Ross Christina, Gong Li-Yun, Jenkins Lisa M, Ha Ngoc-Han, Majocha Megan, Hunter Kent
Laboratory of Cancer Biology and Genetics, Metastasis Susceptibility Section, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, United States of America.
Guangdong Provincial Key Laboratory for Genome Stability and Disease Prevention, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Health Science Center, Shenzhen University, 518060, Shenzhen, Guangdong, P. R. China.
bioRxiv. 2024 Jan 29:2024.01.24.577061. doi: 10.1101/2024.01.24.577061.
Breast cancer is the most frequently diagnosed cancer worldwide, constituting around 15% of all diagnosed cancers in 2023. The predominant cause of breast cancer-related mortality is metastasis to distant essential organs, and a lack of metastasis-targeted therapies perpetuates dismal outcomes for late-stage patients. However, through our use of meiotic genetics to study inherited transcriptional network regulation, we have identified a new class of "Goldilocks" genes that are promising candidates for the development of metastasis-targeted therapeutics. Building upon previous work that implicated the CCR4-NOT RNA deadenylase complex in metastasis, we now demonstrate that the RNA-binding proteins (RNA-BPs) NANOS1, PUM2, and CPSF4 also regulate metastatic potential. Using cell lines, 3D culture, mouse models, and clinical data, we pinpoint mRNA as a key target of all three RNA-BPs. Strikingly, both high and low expression of is associated with positive clinical outcomes, while intermediate expression significantly reduces the probability of survival. Applying the theory of "essential genes" from evolution, we identify an additional 50 genes that span several cellular processes and must be maintained within a discrete window of expression for metastasis to occur. In the case of , small perturbations in its expression level significantly reduce metastasis in laboratory mouse models and alter splicing programs relevant to the ER+/HER2-enriched breast cancer subtype. The identification of subtype-specific "Goldilocks" metastasis modifier genes introduces a new class of genes and potential catalogue of novel targets that, when therapeutically "nudged" in either direction, may significantly improve late-stage patient outcomes.
乳腺癌是全球诊断最为频繁的癌症,在2023年约占所有诊断出癌症的15%。乳腺癌相关死亡的主要原因是转移至远处重要器官,而缺乏针对转移的治疗方法使得晚期患者的预后一直很糟糕。然而,通过利用减数分裂遗传学来研究遗传转录网络调控,我们发现了一类新的“金发姑娘”基因,它们有望成为开发针对转移的治疗方法的候选基因。基于先前涉及CCR4-NOT RNA去腺苷酸化酶复合体与转移相关的研究工作,我们现在证明RNA结合蛋白(RNA-BP)NANOS1、PUM2和CPSF4也调节转移潜能。利用细胞系、三维培养、小鼠模型和临床数据,我们确定mRNA是所有这三种RNA-BP的关键靶点。令人惊讶的是,其高表达和低表达均与良好的临床结果相关,而中等表达则显著降低生存概率。应用进化中的“必需基因”理论,我们确定了另外50个跨越多个细胞过程的基因,转移发生时其表达必须维持在一个离散的范围内。就[该基因名称未给出]而言,其表达水平的微小扰动会显著降低实验室小鼠模型中的转移,并改变与ER+/HER2富集型乳腺癌亚型相关的剪接程序。亚型特异性“金发姑娘”转移修饰基因的鉴定引入了一类新的基因和潜在的新靶点目录,当在任何一个方向进行治疗性“微调”时,可能会显著改善晚期患者的预后。