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Norman E. Sharpless, MD
Assistant Professor


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Research Interests

The major focus of my lab is to understand the role and regulation of the products of the INK4a/ARF locus, p16INK4a and p14ARF, in human cancer. Tumorigenesis is a problem specific to long-lived metazoans. From this point of view, however, mammals and many lower vertebrate species such as Xenopus appear to contain a serious design flaw. Namely, two of the most important tumor suppressor proteins, p16INK4a and p14ARF, are encoded in overlapping open reading frames of the same 3x104 bp stretch of DNA in the 3x109 bp genome. These ORFs share second and third exons, but have different first exons (1a and 1b) which splice into the common second exon in alternate reading frames (Fig 1). Therefore, p16INK4a and p14ARF are not isoforms, and share no amino acid homology. While the encoding of ORFs in overlapping stretches of the genome is common in viruses and bacteria, this genomic arrangement is almost unique in vertebrate species. Moreover, it is seemingly exactly the wrong arrangement for tumor suppressor genes, as cancer is a disease characterized by the wholesale amplification and deletion of large stretches of the genome. Therefore, two of the most important tumor suppressor proteins can be inactivated by a common genetic lesion of the INK4a/ARF locus. Indeed, this does happen with alarming frequency, as loss of 9p21 (harboring INK4a/ARF) is one of, if not the, most common cytogenetic events detected in human cancer. How p16INK4a and p14ARF became arranged in this way, and why this arrangement has persisted for hundreds of millions of years, is one of the great mysteries of cancer genetics.


These proteins function in distinct anti-cancer pathways: p16INK4a regulates Rb and p14ARF regulates p53. Loss of p16INK4a and/or p14ARF is rivaled only by p53 mutation in frequency in human cancer, and is seen in a wide variety of tumor types including melanoma, glioblastoma, certain leukemias, and carcinoma of the lung, oropharynx, bladder, pancreas, colon and breast. Furthermore, in addition to point mutation and deletion, loss of expression of these tumor suppressor proteins is also seen in cancers by a variety of epigenetic mechanisms, for example promoter methylation or transcriptional repression by oncogenic transcription factors such as Twist or BMI. Loss of p16INK4a is often a very early event in neoplastic progression, and humans with a germline inactivation of a single INK4a/ARF allele are predisposed to melanoma, astrocytoma and pancreatic adenocarcinoma. Our previous work in the mouse using targeted alleles specifically lacking only p16INK4a or p19ARF, but with normal function of the remaining Ink4a/Arf product, has established that both proteins play important and distinct roles in mammalian tumor suppression (see Sharpless et al. Nature 2001 and Sharpless et al., Canc. Res 2002). Furthermore, we have begun to assess the relative roles of these proteins in certain specific tumor types such as melanoma, glioblastoma, or lung cancer (See Sharpless Nature 2001, Bachoo, Cancer Cell 2002; also work in press and submission). To date, we have learned that there is potent synergy between inactivation of the p16INK4a—Rb and p14ARF—p53 pathways in tumor induction (for example, Fig 2 shows the effects of p16INK4a and/or p19ARF loss in a mouse melanoma model), as would have been predicted from human cancer genetics.|


Continuing to use the mouse as a model system, my lab is studying three specific areas regarding the INK4a/ARF locus:

Gene regulation: Despite the importance of these tumor suppressors in cancer, little is known about their control in normal tissues and tumors. Furthermore, p16INK4a is inactivated by promoter methylation with high frequency in cancer, yet the molecular biology of this occurrence is poorly understood. Through the use of high-throughput, low background genetic screens, my lab is interested in addressing the regulation of the INK4A/ARF locus under both normal and malignant circumstances.


INK4a/ARF function in normal physiologic processes: While mice lacking either p16INK4a or p19ARF are predominantly normal except for their increased tumor susceptibility, by further characterizing mice with specific deficiencies of either p16INK4a or p19ARF, we are uncovering unexpected functions of these proteins in normal tissues. We are specifically interested in the roles of these proteins in normal physiologic processes such as differentiation, organ self-renewal, metabolism and aging. We are also interested in how these proteins relate to other members of the Rb and p53 pathways, and the tumor phenotypes of compound Rb and p53 pathway mutants.


Tumor modeling to identify cooperating oncogenic events: Concomitant perturbation of the Rb and p53 pathways is not sufficient for tumor formation in mice. Therefore, we are combining oncogenic lesions in tissue-specific models with p16INK4a and/or p19ARF loss in an effort to develop faithful mouse tumor models of lung and colon cancer. Tumors from these models are then further analyzed by genome-wide methods such as RNA expression profiling and array comparative genomic hybridization (aCGH) to identify cooperating events in tumorigenesis.

The goal of these projects is to better understand how these two canonical tumor suppressor proteins function to prevent cancer, with the hope that this increased understanding will translate into improved diagnosis or therapy of this important human disease.



















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Publications

Sharpless NE, O'Brien W, Verdin E, Kufta C, Chen I, Dubois-Dalcq M. Human immunodeficiency virus type I tropism for brain microglial cells is determined by a region of the env glycoprotein that also controls macrophage tropism. J Virol 1992; 66: 2588-93.

Sharpless N, Gilbert D, Vandercam B, Zhou J, Verdin E, Ronnett G, Friedman E, And Dubois-Dalcq M. The
restricted nature of HIV-1 tropism for cultured neural cells. Virology 1992; 191: 813-25.

Sharpless N and Seiden, M. Managing advanced ovarian cancer. IM Internal Medicine 1997, 18: 46-55.

Penson RT, Shannon KE, Sharpless NE, Seiden MV. Ovarian cancer: an update on genetics and therapy. Compr Ther 1998; 24: 477-87.

Sharpless N, and DePinho R. The INK4A/ARF locus and its two gene products. Curr Opin Genet Dev 1999; 9: 22-30.

Frank K*, Sharpless NE*, Gao Y, Sekiguchi J, Ferguson D, Zhu C; Manis J, Horner J, DePinho R, and Alt F. Interactions Between Pathways Involving DNA Ligase IV and p53 in Development, Senescence and Tumorigenesis. Molecular Cell 2000; 5:993-1002. (*=authors contributed equally).

Bardeesy N, Sharpless N, DePinho R, Merlino G. The genetics of pancreatic adenocarcinoma: a roadmap for a mouse model. Sem in Canc Bio 2001, 11: 201-218.

Ferguson DO, Sekiguchi JM, Frank KM, Gao Y, Sharpless NE, Gu Y, Manis J, DePinho RA, Alt FW. The Interplay between Nonhomologous End-Joining and Cell Cycle Checkpoint Factors in Development, Genomic Stability, and Tumorigenesis. Cold Spring Harbor Symposia on Quantitative Biology, 2001 65:395-403.

Martelli F, Hamilton T, Silver DP, Sharpless NE, Bardeesy N, Rokas M, DePinho RA, Livingston DM, Grossman SR. p19ARF targets certain E2F species for degradation. Proc Natl Acad Sci U S A 2001; 98(8):4455-60.

Sharpless NE, Bardeesy N, Lee KH, Carrasco R, Castrillon DH, Aguirre A, Wu E, Horner JW, DePinho RA Loss of p16INK4a with Retention of p19ARF Predisposes to Tumourigenesis in Mice. Nature 2001; 413(6851):86-91.

Sharpless NE*, Ferguson DO*, O’Hagan RC, Castrillon DH, Lee C, Farazi PA, Alson S, Fleming J, Morton CC, Frank K, Alt FW, DePinho RA. Impaired Non-Homologous End-Joining Provokes Soft Tissue Sarcomas Harboring Chromosomal Translocations, Amplifications and Deletions. Molecular Cell 2001; 8(6):1187-96. (*=authors contributed equally).

Bachoo RM, Maher EA, Ligon K, Sharpless NE, Chan SS, You MJ, Tang Y, DeFrances J, Stover E, Weissleder R, Rowitch D, Louis DN, DePinho RA. EGF Receptor and Ink4a/Arf: Convergent mechanisms governing terminal differentiation and transformation along the neural stem cell to astrocyte axis. Cancer Cell, 2002; 1(3):269-277.

Sharpless NE, Alson S, Chan S, Silver DP Castrillon DC, DePinho, RA. p16INK4a and p53 Deficiency Cooperate in Tumorigenesis. Canc. Res 2002; 62(10):2761-5.

Artandi S, Alson S, Tietze MK, Sharpless NE, Ye S, Greenberg R, Castrillon DH, Horner JH, Weiler S, Carrasco DR, DePinho RA. Constitutive telomerase expression promotes mammary carcinomas in aging mice. Proc Natl Acad Sci U S A 2002; 99(12):8191-8196.

Bardeesy N, Sinha M, Hezel AF, Signorretti S, Hathaway N, Sharpless NE, Loda M, Carrasco DR, DePinho, RA. Loss of the Lkb1 tumor suppressor provokes intestinal polyposis but resistance to transformation. Nature 2002; 419(6903): 162-167.

Opitz OP, Harada H, Suliman Y, Rhoades B, Sharpless NE, Kent R, Kopelivich L, Nakagawa H, Rustgi AK. A mouse model of human oral-esophageal cancer, Jour Clin Invest, 2002; 110(6):761-769

Sharpless NE and DePinho RA. p53: Good Cop / Bad Cop. Cell 2002; 110(1): 9-12.

Kulke MH, Demetri GD, Sharpless NE, Ryan DP, Shivdasani R, Clark JS, Spiegelman BM, Kim H, Mayer RJ, Fuchs CS. A phase II study of troglitazone, an activator of the PPARgamma receptor, in patients with chemotherapy-resistant metastatic colorectal cancer., Cancer J 2002; 8(5):395-9.

Kannan K*, Sharpless NE*, Xu J, O’Hagan R, Bosenberg M, Chin L. Components of the Rb pathway are critical targets of UV mutagenesis in a murine melanoma model. Proc Natl Acad Sci U S A, 2003; 100(3):1221-5. (*=authors contributed equally).

Sharpless NE. The persistence of senescence. Sci Aging Knowl Environ, 2003; PE24. Sharpless NE and Chin, L. The INK4a/ARF locus and melanoma. Oncogene 2003; 22:3092-3098.

Sharpless NE. The Preparation and Immortalization of Primary Murine Cells. In: J. Celis (ed.), Cell Biology: A Laboratory Handbook, Third Edition. London, UK: Elsevier Science, 2003; In Press.

Sharpless NE*, Kannan K, Xu J, Bosenberg MW, and Chin L. Both products of the mouse Ink4a/Arf locus suppress melanoma formation in vivo. Oncogene 2003; 22:5055-5059. (*=authors contributed equally).

O'Hagan RC, Brennan CW, Strahs A, Zhang X, Kannan K, Donovan M, Cauwels C, Sharpless NE, Wong WH, and Chin L. Array comparative genome hybridization for tumor classification and gene discovery in mouse models of malignant melanoma. Cancer Res 2003; 63:5352-5356.

Sharpless NE+, Ramsey MR, Balasubramanian P, Castrillon DH, and DePinho RA. The differential impact of p16INK4a or p19ARF deficiency on cell growth and tumorigenesis. Oncogene, 2003; In Press. (+=corresponding author).

Sharpless NE+ and DePinho RA. Telomeres, Stem Cells, Senescence and Cancer. J Clin Invest, 2004; In Press. (+=corresponding author).

Sachs Z, Sharpless NE, DePinho RA and Rosenberg NE. p16INK4a Interferes with Abelson Virus Transformation by Enhancing Apoptosis, J Virol, 2004; In Press.

Sarkar-Agrawal P, Vergilis I, Sharpless NE, DePinho RA, Rünger TM. Loss of p16INK4a or p19ARF confers impaired processing of DNA photoproducts and ultraviolet hypermutability, J Invest Dermatol, 2004; In Press.


LINKS
Mouse Models of Human Cancer Consortium: http://emice.nci.nih.gov/
(distributes tumor-prone mouse strains, including Sharpless et al. p16INK4a and p19ARF KOs, free of charge to academic researchers)


Jackson Labs Web page: http://www.jax.org


The Ensembl Genome Browser: http://www.ensembl.org


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Trainees

Matt Ramsey (IBMS)

Persiamy Balsubramnian (post-doc)

Janakiraman Krishnamurthy (post-doc)

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Contact Information
21-225 Lineberger Comprehensive Cancer Center, CB 7295
Chapel Hill, NC 27599-7295

Office: 919.966.1185
Lab: 919.966.4067
Fax: 919. 966.8212

Email: NES<at>med.unc.edu


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