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Ras Effector Mutant Expression Suggest a Negative Regulator Inhibits Lung Tumor Formation

Lung cancer is currently the most deadly malignancy in industrialized countries and accounts for 18% of all cancer-related deaths worldwide. Over 70% of patients with non-small cell lung cancer (NSCLC) are diagnosed at a late stage, with a 5-year survival below 10%. KRAS and the EGFR are frequently mutated in NSCLC and while targeted therapies for patients with EGFR mutations exist, oncogenic KRAS is thus far not druggable. KRAS activates multiple signalling pathways, including the PI3K/Akt pathway, the Raf-Mek-Erk pathway and the RalGDS/Ral pathway. Lung-specific expression of BrafV600E, the most prevalent BRAF mutation found in human tumors, results in Raf-Mek-Erk pathway activation and in the formation of benign adenomas that undergo widespread senescence in a Cre-activated Braf mouse model (BrafCA). However, oncogenic KRAS expression in mice induces adenocarcinomas, suggesting additional KRAS-activated pathways cooperate with sustained RAF-MEK-ERK signalling to bypass the oncogene-induced senescence proliferation arrest. To determine which KRAS effectors were responsible for tumor progression, we created four effector domain mutants (S35, G37, E38 and C40) in G12V-activated KRAS and expressed these alone or with BrafV600E in mouse lungs… The S35 and E38 mutants bind to Raf proteins but not PI3K or RalGDS; the G37 mutant binds to RalGDS and not Raf or PI3K and the C40 mutant is specific to PI3K. We designed lentiviral vectors to code for Cre recombinase along with KRAS mutants (V12, V12/S35, V12/G37, V12/E38 or V12/C40) or EGFP as a negative control.. These lentiviruses were used to infect BrafCA and wild-type mice. Surprisingly there was a significant decrease in tumor number and penetrance with each KRAS effector domain mutant relative to controls, suggesting that KRAS directly activates effectors with tumor suppressive functions.


Introduction
Lung cancer is the leading cause of cancer deaths worldwide [1] and can be categorized into two main histological subtypes: small cell lung cancer and non-small cell lung cancer (NSCLC). The latter can be further divided into three subtypes: large cell carcinoma, squamous cell carcinoma and adenocarcinoma. In never smokers, 62% of lung cancers diagnosed are of the adenocarcinoma subtype, which makes it the most frequent subtype among that group, while it accounts for 19% of smokinginduced lung cancers [2]. Over 70% of NSCLC patients present at an advanced stage of the disease and have a poor 5-year survival (7-9% survival at stage IIIb and 2% at stage IV) [3][4][5].
Multiple activating mutations in oncogenes have been found in lung adenocarcinomas, including in the following genes: EGFR (39%), KRAS (20%), ALK fusions (notably with EML4) (4%), ERBB2 (3%) and BRAF (3%), which are found to be mutually exclusive [6][7][8]. Interest in targeted therapies has been increasing in recent years after sensitivity to treatment with Erlotinib and Gefitinib, EGFR tyrosine kinase inhibitors, was correlated to the EGFR mutational status [9,10]. Recently, Crizotinib, a RTK inhibitor specific for the ALK and Met receptors [11], has been approved by the US Food and Drug Administration as a new targeted therapy against ALK-rearranged NSCLC [12,13]. Unfor-tunately, not only are NSCLC patients with KRAS mutations not responsive to targeted therapies against EGFR or ALK, KRAS mutations are also predictive of a reduced survival under conventional chemotherapy when compared to patients with EGFR mutations [14][15][16].
The RAS family of genes is composed of three members with high sequence homology: HRAS, NRAS and KRAS, of which there are two alternative splicing isoforms, KRAS 4A and 4B. In lung adenocarcinoma, KRAS is the predominant RAS gene found mutated (20%), whereas HRAS and NRAS are found mutated in other types of epithelial cancers [17]. The protein products of KRAS (KRAS 4A and KRAS 4B) are small GTPases of 21 kDa that serve as molecular switches for signal transduction from the cellular membrane, by alternating between an active, GTP-bound state and an inactive GDP-bound conformation [18,19]. Oncogenic KRAS mutations in humans almost exclusively alter codons 12 (85% of RAS mutations), 13 (14%) or 61 (1.5%) [7] and disrupt the catalytic activity of KRAS, leaving RAS in a permanent active, GTP-bound ''active'' state [20,21]. GTP-bound RAS proteins adopt a conformation that exposes two regions named switch I (residues 32-40, also known as the effector domain), and the switch II region (residues 60-76) [22]. The switch I and II regions allow Ras to activate downstream signalling by recruiting Ras effector proteins to the plasma membrane. These Ras effector proteins interact with Ras through one of three types of Ras binding domains (RBD). The first type is found on the phosphatidylinositol 3-kinase (PI3K) p110 subunits (a, b, c or d) [23,24]. The second interaction domain is a Raf-type RBD that is found in Raf proteins and also in Tiam1 [25]. The third type of RBD is the RA domain (RalGDS/AF-6 or Ras-association domain), found in RalGDFs (Ral-guanine nucleotide dissociation stimulators also known as RalGEFs, Ral-guanine exchange factors) [26,27]. It is widely held that this interaction with effector proteins and/or membrane proximity can alter catalytic activity and/or substrate partner availability thereby facilitating signal transduction. There is a series of RAS effector domain mutants (RAS ED mutants), which allow for the differential activation of downstream signalling pathways [24,28]. For instance, expression of point activated HRAS V12 bearing an S35 or E38 mutation preferentially interacts with and activates Raf proteins with minimal recruitment of PI3K and RalGDS members [24,28]. In a similar fashion C40 RAS ED mutants preferentially activate the PI3K pathway and G37 RAS ED mutants induce predominantly activate Ral-GDS. The KRAS effector domain mutants have an abrogated binding to certain effectors (S35 and E38 bind to Raf proteins but not RalGDS or PI3K; G37 binds to RalGDS but not Raf or PI3K; C40 binds to PI3K but not Raf and RalGDS) [28][29][30] That stated, there are a number of other proteins that interact with RAS's effector domain in a GTP-dependent manner, which are thus potential Ras effector proteins [23]. The binding of these proteins to different RAS ED mutants has been assessed allowing the use of RAS ED mutants to probe RAS signalling further [23].
A number of mouse models exist to explore the role RAS plays in tumor initiation and progression [31,32]. Two genetically engineered mouse (GEM) models have been developed to express physiological levels of KRas G12 mutants following Cre-mediated recombination: KRas LSL mice, where recombination leads to KRas G12D expression [33] and KRas V12-IRES-bGeo mice, which express KRas G12V following Cre expression [34]. Lung specific [33] or systemic activation [34] of these alleles leads to the formation of atypical adenomatous hyperplasia and epithelial hyperplasia of the bronchioles as early as 2 weeks post-infection. These lesions progress to adenomas and eventually to adenocarcinomas [33,34]. To determine whether Ras-Raf-Mek-Erk signalling was sufficient to initiate this cancer phenotype, the Braf locus was engineered to express constitutively active Braf V600E protein at physiological levels following Cre-mediated recombination in Braf CA mice [35]. Lung-specific Braf V600E expression causes the formation of atypical adenomatous hyperplasia and multiple tumors with an adenomatous morphology. At the earlier stages, these tumors are phenotypically similar to those observed with the KRas LSL mice [33,35]. Tumors that develop in both models stain positive for the type II pneumocyte antigen, SP-C, and are negative for the Clara cell marker, CC10. While many of the KRas G12V -driven lung tumors remain adenomas due to a stable proliferative arrest (i.e.: oncogene-induced senescence) [36], adenocarcinomas appear as early as 16 weeks post-induction. Strikingly Braf V600E lung adenoma progression to adenocarcinomas is a very rare event and has not been observed before 40 weeks post-Braf V600E expression. Much like Kras-induced adenomas [36], these Braf V600E lung adenomas appear to be senescent [35]. Together this suggests that while sustained RAF-MEK-ERK MAPK pathway plays a role as an initiator of disease [35,37,38], additional RAS effector proteins mediate a signal required for lung adenoma progression.
We sought to use genetic complementation in mouse lungs to determine whether an additional Kras effector protein(s) could cooperate with constitutive MAPK pathway activation to bypass oncogene-induced senescence (OIS) and permit tumor progression. Specifically we expressed different G12V-activated KRAS  effector domain mutants (KRAS V12 , KRAS V12/S35 , KRAS V12/  G37 , KRAS V12/E38 or KRAS V12/C40 ) [23,24,[28][29][30] alone or in conjunction with induction of Braf V600E expression in Braf CA mice and assessed tumor formation and pathology. To do this we designed a Gateway-compatible lentiviral vector (gLEX-iCL) to express a cDNA (here either EGFP or KRAS mutants) along with bicistronic expression of the Cre recombinase (here to permit Braf V600E expression). These lentiviruses were used to infect the lungs of wild-type and Braf CA/+ mice to assess how each effector domain mutant of KRAS cooperates with sustained MAPK pathway activation. Tumor size was significantly elevated in Braf V600E lesions expressing either KRAS V12 or KRAS V12/C40 , suggesting co-activation of the PI3K pathway cooperate to increase tumor growth. Surprisingly we found that, expression of each activated KRAS ED lead to a substantial decrease in Braf V600E induced tumors relative to the EGFP control suggesting the existence of a KRAS activated negative regulator of tumorigenesis.

Development and titration of lentiviral expression vectors
To efficiently co-express activated KRAS, KRAS ED and EGFP along with Cre recombinase we engineered a bicistronic lentiviral vector, gLEX-iCL ( Figure 1). This second-generation lentiviral vector contains a Gateway selection cassette to facilitate the cloning of cDNAs upstream of an internal ribosome entry sequence (ires), which allows for the translation of the downstream Cre recombinase and luciferase. The latter proteins are encoded as one open reading frame and are separated by a Thosea asigna virusderived 2A peptide allowing for ''translational cleavage'' [39,40] between the Cre and luciferase proteins [41]. Lentiviral expression vectors containing the KRAS effector domain mutants or EGFP as a control were produced via Gateway recombination. The selective activity of the KRAS effector domain mutants and the Cre recombinase activity were confirmed in vitro (supplemental data, Figure S1, S2, S3).
Lentiviruses, to be used as vectors, are often titered using clonogenic assays for drug resistance markers, flow cytometric analysis for fluorescent protein markers or with immune-based assays for viral or encoded proteins engineered into the virus. The LEX-iCL viruses encoding KRAS derivatives lack a selectable marker to determine their titre directly, thus an alternate method of lentivirus titration was needed, which would be applicable to all lentiviruses used for mouse infections. As such, we used reverse transcription quantitative PCR (RT-qPCR) to measure the amount of lentiviral vector genomic RNA in different virus productions. To this end we initially focused our efforts on LEX-EGFP-iCL, where we could correlate the number of RNA molecules with the number of infectious units as determined by flow cytometric analysis for EGFP in this vector. The primers used for the RT-qPCR analysis are specific for the Woodchuck Hepatitis Virus Posttranscriptional Regulatory Element (WPRE) region. This element is commonly used in lentiviral vectors to enhance expression, thus rendering the RT-qPCR titration method applicable to any lentivirus containing this WPRE region [42,43]. Unconcentrated lentiviral supernatants were divided into 2 aliquots. RNA was extracted from one viral aliquot and the number of virion RNA molecules was determined by RT-qPCR. The titre of lentivirus from the other aliquot was determined by infecting HEK 293T cells and subsequently determining the number of EGFP-positive cells using fluorescence-activated cell sorting (FACS). The number of virion RNA molecules was strongly correlated (r 2 = 0.972) to the percentage of EGFP-positive cells for the five different undiluted lentiviruses of varying sizes ( Figure 2A). These findings are consistent with others [42,43] and demonstrate that RT-qPCR of RNA isolated from lentiviral supernatant can be used as a surrogate to measure viral titre.
We additionally determined the feasibility of this approach to quantify concentrated virus. Specifically we generated seven independent lentiviruses preparations of LEX-EGFP-iCL (EGFP-iCL) and using serial dilutions of these concentrated viruses we determined titre with FACS relative to number of RNA molecules following the same qRT-PCR approach. Despite ultracentrifugation and concentration of the virus by over 200fold we obtained similar results (supplemental data, Figure S4). Hence, the titre of all lentiviruses produced in the same manner can be determined by measuring the number of RNA molecules through RT-qPCR. We noted that the absolute slope of this line was affected by alterations to the protocol used for the production and concentration of lentiviruses. Specifically during the optimization of large-scale virus production and concentration we noted that multiple factors may modify the ratio of infectious to defective virion particles (e.g. virus collection time, pH of media)(data not shown). As such, all large-scale lentiviral production followed the specific protocol described in materials and methods.

Lentiviral transduction to initiate Braf V600E expression
To determine whether lentiviruses containing Cre recombinase could be administered efficiently to the lungs of mice, we use intranasal administration of LEX-EGFP-iCL, a virus that encodes both EGFP and Cre recombinase. Braf CA/+ or their wild type littermates were infected with 10 8 infectious units (IU) of LEX-EGFP-iCL. The mice were pretreated with sodium caprate prior to the intranasal instillation of the virus to increase infection efficiency as this has been shown to increase the viral transduction through disruption of the tight junctions [44]. Using this method and 10 8 IUs of LEX-EGFP-iCL virus, we observed tumors formed in each mouse with an average of 33 tumors/per mouse when assessed at 16 weeks post-infection ( Table 1). The tumors initiated with lentiviral Cre in Braf CA mice had a papillary adenomatous phenotype indistinguishable from those formed with Adenovirus Cre [35]. These adenomas stain positive for the type II pneumocyte marker surfactant protein C (SP-C) and negative for the Clara cell antigen 10 ( [35] and supplemental data, Figure  S5). Moreover, we did not detect tumors in any of the wild-type mice infected with LEX-EGFP-iCL (n = 8) demonstrating that lentiviral integration and Cre recombinase activity do not themselves initiate tumor formation.
Using the same viral dose we then infected Braf CA/+ and wild type littermate mice with lentiviruses additionally encoding KRAS V12 or the activated effector domain mutant KRAS S35 , KRAS G37 , KRAS E38 , KRAS C40 by intranasal instillation. Surprisingly, while each mouse infected with LEX-iCL virus expressing KRas V12 developed tumors by 16 weeks postinfection, there was a 15-fold reduction in tumor number relative to Braf Ca activation alone (Table 1). Additionally, a large variance in tumor formation in LEX-EGFP-iCL mice was apparent with tumor number ranging from 1 to 79 tumors per animal. We believe that this variation, in part, is due to the intranasal administration of sodium caprate. Caprate at these concentrations is viscous and this pretreatment appeared to render breathing while under sedation more difficult. This irregular breathing made the subsequent administration of the virus variable. Moreover, the large variation and relatively low number of tumors formed with intranasal lentivirus administration led us to explore other means of administering virus. We then compared intranasal versus direct intratracheal administration of dye and found that a much higher proportion of dye enters the lungs when infection intratracheally (not shown). We thus chose to conduct subsequent experiments with intratracheal virus administration.
Intratracheal administration of 10 8 IUs of LEX-EGFP-iCL was sufficient to initiate over 1000 tumors in Braf CA mice as early at the 8-and 16-week time points. In this instance caprate pretreatment caused a transient reduction in breathing rate, which returned to normal prior to lentivirus administration (see methods). Additionally, there was a decreased variability in tumor number by this method. Again the lung sections of Braf CA/+ mice receiving EGFP- pLEX-EGFP-iCL, 2. pLEX-EGFP-iPuro, 3 pLEG-EGFP-iCL-shRNA(p53), 4. pLEG-EGFP-iPuro, 5. pLEG-EGFP-iPuro-shRNA(p53), all coding for the EGFP protein, and the FACS analysis of 293T cells for EGFP-positive cells that were infected with those same viruses. B) 2610 5 293T cells were infected with 1/10 and 1/100 dilutions of previously concentrated virus (left, 1/10 dilution) or no virus (middle). Right: quantitative PCR analysis after RNA extraction and reverse transcription of the 1/10 and 1/100 dilutions of the EGFP-iCL virus. Blue curves: standard DNA ranging from 10 fg/ml to 10 ng/ml in 10-fold increments; red curve: 1/10 dilution of EGFP-iCL; green curve: 1/100 dilution. C) Correlation between the number of infectious particles (y axis) and the number of cDNA molecules obtained after viral RNA extraction, reverse transcription and qPCR (x axis). Squares and circles represent different LEX-EGFP-iCL viral preparations and each IU/ml value was obtained by infecting 293T cells with two different volumes of virus. doi:10.1371/journal.pone.0084745.g002 iCL virus contained many well-differentiated adenomas per section ( Figure 3). Using EGFP-iCL or similar vectors we reproducibly obtained 1000 lung adenomas in each mouse ( Table 2 and not shown).

Expression of KRAS ED inhibits Braf V600E -driven tumor initiation
Having determined that we could routinely infect Braf CA/+ mice and obtain a large number of tumors, we infected Braf CA/+ mice  with LEX-KRAS V12 -iCL. KRAS V12 coexpression resulted in a large decrease in tumor number relative to the control EGFP-iCL virus both at high (10 8 IU, Table 1) and lower viral titres (10 7 IU,  supplementary Table S1). Histological analysis of the tumors (n = 24) induced in each of these conditions revealed that all KRAS V12 -induced tumors possessed a papillary adenoma phenotype ( Figure 3). Surprisingly, there was a lack of adenocarcinoma in Braf CA/+ mice induced with lentiviruses expressing KRAS V12 and Cre. Presumably the lack of adenocarcinomas is reflective of a low tumor number. Indeed, in Kras LSL mice expressing KRas G12D only a fraction of tumors progress to adenocarcinoma [45]. To determine the effects of KRAS V12 on its own, we infected wild type littermate control mice with lentiviruses at high titre (10 8 IU) using the tracheal intubation method. We observed a reduced penetrance (2 of 5 mice developed tumors) and these mice developed only 2 and 4 tumors per mice.
To determine if any of the effector mutants genetically cooperate with Braf V600E to induce adenocarcinoma formation, we used intratracheal administration of lentiviruses to express each of the KRAS ED mutants. In each case KRAS ED expression inhibited tumor formation from concomitant activation of the Braf CA allele relative to the LEX-EGFP-iCL control virus.  (Table 1). These last two mutants both activate the BRAF-MEK-ERK pathway but not the RalGDS or PI3K/Akt pathways.
We sought to determine if other tumor parameters were altered by the expression of different Ras effector mutants. We assessed the median size of the tumors and the distribution of tumor sizes were compared using a two-tailed Mann-Whitney U test between the LEX-EGFP-iCL negative control and the five conditions where KRAS is present (Figure 4). We found that tumors expressing Braf V600E and either KRAS V12 or KRAS V12/C40 were significantly larger than those expressing Braf V600E alone or Braf V600E and the other KRAS ED mutants. We additionally assessed proliferation rates of these tumors by immunohistochemical staining for Ki67 (supplemental figure S6). The size and proliferative status of each adenoma were plotted and are shown in Figure 5. A general trend was observed where smaller tumors had a high proliferation rate corresponding to the tumor initiation stage, whereas larger tumors had a lower proliferation rate. As expected, the presence of KRAS V12 expression resulted in larger tumors relative to the mice receiving LEX-EGFP-iCL (p = 0.0008). The tumors arising from the KRAS S35 -iCL virus were bigger than in the LEX-EGFP-iCL condition (p = 0.0245), yet the median tumor size for KRAS S35 tumors was less than two times that of those obtained with control LEX-EGFP-iCL virus, indicating there wasn't a strong effect on proliferation induced by that mutant. The KRAS G37 mutant did not lead to a statistically significant increase in tumor size compared to those seen with EGFP-iCL. Surprisingly, expression of KRAS E38 , which selectively activates the MAPK pathway, in the Braf CA/+ mice led to smaller tumors than with Braf V600E expression alone (i.e., with LEX-EGFP-iCL infection). This is in contrast with the KRAS S35 mutant, which is also activates the MAPK pathway, suggesting an excess of MAPK signalling can lead to either more proliferation or a more abrupt OIS response. The difference in phenotype between the KRAS S35 and KRAS E38 mutants could be caused by other effectors that they selectively bind to, which could shift the balance either way. Expression of Braf V600E along with KRAS C40 , which selectively activates the PI3K/AKT pathway, mimicked the expression of KRAS V12 . Here the median tumors size caused by the LEXKRAS C40 -iCL virus was more than 3 times larger than with LEX-EGFP -iCL (p,0.0001), although there were fewer tumors (Figure 4).

Discussion
Here we describe a genetic strategy to concomitantly activate the MAPK pathway through Cre-dependent expression of Braf V600E along with subgroups of KRAS effectors by simultaneously expressing KRAS V12 effector domain mutants. Lentiviruses encoding EGFP and Cre recombinase efficiently induced lung adenomas similar to those observed with adenovirus activation of the Braf CA allele. Co-expression of Braf V600E and activated KRAS significantly reduced tumor formation, with this very low tumor burden precluding our ability to observe progression to the adenocarcinoma stage as would be predicted. It is possible that the elevated expression of KRAS V12 coupled with Braf V600E induces senescence at an early stage in tumor development precluding detection.
Sustained elevated Ras-Raf-MEK signalling in human fibroblasts leads to a senescence response with the induction p16INK4A and p21 expression [46][47][48][49]. There is ample evidence to support the notion of oncogene and stress induced senescence both in mouse models and in human tumors [50]. For example, in a KRas V12 -driven model of lung cancer, the majority of tumors that form are adenomas that express senescent markers along with a low proliferative index. In these mice when adenocarcinomas are observed, they lack these markers [36,49]. Constitutively active BRAF V600E expression in melanocytes gives rise to nevi (more commonly known as moles), which are benign lesions that typically display hallmarks of senescence. In humans these lesions often remain dormant for decades but can progress to malignant melanoma [51][52][53]. This ability of Raf proteins to induce a growth arrest in vitro and in vivo is dependent on their expression levels, where lower expression levels can induce proliferation and high levels leads to rapid cell cycle arrest [46,54] [54]. The correlation between OIS and expression level can additionally be inferred from studying human Spitz nevi, melanocytic lesions, which possess amplification of an activated HRAS allele (most commonly a G12V allele). These lesions have elevated HRAS yet rarely progress to full malignancy [55]. Taken together these data demonstrate that elevated levels of Ras/Raf signalling are linked to senescence induction.
Recent studies have demonstrated an approximately 10-fold higher tumor burden with Braf V600E expression in mouse lung compared to Kras G12D , while adenocarcinoma formation was exclusively observed with Kras G12D but not Braf V600E expression [56,57]. This suggests one or more of the following may be true: that Braf V600E is less efficient at inducing senescence than is Kras G12D , that Braf V600E is a more efficient tumor initiator, or that there are fewer cells infected by adenovirus Cre that express Kras when compared to those expressing Braf. Here we have forced KRAS V12 expression thus it is likely that the reduced tumor number observed is a consequence of increased engagement of senescence.

KRAS effector domain mutants
Of the four KRAS effector domain mutants, KRAS V12/C40 produced the largest increase in tumor size in Braf CA/+ mice, relative to Braf V600E expression alone. The C40 mutant is the only mutant capable of interacting with the p110 subunit of PI3K [23]. It additionally interacts with Tiam1, RASSF4 and RIN3, as do the S35, G37 and E38 mutants [23,25]. As the PI3K pathway activation is specific to the C40 mutant, it suggests that this pathway cooperates with constitutive MAPK signalling to increase tumor growth. Of the PI3K genes, only p110a and p110c are activated by Kras, whereas p110d is activated by Rras and TC21. The p110 b isoform activation appears to occur independently of the Ras superfamily of GTPases [23]. The PIK3CA gene, coding for the p110a subunit of PI3K, is mutated in 2% of lung adenocarcinomas [7], which suggests that this isoform might be a key interactor of KRAS V12/C40 that promoted tumor growth. It will be of interest to formally test the cooperation between activated alleles of PIK3CA and Braf using a newly engineered PIK3CA GEM [58].
Both the S35 and E38 KRAS ED mutants activate MAPK signalling while failing to interact with RalGDS or PI3K yet differences in the phenotypes were observed. Expression of the KRAS V12/S35 or KRAS V12/E38 mutants permitted the formation of more tumors than the KRAS V12 , KRAS V12/G37 and KRAS V11/ C40 mutants when coexpressed with Braf V600E , yet far fewer than with Braf V600E expression alone. The combined expression of Braf V600E and KRAS V12/E38 resulted in smaller tumors than Braf V600E expression alone. In fibroblasts, the levels of activity of Raf-1 determine whether cells enter a proliferative state or a growth state [46]. Moreover the different Raf proteins (Araf, Braf, and Raf-1) display different kinase activities and the levels of induction of a growth arrest correlates with these levels [46]. It is not known if KRAS V12/S35 or KRAS V12/E38 display different affinities for the three Raf proteins. If so, it can be hypothesized that this differential affinity could results in a premature or delayed senescence response. Another possibility comes from previous protein pull-down experiments, in which the E38 mutant seems to have a greater affinity for RIN and RASSF1 compared to the S35 mutant [23]. RASSF1 is a tumor suppressor that is often silenced in NSCLC [59]. Also, two studies have shown that the S35 mutant, and not E38, is able to bind weakly to RalGDS and RGL, another Ral GEF, although it is still unclear if this is sufficient to cause a physiologically relevant increase in Ral signalling [23,24]. All of the above suggests that, even though S35 and E38 mutants of KRAS have been used in multiple studies as specific activators of MAPK signalling, they may not have the same functional properties and thus should not be considered as genetic equivalents.
Our data makes it difficult to conclude if RalGDS signalling has a positive effect on NSCLC progression. KRAS V12/G37 interacts with more RA domain-containing proteins (including RIN, RIN2, Nore1, RASSF1, RGL, RGL2) than any other effector mutant. Also, as the RASSF family of tumor suppressor proteins all possess an RA domain, it is possible that the G37 mutant, by having a higher affinity for the RA domain than the S35, E38 and C40 mutants, activated a RASSF-dependent tumor suppressive response that counteracted oncogenic Ral signalling [23,60].

Oncogene-induced senescence blocking tumor initiation
Our results indicate that lentiviral driven KRAS V12 expression concomitant with Braf V600E expression reduces tumor number by over 100-fold compared to Braf V600E expression alone. The most straightforward explanation would be that increased signalling output from KRAS V12 lead cells into an oncogene-induced senescence (OIS) response. This notion becomes difficult to reconcile with the observations that decreased tumor formation occurred when each of the KRAS ED mutants were coexpressed along with the Braf V600E . There is the possibility that the activation of single pathways downstream of KRAS with each effector domain mutant expressed is sufficient to induce OIS. However, this model would fail to explain why the KRAS V12/S35 or KRAS V12/E38 mutants, which activate the RAF-MEK-ERK MAPK pathway, fail to produce tumors when expressed alone in wild-type mice but do give rise to tumors when expressed concomitantly with an activated Braf V600E allele. This would be predicted to further increase the MAPK oncogenic signalling output and to elicit a stronger OIS response. None of the KRAS effector domain mutants were capable of causing tumor formation on their own, and KRAS V12 expression led to tumor formation in only two wild-type mice out of eight. It is thus improbable that increased downstream oncogenic signalling is the only cause of the abrogation of tumor formation and suggests an additional mechanism to explain this tumor suppression exists.

Direct activation of a negative regulator by KRAS
The RASSF family of proteins are direct Ras effectors that act as tumor suppressors and can antagonize the antiapoptotic and pro-proliferative effects of Ras. They are frequently found transcriptionally silenced early in the development of various cancers [60]. There are 10 members of the RASSF family proteins in mammals. RASSF1-6 possess a C-terminal Ras association (RA) domain, whereas RASSF7-10 possess an N-terminal RA domain [60,61]. RASSF1-6 proteins also share a Sav-RASSF-Hpo (SARAH) domain, which interacts with the proapoptotic MST1/2 kinases [60]. There are several lines of evidence that points to a role of RASSF proteins mediating negative signal downstream of Ras.
Drosophila possesses a single RASSF ortholog, dRASSF, which shares a C-terminal RA domain and a SARAH domain like its mammalian RASSF1-6 counterparts. Through the SARAH domain Drosophila dRASSF physically interacts with Hippo (Hpo), which is homologous to mammalian MST1/2. Hpo is a central protein kinase of the Salvador/Warts/Hippo pathway controlling organ size in animals through regulation of cell proliferation and apoptosis [62]. Hpo and MST1/2 kinases are negative regulators of the Drosophila Yorkie or mammalian YAP/ TAZ proteins respectively, which function to activate transcription of anti-apoptotic and pro-proliferative genes. Hpo loss in Drosophila results in tissue overgrowth [62], which phenocopies elevated Yorkie expression [62,63]. Similarly, mouse Mst1/2 deficiency in the liver results in the loss of inhibition of Yap1, massive liver overgrowth and hepatocellular carcinoma formation [64]. Although biochemical evidence in Drosophila points to an inactivation of the Hpo kinase by dRASSF, concomitant loss of Hpo and dRASSF enhances the tissue overgrowth phenotype observed with Hpo loss alone, suggesting a tumor suppressor function for dRASSF that is independent of its interaction with Hpo [65]. Moreover loss of Ras1 in Drosophila reduces cell growth and increases apoptosis [65,66], while ommatidia-specific loss of function dRASSF alleles rescue the growth defects observed with mutant Ras1 alone by increasing proliferation and decreasing apoptosis [65]. Together, this suggests that dRASSF is a genetic antagonist of Ras signalling in Drosophila.
In humans, RASSF1, RASSF3, RASSF4 and RASSF5 each are implicated in mediating a negative signal to repress proliferation and/or survival. Of these, RASSF1A has received the most attention. Its promoter is found methylated and inactivated in a variety of cancers and in particular in 33% of NSCLC. This is associated with poor overall relapse-free survival. Moreover, RASSF1A has the properties of a tumor suppressor gene [59,67]. RASSF1A-specific knockout mice, while fully viable and fertile, display increased spontaneous-and carcinogen-induced tumor susceptibilities, particularly in the lung [68,69]. Moreover, Raf1 inhibits MST2 activity thus preventing apoptosis [70]. Expression of RASSF1A can disrupt MST2-Raf1 association thereby relieving this Mst2 inhibition and inducing apoptosis [71]. Additionally RASSF4 is located in a region with frequent LOHs observed in prostate cancer [72] and it is mutated in lung and breast cancers [73]. When tethered to the plasma membrane via a CAAX membrane localization sequence, RASSF4 induces apoptosis [73]. RASSF3 is a Ras-dependent proapoptotic protein [74] that is frequently found transcriptionally silenced in many cancers including in 24% of NSCLC [67,75,76] and has been identified in a screen for genes that suppress MMTV-Neu-driven breast cancer [77]. Finally, RASSF3 can bind MST1/2 via its SARAH domain [74], which is also used by other RASSF proteins (RASSF1A, RASSF2, RASSF5) to induce apoptosis [78,79]. Taken together these data suggest that at least four RASSF family members can function as negative regulators of tumorigenesis.
While the methylation and mutational status the other RASSF family members is as yet unknown it is interesting to note that RASSF7, RASSF8 and RASSF10 genes are in close proximity with the HRAS, KRAS and RRAS loci respectively, suggesting a potential common evolution with Ras GTPases [61]. It should be noted that while binding to KRAS ED mutants has not been evaluated for all the RASSSF members, RASSF4 binds all the KRAS ED Mutants (S35, G37, E38, C40) [23]. If other RASSF proteins display similar binding this could provide an explanation for the decreased tumor reduction phenotype observed in each condition where KRAS V12 alleles is present. Taken with the above data, one can speculate that the decrease tumor formation we see with each KRAS ED mutant could be due to recruitment of one or more RASSF-members to the activated KRAS alleles. Perhaps this was a consequence of the levels of KRAS ED mutant expression obtained from lentiviral expression.
Further studies can be done to test this notion. A cleverly conceived transgenic mouse (called RasE Multi-Hit) has been recently developed to study which pathways may cooperate to induce HRAS-driven cancer [80]. This allele codes for three effector domain mutants (HRAS V12/S35 , HRAS V12/G37 , HRAS V12/C40 ) each of which may be expressed at physiological levels upon Cre mediated recombination in a stochastic manner [80]. This approach allows for the expression of one, two or three HRAS V12-ED mutants. The majority of lung tumors formed after Cre activation expressed all three alleles thus simultaneously activating the MAPK, PI3K and RalGDS pathways. Interestingly, no tumors were found coexpressing the HRas V12/G37 and HRas V12/C40 in the absence of HRas V12/S35 , even though individually the G37 and C40 alleles were found in 0.6% and 6% of the tumors formed respectively. This is another indication supporting the hypothesis that the sum of the signalling pathways activated by Ras leads to a direct increase in both pro-proliferative and tumor suppressive functions.

Ethics Statement
Administration of lentiviral vectors and subsequent euthanasia was performed under 2,2,2 Tribromoethanol anaesthesia. All efforts were made to minimize suffering throughout the course of these studies.

Cloning and mutagenesis
Human KRAS 4B cDNA was PCR amplified from a cDNA provided by Pablo Rodriguez-Viciana (University College of London) using forward primer 59-CACCGGATCCACCAT-GACTGAATATAAACTTGTGG and reverse primer 59-CTCGAGAGATCTCAATTGTTACATAATTACACACTTTG-TCTTTG with the Phusion polymerase (Thermo scientific), as per the manufacturer's instructions. The PCR product was cloned into pENTR/D-TOPO (Invitrogen) following manufactures instructions.

Cell Culture
Cell Culture. HEK 293T and derivatives were cultured in DMEM (Wisent) containing 10% FBS, 1% penicillin/streptomycin (Wisent) and 1% v/v 1M HEPES solution at 37uC with 5% CO2. Cells were trypsinized and split 1:10 into fresh plates at regular intervals to prevent them from reaching confluence. L9.2 cells are a Cre reporter cell line made by transfecting CALNL-dsRed (described in [81]) into 293 cells and selecting for stable integration of this plasmid via G418 selection. G418-resistant cells were plated at clonal density and individual clones were isolated and tested for Cre-dependent dsRed expression. The cell line L9.2 was derived by cloning the line two successive times (not shown). Cells were infected with equal amounts of virus with 4 mg/ml of polybrene and imaged 72 hours post-infection to detect dsRed expression resulting from Cre recombination.

Lentivirus Production and Quantification
Lentivirus Production and Purification. Lentivirus was produced in HEK 293T cells by co-transfection using a Polyethyleneimine (P.E.I.) solution at a 2.65:1 ratio (P.E.I. mass:DNA mass). Specifically ten 175 cm 2 tissue culture-treated vented flasks were seeded with 8610 6 HEK 293T cells and were transfected the following day with psPAX2 packaging plasmid (11.7 mg), pMD2.G envelope plasmid containing VSV-G (6.3 mg), the recombinant lentiviral plasmid (18 mg) and 95.9 ug P.E.I. per plate as described [82]. 16 hours post-transfection the media was changed to 20 ml DMEM containing 10% FBS, 1% Penn/Strep and 50 mM HEPES pH 7.3. 24 hr later the supernatant was collected, filtered through 0.22 mm bottle-top filter (Millipore) and concentrated by ultracentrifugation through a 20% sucrose cushion for 2 hr at 4uC using a Beckman Coulter SW32 Ti rotor at 29,500 RPM (82,0006g) [83]. Lentiviral pellets were resuspended in 600 ul 16PBS at 4uC for two hours with occasional gentle vortexing. Concentrated virus was aliquoted and immediately stored at 280uC.
Lentivirus titration -Flow Cytometry. Flow cytometry was used to titre the EGFP-iCL virus and the infectious titre obtained was correlated with the RT-qPCR data obtained from the same viral preparations. 6-well dishes were seeded with 1610 5 293T cells per well. The following day, cells were infected with 10 or 100 ml of 1:10 and 1:100 dilutions of the virus in individual wells in the presence 4 mg/ml of polybrene. The following day, the medium was changed and the proportion of EGFP-positive cells was determined by standard flow cytometry analysis 72 hours post-infection using a Becton Dickinson FACScan with the 530/ 30 filter. The infectious titre of each virus dilution could be calculated as (titre = %EGFP+ cells6number of infected cells6dilution factor)/(volume of virus tested).
Lentivirus titration -RT-qPCR. RNA was extracted from 1:10 and 1:100 dilutions of viruses using an RNeasy kit (QIAGEN) according to the manufacturer's instructions. Potential DNA carryover was removed with a 15 minute treatment with DNAseI (Invitrogen). cDNA was generated using the GoScript Reverse Transcription kit (Promega) according to the manufacturer's instructions, except for the use of a specific oligonucleotide (59-GCAGAATCCAGGTGGCAACA) to prime cDNA synthesis to replace poly d(T) or random primers.

Lentiviral infections of mouse lungs
Strains and genotyping. The BrafCA mouse strain, described previously [35], was backcrossed 7 times in a C57BL/6 background. Matings were set up as to obtain both BrafCA/+ and wild-type mice in a 1:1 ratio for the different experiments. Genomic DNA for PCR was extracted as described [84] and the Braf CA allele was identified by PCR as described [35].
Anaesthetic preparation. A 1 g/ml solution of Avertin (2,2,2-tribromoethanol, Sigma) was made in 2-methyl-2-butanol. This solution was then diluted to 25 mg/ml with a sterile solution of 1 mM Tris-HCl pH 7.4, 250 uM EDTA and 137 mM NaCl and subsequently 0.22 mm filtered prior to use. While use of isoflorane would be preferred we were unable to obtain sufficient anaesthesia to routinely administer lentiviruses.
Mouse lung infections. The mice used for the lung infections were all female FVB/NJ mice. Mice were anesthetized by intraperitoneal injection of Avertin at a dose corresponding to 0.3 mg of Avertin per gram of mouse weight. 25 ml of 40 mM sodium caprate (Sigma) in 16PBS was administered either by intranasal instillation or by using an I.V. catheter (Becton Dickinson, cat. #381223), followed by 62.5 ml of lentivirus (2610 7 -10 8 IU [intranasal]; 10 8 IU [tracheal intubation]) ten minutes later. During the procedure and up until recovery, the mice were kept on a 37uC pad to prevent hypothermia. Mice were euthanized at 18 to 19 weeks post-infection to harvest the lungs for analysis.

Histology analysis
Tissue processing. Lungs were perfused with 16PBS, fixed at 4uC in zinc formalin (Sigma) for 24 hours and subsequently embedded in paraffin. The paraffin blocks were cut in 5 mm sections by step-sectioning at 200 mm intervals.
Histopathological analysis. Lung sections were stained using a standard haematoxylin & eosin (H&E) staining protocol. For the KI67 immunohistochemistry, antigen retrieval step was performed by pressure-cooking the slides in 10 mM sodium citrate, pH 6.0 for 10 minutes. Slides were blocked with a 2% BSA/16PBS, incubated overnight with the primary antibody (Abcam #ab15580) at 1:1000 dilution and then washed once in 16PBS and twice in PBST (16PBS with 0.05% Tween-20). Endogenous peroxidises were blocked with a 20 minute incubation in 3% H2O2. Slides were washed once with distilled H2O, twice in 16PBS for and then blocked with 2% BSA/16PBS for 1 hr. Sections were incubated for 45 minutes at room temperature with a biotin-conjugated donkey anti-rabbit secondary antibody (Jackson ImmunoResearch #711-065-152) diluted to 1:500 in the 2% BSA/16PBS solution. The slides were then washed in distilled H2O and then twice with TBST prior to the application of the biotin-streptavidin ABC complex complex (Vectastain #PK-4000) according to the manufacturer's instructions. The slides were washed three times in PBS and the staining was revealed using DAB (Invitrogen #750118). The slides were thereafter counterstained with haematoxylin as described [35].
Slides stained with H&E and Ki67 were scanned using an Aperio Scanscope AT. Individual slides were analyzed using the Aperio ImageScope software, in which each tumor was circumscribed to obtain the section area (mm 2 ) and the percentage of Ki67-positive cells was obtained using the IHC Nuclear Algorithm. Figure S1 Infection of 293T L9.2 Cre reporter cells that express dsRed upon Cre expression. In each condition, 2.5610 5 cells were infected with 6.9610 6 IU the same viruses that were used to infect mice.  Figure S4 Determining titre of concentrate lentivirus. A) Schematic representation of pLEX-eGFP-ires Cre(2a)Luc (pLEX-eGFP-iCL), a gLEXiCL-derived that expresses eGFP transcriptionally upstream of the Cre(2a)Luc fusion. Indicated is the location of the PCR primers used to quantify lentiviral RNAderived molecules. B) Seven independent LEX-eGFP-iCL lentiviral preparations were generated and were concentrated, with a small aliquot of preps 1-5 being frozen directly. These viral preps were split, diluted and used to infect 293T cells or to isolate RNA for RT PCR analysis. The graph represents correlation between infectious units, as judged by GFP positivity with FACS analysis, and RNA molecules, by RT PCR. Asterisks indicate the values obtained for undiluted virus and are color-coded with the corresponding prep the figure legend. Preps 6 and 7 were not tested as undiluted viruses. The dotted line indicates the line of best fit the correlation coefficient of r = 0.93. (TIF) Figure S5 Lentiviral and Adenoviral activation of Braf CA produce similar tumors. A) Braf +/+ or B) Braf CA/+ mice were infected with 10 8 IU of pLEX-EGFP-iCL lentivirus and lung tissue was obtained 16 weeks postinfection. The tissue of was analysed by immunoflourescence for Clara Cell Antigen (CCA, in red), which marks Clara cells and Surfactant Protein C (SPC, in green), which marks type II pneumocytes. Nuclei are stained blue with DAPI. C) Braf CA/+ mice were infected with 5610 6 PFU of Adenoviral Cre and analysed as in B). Note tumors (marked by arrowheads) initiated with either adenovirus or lentivirus stain negative for CCA and positive for SPC. (TIF) Figure S6 Representative staining for Ki67 determination. Representative images of A) H&E and B) Ki67 stained lung tissues at low (upper) and high (lower) magnification. Aperio software was used to quantify the percentage of Ki67 positive nuclei. Analysis was focused on individual tumours, which were manually were circled (6 tumors are shown circled in green as an example).