Malignant peripheral nerve sheath tumors (MPNSTs) are aggressive neoplasms that commonly
occur in patients with neurofibromatosis type 1 (NF1). Effective chemotherapy is not
available. To characterize a therapeutic target for treatment, we investigated the
role of cellular retinoic acid binding protein 2 (CRABP2) in MPNST in vitro. CRABP2
is a transcriptional co-activator of retinoic acid signaling. Although overexpression
of CRABP2 is described in several cancers, it has not yet been studied in MPNSTs.
We investigated CRABP2 expression in cultured Schwann cells and formalin-fixed, paraffin-embedded
specimens of human peripheral nerve sheath tumors. A transient knockdown of CRABP2
was established in human NF1-associated MPNST cell lines (S462, T265, NSF1), and functional
effects on viability, proliferation, apoptosis, and cytotoxicity were monitored. Finally,
a 45-pathway reporter assay was performed in knockdown cells. Expression of CRABP2
was found in epithelium, fibroblasts, and tumor Schwann cells of skin, neurofibromas,
and MPNSTs. In contrast, normal skin Schwann cells (NF1(+/-), NF1(-/-)) did not express
CRABP2. In the absence of retinoic acid, MPNST cells depleted of CRABP2 had reduced
viability and proliferation, induction of apoptosis and cytotoxicity, and up-regulation
of the type 1 interferon pathway. These data suggest a retinoic acid-independent,
non-tumor suppressor role of CRABP2 for the survival of MPNST cells in vitro. Targeting
CRABP2 overexpression may represent a unique approach for the treatment of human MPNSTs.