Prolactin suppresses a progestin-induced CK5-positive cell population in luminal breast cancer through inhibition of progestin-driven BCL6 expression

Autor: Jeffrey A. Hooke, Lynn M. Neilson, Thai H. Tran, Inna Chervoneva, Albert J. Kovatich, Hallgeir Rui, Craig D. Shriver, Chengbao Liu, Boris Freydin, Serge Y. Fuchs, Amy R. Peck, Melanie A. Girondo, Takahiro Sato, Terry Hyslop, Chelain R. Goodman
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Cancer Research
Cellular differentiation
Gene Expression
Promegestone
chemistry.chemical_compound
Mice
0302 clinical medicine
hemic and lymphatic diseases
STAT5 Transcription Factor
skin and connective tissue diseases
0303 health sciences
education.field_of_study
Progesterone Congeners
3. Good health
DNA-Binding Proteins
Gene Expression Regulation
Neoplastic

Docetaxel
Receptors
Estrogen

030220 oncology & carcinogenesis
Proto-Oncogene Proteins c-bcl-6
Female
hormones
hormone substitutes
and hormone antagonists

medicine.drug
CK5
medicine.medical_specialty
prolactin
Neoplasms
Hormone-Dependent

BCL6
Population
Mice
Nude

Breast Neoplasms
Biology
progesterone
Article
03 medical and health sciences
Breast cancer
breast cancer
Internal medicine
Cell Line
Tumor

Genetics
medicine
Animals
Humans
education
Molecular Biology
030304 developmental biology
Oncogene
medicine.disease
Stat5
Prolactin
Keratin 5
Endocrinology
chemistry
Premenopause
Cancer research
Keratin-5
Neoplasm Transplantation
Zdroj: Oncogene
ISSN: 1476-5594
0950-9232
Popis: Prolactin controls the development and function of milk-producing breast epithelia but also supports growth and differentiation of breast cancer, especially luminal subtypes. A principal signaling mediator of prolactin, Stat5, promotes cellular differentiation of breast cancer cells in vitro, and loss of active Stat5 in tumors is associated with anti-estrogen therapy failure in patients. In luminal breast cancer progesterone induces a cytokeratin-5 (CK5)-positive basal cell-like population. This population possesses characteristics of tumor stem cells including quiescence, therapy-resistance, and tumor-initiating capacity. Here we report that prolactin counteracts induction of the CK5-positive population by the synthetic progestin R5020 in luminal breast cancer cells both in vitro and in vivo. CK5-positive cells were chemoresistant as determined by four-fold reduced rate of apoptosis following docetaxel exposure. Progestin-induction of CK5 was preceded by marked up-regulation of BCL6, an oncogene and transcriptional repressor critical for the maintenance of leukemia-initiating cells. Knockdown of BCL6 prevented induction of CK5-positive cell population by progestin. Prolactin suppressed progestin-induced BCL6 through Jak2-Stat5 but not Erk- or Akt-dependent pathways. In premenopausal but not postmenopausal patients with hormone receptor-positive breast cancer, tumor protein levels of CK5 correlated positively with BCL6, and high BCL6 or CK5 protein levels were associated with unfavorable clinical outcome. Suppression of progestin-induction of CK5-positive cells represents a novel pro-differentiation effect of prolactin in breast cancer. The present progress may have direct implications for breast cancer progression and therapy since loss of prolactin receptor-Stat5 signaling occurs frequently and BCL6 inhibitors currently being evaluated for lymphomas may have value for breast cancer.
Databáze: OpenAIRE