BACKGROUND
Mediator is a multiprotein interface between eukaryotic gene-specific transcription factors and RNA polymerase II. Mutations in exon 2 of the gene encoding <em>MED1</em>2, a key subunit of the regulatory kinase module in Mediator, are extremely frequent in uterine leiomyomas, breast fibroadenomas, and phyllodes tumors. These mutations disrupt kinase module interactions and lead to diminished Mediator-associated kinase activity. <em>MED1</em>2 mutations in exon 26, resulting in a substitution of leucine 1224 to phenylalanine (L1224F), have been recurrently observed in prostate cancer.
METHODS
To elucidate the molecular mechanisms leading to tumorigenesis in prostate cancer, we analyzed global interaction profiles of wild-type and L1224F mutant <em>MED1</em>2 with quantitative affinity purification-mass spectrometry (AP-MS). Immunoprecipitation and kinase activity assay were used to further assess the interactions between Mediator complex subunits and kinase activity. The presence of L1224F mutation was analyzed in altogether 877 samples representing prostate hyperplasia, prostate cancer, and various tumor types in which somatic <em>MED1</em>2 mutations have previously been observed.
RESULTS
In contrast to N-terminal <em>MED1</em>2 mutations observed in uterine leiomyomas, the L1224F mutation compromises neither the interaction of <em>MED1</em>2 with kinase module subunits Cyclin C and CDK8/19 nor Mediator-associated CDK activity. Instead, the L1224F mutation was shown to affect interactions between <em>MED1</em>2 and other Mediator components (<em>MED1</em>, <em>MED1</em>3, <em>MED1</em>3L, <em>MED1</em>4, <em>MED1</em>5, <em>MED1</em>7, and MED24). Mutation screening revealed one mutation in a Finnish (Caucasian) prostate cancer patient, whereas no mutations in any other tumor type were observed.
CONCLUSIONS
Specific somatic <em>MED1</em>2 mutations in prostate cancer and uterine leiomyomas accumulate in two separate regions of the gene and promote tumorigenesis through clearly distinct mechanisms.