Aneuploid mucinous colorectal adenocarcinoma (MAC) is an aggressive subtype of colorectal cancer with poor prognosis. The tumorigenic mechanisms in aneuploid MAC are currently unknown. Here we show that downregulation of Filamin A interacting protein 1-like (FILIP1L) is a driver of MAC. Loss of FILIP1L increased xenograft growth, and, in colon-specific knockout mice, induced colonic epithelial hyperplasia and mucin secretion. The molecular chaperone prefoldin 1 (PFDN1) was identified as a novel binding partner of FILIP1L at the centrosomes throughout mitosis. FILIP1L was required for proper centrosomal localization of PFDN1 and regulated proteasome-dependent degradation of PFDN1. Importantly, increased PFDN1, caused by downregulation of FILIP1L, drove multi-nucleation and cytokinesis defects in vitro and in vivo, which were confirmed by time-lapse imaging and 3D cultures of normal epithelial cells. Overall, these findings suggest that downregulation of FILIP1L and subsequent upregulation of PFDN1 is a driver of the unique neoplastic characteristics in aggressive aneuploid MAC.
STATEMENT OF SIGNIFICANCEThis study identifies FILIP1L as a tumor suppressor in mucinous colon cancer and demonstrates that FILIP1L loss results in aberrant stabilization of a centrosome-associated chaperone protein to drive aneuploidy and disease progression.Approximately half of MAC tumors are aneuploid (3-7), whereas the remainder are diploid and associated with microsatellite instability. Aneuploid MAC tumors were shown to be clinically more aggressive than diploid tumors (8,9). Compared to common colorectal adenocarcinoma, MAC has an entirely different molecular "signature", as well as an aberrant and aggressive metastatic pattern that is associated with poor response to treatment and worse prognosis (2). The mechanisms of MAC tumorigenesis are currently unknown.Filamin A interacting protein 1-like (FILIP1L) is a tumor suppressor that we identified in several types of cancer, including CRC (10-13). We showed that FILIP1L expression is down-regulated by promoter methylation (10, 12), a key mechanism of tumor suppressor down-regulation in cancer. Down-regulation of FILIP1L is associated with chemo-resistance and worse prognosis in ovarian and colon cancer (14,15). Moreover, its expression is inversely correlated with the invasive/aggressive potential of tumors and with epithelial-to-mesenchymal (EMT) marker expression (11,16). Its structural homologies and centrosomal localization suggest that FILIP1L may bind to elements of the cytoskeleton, and chaperone proteins to proteasomes (11,17,18).The prefoldin1 (PFDN1) chaperone is overexpressed in multiple cancer types and is associated with poor prognosis in colon cancer (19,20). PFDN1 participates in a multimeric prefoldin complex that facilitates proper folding of key cytoskeletal components such as actin and tubulins.Loss of PFDN1 decreases tubulin levels, thereby reducing microtubule growth and causing defects in cell division and embryonic lethality (21), though the mechanisms are unkno...