TY - JOUR A1 - Ulreich, Katharina A1 - Firnau, May-Britt A1 - Tagscherer, Nina A1 - Beyer, Sandra A1 - Ackermann, Anne A1 - Plotz, Guido A1 - Brieger, Angela T1 - High expression of casein kinase 2 alpha is responsible for enhanced phosphorylation of DNA mismatch repair protein MLH1 and increased tumor mutation rates in colorectal cancer T2 - Cancers N2 - DNA mismatch repair (MMR) deficiency plays an essential role in the development of colorectal cancer (CRC). We recently demonstrated in vitro that the serine/threonine casein kinase 2 alpha (CK2α) causes phosphorylation of the MMR protein MLH1 at position serine 477, which significantly inhibits the MMR. In the present study, CK2α-dependent MLH1 phosphorylation was analyzed in vivo. Using a cohort of 165 patients, we identified 88 CRCs showing significantly increased nuclear/cytoplasmic CK2α expression, 28 tumors with high nuclear CK2α expression and 49 cases showing a general low CK2α expression. Patients with high nuclear/cytoplasmic CK2α expression demonstrated significantly reduced 5-year survival outcome. By immunoprecipitation and Western blot analysis, we showed that high nuclear/cytoplasmic CK2α expression significantly correlates with increased MLH1 phosphorylation and enriched somatic tumor mutation rates. The CK2α mRNA levels tended to be enhanced in high nuclear/cytoplasmic and high nuclear CK2α-expressing tumors. Furthermore, we identified various SNPs in the promotor region of CK2α, which might cause differential CK2α expression. In summary, we demonstrated that high nuclear/cytoplasmic CK2α expression in CRCs correlates with enhanced MLH1 phosphorylation in vivo and seems to be causative for increased mutation rates, presumably induced by reduced MMR. These observations could provide important new therapeutic targets. KW - casein kinase 2 KW - CK2α KW - MLH1 KW - DNA mismatch repair KW - phosphorylation KW - colorectal cancer Y1 - 2022 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/81936 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-819365 SN - 2072-6694 N1 - This work was supported by the Wilhelm Sander Foundation (2015.161.2) and did not receive any funding from a commercial company. N1 - Data supporting already reported CK2α promotor SNPs are available under https://www.genecards.org, accessed on 1 January 2022. VL - 14 IS - 6, art. 1553 SP - 1 EP - 20 PB - MDPI CY - Basel ER -