Liang Huizhi, Benard Outhiriaradjou, Kumar Viney, Griffen Anthony, Ren Zuen, Sivalingam Kalaiselvi, Wang Jingli, de Simone Benito Elena, Zhang Xusheng, Zhang Jinghang, Suyama Kimita, LaFave Lindsay M, Norton Larry, Hazan Rachel B
Department of Pathology, Albert Einstein College of Medicine, Bronx, NY, USA.
Department of Cell Biology, Albert Einstein College of Medicine, Bronx, NY, USA.
Br J Cancer. 2025 Jun 24. doi: 10.1038/s41416-025-03074-6.
BACKGROUND: The hybrid EMT state is a key driver of tumour regenerative and metastatic potential; however, the mechanism whereby this programme regulates tumour stemness with respect to self-renewal and differentiation remains unclear. METHODS: We isolated epithelial/mesenchymal (E/M) (CD104CD44) and mesenchymal (M) (CD104 CD44) subpopulations from basal-like breast cancer cell lines. These were assayed for tumour-initiating potential and organoid-forming ability, as well as for transcriptional regulators of the hybrid EMT state by RNA and ATAC-sequencing, and their regulation by the Wnt/ERK/CDK4/6 signalling pathway. RESULTS: E/M cells were endowed with organoid-forming ability as well as by tumour-initiating and metastatic potential relative to M cells. Interestingly, Wnt3a stimulates transient ERK/CDK4/6 activation in E/M cells, thereby upregulating FOXC2, and in turn TAp63 and ΔNp63, which support the hybrid state. In parallel, ERK/CDK4/6 activates S-phase and FOXM1, thereby promoting self-renewal. Remarkably, transient ERK activation by Wnt3a deactivates EGFR, thus preventing sustained ERK phosphorylation from causing E/M differentiation. Consistently, ERK/CDK4/6 drug perturbation in E/M cells suppressed FOXC2/p63, FOXM1, self-renewal, organoid formation and mammary tumour growth via epithelial differentiation. CONCLUSIONS: These findings unravelled a mechanism whereby the hybrid EMT state regulates stemness, self-renewal and differentiation via transient Wnt/ERK/CDK4/6 activation, which can be leveraged for cancer-stem cell therapy.
背景:混合上皮-间质转化(EMT)状态是肿瘤再生和转移潜能的关键驱动因素;然而,该程序在自我更新和分化方面调节肿瘤干性的机制仍不清楚。 方法:我们从基底样乳腺癌细胞系中分离出上皮/间质(E/M)(CD104CD44)和间质(M)(CD104 CD44)亚群。通过RNA和ATAC测序分析这些亚群的肿瘤起始潜能、类器官形成能力以及混合EMT状态的转录调节因子,以及它们受Wnt/ERK/CDK4/6信号通路的调控情况。 结果:相对于M细胞,E/M细胞具有类器官形成能力以及肿瘤起始和转移潜能。有趣的是,Wnt3a刺激E/M细胞中ERK/CDK4/6的短暂激活,从而上调FOXC2,进而上调TAp63和ΔNp63,这些因子维持混合状态。同时,ERK/CDK4/6激活S期和FOXM1,从而促进自我更新。值得注意的是,Wnt3a引起的ERK短暂激活使EGFR失活,从而防止持续的ERK磷酸化导致E/M分化。一致地,E/M细胞中ERK/CDK4/6药物干扰通过上皮分化抑制FOXC2/p63、FOXM1、自我更新、类器官形成和乳腺肿瘤生长。 结论:这些发现揭示了一种机制,即混合EMT状态通过短暂的Wnt/ERK/CDK4/6激活来调节干性、自我更新和分化,这可为癌症干细胞治疗提供依据。
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