
Program affiliations
Andrea I. McClatchey, PhD
Associate Professor of Pathology
Harvard Medical School
Assistant Geneticist
Center for Cancer Research
Research Summary
Understanding Morphogenesis and Tumorigenesis
The overarching goal of our laboratory is to understand how cell membrane organization is utilized during morphogenesis and deregulated in tumorigenesis. This stems from a longstanding interest in delineating the molecular pathogenesis of familial neurofibromatosis type 2 (NF2). The NF2-encoded tumor suppressor, Merlin, is related to the ERM proteins that link membrane proteins to the cortical cytoskeleton, eliciting the question of how proliferation can be inhibited from the membrane:cytoskeleton interface. We originally generated an Nf2-mutant mouse strain and uncovered broad consequences of Nf2-deficiency in development and metastatic tumorigenesis.
Our early studies established the now widely accepted model of Merlin regulation wherein activation of the small GTPase Rac yields phosphorylation and inactivation of Merlin. Subsequent studies of primary Nf2-/- cells revealed that Merlin normally mediates contact-dependent inhibition of proliferation by coordinating the stabilization of cell:cell contacts with silencing of Epidermal Growth Factor Receptor (EGFR) signaling, linking Merlin to a well-known oncogene. Importantly, pharmacologic EGFR inhibitors, such as Iressa® (gefitinib) and Tarceva® (erlotinib) block the overproliferation of several types of Nf2-/- cells, suggesting therapeutic strategies for NF2.
Our mechanistic studies revealed that Merlin associates with and inhibits EGFR signaling and internalization upon cell:cell contact at least in part via an adapter protein called NHE-RF1. This complemented our discovery that Ezrin is essential for apical membrane integrity and junctional remodeling during epithelial morphogenesis and for apical localization of NHE-RF1. Thus Merlin/ERMs may organize distinct membrane domains by spatiotemporally controlling NHE-RF-associated receptors. Our work highlights the heterogeneous, context-dependent distribution/signaling of membrane receptors and has important implications for delineating their C roles in tumorigenesis. Ongoing studies utilize single particle tracking to study the effect of Merlin on the movement of individual EGFR molecules.
Several lines of evidence indicate a functional relationship between Merlin and the ERM proteins. To study this relationship we generated a conditional mutation in the mouse Ezrin gene. Through the study of these mice, we have identified a critical role for Ezrin in intestinal villus morphogenesis and in the assembly of the apical surface of polarizing epithelial cells. We have also identified a previously unrecognized morphogenetic step in intestinal homeostasis in the adult intestine by removing Ezrin function specifically in the adult intestine. Current studies are aimed at better defining the mechanism whereby Ezrin controls apical membrane integrity and receptor function, using our versatile conditional allele to identify other cell types that require Ezrin function and delineating the relationship between Merlin and Ezrin in tumor development and metastasis.
More recently, we have generated an exciting mouse model of stem cell-derived liver cancer. Extending our previous observation that Nf2+/- mice spontaneously develop both liver cancer, we conditionally deleted Nf2 in the developing mouse liver. Within a few weeks, these mice exhibit a dramatic expansion of undifferentiated cells that resemble bipotential liver progenitors. Remarkably, these mice invariably go on to develop both metastatic hepatocellular carcinoma and cholangiocarcinoma. Using our studies of other types of Nf2-/- cells, as a guide, we have investigated the molecular basis for hyperproliferation of these Nf2-/- liver precurser cells, and found that they fail to undergo contact-dependent inhibition of proliferation, to form stable adherens junctions or to downregulate EGFR signaling upon cell contact; pharmacologic inhibition of EGFR activity reverts these phenotypes. We have initiated a pilot preclinical study of the ability of Tarceva® (erlotinib) to prevent oval cell hyperproliferation or to affect stabilization or regression of lesions in these mice.
Preliminary studies suggest that Merlin may play a similar role in controlling the proliferation of progenitor cells in other tissues. Our most advanced studies are in the skin, where we discovered that loss of Nf2 yields overproliferation of cells in the basal layer of the epidermis. Importantly, we also found that Nf2-deficiency causes aberrant asymmetric cell division and altered distribution of polarity complexes. Ongoing studies aim to delineate the role of Merlin in linking cell polarity and proliferation in this model. Initial studies suggest similar consequences of Nf2 loss in the intestinal, renal and mammary epithelia.
Finally, we have identified and begun to study the mammalian homologue of the Drosophila tumor suppressor, Expanded, which is related to Merlin and the ERM proteins and is a physical and genetic interactor of Merlin in the fly. Recent studies in the fly have linked Expanded (and perhaps Merlin) to the Hippo/Warts tumor suppressor pathway, generating intense interest in the nature of this relationship and in the analogous mammalian pathway. Indeed, our initial studies suggest that mouse Expanded also plays a role in cell:cell communication; the generation of a conditional Ex-mutant allele in the mouse genome is well underway.
Collectively, our studies continue to utilize the mouse as a model system for delineating the molecular functions of Merlin and the ERM proteins (and Expanded), their roles in organizing membranes and receptor signaling during tissue morphogenesis and the consequences of their deregulation in tumor initiation and progression. A key goal will be to continue to apply our molecular studies to the development and preclinical testing of therapeutic strategies for NF2. These studies will also serve as a paradigm for understanding the role of the membrane:cytoskeleton interface in cancer development and metastasis.
Andrea I. McClatchey, PhD
Principal Investigator
Group Members
Phone: 617-726-5648
Email: mcclatch@helix.mgh.harvard.edu
Discover the largest hospital-based research program in the U.S. and how clinicians and scientists chart new terrain in biomedical research to treat and prevent human disease and bring the latest advances to patient care
Mass General Privacy and Security policy
This Privacy Policy will tell you what information we collect, how it is used and what your choices are. By using the Massachusetts General Hospital (“Mass General Hospital” or “Mass General”) website, you agree to acceptance of this our Website Privacy Policy. Please read the following carefully before using the site.
Information Collection and Use
Information We Collect
When you view Mass General’s website, you do so anonymously. We do not collect any personal information that identifies you unless you specifically provide us with contact information voluntarily. Personal information includes information that is unique to an individual, such as a name, address, social security number, e-mail address or telephone number.
The only personal information that Mass General obtains through its website is supplied voluntarily by website visitors. By submitting personal information, you grant Mass General the right to transmit, monitor, retrieve, store and use your information in connection with the operation of the website. Personal information is always stored in a secure database.
You might be asked to provide personal information, such as demographic information, if you choose to complete any of the online forms used for event registration, special events and promotions, appointment requests, login to personal information and to provide feedback. The information required to complete the transaction is noted on each specific form. Additional questions might be included to help us improve the services we offer.
How We Use This Information
Mass General uses the information you provide to fulfill online requests, process credit card information and respond to customer service inquiries or in other ways as required by law.
Requested information on voluntary forms is used to provide the services that you request, such as event registration, special events and promotions, appointment requests, login to personal information and to provide feedback.
Only authorized staff at Mass General have access to your information, including those who need the information provided to perform a specific task. All Mass General hospital employees are required to attend training on patient privacy and confidentiality.
Data Security
Mass General makes every effort to ensure that your personal information remains as secure as possible. Accordingly, we prevent unauthorized access by a secure firewall and use of security technologies to protect the integrity and privacy of any personal information you provide.
As an additional security measure, your personal information is also encrypted during transmission by Secure Socket Layer 128-bit encryption software. (Encryption is a common method used to transmit sensitive data across the Internet. Encryption temporarily makes the text unreadable during the time it is being transmitted over the Internet.) This is an industry standard.
Although we endeavor to protect your personal information, Mass General cannot warrant the security of any information you transmit to us through online applications, and you do so at your own risk. Depending on the nature of the inquiry, your communication could be discarded or archived. If you wish, you can contact us instead by telephone at the numbers provided throughout our site.
Online Forms
Forms provided on Mass General’s website are meant for feedback or general purposes only, and they do not request confidential health information. Although every attempt is made to provide security measures in the transmission of information, patients should not use online forms to submit confidential health care or other information. Mass General is not responsible if unauthorized parties gain access to the confidential information shared in the online forms. To protect your privacy, please do not use online forms to communicate information that you consider confidential.
Newsletter/Press Release Subscriptions
If you subscribe to a newsletter, publication, press release or RSS feed published by Mass General hospital and distributed by e-mail or RSS feed, we will maintain your e-mail address in a private distribution list. Messages sent electronically do not reveal recipients' e-mail addresses or any other personal information.
Mass General will only send messages to those who have opted to subscribe and who have provided their e-mail address to us directly.
E-mail Information
Occasionally, we will request personal information from you in order to deliver requested materials, respond to you questions or provide information. Mass General retains personal information on file but does not share, sell, license or transmit this information with or to third parties or external vendors unless required to do so by legal, judicial, or governmental proceedings. If you e-mail us, your e-mail information will not be used outside of this system without your permission. We do not use your e-mail address for any other purpose.
Please note that e-mail is considered a nonencrypted (and therefore unsecure) form of communication and it can be accessed and viewed by others without your knowledge and permission. For that reason and to protect your privacy, please do not use e-mail to communicate information that you consider confidential.
Occasionally, we will request personal information from you in order to deliver requested materials, respond to your questions or provide information. Mass General retains personal information on file, but does not share, sell, license or transmit this information with third parties or external vendors unless required to do so by legal, judicial or governmental proceedings. If you e-mail us, your e-mail information will not be used outside of this system without your permission. We do not use your e-mail address for any other purpose.
Please note that e-mail is considered a nonencrypted (and therefore nonsecure) form of communication, and it can be accessed and viewed by others without your knowledge and permission. For that reason, to protect your privacy, please do not use e-mail to communicate information that you consider confidential.
Cookies
The Mass General website uses “cookies” to determine the number of times a page on the website has been accessed. Cookies are small computer files that a website can transfer to your computer. Examples of information we collect include how often someone visits our site and their activities while on our site. We use this information in the aggregate to understand how our visitors as a group use different resources. These reports do not contain any personally identifiable information.
Most Internet browsers automatically accept cookies, but you can set your browser to refuse them or to alert you when they are being sent. You can access the information on the Mass General website without enabling cookies in your browser.
Login/Passwords
Some sections of the Mass General website require login identifiers and/or passwords. You are responsible for taking reasonable steps to ensure that no unauthorized person has access to your password or account login information. It is your sole responsibility to control the use of login information and passwords, to authorize, monitor and control access to and use of your website account and password and to inform the website promptly of any need to deactivate a password.
Third-Party Vendors/Content Providers
Mass General occasionally will engage reputable third-party vendors to help us manage our website, provide content and information and enable us to interact better with our patients and visitors. Mass General never shares any personally identifiable information you provide when requesting information with third parties, except as required by law.
Links to External Websites
This our Website Privacy Policy applies only to the Mass General website. In order to provide website users with other helpful information, the Mass General website contains links to other websites. However, Mass General provides no authority over external organizations’ websites and this policy does not apply to external sites that are provided as links. We encourage you to read the Privacy Policies on any external websites before providing them with personal information.
Changes to This Policy
Mass General reserves the right to change or update this our Website Privacy Policy from time to time without notice, so please review it periodically to keep informed of any changes
A MyMassGeneral account allows you to create and save the information you access regularly on the Mass General website so you don't have to search for it every time you visit the site.
With MyMassGeneral, you can "bookmark" links such as condition and treatment information, physician profiles, hospital locations and driving directions. Your MyMassGeneral account stores all of this information in one convenient place. You can also create a page that contains some or all of this information and e-mail it to family members or friends.
The information saved in MyMassGeneral is kept private and secure, and only you have access to it.
Intention / Use of Website
This agreement can be modified by Massachusetts General Hospital (“Mass General”) at any time and any such modification will be effective immediately upon posting. By accessing and using this website, you assent to these terms and conditions.
Medical Disclaimer
If you think you have a medical emergency, call your doctor or 911 immediately. Do not rely on electronic communications or communication through this website for immediate, urgent medical needs. This website is not designed to facilitate medical emergencies.
Health Content
This website does not provide medical advice.
Some information on the site is written by health care providers affiliated with Mass General and its affiliates, and some content is provided by outside sources.
The content of this website, such as graphics, images, text and all other materials, is provided for reference and educational purposes only. The content is not meant to be complete or exhaustive or to be applicable to any specific individual's medical condition.
Mass General assumes no duty to correct or update the website nor to resolve or clarify any inconsistent information that might be a part of the website. This website contains health or medically related materials that can be considered sexually explicit. If you find these materials offensive, do not use this website.
This website is not an attempt to practice medicine or provide specific medical advice, and it should not be used to make a diagnosis or to replace or overrule a qualified health care provider's judgment. Users should not rely up this website for emergency medical treatment. The content on this website is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always consult with a qualified and licensed physician or other medical care provider, and follow their advice without delay regardless of anything read on this website.
Use of programs on the Mass General website does not establish a doctor–patient relationship. Should you electronically request an appointment through the website, Mass General will use the information you submit to arrange for care where and when appropriate.
Liability
You assume full responsibility for using the information on this site, and you understand and agree that Partners HealthCare and its affiliates, including Mass General, are not responsible or liable for any claim, loss or damage resulting from its use by you or any user.
Mass General cannot and does not warrant that access to the site will be error- or virus-free and does not guarantee against unauthorized users or hackers attempting to obtain access to this website.
Mass General does not intentionally or knowingly collect personal information from children under age 18. If you are under the age of 18, please consult a parent or guardian for help in using this website.
Accuracy and Timeliness
Although we try to keep the information on the site as accurate as possible, Mass General disclaims any warranty concerning its accuracy, timeliness and completeness of content, and any other warranty, express or implied, including warranties of merchantability or fitness for a particular purpose. Mass General also reserves the right to temporarily or permanently discontinue this website, any page or any functionality at any time and without any notice.
External Links
In order to provide website users with other helpful information, the Mass General website contains links to other websites. However, Mass General provides no authority over external organizations’ websites, and this policy does not apply to external sites that are provided as links. Pages of external websites might have different terms of use.
Copyright
All copyrightable text, graphics, design, selection and arrangement of information in this website are copyrighted by Massachusetts General Hospital unless otherwise noted.
Privacy
By using the Mass General website, you agree to acceptance of the our Website Privacy Policy.
We will review this disclaimer frequently and reserve the right to revise it periodically. If we make changes to this policy, we will post the updated policy here.