Regulation of Lung Cancer Metastasis by Klf4-Numb–like Signaling
Regulation of Lung Cancer Metastasis by Klf4-Numb–like Signaling
Abstract Metastatic traits seem to be acquired by transformed cells with progenitor-like cancer-initiating properties, but there remains little mechanistic insight into this linkage. In this report, we show that the polarity protein Numbl, which is expressed normally in neuronal progenitors, becomes overexpressed and mislocalized in cancer cells from a variety of human tumors. Numbl overexpression relies on loss of the tumor suppressor miRNA-296-5p (miR-296), which actively represses translation of Numbl in normal cells. In turn, deregulated expression of Numbl mediates random tumor cell migration and invasion, blocking anoikis and promoting metastatic dissemination. In clinical specimens of non–small cell lung cancer, we found that Numbl overexpression correlated with a reduction in overall patient survival. Mechanistically, Numbl-mediated tumorigenesis involved suppression of a “stemness” transcriptional program driven by the stem cell programming transcription factor Klf4, thereby preserving a pool of progenitor-like cells in lung cancer. Our results reveal that Numbl-Klf4 signaling is critical to maintain multiple nodes of metastatic progression, including persistence of cancer-initiating cells, rationalizing its therapeutic exploitation to improve the treatment of advanced lung cancer Cancer Res; 73(8); 2695–705. ©2013 AACR.
- University of Milan Italy
- The Wistar Institute United States
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Italy
Lung Neoplasms, Base Sequence, Gene Expression Profiling, Intracellular Signaling Peptides and Proteins, Kruppel-Like Transcription Factors, gene expression regulation neoplastic; signal transduction; animals; base sequence; cell line tumor; cell movement; cluster analysis; disease progression; female; gene expression profiling; humans; intracellular signaling peptides and proteins; Kruppel-like transcription factors; lung neoplasms; mice; microRNAs; neoplasm metastasis; neoplastic stem cells; RNA interference; transcription genetic, Gene Expression Regulation, Neoplastic, Kruppel-Like Factor 4, Mice, MicroRNAs, Cell Movement, Cell Line, Tumor, Disease Progression, Neoplastic Stem Cells, Animals, Cluster Analysis, Humans, Female, RNA Interference, Neoplasm Metastasis, Signal Transduction
Lung Neoplasms, Base Sequence, Gene Expression Profiling, Intracellular Signaling Peptides and Proteins, Kruppel-Like Transcription Factors, gene expression regulation neoplastic; signal transduction; animals; base sequence; cell line tumor; cell movement; cluster analysis; disease progression; female; gene expression profiling; humans; intracellular signaling peptides and proteins; Kruppel-like transcription factors; lung neoplasms; mice; microRNAs; neoplasm metastasis; neoplastic stem cells; RNA interference; transcription genetic, Gene Expression Regulation, Neoplastic, Kruppel-Like Factor 4, Mice, MicroRNAs, Cell Movement, Cell Line, Tumor, Disease Progression, Neoplastic Stem Cells, Animals, Cluster Analysis, Humans, Female, RNA Interference, Neoplasm Metastasis, Signal Transduction
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