and (B) Fzd9-deficient mice treated with tamoxifen for 3 wk. (C) Quantification of the islet size from Fzd9KO/KO;BclXL, Fzd9WT/WT;MycER;BclXL and Fzd9KO/KO;MycER;BclXL mice. (D) Presence of MycER detected by immunofluorescence against ER (red) in these 3-wk treated islets. Yellow dotted lines define the periphery of the pancreatic islets. Representative images for each of the groups are shown (10×). Data information: in (C), data are represented as mean ± SD. * and ** indicate P-values below 0.05 and 0.01, respectively (Kruskal–Wallis followed by Dunn’s test). (A, D) Scale bars: 200 μm in (A), 100 μm in (D).

  • Figure 2.
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    Figure 2. Sustained proliferation of pancreatic islets upon MycER activation requires Fzd9.

    (A, B) Incorporated BrdU (green) detected by immunofluorescence (10×) after 3 d of tamoxifen treatment and (B) its quantification. Percentages of BrdU-positive cells per islet from at least three mice per group are represented. (C) Representative H&E staining of pancreas sections from mice treated with tamoxifen for 3 d. Yellow dotted lines define the periphery of the pancreatic islets (4×). (D, E) Incorporated BrdU detected by immunofluorescence (10×) after 3 wk of tamoxifen treatment and (E) its quantification. Percentages of BrdU-positive cells per islet from at least three mice per group are represented. (F) Quantification of the proliferation marker Ki67 in islets from mice treated for 1 and 3 wk. Percentages of Ki67-positive cells per islet from three mice per group are represented. Data information: in (B, E, F), data are represented as mean ± SD. (B, E, F) Statistical significance of differences was examined using one-way, in (B, E), or two-way (in F) ANOVA followed by Tukey’s test. ** and *** indicate P-values below 0.01 and 0.001, respectively. (A, C, D) Scale bars: 100 μm in (A, D), 200 μm in (C).

  • Figure S2.
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    Figure S2. Fzd9 deficiency does not impair either the recruitment of mast cells or the induction of angiogenesis.

    (A) Toluidine blue staining of metachromatic mast cells (purple) in the mesenchyme surrounding the pancreas of mice injected with tamoxifen for 3 d (20×, scale bar: 50 μm). (B) Double immunofluorescence of endothelial cells (stained with anti-Meca32; green) and proliferating cells (stained with anti-Ki67; red) (20×, scale bar: 50 μm). Yellow boxes (i–iv) show amplified regions.

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    Figure 3. Fzd9 mediates Myc-induced dedifferentiation of insulin-expressing β-cells.

    (A, B, C) Insulin (green) and glucagon (red) detected by immunofluorescence (10×) in pancreatic tissue sections of Fzd9KO/KO;BclXL, (B) Fzd9WT/WT;MycER;BclXL, and (C) Fzd9KO/KO;MycER;BclXL treated with tamoxifen for 3 wk. (A, B, C, D) Quantification of total insulin intensity in the islets from (A, B, C). (E) Quantification of glucagon positive cells in the periphery of the islets. Percentages of glucagon positive cells are shown. Data information: in (D, E), data are represented as mean ± SD. (D, E) Statistical significance of differences was examined using Kruskal–Wallis followed by Dunn’s test (D) and one-way ANOVA followed by Tukey’s test (E). * and ** indicate P-values below 0.05 and 0.01, respectively. Scale bar: 100 μm.

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    Figure S3. Fzd9 absence produces pockets of differentiated β-cells in pancreatic islets upon MycER activation.

    H&E staining of pancreas sections from mice treated with tamoxifen for 2 wk. Yellow dotted lines define the periphery of the pancreatic islets. Arrows indicate pockets of fully differentiated cells, with a similar appearance to control cells in the left panel (20×, scale bar: 50 μm).

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    Figure 4. The absence of Fzd9 alters the expression of Myc-related, differentiation and Wnt signaling Gene Sets upon MycER activation.

    (A) Heat map of differentially expressed genes determined by microarray analysis performed on a pool of multiple isolated islets (∼20–40) from each of four Fzd9WT/WT;MycER;BclXL mice and four Fzd9KO/KO;MycER;BclXL mice. (B, C) Gene sets related to pancreatic differentiation and (C) Myc targets. (D) qRT-PCR analysis of genes related to Gene Sets shown in (B) (GPC1) and in (C) (POLD2, SRSF7, and RPL34). (E) Immunofluorescence stainings (20×) and quantification of MYC targets MCM5 and PCNA. Total MCM5 intensity and PCNA positive nuclei per islet are shown. (F) Gene sets related to Wnt signaling pathway identified in the Gene Set Enrichment Analysis as differentially expressed when comparing expression profiles. (G) β-catenin detected by immunofluorescence (10×) in pancreatic tissue sections treated with tamoxifen for 3 d and its quantification in the islets. Total β-catenin intensity per islet area is shown. (H) Percentage of Ki67-positive cells in individual islets from Fzd9WT/WT;MycER;BclXL and Fzd9KO/KO;MycER;BclXL after 1 wk of tamoxifen treatment. An additional group of the Fzd9WT/WT;MycER;BclXL mice was pretreated for 2 d with the Wnt inhibitor C59 and then received both C59 + tamoxifen during 1 wk. Data information: in (D, G, H), data are represented as mean ± SD, whereas in (E), as median and interquartile range. (D, E, G) Statistical significance of differences was examined using t test (D), Mann-Whitney U test (E) and Tukey’s test (G). *, ** and *** indicate P-values below 0.05, 0.01 and 0.0001, respectively. (E, G) Scale bars: 50 μm in (E), 100 μm in (G). FDR, false discovery rate; NES, normalized enrichment score.

  • Figure S4.
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    Figure S4. Cell cycle, metabolism and apoptosis gene sets appear differentially expressed in the absence of Fzd9.

    (A, B, C) Gene sets differentially expressed when MycER is activated in Fzd9WT/WT;MycER;BclXL versus Fzd9KO/KO;MycER;BclXL related to Myc-related programs: (A) cell cycle, (B) metabolism, and (C) cell death. (D) Immunofluorescence staining and quantification of β-Actin in pancreatic islets from Fzd9 wt and knockout mice (related to Fig 4F) (Mann-Whitney U test). (E) qRT-PCR analysis of genes related to WNT-β-catenin pathways (related to Fig 4F).

Supplementary Materials

  • Figures
  • Table S1 Multiple genes appear significantly up-regulated and down-regulated in the absence of Fzd9.

  • Table S2 Various gene sets related to β-cell differentiation appear differentially expressed in the absence of Fzd9.

  • Table S3 Various Myc-related gene sets appear differentially expressed in the absence of Fzd9.

  • Table S4 Sequences of primers used for qRT-PCR analysis.

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Fzd9 is essential for Myc-driven insulinomas
Mariano F Zacarías-Fluck, Toni Jauset, Sandra Martínez-Martín, Jastrinjan Kaur, Sílvia Casacuberta-Serra, Daniel Massó-Vallés, Erika Serrano del Pozo, Génesis Martín-Fernández, Íñigo González-Larreategui, Sergio López-Estévez, Lamorna Brown-Swigart, Marie-Eve Beaulieu, Jonathan R Whitfield, Babita Madan, David M Virshup, Gerard I Evan, Laura Soucek
Life Science Alliance Mar 2021, 4 (5) e201900490; DOI: 10.26508/lsa.201900490

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Fzd9 is essential for Myc-driven insulinomas
Mariano F Zacarías-Fluck, Toni Jauset, Sandra Martínez-Martín, Jastrinjan Kaur, Sílvia Casacuberta-Serra, Daniel Massó-Vallés, Erika Serrano del Pozo, Génesis Martín-Fernández, Íñigo González-Larreategui, Sergio López-Estévez, Lamorna Brown-Swigart, Marie-Eve Beaulieu, Jonathan R Whitfield, Babita Madan, David M Virshup, Gerard I Evan, Laura Soucek
Life Science Alliance Mar 2021, 4 (5) e201900490; DOI: 10.26508/lsa.201900490
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