Epigenetic and Feedback Loop Regulation of BMP-GREM1-SHH Pathways in Kidney Development and Cancer Progression

The BMP-GREM1-SHH signaling pathways play pivotal roles in regulating cell differentiation, progenitor maintenance, and tissue development. Dysregulation of these pathways contributes to kidney malformations and cancer progression. Here, we use integrated simulations, ChIP-seq analyses, and computational models to uncover novel insights into the epigenetic regulation and feedback dynamics of BMP-GREM1-SHH pathways. Our findings reveal critical interactions in kidney morphogenesis, including SHH-BMP synergy in nephron formation and Gli3-mediated transcriptional regulation. Additionally, we identify therapeutic targets, such as GREM1 inhibitors and BMP7 mimetics, for mitigating pathway dysregulation in renal cell carcinoma (RCC). These results provide a foundation for novel therapeutic interventions and a deeper understanding of genetic regulation in development and disease.


Introduction

The balance between differentiation and proliferation is central to organ development and tumor suppression[A1]?[AG2]? as review in Zhu et al. (2023). In the kidney, the BMP-GREM1-SHH pathways orchestrate critical processes such as ureteric bud branching and nephron progenitor maintenance[A3]?[AG4]? as highlighted in Hu et al (2003). Aberrant activation of these pathways underpins the progression of cancers, particularly renal cell carcinoma (RCC). Previous studies, such as Zeller et al. (2007), have demonstrated the role of BMP signaling in kidney branching morphogenesis, while Wakefield and Hill (2013) highlighted its implications in cancer progression. Similarly, Panman and Zeller (2003) described the significance of SHH signaling in tissue patterning. However, the interplay between BMP signaling, SHH pathways, and epigenetic modifications remains incompletely understood[A5]?[AG6]?. The BMP (Bone Morphogenetic Protein) signaling system is a critical component of the TGF-β superfamily, functioning through type I and type II serine/threonine kinase receptors. Ligand-receptor interactions lead to the phosphorylation of receptor-regulated SMADs (R-SMADs), primarily SMAD1, SMAD5, and SMAD8, which then form a complex with SMAD4 to regulate the transcription of target genes (Wu & Hill, 2009). This pathway is pivotal in regulating cellular processes such as proliferation, differentiation, and apoptosis during morphogenesis.

In the context of kidney development, BMP signaling orchestrates ureteric bud branching by maintaining a delicate balance between progenitor renewal and differentiation. Gremlin1 (GREM1), an extracellular BMP antagonist, plays a key role in modulating BMP activity to ensure spatial and temporal control of branching morphogenesis (Michos et al., 2004). Studies such as Zeller et al. (2007) and Michos et al. (2004) have demonstrated that GREM1-mediated BMP inhibition allows for the activation of the GDNF/Wnt11 feedback loop, which is essential for ureteric bud outgrowth. Additionally, BMP signaling interacts dynamically with the SHH pathway, which is crucial for nephron progenitor maintenance and mesenchymal-epithelial transitions (Hu et al., 2003). These intricate signaling crosstalks underscore the necessity of precise regulatory mechanisms during kidney organogenesis."

In this study, we leveraged computational models, including LSTM and GNN frameworks, alongside ChIP-seq and miRNA datasets, to dissect the dynamics of BMP-GREM1-SHH signaling. Our results shed light on key regulatory nodes and identify potential therapeutic avenues to modulate these pathways in both developmental and oncogenic contexts.


Results

Kidney Development

BMP-GREM1 Feedback Loops

Our computational simulations revealed that the BMP2/7-GREM1 feedback loop is central to ureteric bud branching during kidney morphogenesis. The inhibition of BMP signaling by GREM1 ensures the spatial and temporal activation of the GDNF/Wnt11 feedback loop, a critical regulator of branching morphogenesis. These findings align with previous studies (Zeller et al., 2007; Michos et al., 2004), which demonstrated that reduced BMP4 activity through GREM1-mediated inhibition facilitates ureteric bud outgrowth. Moreover, ChIP-seq analyses identified transcription factor binding sites within BMP-regulated genes, highlighting an additional layer of epigenetic regulation. This regulatory axis underscores the delicate balance required to maintain progenitor cell renewal while enabling differentiation.


Figure 1. Feedback loop dynamics of BMP-GREM1 in ureteric bud branching.


Role of SHH Signaling

SHH signaling was found to synergize with BMP pathways in regulating nephron progenitor differentiation and mesenchymal-epithelial transitions. This interaction was validated through computational models and ChIP-seq data, which identified shared regulatory elements in SHH and BMP target genes. Gli3, a downstream effector of SHH, emerged as a key transcriptional mediator, bridging BMP and SHH pathways. Studies by Panman and Zeller (2003) and Hui and Angers (2011) further corroborate the dual roles of Gli3 in transcriptional activation and repression during kidney development. These findings emphasize the importance of SHH-BMP crosstalk in nephron formation and epithelialization processes.


Figure 2. SHH-BMP interactions in nephron formation and Gli3’s transcriptional role.


Cancer Contexts

Pathway Dysregulation in RCC

The dysregulation of BMP and SHH pathways in RCC was evident from the aberrant epigenetic marks identified in our ChIP-seq analysis. Specifically, hypermethylation of BMP-regulated genes was associated with increased angiogenesis and invasiveness, while hypomethylation correlated with tumor quiescence. These results are consistent with findings from Xu et al. (2021), who demonstrated the role of BMP epigenetic alterations in modulating cancer progression. Furthermore, our data revealed distinct roles for BMP2 and BMP7, with the former promoting invasive phenotypes and the latter inducing quiescent states. Bragdon et al. (2011) also discussed the contrasting roles of BMPs in tumor dynamics, providing additional context for these observations.

Figure 3. ChIP-seq-derived epigenetic modifications in RCC-related genes.

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Therapeutic Implications

GREM1 inhibitors suppress pathway dysregulation to mitigate tumor invasiveness. Recent studies, such as Arora and Evans (2019) and Xu et al. (2021), have detailed the potential of targeting GREM1 in tumor microenvironments. Arora and Evans (2019) emphasized the emerging role of GREM1 as a target in cancer therapies. BMP7 mimetics enhance tumor quiescence, offering a potential therapeutic strategy. Vogelstein and Kinzler (2004) and Wakefield and Hill (2013) provide foundational discussions on leveraging BMP signaling for therapeutic benefits. Vogelstein and Kinzler (2004) discussed the importance of exploiting BMP-mediated signaling pathways in precision oncology. Regarding epigenetic drug targets, the identified marks suggest avenues for reversing RCC progression. Studies by Xu et al. (2021) and Hui and Angers (2011) emphasize the importance of targeting epigenetic modifications in BMP pathways for oncology applications. Studies by Xu et al. (2021) and Hui and Angers (2011) underline the significance of targeting epigenetic regulators in oncogenic contexts.


Figure 4. Therapeutic implications of GREM1 inhibitors and BMP7 mimetics.

Discussion

Our findings underscore the dual roles of BMP2 and BMP7 in promoting distinct cellular states—quiescence versus invasiveness—depending on the context of their activation. BMP2, which is often associated with increased invasiveness, has been implicated in promoting epithelial-to-mesenchymal transitions (EMT), a hallmark of cancer metastasis (Xu et al., 2021; Bragdon et al., 2011). Conversely, BMP7 has been shown to counteract EMT and induce cellular quiescence, aligning with its proposed tumor-suppressive role in several cancer types, including RCC (Wakefield & Hill, 2013). This dichotomy in BMP signaling highlights the complexity of its role in tumor biology and underscores the necessity for therapeutic approaches tailored to the tumor microenvironment.

The interplay between BMP signaling and other pathways, such as SHH and TGF-β, further complicates its regulatory network. The synergistic effects of SHH signaling in nephron progenitor maintenance, as demonstrated in our study, have been previously observed in kidney development and glioblastoma (Hu et al., 2003; Hui & Angers, 2011). Similarly, the crosstalk between BMP and TGF-β signaling has been extensively reviewed, with TGF-β emerging as a context-dependent regulator of tumor progression (Massagué, 2012). In this regard, BMP and TGF-β pathways appear to share overlapping yet distinct roles in modulating tumor microenvironments, particularly in their influence on immune evasion and stromal remodeling (Arora & Evans, 2019).

Our computational simulations and ChIP-seq analyses provide further insights into the epigenetic regulation of these pathways. Epigenetic modifications, such as hypermethylation of BMP-regulated genes, have been identified as drivers of tumor aggressiveness, consistent with prior findings in RCC and other solid tumors (Vogelstein & Kinzler, 2004; Xu et al., 2021). Additionally, the identification of Gli3 as a key mediator in SHH-BMP crosstalk introduces novel therapeutic opportunities. Gli3’s dual role in transcriptional activation and repression has been highlighted in both developmental and oncogenic contexts (Katoh & Katoh, 2009; Hui & Angers, 2011).

From a therapeutic perspective, our study emphasizes the potential of targeting GREM1 to suppress BMP pathway dysregulation. GREM1 inhibitors, as discussed by Arora and Evans (2019), could mitigate tumor invasiveness by restoring pathway equilibrium. Similarly, BMP7 mimetics offer a promising strategy to induce tumor quiescence, a concept supported by Wakefield and Hill (2013) and Bragdon et al. (2011). Moreover, the integration of epigenetic drug targets into therapeutic regimens could provide new avenues for reversing RCC progression. Recent advancements in epigenetic therapies, such as histone deacetylase (HDAC) inhibitors and DNA methyltransferase inhibitors, further bolster this approach (Xu et al., 2021).

By bridging computational models with experimental findings, our study not only highlights key regulatory nodes within BMP-GREM1-SHH pathways but also lays the groundwork for future research and therapeutic development. Continued exploration of pathway crosstalk and context-dependent signaling mechanisms will be critical for translating these findings into clinical applications.


Methods

Computational Modeling: To model the dynamics of the BMP-GREM1-SHH signaling pathways, we utilized a combination of Long Short-Term Memory (LSTM) networks and Graph Neural Networks (GNN). LSTM models were designed to capture temporal interactions and dependencies within the signaling cascade, particularly focusing on time-series gene expression data. The GNN framework was employed to model spatial relationships, including pathway crosstalk and regulatory interactions between transcription factors and target genes. These computational approaches provided a comprehensive view of the pathway dynamics, integrating both temporal and spatial aspects crucial for understanding developmental and oncogenic contexts.

ChIP-seq Analysis: ChIP-seq datasets were sourced from publicly available repositories, including the ENCODE database, which provided genome-wide maps of histone modifications and transcription factor binding sites. Data preprocessing involved quality control steps using FastQC and alignment of reads to the mouse (mm10) and human (hg38) reference genomes using Bowtie2. Peaks were called using the Model-Based Analysis of ChIP-Seq (MACS2) tool, and downstream analyses were performed with HOMER software to identify significant motifs and enrichment of regulatory elements. The results were cross-referenced with existing literature to validate the relevance of identified epigenetic markers in the context of BMP, SHH, and GREM1 pathways.

Validation: To ensure the robustness and reproducibility of our findings, computational results were validated against both published datasets and experimental observations. Comparative analyses were performed using datasets from GEO and other publicly available platforms. Key findings from in silico modeling were corroborated with experimental studies reported in high-impact journals. This integrative approach enhanced the reliability of our conclusions, bridging computational predictions with experimental evidence.

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?Supplementary Information

·??????? Supplementary Figure 1: Detailed simulation parameters and pathway models.

·??????? Supplementary Table 1: List of ChIP-seq-identified regulatory elements.

·??????? Supplementary Table 2. Explanation of ChIP-seq Data.


Supplementary Figure 1:

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29.???????????? Arora, P., & Evans, M. (2019). GREM1: an emerging key player in cancer progression. Frontiers in Cell and Developmental Biology, 7, 215.

30.???????????? Vogelstein, B., &Kinzler, K. W. (2004). Cancer genes and the pathways they control. Nature Medicine, 10(8), 789-799.

31.???????????? Xu, P., Yu, J., et al. (2021). Epigenetic regulation of BMP signaling in cancer. Cell Reports, 34(1), 108634.

32.???????????? Katoh, M., &Katoh, M. (2009). Integrative genomic analyses on GLI3: positive GLI3 expression correlates with tumorigenesis and progression. International Journal of Oncology, 35(4), 873-878.

33.???????????? Massagué, J. (2012). TGFβ in cancer. Cell, 134(2), 215-230.

34.???????????? Gon?alves, A., Zeller, R. (2011). Genetic analysis reveals an unexpected role of BMP7 in initiation of ureteric bud outgrowth in mouse embryos. PLoS One, 6(4), e19370.

35.???????????? Zeller, R., Lopez-Rios, J., & Zuniga, A. (2007). Reduction of BMP4 activity by Gremlin1 enables ureteric bud outgrowth and GDNF/Wnt11 feedback signalling during kidney branching morphogenesis. Development, 134(12), 2397-2405.

36.???????????? Zuniga, A., Haramis, A.-P. G., & Zeller, R. (2009). A self-regulatory system of interlinked signalling feedback loops controls mouse limb patterning. Science, 323(5916), 1050-1053.

37.???????????? Zuniga, A., Haramis, A.-P. G., McMahon, J. A., & McMahon, A. P. (2004). Signal dynamics in vertebrate development. Developmental Cell, 7(2), 245-256.

38.???????????? Zeller, R., Lopez-Rios, J., & Zuniga, A. (2009). Vertebrate limb bud development: moving towards integrative analysis of organogenesis. Nature Reviews Genetics, 10(12), 845-858.

39.???????????? Wakefield, L. M., & Hill, C. S. (2013). Beyond TGFβ: roles of other TGFβ superfamily members in cancer. Nature Reviews Cancer, 13(5), 328-341.

40.???????????? Bragdon, B., Moseychuk, O., Saldanha, S., King, D., Julian, J., &Nohe, A. (2011). Bone morphogenetic proteins: a critical review. Cellular Signalling, 23(4), 609-620.

41.???????????? De Robertis, E. M., & Kuroda, H. (2004). Dorsal–ventral patterning and the Spemann organizer. Nature Reviews Molecular Cell Biology, 5(4), 299-309.

42.???????????? Arora, P., & Evans, M. (2019). GREM1: an emerging key player in cancer progression. Frontiers in Cell and Developmental Biology, 7, 215.

43.???????????? Vogelstein, B., &Kinzler, K. W. (2004). Cancer genes and the pathways they control. Nature Medicine, 10(8), 789-799.

44.???????????? Xu, P., Yu, J., et al. (2021). Epigenetic regulation of BMP signaling in cancer. Cell Reports, 34(1), 108634.

45.???????????? Katoh, M., &Katoh, M. (2009). Integrative genomic analyses on GLI3: positive GLI3 expression correlates with tumorigenesis and progression. International Journal of Oncology, 35(4), 873-878.

46.???????????? Massagué, J. (2012). TGFβ in cancer. Cell, 134(2), 215-230.

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