SPRED1 (Sprouty-related, EVH1 domain-containing protein 1) is a tumor suppressor protein encoded by the SPRED1 gene (OMIM: 609291) located on chromosome 15q13.2 . It regulates the Ras/MAPK (mitogen-activated protein kinase) signaling pathway, a critical regulator of cell proliferation, differentiation, and survival . SPRED1 interacts with neurofibromin (NF1), a GTPase-activating protein (GAP) for Ras, to modulate Ras activity . Loss-of-function mutations in SPRED1 are linked to developmental disorders and cancers, including Legius syndrome and acute myeloid leukemia (AML) .
The SPRED1 gene spans ~35 kb and contains seven coding exons . The protein comprises three structural domains:
EVH1 Domain (N-terminal): Mediates interactions with neurofibromin and regulates ERK inhibition .
KBD Domain (Central): Binds c-KIT and other receptors, facilitating membrane localization .
SPR Domain (C-terminal): Enables homo-/heterodimerization with SPRED2 and palmitoylation for membrane anchoring .
SPRED1 exists as a 55 kDa monomer or dimer, with a splice variant lacking residues 269–444 .
SPRED1 suppresses Ras/MAPK activity by:
Blocking Raf Activation: Directly inhibits Raf, preventing downstream MAPK/ERK phosphorylation .
Recruiting Neurofibromin: Translocates neurofibromin to the plasma membrane, enhancing Ras-GTP hydrolysis .
Regulating c-KIT Signaling: Interacts with c-KIT to limit receptor-driven MAPK activation .
| Component | Role in SPRED1 Function |
|---|---|
| Raf | Directly inhibited by SPRED1 |
| Neurofibromin (NF1) | Partner in Ras inactivation |
| c-KIT | Binds SPRED1 to modulate signaling |
A developmental disorder caused by SPRED1 mutations, characterized by:
Café-au-lait spots (similar to neurofibromatosis type 1 [NF1])
Lipomas
Macrocephaly
| Mutation Type | Example | Effect |
|---|---|---|
| Nonsense | c.46C>T (p.Arg16Stop) | Truncated protein (no function) |
| Frameshift | c.367_1insT (p.Ile60Tyrfs*18) | Premature stop codon |
| Missense | p.Pro422Arg | Altered protein interaction |
A condition mimicking NF1 without NF1 mutations, linked to SPRED1 mutations .
Acute Myeloid Leukemia (AML): SPRED1 downregulation correlates with poor prognosis in non-acute promyelocytic leukemia (non-APL) .
Melanoma: Biallelic SPRED1 deletions confer resistance to MAPK inhibitors .
Downregulation: 87.6% of AML patients show reduced SPRED1 mRNA, particularly in M2/M3 subtypes .
Prognostic Impact: Low SPRED1 levels correlate with lower 2-year progression-free survival (PFS) in non-APL .
Functional Studies:
SPRED1 deletion in melanoma promotes:
MAPK Pathway Hyperactivation: Despite MAPK inhibitors (e.g., BRAF/MEK inhibitors) .
Therapeutic Resistance: SPRED1 loss abrogates the tumor-suppressive effects of NF1 .
The LOVD database reports 372 public SPRED1 variants, including:
| Variant Type | Count | Key Examples |
|---|---|---|
| Nonsense | 3 | R16X, E73X, R262X |
| Frameshift | 2 | c.1048_c1049delGG |
| Missense | 1 | V44D |
Genetic Testing: Recommended for Legius syndrome and NFLS to exclude NF1 mutations .
Targeted Therapies:
SPRED1 is a 50-kDa protein comprising an N-terminal Ena/VASP Homology 1 (EVH1) domain and a C-terminal Sprouty-related domain (SPR) separated by a central c-Kit binding domain. The EVH1 domain functions as a PH-like protein-protein interaction module that binds to proline-rich sequence stretches of the type FPPPP. Most interaction partners of SPRED1 involve binding to the C-terminal SPR domain, though the precise function of these interactions remains under investigation .
SPRED1 specifically inhibits the Ras/MAPK pathway in response to growth factor-, cytokine-, and chemokine-induced ERK activation. It acts as a neurofibromin recruitment factor, binding to the GAP-related domain. This inhibitory role in the Ras/MAPK pathway explains its tumor suppressor function and its involvement in developmental disorders when mutated .
The primary condition associated with germline SPRED1 mutations is Legius Syndrome, a rare developmental disorder sharing clinical features with Neurofibromatosis-1 (NF1). Most Legius Syndrome-associated mutations result in premature stop codons with truncated translation products. The majority of identified nontruncating missense mutations are located within the EVH1 domain . Additionally, SPRED1 acts as a tumor suppressor in pediatric acute myeloblastic leukemia, and its dysregulation has been implicated in other cancer types .
Multiple approaches exist for SPRED1 genetic testing, depending on the research or clinical question:
RNA-based testing: Particularly useful for identifying deep intronic splice variants through their observed effect on splicing, which might be missed in exon-by-exon DNA sequencing. This approach has identified over 65 different locations harboring deep intronic splice variants, accounting for 2.5% of all pathogenic variants identified in the NF1 UAB cohort .
DNA-based Next-Generation Sequencing (NGS): Involves sequencing and deletion/duplication analysis of the entire coding SPRED1 region. This method uses customized and optimized Agilent HaloPlex capture probes, followed by sequencing of overlapping amplicons using 300bp paired-end Illumina sequencing chemistry .
Combined NF1/SPRED1 testing: For patients with pigmentary features but no neurofibromas and no NF1 variants, SPRED1 gene analysis is conducted as a reflex test, including sequencing and deletion/duplication analysis .
Several methods are employed to quantify SPRED1 expression:
ELISA: SPRED1 protein concentrations can be determined using enzyme-linked immunosorbent assay kits, with optical density read at 450 nm using a microtiter plate reader .
Quantitative PCR: The relative expression level of SPRED1 mRNA can be calculated using the 2^-ΔΔCt method, comparing expression between different groups .
FISH analysis: Fluorescence in situ hybridization using SPRED1-specific probes allows for visualization and analysis of SPRED1 gene copy number alterations .
Researchers have employed several strategies to model SPRED1 deficiency:
shRNA knockdown: Using pLKO shRNA lentiviral vectors with specific hairpin sequences targeting SPRED1 .
CRISPR-based inactivation: LentiCRISPR lentiviral vectors with specific gRNAs can be used to inactivate SPRED1 in human cell lines. For example:
Animal models: CRISPR MiniCoopR vectors have been used to inactivate spred1 in zebrafish melanomas, with the gRNA: 5′-GGCGTCCGCCGGGCTCTGGA-3′ .
Research has demonstrated that SPRED1 inactivation in human melanoma cell lines and primary zebrafish melanoma confers resistance to BRAF V600E inhibition. When BRAF-driven A375 cells were suboptimally transfected with CRISPR vectors targeting SPRED1 and subjected to long-term BRAF inhibition, there was rapid emergence of clones resistant to dabrafenib treatment specifically in cultures transfected with SPRED1 gRNAs. The proportion of SPRED1 mutant alleles sharply increased in dabrafenib-treated cultures while remaining constant in vehicle-treated cultures. Deep sequencing revealed that the vast majority of these CRISPR variants exhibited frameshift mutations. SPRED1 protein levels remained constant over five passages in the absence of drugs but dropped within three passages of dabrafenib treatment, indicating rapid selection for SPRED1-deficient cells .
The SPRED1 knockout cells displayed residual MAPK signaling under dabrafenib treatment compared with control cells, suggesting that SPRED1 loss confers a selective advantage under continuous pharmacologic BRAF inhibition by increasing cell proliferation and/or survival in vitro .
Studies have found significantly decreased SPRED1 mRNA expression in AML patients compared to ALL patients and healthy controls. This suggests potential utility as a prognostic biomarker. The measurement of SPRED1 expression has been conducted using various methods:
The reduced expression of SPRED1 in AML appears to correlate with its function as a tumor suppressor, supporting its role in disease progression and potential as a therapeutic target.
Novel SPRED1 mutations are identified and characterized through comprehensive genetic analysis approaches:
PCR amplification and sequencing: The exons and flanking areas of the SPRED1 gene are amplified by PCR using specific primers. Sequencing is then carried out with ddNTP terminator reaction and analyzed on genetic analyzers. Mutations are identified via comparison between sample sequences and reference sequences using specialized software like Mutation Surveyor .
Functional classification: Mutations are classified based on their effect on protein function, with categories including:
Variant databases: Resources like the Global Variome shared LOVD (Leiden Open Variation Database) catalog variants in SPRED1, providing information about their clinical significance and frequency .
The most common pathogenic mutations in SPRED1 include:
Premature stop codons: The majority of Legius Syndrome-associated mutations result in premature stop codons, presumably associated with truncated translation products .
Missense mutations: Most of the identified nontruncating missense mutations are located within the EVH1 domain .
Deep intronic splice variants: These affect splicing and have been identified in over 65 different locations in comprehensive RNA-based testing. Together they account for 2.5% of all pathogenic variants identified in the NF1 UAB cohort, and would not be detected if a "simple" exon-by-exon DNA-based sequencing approach were used .
Two recently identified novel mutations include:
A frameshift mutation causing a stop codon (p.Ile60Tyrfs*18) identified in an Italian family
A missense variation identified in one sporadic Italian case
Resolving inconsistencies between genomic analysis and protein expression requires a multi-faceted approach:
Integrated analysis: Combine RNA-based testing with protein expression analysis to identify variants affecting splicing or protein stability that may not be apparent from genomic sequencing alone.
Tissue-specific analysis: Since SPRED1 may show tissue-specific expression patterns, analyze both affected tissues (e.g., café-au-lait macules, neurofibromas) and blood samples.
Mosaic detection: For cases with suspected mosaicism, analyze multiple biopsies. If no variants are identified despite full analysis on 2 biopsies with successful cultures, (mosaic) NF1/Legius syndrome is very unlikely (<0.2%) .
Epigenetic regulation: Consider epigenetic modifications that might affect SPRED1 expression without altering the genomic sequence.
Several mechanisms have been proposed for SPRED1-mediated resistance to MAPK pathway inhibitors:
Restoration of MAPK signaling: SPRED1 knockout cells displayed residual MAPK signaling under BRAF inhibitor treatment compared with control cells, indicating that SPRED1 loss allows bypass of pharmacological inhibition .
Selective pressure: Under continuous BRAF inhibition, SPRED1-deficient cells are rapidly selected for, suggesting that SPRED1 loss confers a survival advantage under drug pressure .
Genomic evolution: In transfected cultures under drug pressure, the genotype evolves from mostly wild type to almost completely knockout for SPRED1 within five passages, demonstrating the strong selective advantage of SPRED1 loss .
Alternative pathway activation: Loss of SPRED1 may allow activation of alternative signaling pathways that compensate for MAPK inhibition.
Improving differential diagnosis between NF1 and Legius Syndrome requires sophisticated approaches:
Comprehensive genetic testing: A combined approach using both DNA-based and RNA-based testing for NF1 and SPRED1 provides the most accurate diagnosis. This should include:
Tissue-specific analysis: For patients with only pigmentary features (CALMs with/without skinfold freckling but no neurofibromas), and no NF1 variants found in melanocytes, SPRED1 gene analysis should be performed as a reflex test .
Biomarker development: Research into specific biomarkers that differ between the two conditions could enhance diagnostic accuracy.
Imaging correlations: Correlation of genetic findings with advanced imaging techniques might reveal subtle phenotypic differences not apparent through clinical examination alone.
Potential therapeutic strategies targeting SPRED1 include:
Restoration of SPRED1 function: For cancers where SPRED1 is downregulated or lost, gene therapy approaches to restore SPRED1 expression might suppress tumor growth.
Combination therapies: For MAPK inhibitor-resistant melanomas with SPRED1 loss, combination therapies targeting alternative pathways might overcome resistance.
Synthetic lethality: Identifying genes that, when inhibited, cause selective death in SPRED1-deficient cells could provide novel therapeutic targets.
Small molecule modulators: Development of small molecules that mimic SPRED1 function or enhance residual SPRED1 activity in partially functional mutants.
Single-cell technologies offer several advantages for SPRED1 research:
Heterogeneity analysis: Single-cell RNA sequencing could reveal cell-specific effects of SPRED1 mutations or expression changes, particularly in heterogeneous tissues like tumors.
Spatial transcriptomics: This could map SPRED1 expression patterns within tissues, providing insights into its context-dependent functions.
Clonal evolution tracking: In drug resistance studies, single-cell approaches could track the evolution of SPRED1-deficient clones under treatment pressure.
Protein-protein interaction networks: Single-cell proteomics might uncover cell type-specific interaction partners of SPRED1, leading to a more nuanced understanding of its function.
SPRED1 contains an EVH1 (Ena/VASP Homology 1) domain, which is crucial for its interaction with other proteins. The EVH1 domain allows SPRED1 to bind to proline-rich sequences in target proteins, facilitating its role in cellular signaling pathways . SPRED1 acts as a negative regulator of the Ras/MAPK (Mitogen-Activated Protein Kinase) signaling pathway, which is essential for cell proliferation and differentiation .
SPRED1 is phosphorylated by tyrosine kinases in response to several growth factors. It can function as a homodimer or as a heterodimer with SPRED2 to regulate the activation of the MAP kinase cascade . This regulation is vital for maintaining cellular homeostasis and preventing uncontrolled cell growth, which can lead to cancer .
Mutations in the SPRED1 gene are associated with several diseases, including Legius Syndrome and Neurofibromatosis type 1-like syndrome (NFLS) . Legius Syndrome is characterized by multiple café-au-lait spots on the skin, freckling, and learning disabilities . NFLS shares some clinical features with Neurofibromatosis type 1 but is generally considered to be a milder condition .
The recombinant form of SPRED1 is used in research to study its role in cellular signaling and its potential as a therapeutic target. By understanding how SPRED1 regulates the Ras/MAPK pathway, researchers hope to develop new treatments for diseases associated with dysregulation of this pathway, such as cancer .