FAM84B amplification is observed in 11% of PDAC cases, correlating with elevated mRNA expression and poor survival outcomes . In prostate cancer, amplification rates increase from 4.8% in primary tumors to 26% in metastatic castration-resistant PC (mCRPC) . In ESCC, FAM84B copy number amplification (CNA) is linked to deeper tumor invasion and reduced survival .
FAM84B knockdown in PDAC cell lines reduces proliferation and induces apoptosis, while overexpression enhances growth and inhibits apoptosis . In ESCC, FAM84B interacts with NPM1, promoting nuclear localization and suppressing CDKN2A expression, thereby accelerating cell cycle progression .
FAM84B drives aerobic glycolysis in PDAC by upregulating lactate dehydrogenase A (LDHA) and increasing glucose uptake/lactate production . This metabolic shift is mediated through the Wnt/β-catenin pathway, as inhibition with XAV939 reverses FAM84B-induced glycolytic activity .
In PDAC, FAM84B overexpression correlates with resistance to gemcitabine, a standard chemotherapeutic agent. Reduced FAM84B expression restores sensitivity to gemcitabine in in vitro and in vivo models .
FAM84B promotes β-catenin nuclear accumulation and activates downstream targets like c-Myc and Survivin . In ESCC, FAM84B amplification correlates with higher β-catenin levels, driving transcriptional programs that sustain tumor growth .
NPM1 Binding (ESCC): FAM84B-NPM1 complexes enhance NPM1 nuclear localization, suppressing CDKN2A and promoting G1/S phase progression .
HRASLS Family Association: Structural homology suggests FAM84B may modulate phospholipase A/O-acyltransferase activities, though enzymatic roles remain unconfirmed .
Wnt/β-Catenin Inhibitors: XAV939 blocks FAM84B-mediated proliferation and glycolysis in PDAC models .
FAM84B-NPM1 Complex Disruption: Therapies targeting this interaction may suppress ESCC progression .
ESCC: FAM84B CNA and mRNA levels serve as potential diagnostic markers (AUC = 0.9 in Taylor dataset) .
Prostate Cancer: FAM84B amplification identifies aggressive subtypes, particularly in mCRPC .
Functional Mechanisms: Elucidating FAM84B’s enzymatic activity and interactions with DNA repair complexes.
Cancer-Specific Roles: Investigating FAM84B’s differential effects in hormone-sensitive vs. castration-resistant PC.
Therapeutic Trials: Evaluating inhibitors of FAM84B or its downstream pathways in preclinical models.
FAM84B (also known as LRATD2) is located on chromosome 8q24.21, a region identified as a susceptibility locus for various cancer types. This gene is involved in the formation of DNA-repair complexes . The 8q24.21 locus represents one of the most amplified regions in several cancer types, particularly in ESCC, where FAM84B amplification occurs in 44% of cases according to genomic analyses .
Methodologically, researchers typically identify FAM84B using genomic techniques such as whole genome sequencing (WGS) and whole exome sequencing (WES), with copy number alterations analyzed through computational algorithms like GISTIC (Genomic Identification of Significant Targets in Cancer).
FAM84B copy number amplification (CNA) has been observed across multiple cancer types with significant clinical implications:
To investigate FAM84B CNAs, researchers employ techniques including:
Whole genome/exome sequencing
Copy number analysis algorithms
Kaplan-Meier survival analysis
Cox multivariate analysis for prognostic assessment
FAM84B influences several key cellular processes relevant to cancer development:
Cell proliferation: Knockdown of FAM84B decreases cell proliferation in ESCC and PDAC cell lines, while overexpression enhances growth both in vitro and in vivo .
Cell cycle regulation: FAM84B knockdown arrests cells in the G1/S phase as demonstrated by flow cytometry studies .
Apoptosis: FAM84B knockdown induces apoptosis in cancer cells, particularly in PDAC models .
Cellular metabolism: FAM84B affects mitochondrial function and glycolysis in PDAC cells, supporting the metabolic demands of proliferating cancer cells .
Cell invasion and metastasis: FAM84B overexpression enhances invasion in prostate cancer cells and promotes lung metastasis in tail-vein mouse models .
RNA sequencing analysis of FAM84B-overexpressing tumors has revealed differentially expressed genes affecting cell cycle progression, Golgi to ER processes, mitochondrial events, and translation regulation .
Immunohistochemistry analysis of FAM84B in 104 primary ESCC samples demonstrated markedly higher expression in tumors compared to matched normal tissues . A positive correlation exists between FAM84B copy number amplification and mRNA expression levels in both TCGA ESCC cohort (r = 0.3296; P = 0.0011; n = 95) and a 155 RNA-seq ESCC cohort (r = 0.449, P < 0.001; n = 155) .
In prostate cancer, FAM84B expression follows a progressive increase pattern:
Elevated in primary tumors (n = 343) compared to normal tissue (n = 181)
Further increased in metastatic samples
Higher in prostate cancer stem cell-generated xenografts than non-stem cell xenografts
Elevated in lung metastasis compared to subcutaneous xenografts
This expression pattern suggests FAM84B upregulation is associated with cancer progression and aggressive phenotypes across multiple cancer types.
Several specific cancer types have been associated with FAM84B dysregulation:
Pan-cancer analysis revealed that 28 out of 32 tumor types displayed amplification of FAM84B to various degrees , suggesting its dysregulation may be relevant to a broad spectrum of human malignancies.
FAM84B promotes tumorigenesis through multiple molecular mechanisms that vary by cancer type:
In ESCC:
FAM84B interacts with the C-terminal domain (189-294aa) of Nucleophosmin 1 (NPM1)
This interaction increases NPM1 nuclear expression
Elevated nuclear NPM1 inhibits CDKN2A (p16) protein expression
Reduced CDKN2A allows accelerated cell cycle progression, particularly at the G1/S transition
In prostate cancer:
FAM84B overexpression leads to increased AKT activation
It reduces BAD (BCL2 associated agonist of cell death) expression
RNA-seq analysis revealed numerous differentially expressed genes affecting cell cycle progression, Golgi to ER processes, and mitochondrial events
In PDAC:
FAM84B affects the Wnt/β-catenin pathway
It increases nuclear accumulation of β-catenin
This leads to altered expression of c-Myc and lactate dehydrogenase A
FAM84B enhances aerobic glycolysis and mitochondrial function
These diverse mechanisms highlight FAM84B's role as a multifunctional oncogene affecting key cancer-related pathways across different tumor types.
FAM84B directly interacts with NPM1 (Nucleophosmin 1), specifically targeting its C-terminal domain (189-294aa). Co-immunoprecipitation (Co-IP) assays revealed that FLAG-tagged FAM84B bound to NPM1-118-294aa and full-length NPM1, but not to NPM1-1-117aa, NPM1-118-188aa, or NPM1-1-188aa fragments .
This interaction produces several functional consequences:
Increased nuclear localization of NPM1: Nucleoplasmic separation assays demonstrated that FAM84B overexpression increased nuclear localization and expression of both FAM84B and NPM1 .
Dose-dependent increase in NPM1 levels: Ectopic expression of FAM84B increased NPM1 levels in a dose-dependent manner .
Inhibition of CDKN2A (p16) expression: NPM1 overexpression inhibited CDKN2A protein expression .
Cell cycle acceleration: The suppression of CDKN2A, a key cell cycle inhibitor, results in accelerated cell cycle progression, particularly at the G1/S checkpoint .
This FAM84B-NPM1-CDKN2A axis represents a novel mechanism through which FAM84B amplification contributes to tumorigenesis in ESCC.
FAM84B interacts with the Wnt/β-catenin pathway across multiple cancer types:
In PDAC:
Knockdown of FAM84B decreased nuclear accumulation of β-catenin
FAM84B knockdown decreased expression of c-Myc and lactate dehydrogenase A (LDHA), both downstream targets of Wnt/β-catenin
The effects of FAM84B overexpression on cell proliferation, apoptosis, metabolism, and glycolysis were blocked by XAV939, a specific Wnt/β-catenin pathway inhibitor
In other cancers:
FAM84B promotes tumorigenesis through the Wnt/β-catenin pathway in pancreatic ductal adenocarcinoma
This consistent relationship across multiple cancer types suggests that modulation of Wnt/β-catenin signaling may be a conserved mechanism through which FAM84B exerts its oncogenic effects.
FAM84B significantly impacts cellular metabolism, particularly in pancreatic ductal adenocarcinoma (PDAC):
Regulation of glycolysis: FAM84B knockdown suppressed glycolysis in PDAC cells, while overexpression enhanced it, promoting the Warburg effect characteristic of many cancer cells .
Influence on mitochondrial function: Experimental studies demonstrated that FAM84B affects mitochondrial function in PDAC cells. Knockdown suppressed mitochondrial function, while overexpression enhanced it .
Modulation of metabolic enzymes: FAM84B alters the expression of key metabolic enzymes, particularly lactate dehydrogenase A (LDHA), which catalyzes the conversion of pyruvate to lactate in the final step of glycolysis .
Wnt/β-catenin pathway involvement: The metabolic effects of FAM84B are mediated, at least in part, through the Wnt/β-catenin pathway, as treatment with the Wnt/β-catenin inhibitor XAV939 blocked the metabolic changes induced by FAM84B overexpression .
These metabolic alterations likely contribute to FAM84B's ability to promote cancer cell proliferation and survival by providing energy and biosynthetic precursors needed for rapid cell division.
Based on the search results, several complementary experimental approaches have proven effective for studying FAM84B:
Genetic manipulation in cell lines:
In vivo models:
Protein interaction studies:
Functional assays:
Clinical correlation:
These approaches, especially when combined, provide comprehensive insights into FAM84B function and its role in cancer.
FAM84B amplification consistently associates with worse patient prognosis across multiple cancer types:
In ESCC:
In PDAC:
In Prostate Cancer:
Amplification occurred more frequently in metastatic castration-resistant prostate cancer (26%) compared to primary prostate cancers (4.8%, p < 0.0001)
The amplification was associated with reductions in disease-free survival
In Pan-Cancer Analysis:
These findings establish FAM84B amplification as a negative prognostic factor across diverse cancer types.
FAM84B shows considerable potential as a therapeutic target based on several lines of evidence:
Oncogenic function: FAM84B promotes cell proliferation, invasion, tumor growth, and metastasis across multiple cancer types. Inhibiting FAM84B function could potentially reverse these oncogenic effects .
Frequent alteration in cancer: FAM84B amplification occurs in multiple cancer types, with higher frequency in advanced and metastatic disease, suggesting relevance particularly for aggressive cancers .
Impact on treatment response: PDAC cells with lower expression of FAM84B were more sensitive to gemcitabine-induced cell proliferation inhibition both in vitro and in vivo .
Selective expression: FAM84B shows higher expression in cancer tissues compared to normal tissues, potentially providing a therapeutic window for targeting cancer cells while sparing normal cells .
Defined molecular interactions: The identification of specific protein interactions (e.g., with NPM1) and pathway involvement (e.g., Wnt/β-catenin) provides potential for developing targeted therapies that disrupt these interactions .
Multiple studies conclude that FAM84B may be not only a novel diagnostic marker but also a promising therapeutic target for various cancer types .
The search results provide specific information about FAM84B's influence on chemotherapy response in pancreatic ductal adenocarcinoma (PDAC):
PDAC cells with lower expression of FAM84B were found to be more sensitive to gemcitabine-induced cell proliferation inhibition both in vitro and in vivo . This suggests that FAM84B expression may confer resistance to gemcitabine, a standard chemotherapeutic agent used in PDAC treatment.
Several potential mechanisms may explain this relationship:
Cell cycle effects: FAM84B promotes cell cycle progression, particularly at the G1/S phase. Gemcitabine efficacy may be affected by FAM84B's influence on cell cycle dynamics .
Apoptosis regulation: FAM84B has anti-apoptotic effects, potentially through activation of AKT and reduction of BAD expression. This could counteract the pro-apoptotic effects of chemotherapy .
Metabolic reprogramming: FAM84B enhances glycolysis and mitochondrial function, which could provide cancer cells with metabolic adaptations that help them survive chemotherapy exposure .
Wnt/β-catenin pathway activation: FAM84B activates the Wnt/β-catenin pathway, which has been implicated in chemoresistance in various cancer types .
These findings suggest FAM84B expression status might predict chemotherapy response and that inhibiting FAM84B might potentiate chemotherapy effects.
Several key signaling pathways downstream of FAM84B contribute to cancer progression:
NPM1-CDKN2A axis in ESCC:
Wnt/β-catenin pathway in PDAC and other cancers:
AKT/BAD pathway in prostate cancer:
Cell cycle regulation:
Metabolic pathways:
These diverse downstream pathways illustrate the multifaceted mechanisms through which FAM84B drives cancer progression across different tumor types.
FAM84B shows significant potential as a clinical biomarker:
Cancer Type | Clinical Application | Evidence |
---|---|---|
ESCC | Prognostic marker | Independent predictor of survival in multivariate analysis |
PDAC | Treatment response predictor | Lower expression correlates with gemcitabine sensitivity |
Prostate Cancer | Metastatic disease marker | Higher frequency in mCRPC vs. primary tumors |
The consistent association between FAM84B alterations and clinical outcomes across multiple cancer types suggests its value for patient stratification, treatment planning, and prognosis estimation.