Lee Jeong-Yeon, Won Hee-Young, Park Ji-Hye, Kim Hye-Yeon, Choi Hee-Joo, Shin Dong-Hui, Kang Ju-Hee, Woo Jong-Kyu, Oh Seung-Hyun, Son Taekwon, Choi Jin-Woo, Kim Sehwan, Kim Hyung-Yong, Yi Kijong, Jang Ki-Seok, Oh Young-Ha, Kong Gu
J Clin Invest. 2015 May;125(5):1801-14. doi: 10.1172/JCI73743. Epub 2015 Mar 30.
The polycomb protein MEL-18 has been proposed as a tumor suppressor in breast cancer; however, its functional relevance to the hormonal regulation of breast cancer remains unknown. Here, we demonstrated that MEL-18 loss contributes to the hormone-independent phenotype of breast cancer by modulating hormone receptor expression. In multiple breast cancer cohorts, MEL-18 was markedly downregulated in triple-negative breast cancer (TNBC). MEL-18 expression positively correlated with the expression of luminal markers, including estrogen receptor-α (ER-α, encoded by ESR1). MEL-18 loss was also associated with poor response to antihormonal therapy in ER-α-positive breast cancer. Furthermore, whereas MEL-18 loss in luminal breast cancer cells resulted in the downregulation of expression and activity of ER-α and the progesterone receptor (PR), MEL-18 overexpression restored ER-α expression in TNBC. Consistently, in vivo xenograft experiments demonstrated that MEL-18 loss induces estrogen-independent growth and tamoxifen resistance in luminal breast cancer, and that MEL-18 overexpression confers tamoxifen sensitivity in TNBC. MEL-18 suppressed SUMOylation of the ESR1 transactivators p53 and SP1, thereby driving ESR1 transcription. MEL-18 facilitated the deSUMOylation process by inhibiting BMI-1/RING1B-mediated ubiquitin-proteasomal degradation of SUMO1/sentrin-specific protease 1 (SENP1). These findings demonstrate that MEL-18 is a SUMO-dependent regulator of hormone receptors and suggest MEL-18 expression as a marker for determining the antihormonal therapy response in patients with breast cancer.
多梳蛋白MEL-18被认为是乳腺癌中的一种肿瘤抑制因子;然而,其与乳腺癌激素调节的功能相关性仍不清楚。在此,我们证明MEL-18的缺失通过调节激素受体表达促成了乳腺癌的激素非依赖性表型。在多个乳腺癌队列中,MEL-18在三阴性乳腺癌(TNBC)中显著下调。MEL-18表达与包括雌激素受体α(ER-α,由ESR1编码)在内的管腔标志物的表达呈正相关。MEL-18的缺失也与ER-α阳性乳腺癌对抗激素治疗的反应不佳有关。此外,虽然管腔型乳腺癌细胞中MEL-18的缺失导致ER-α和孕激素受体(PR)的表达及活性下调,但MEL-18的过表达恢复了TNBC中ER-α的表达。一致地,体内异种移植实验表明,MEL-18的缺失诱导管腔型乳腺癌中雌激素非依赖性生长和他莫昔芬耐药,而MEL-18的过表达赋予TNBC他莫昔芬敏感性。MEL-18抑制ESR1反式激活因子p53和SP1的SUMO化,从而驱动ESR1转录。MEL-18通过抑制BMI-1/RING1B介导的SUMO1/ sentrin特异性蛋白酶1(SENP1)的泛素-蛋白酶体降解促进去SUMO化过程。这些发现表明MEL-18是激素受体的SUMO依赖性调节因子,并提示MEL-18表达可作为确定乳腺癌患者抗激素治疗反应的标志物。