1. Amplification of COPS3 in High-grade Osteosarcoma: Relationship to TP53 Mutation and Patient Outcome Samuel Lunenfeld Research Institute Mount Sinai Hospital, Toronto, Canada Yan T, Wunder JS, Gokgoz N, Eskandarian S, Bell RS, Andrulis IL

2. Introduction: COPS3 COPS3 maps to 17p11.2, a region frequently amplified in high-grade osteosarcoma, raising the possibility that COPS3 is an oncogene COPS3 encodes the third subunit of a highly conserved eight-subunit complex, the COP9 signalosome (CSN) Evidence suggests that CSN modulates a wide variety of cellular processes, including cell cycle progression, cell proliferation and differentiation

3. Henriksen et al. reported 6/19 (32%) primary osteosarcomas with increased COPS3 gene copy number (Oncogene, 2003) van Dartel et al. reported 4/9 (45%) primary high-grade osteosarcomas had COPS3 amplification (Cancer Genetics and Cytogenetics, 2004) Previous Studies: COPS3 and Osteosarcoma

4. COPS3 and TP53 COPS3 CSN targets p53 for 26S-proteasome degradation, and may result in a phenotype similar to mutational inactivation of p53 COPS3 amplification and TP53 mutation may be mutually exclusive events in osteosarcoma COPS3 and P53

5. Hypotheses COPS3 serves as an oncogene that is important in osteosarcoma development and progression COPS3 alterations may be related to patient outcome COPS3 amplification and TP53 mutation may be mutually exclusive events

6. Goals To examine the incidences of COPS3 amplification in a large sample of high- grade osteosarcoma To correlate COPS3 amplification with patient outcome

7. Goals We previously showed that TP53 mutation is important in osteosarcoma tumorigenesis but is not prognostic To evaluate the relationship between COPS3 alterations, TP53 mutation and patient outcome

8. Materials and Methods 172 frozen high-grade osteosarcoma specimens with corresponding clinical outcome data 153 of 172 specimens had TP53 mutation data, including 123 wildtype and 30 mutation

9. Materials and Methods Quantitative PCR and Real-time PCR (TaqMan) for COPS3 gene copy number detection COPS3 amplification levels normalized to a control gene Data analysis: Chi-square 2x2 test

10. Cops3(161) Placenta 13551654 835571 847 AS (97) 1 2.71.73.81.4 COPS3 Amplification by Quantitative PCR Correlation between PCR and Real-time PCR: 0.96

11. Results COPS3 amplification status COPS3 gene amplification was identified in 50/172 (29%) osteosarcomas Relative Gene copy number increase: 2~3-fold - 20 3~5-fold - 14 5~10-fold - 9 > 10-fold - 7

12. COPS3 Amplification is Associated with Metastasis Chi-square test, p=0.03 Outcome Metastases Amplification No-amplification53/122 (43%) 31/50 (62%) COPS3

13. There was no difference in the frequency of COPS3 amplification between TP53 mutated (27%) and TP53 wildtype (26%) groups (p=1.0) Are COPS3 Amplification and TP53 Mutation Mutually Exclusive Events in Osteosarcoma? COPS3 AmplificationNo-amplification 22 9132 8 TP53 Mutation Wildtype

14. Conclusions COPS3 is amplified in osteosarcoma COPS3 amplification correlates with poor patient outcome COPS3 amplification and TP53 mutation can occur together in the same tumor Preliminary data suggests patients whose tumors have both COPS3 amplification and TP53 alterations may have a worse prognosis - 6/8 patients with both alterations developed metastases

15. COPS3 and TP53 alterations may not be redundant, such that a double-hit may produce a worse phenotype COP9-signalosome (CSN) has many cancer-related roles besides targeting p53 for degradation CSN regulates proteasomal degradation of cell cycle regulators P21, P27 and anti-apoptotic protein NF-κB CSN stabilizes c-Jun and contributes to activation of AP-1 which is involved in tumorigenesis Discussion1: Why do COPS3 Amplification and TP53 Mutations Occur in the Same Tumor?

16. Discussion2: Why might concomitant occurrence of COPS3 amplification and TP53 mutation correlate with poor patient outcome ? In human cells, TP53 mutation does not always lead to centrosome amplification so other mechanisms are likely involved.

17. COP9-signalosome may affect centrosome amplification and chromosome instability It is tempting to hypothesize that COPS3 amplification together with p53 mutation may induce centrosome amplification and chromosomal instability more efficiently Discussion2: Why might concomitant occurrence of COPS3 amplification and TP53 mutation correlate with poor patient outcome ?

18. Future Directions 1.Survival Analysis based on COPS3 amplification 2.Fluorescence in Situ Hybridization (FISH) to detect centrosome amplification, and determine the relationship between centrosome amplification, COPS3 amplification and TP53 mutation

19. Acknowledgement Mount Sinai Hospital I.Andrulis/J.Wunder/R.Bell/R.Kandel N.Gokgoz/K.Eppert/S.Eskandarian S.Bull/A.Davis/M.Blackstein Hospital for Sick Children D.Malkin Vancouver General Hospital C.Beauchamp University of WashingtonE.Conrad III Mayo ClinicM.Rock/ L.Wold Royal Orthopaedic HospitalR.Grimer Memorial Sloan-KetteringJ.Healey