Evaluation of Rint1 as a modifier of intestinal tumorigenesis and cancer risk

The Rad50 Interacting Protein 1 (Rint1) influences cellular homeostasis through maintenance of endoplasmic reticulum, Golgi and centrosome integrity and regulation of vesicle transport, autophagy and the G2/M checkpoint. Rint1 has been postulated to function as a tumor suppressor as well as an oncogene, with its role depending perhaps upon the precise cellular and/or experimental context. In humans, heterozygosity for germline missense variants in RINT1 have, in some studies, been associated with increased risk of both breast and Lynch syndrome type cancers. However, it is not known if these germline variants represent loss of function alleles or gain of function alleles. Based upon these findings, as well as our initial consideration of Rint1 as a potential candidate for Mom5, a genetic modifier of intestinal tumorigenesis in ApcMin/+ mice, we sought to explicitly examine the impact of Rint1 on tumorigenesis in ApcMin/+ mice. However, heterozygosity for a knockout of Rint1 had no impact on tumorigenesis in Rint1+/-; ApcMin/+ mice. Likewise, we found no evidence to suggest that the remaining Rint1 allele was lost somatically in intestinal tumors in ApcMin/+ mice. Interestingly, in contrast to what has been observed in Rint1+/- mice on a mixed genetic background, Rint1+/- mice on a pure C57BL/6J background did not show spontaneous tumor development. We also evaluated colorectal cancer data available in the COSMIC and ONCOMINE databases and found that RINT1 overexpression, as well as the presence of somatic missense mutations in RINT1 were associated with colorectal cancer development. In vitro evaluation of two missense variants in RINT1 suggested that such variants do have the potential to impact RINT1 function.


Introduction
The Rad50 interacting protein 1 (Rint1), was identified through its interaction with Rad50, and found to be involved in control of the G 2 /M checkpoint in response to DNA damage [1]. Depletion of Rint1 in vitro results in genomic instability, failure to complete the G2/M checkpoint and ultimately cell death [2,3]. Rint1 has also been shown to function in a variety of other cellular processes, including telomerase-independent telomere elongation, centrosome duplication, endoplasmic reticulum (ER) and Golgi homeostasis, ER-Golgi vesicle trafficking, a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 ER stress and autophagy [3][4][5][6][7][8]. Homozygosity for a Rint1 knockout allele in mice results in embryonic lethality during early postimplantation development, apparently due to a failure of the blastocysts to proliferate [2]. However, selective deletion of Rint1 in non-dividing Purkinje cells also results in cell death [3]. However, in this later case, cell death appeared to be the result of defects in ER-Golgi function and inhibition of autophagy [3].
Several studies have provided evidence to suggest that heterozygosity for mutations in the Rint1 gene is associated with tumorigenesis. Approximately 80% of mice heterozygous for the Rint1 knockout allele (Rint1 tm1Whl/+ ) were reported to develop spontaneous lymphomas or solid tumors affecting a variety of tissues including the liver, lung, and uterus [2]. However, the average life span of these mice was 2 years, indicating that tumors developed with a long latency period. This study suggests that Rint1 may function as a general tumor suppressor gene. By contrast, another study identified Rint1 as a potential oncogene in glioblastoma [9]. Over-expression of Rint1 promoted anchorage-independent growth of glioblastoma cell lines, whereas shRNA knockdown of Rint1 significantly reduced cell viability. Most recently, germline variants in Rint1 have been associated with increased risk for breast cancer as well as Lynch syndrome type cancers, including colorectal, endometrial, and gastric cancers [10]. Whole exome sequencing in families with previously unexplained hereditary breast cancer identified three different germline Rint1 variants, each found in a single family [10]. Focused analysis subsequently identified more than 20 different rare germline variants in RINT1 predicted to be damaging that were associated with breast cancer in a case control study and 5 additional predicted damaging germline RINT1 variants associated with breast, colorectal, endometrial and gastric cancer in six cancer-prone families [10]. Interestingly, the vast majority of the predicted damaging germline variants in RINT1 that were associated with increased risk of breast and Lynch syndrome type cancers in this study were missense variants. The potential impact of these variants on Rint1 function is unknown. However, it should be noted that a recent study found no evidence for an association between germline missense variants in RINT1 and either breast or Lynch syndrome type cancer risk [11].
Our laboratory initially identified Rint1 as a potential candidate for the Mom5 modifier of intestinal neoplasia in Apc Min/+ mice [12]. The B6 allele of the Mom5 locus is associated with increased intestinal adenoma number and size, and the B6 allele of Rint1 harbors two missense mutations that are similar to some of the RINT1 variants linked to breast and Lynch syndrome type cancers in humans. Both variants in the B6 allele result in the substitution of a highly conserved isoleucine residue in the coiled-coil domain of Rint1 [12]and thus have the potential to alter the folding of the coiled-coil of Rint1, the ability of Rint1 to interact with its binding partners and/or alter the stability of the Rint1 protein. Rint1 interacts with several proteins via its coiled-coil domain, including Zw10, Uvrag, Cog1, and Stx16 [6,7,13]. All these proteins are involved in membrane trafficking between the ER and Golgi. Although fine structure mapping ultimately excluded Rint1 as a candidate for Mom5 [14], because RINT1 mutations had been associated with increased risk of Lynch syndrome type cancers in humans, we were interested in explicitly examining the impact of Rint1 mutation on intestinal tumorigenesis in Apc Min/+ mice. Although these in vivo studies suggested that heterozygosity for a knockout of Rint1 did not enhance intestinal tumorigenesis in Apc Min/+ mice, in vitro studies indicated that missense mutations in Rint1 do have the potential to impact protein-protein interactions involving Rint1. We also found that over-expression of RINT1 and somatic missense mutations in RINT1 were relatively frequent in human colorectal cancers whereas loss of RINT1 or RINT1 expression were infrequent events in these cancers.

Materials and methods
Care and production of B6 mice congenic for the Rint1 knockout allele All mice used were housed in facilities at the University of Nebraska Medical Center accredited by the American Association for Accreditation of Laboratory Animal Care. Mice were kept in a climate controlled environment with 14-hour light/10-hour dark cycles and access to Harlan irradiated rodent diet 7904 (Harlan Teklad, Madison, WI) and water ad libitum. All procedures involving live mice were approved by the University of Nebraska Medical Center Institutional Animal Care and Use Committee.
Four Rint1 tm1Whl/+ (Rint1 +/-) mice, heterozygous for a targeted disruption of exons 5 and 6 of Rint1 (Lin et al. 2007), were obtained from Dr. Wen Hwa Lee (University of California-Irvine, Irvine, California). These mice were on a mixed 129SvEv (129) and C57BL/6J (B6) genetic background. Thus, the genotype at SNPs distributed throughout the genome was determined at the DartMouse™ Speed Congenic Core Facility at the Geisel School of Medicine at Dartmouth University using the Illumina, Inc. (San Diego, CA) GoldenGate Genotyping Assay. The raw SNP data were analyzed using SNaP-Map™ and Map-Synth™ software. Analysis of the genetic background of the founder mice revealed that all mice carried residual 129 alleles spanning a 32 Mbp region linked to the Rint1 knockout allele ( Fig 1A). Additionally, these mice carried residual 129 alleles unlinked to Rint1 at markers on 13 other autosomes ( Fig 1A). Therefore, the Rint1 knockout allele was transferred to a uniform B6 genetic background through serial backcrossing in conjunction with marker assisted selection with polymorphic simple sequence repeat markers spanning the regions of residual heterozygosity (Table 1). Mice from the fifth backcross generation were again evaluated by the Dartmouse Speed Congenic Facility and were found to be free of residual 129 alleles unlinked to the Rint1 knockout allele (Fig 1B). B6.Rint1 +/females were then crossed to B6.Apc Min/+ males for determination of the impact of heterozygosity for the Rint1 knockout allele on intestinal tumorigenesis on a Genome-wide SNP genotyping of the four founder Rint1 tm1WHL mice, each of which was heterozygous for the Rint1 knockout allele, was performed. A representative example is shown (A) revealing a highly mixed 129 x B6 genetic background. After marker assisted selection using simple sequence repeat markers, genome-wide SNP genotyping was again performed on a group of Rint1 +/mice (N = 4). A representative example is shown (B) clearly demonstrating that 129 alleles unlinked to the Rint1 knockout allele have been eliminated. uniform B6 background. Mice that were heterozygous for the Rint1 knockout allele and the Apc Min mutation were identified by previously described PCR based genotyping assays [2,15].
Evaluation of spontaneous tumorigenesis in Rint1 +/mice Rint1 +/and Rint1 +/+ mice were sacrificed at 450 days of age and all organs were examined for evidence of macroscopic tumor development. Solid organs were then collected and fixed in 10% neutral buffered formalin (Fischer Scientific, Kalamazoo, MI) to assess the presence of microscopic tumors. Fixed tissue was processed, embedded, sectioned and stained with Hemotoxylin and Eosin. Sections were analyzed by light microscopy.
Evaluation of embryonic lethality in Rint1 -/mice Rint1 +/mice were intercrossed and the resulting offspring were genotyped at Rint1. The observed genotype frequencies were compared to those expected by chi square analysis using SPSS software (version 21, IBM, New York, NY).

Evaluation of intestinal tumor number and size
The intestinal tract was collected from 90 day old Apc Min/+ mice. The small intestine was divided into four equal parts, slit open, cleaned with phosphate-buffered saline solution (PBS), and fixed in 10% neutral buffered formalin. The colon was also cleaned and fixed in formalin. After 48 hours, the formalin was exchanged for 70% ethanol. Tumors from each segment of the small intestine and the large intestine were counted under a Leica MZ16FA dissecting microscope (Leica Microsystems, Heerbrugg, Switzerland). To determine tumor size, up to 20 tumors from each segment of the small intestine were measured using an eye-piece reticle and the Leica dissecting microscope. Genotype-phenotype correlation was determined using the Mann-Whiney U test in SPSS.

Analysis of Rint1 expression in intestinal tumors
Pedunculate colon tumors from Apc Min/+ mice were snipped from the underlying mucosa and frozen in liquid nitrogen. Adjacent normal mucosa, collected by scraping with a glass slide, was also snap frozen in liquid nitrogen. RNA from tumors and normal colonic mucosa was isolated using the Absolutely RNA Miniprep Kit from Agilent Technologies (Santa Clara, CA). RNA was used as a template to make cDNA using the SuperScript VILO Master Mix kit (Life Technologies, Grand Island, NY). The cDNA was then used in a quantitative RT-PCR assay with Sybr Green Master Mix (Life Technologies, Grand Island, NY) to examine the expression of the Rint1 transcript. RNA from B6 small intestine epithelial cells was used as a control to generate a standard curve to quantitate the amplified products. Relative expression was determined by normalizing values to Gapdh. Primers used include Rint1 forward: 5'-TTTTCCCGT GGCCTTGTGAT-3', Rint1 reverse: 5'-AAACAGCAGCACCTCATCCA-3', Gapdh forward: 5'-TGCACCACCAACTGCTTAG-3', and Gapdh reverse: 5'GGATGCAGGGATGATGTT-3'.
Statistical significance for qRT-PCR was determined using the paired samples t-test in SPSS.
Bioinformatic analysis of RINT1 expression and somatic mutation in human colorectal cancers RINT1 transcript expression in normal colorectal tissues and colorectal cancers were compared using The Cancer Genome Atlas dataset in the ONOCOMINE database (www. oncomine.org). The threshold used to obtain the most significant RINT1 probes for analysis was set at a two-fold difference in expression between cancers and normal tissues with a Pvalue < 1 × 10−4. The Catalog of Somatic Mutations in Cancer (COSMIC) database (http:// www.sanger.ac.uk/cosmic/) was used to determine the frequency of somatic mutations in RINT1 in colorectal cancers. This database included The Cancer Genome Atlas dataset as well as other available datasets. Once the colorectal cancer cases containing somatic mutations in RINT1 were identified, an analysis of the nature of these mutations (e.g. nonsense, missense, etc.) was performed.

Generation of Rint1 variant expression constructs
An expression vector containing a FLAG-tagged full-length human RINT1 cDNA was generously provided by Dr. Mitsuo Tagaya (Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan; Arasaki et al. 2006). Missense variant alleles in RINT1 were generated using the Quick-Change II XL kit (Agilent Technologies) according to the provided protocol. Three missense variant alleles were generated: RINT1 n.456A>G (I152M), RINT1 n.503T>C (I168T), and RINT1 n.456A>G; n.503T>C (I152M and I168T). These missense alleles are identical to the variants found in the B6 mouse strain and are found in the coiled coil domain and are thus similar to many of those associated with Lynch syndrome type cancers. Briefly, primers were designed to change nucleotide 456 from an adenine to a guanine (456g forward primer: 5'-GAACCATGATTAGCCAGATGGAAGAGATCGAACGTCATC-3'; 456g reverse primer: 5'-GATGACGTTCGATCTCTTCCATCTGGCTAATCATGGTTC-3') and nucleotide 503 from a thymine to a cytosine (503c forward primer: 5'-CATCTTGCTTACCT TAAATGGATTTCACAAACTGAAGAACTAAGTGAT-3'; 503c reverse primer: 5'-ATCACTT AGTTCTTCAGTTTGTGAAATCCATTTAAGGTAAGCAAGATG-3').Plasmids containing the individual variants were generated via PCR amplification and used to transform XL10-Gold ultra-competent E. coli cells, which were then plated on LB agar plates containing 10 μg/ml Ampicillin (Fisher Scientific, Pittsburg, PA). Single colonies were picked for overnight growth in liquid media and plasmids isolated using Qiagen Mini-or Maxi-prep kits (Qiagen, Valencia, CA). The plasmid containing both variants was generated by PCR using one of the single variant plasmids and the other set of site specific mutation-inducing primers. The resulting plasmids were transformed into XL10-Gold ultra-competent E. coli cells and isolated as described above. The sequence of all RINT1 construct inserts were confirmed via Sanger Sequencing at the UNMC DNA Sequencing Core Facility.

Immunoprecipitation and western blotting
Equal amounts of whole cell lysate from cell cultures transfected with the various RINT1 constructs were used for immunoprecipitation. Anti-FLAG M2 affinity gel (Sigma-Aldrich) was used to pull down the FLAG-tagged RINT1 protein, along with any bound proteins, according to the manufacturer's instructions. Briefly, agarose beads were incubated with whole cell lysate overnight, washed to remove non-bound proteins, and then incubated with 15 μg of FLAG peptide (F3290, Sigma-Aldrich) to elute FLAG-tagged RINT1. Supernatant containing the eluted RINT1 protein, along with any proteins bound to RINT1, was removed from beads and mixed with Laemmli sample buffer (Bio-Rad, Hercules, CA).

Genetic background alters spontaneous tumorigenesis in Rint1 +/mice
The original purpose of this study was to explicitly evaluate the impact of heterozygosity for the Rint1 knockout allele on tumorigenesis in Apc Min/+ mice. The Rint1 +/mice we obtained were on a mixed 129 x B6 genetic background. Because 129 strains carried alleles that modify the intestinal tumor phenotype in Apc Min/+ mice, we needed to place the Rint1 knockout allele onto a pure B6 background before we could cross Rint1 +/mice with Apc Min/+ mice.
We observed that the risk of spontaneous tumor development in Rint1 +/mice declined progressively during the process of backcrossing to the B6 strain. Consistent with the previous report indicating that~80% of Rint1 +/mice developed tumors, we found that three of the four (75%) Rint1 +/founder mice on the mixed 129 x B6 genetic background developed spontaneous tumors and required euthanasia by~400 days of age ( Table 2). The spectrum of tumor types observed in these mice was consistent with that reported previously in Rint1 +/mice (Lin et al. 2007). The fourth Rint1 +/mouse died unexpectedly and could not be evaluated for tumor development. By contrast, tumors were observed in just 28.5% (2 of 7) of the Rint1 +/mice from the F1 (N1) generation, which was produced by crossing the original founders with B6 mice. No tumors were found in a group of age matched, Rint1 +/+ F1 (N1) mice. In the next backcross generation to the B6 strain (N2), none of the Rint1 +/mice (0 of 13) or Rint1 +/+ mice (0 of 9) developed tumors by 450 days of age. Furthermore, no tumors were observed in Rint1 +/mice analyzed from any generation thereafter. At the N2 generation, the Rint1 +/mice carried a 129 allele at, on average, 6% of markers unlinked to the Rint1 knockout; this residual heterozygosity represents approximately quarter of that present in the founder mice. A plausible interpretation of these data is that spontaneous tumorigenesis in Rint1 +/mice is strongly influenced by genetic background.
Homozygosity for the Rint1 knockout was reported to result in embryonic lethality on a mixed 129 x B6 background (Lin et al. 2007). To determine if genetic background also impacted this phenotype, we intercrossed a small number of Rint1 +/mice. From these intercrosses, only Rint1 +/+ and Rint1 +/mice were recovered ( Table 3). The failure to recover Rint1 -/mice from this cross indicates that even on the B6 background, homozygosity for the Rint1 knockout allele leads to embryonic lethality. Heterozygosity for the Rint1 knockout allele does not impact tumor development in B6.Apc Min/+ mice After five generations (N5) of backcrossing to the B6 strain in conjunction with marker assisted selection, all the segregating 129 alleles not on chromosome 5 had been eliminated from the B6.129-Rint1 tm1WHL strain (hereafter referred to as B6.Rint1 strain). Further genome wide analysis confirmed that the only region of residual heterozygosity was on chromosome 5 and comprised a 21.9 Mbp interval spanning the Rint1 knockout allele (at 23.7 Mbp). This region of heterozygosity was located between 11.4 and 33.3 Mbp (Fig 2A) and contained the Mom5 locus, which has been localized to the 8 Mbp interval from 13.25 to 21.35 Mbp (Fig 2A) [14]. Our analysis indicated that heterozygosity for Rint1 had no discernible impact on tumorigenesis in Apc Min/+ mice. Mean tumor multiplicity in the Rint1 +/-; Mom5 129/B6 ;Apc Min/+ mice was 49.6±4, which was essentially identical to the mean of 49.8±7.4 in Rint1 +/+ ; Mom5 129/B6 ; Apc Min/+ mice (Fig 2B; p = 0.47). These data indicate that heterozygosity for the Rint1 knockout allele did not impact tumor number in Apc Min/+ mice. Likewise, heterozygosity for the Rint1 knockout allele did not impact mean tumor diameter in Apc Min/+ mice (Fig 2C). Since Rint1 -/mice do not survive, we could not examine the impact of homozygosity for the Rint1 knockout allele on tumorigenesis in Apc Min/+ mice. Nevertheless, we explored the possibility that the remaining wild type allele of Rint1 might be lost somatically in tumors that develop in Rint1 +/-; Apc Min/+ mice. Quantitative PCR analysis of a small number of colon tumors from Rint1 +/-; Apc Min/+ mice indicated that the wild type allele of Rint1 was not lost somatically in these tumors (data not shown) and Rint1 expression is not reduced in colon tumors in Apc Min/+ mice (Fig 2D). Although a small fraction of Apc Min/+ mice spontaneously develop mammary tumors (Moser et al. 1993), this phenotype was not enhanced in Rint1 +/-; Apc Min/+ mice (data not shown).

RINT1 overexpression and somatic missense mutations are associated with colorectal cancer
Our studies with the Rint1 knockout did not support the hypothesis that heterozygosity for the Rint1 knockout allele promotes tumorigenesis in Apc Min/+ mice. These observations were consistent with data extracted from the COSMIC database, which revealed no evidence for loss of heterozygosity or deletion of RINT1 in colorectal cancers, suggesting that somatic loss of RINT1 was rare during colorectal tumorigenesis. Furthermore, we note that just 0.16% (1 of 607) colorectal tumors in the COSMIC database showed loss of RINT1 expression. By contrast, 6.1% (37 of 607) of colorectal tumors in the COSMIC database overexpressed RINT1. Likewise, comparison of colorectal cancers and normal mucosa in the Oncomine database showed that RINT1 transcript levels were significantly greater in many colon adenocarcinoma subtypes (Fig 3A). Somatic mutations in RINT1were detected in 2% (30 of 1493) of cancers of the large intestine, and~57% (17/30) of these somatic mutations were missense mutations (Fig 3B), a phenomenon that is more characteristic of an oncogene than a tumor suppressor gene.
Altogether, the expression and somatic mutation spectrum data were more consistent with the idea that RINT1 might function as an oncogene in the context of colon carcinogenesis rather than a tumor suppressor gene. As mentioned previously, germline variants in the human RINT1 gene have been associated with increased risk of various cancers associated with Lynch Syndrome, including intestinal cancers [10]. The majority of these cancer-associated germline variants in RINT1 are missense variants.

Missense variants in RINT1 impact protein-protein interactions in vitro
If the RINT1 missense variants function as oncogenes, we would anticipate that these variant alleles would act in at least a partially dominant manner to promote tumorigenesis. Given the fact that a number of RINT1 missense variants are found within the coiled-coil protein interaction domain, we postulated that RINT1 missense variants might alter the interaction of RINT1 with some of its binding partners. The coiled-coil domain of RINT1 mediates the interaction of RINT1 with a number of proteins involved in vesicle trafficking between the ER and Golgi, including ZW10 and UVRAG. To evaluate the potential impact of RINT1 missense variants on protein-protein interactions, we generated RINT1 expression vectors from which a FLAGtagged wild type allele of RINT1 as well as the variant RINT1 I152M allele, RINT1 I168T allele, or the RINT1 I152M; I168T allele could be expressed transiently. Each RINT1 plasmid was transfected into HEK293T cells and RINT1-containing complexes from cell lysates were immunoprecipitated with an anti-FLAG antibody. The ability of each FLAG-tagged RINT1 protein to co-immunoprecipitate the RINT1-interacting proteins, ZW10 and UVRAG was assessed. The ability of the RINT1 variant proteins to co-immunoprecipitate endogenous ZW10 did not differ from that of the wild-type RINT1 protein (Fig 4A). Evaluation of these same RINT1 variants in a UVRAG co-immunoprecipitation assay was also performed. For these experiments a UVRAG plasmid was co-transfected with the RINT1 plasmids due to the inability of the antibody to detect the endogenous UVRAG in these cells. In this series of studies, we consistently observed a ! 2-fold increase in UVRAG co-immunoprecipitation for the I152T and I152T;I168T RINT1 variant proteins compared to the RINT1 wild-type protein ( Fig  4B). These observations suggest that missense alleles of RINT1 can display altered protein-protein interactions.

Discussion
It has been reported previously that mice heterozygous for the Rint1 knockout allele spontaneously develop lymphomas as well as solid tumors. These studies were performed on a mixed 129 x B6 genetic background, and we too found that on this mixed genetic background, Rint1 +/mice developed a variety of solid tumors. However, this tumor susceptibility was lost as we backcrossed the Rint1 knockout onto the B6 background. These data suggest that the genetic background may influence the penetrance of the tumor phenotype associated with heterozygosity for the Rint1 knockout allele. However, an alternative explanation of these data is also plausible. We note that in the original description of the tumor susceptibility in Rint1 +/mice, the majority of the mice (29%) developed lymphomas [2]. Since these Rint1 +/mice were on a highly mixed 129 x B6 genetic background, which is known to have a high incidence of spontaneous lymphoma development [16], we cannot exclude the possibility that at least some of the tumor predisposition in Rint1 +/mice observed in Lin et al is attributable to genetic background rather than the Rint1 knockout allele. This possibility cannot be excluded because this original description of the tumor phenotype in Rint1 +/mice did not include a parallel analysis of tumorigenesis in Rint1 +/+ mice on this same mixed genetic background. Because of the possibility that genetic background might impact the tumor phenotype in Rint1 +/mice, we sought to determine if genetic background might also impact the embryonic lethality associated with homozygosity for the Rint1 knockout allele. However, as was observed on the mixed 129 x B6 genetic background, homozygosity for the Rint1 knockout allele on a pure B6 genetic background also resulted in embryonic lethality.
The original, primary purpose of this study was to evaluate the impact of heterozygosity for a knockout of Rint1 on tumorigenesis in Apc Min/+ mice. However, this analysis revealed that heterozygosity for Rint1 did not impact intestinal tumor number or size. We also found no evidence for somatic loss of Rint1 in colon tumors in Apc Min/+ mice. Altogether, our studies with Rint1 +/mice did not support the idea that the Rint1 knockout allele functioned as either a modifier allele of tumorigenesis in Apc Min/+ mice or a cancer predisposing allele on the B6 background. Thus, these studies did not provide robust evidence to support the hypothesis that Rint1 functions as a tumor suppressor. Likewise, analysis of data available in the COSMIC and ONCOMINE databases failed to yield strong evidence that loss of RINT1 was associated with intestinal carcinogenesis in humans. Rather, analyses of available colorectal cancer data in these databases suggested that overexpression of RINT1 as well as somatic missense mutations in RINT1 may be associated with colorectal carcinogenesis. It has been reported previously that germline missense variants in RINT1 are associated with increased risk of breast and Lynch Syndrome type cancers [10]. However, the impact of these various somatic and germline RINT1 mutations, most of which are missense mutations, on the function of RINT1 is not known.
To explore the possible impact of RINT1 missense variants on RINT1 function, we expressed several missense RINT1 variants in vitro and examined the impact of these variants on the interaction of RINT1 with some of its binding partners. Compared to wild type, some of the RINT1 variants we generated showed a more robust association with UVRAG, a known RINT1 interacting protein that is involved in retrograde transport and autophagy [17]. The RINT1 variants we examined in vitro are similar to some of those associated with Lynch Syndrome type cancers in that they are missense variants in the coil-coil domain, which is thought to mediate the interaction of RINT1 with many of its binding partners. Thus, our results raise the possibility that missense mutations in RINT1 may represent dominant, gain of function alleles that may be functionally equivalent, at least in a certain respect, to RINT1 overexpression. Altogether, these data are more consistent with the hypothesis that RINT1 functions as an oncogene rather than a tumor suppressor gene in the context of colorectal cancer.