Notch3 Maintains Luminal Phenotype and Suppresses Tumorigenesis and Metastasis of Breast Cancer via Trans-Activating Estrogen Receptor-α

Autor: Yao-Chen Li, Chun-Fa Chen, Jing-Wen Bai, Jie Tian, Cai-Wen Du, Yong-Qu Zhang, Guo-Jun Zhang, Hao-Yu Lin, Yuan-Ke Liang, Xiao-Long Wei, Kwan Man, Min Chen, Xiao-Wei Dou
Rok vydání: 2017
Předmět:
0301 basic medicine
medicine.medical_specialty
Receptor
ErbB-2

ER-ALPHA
luminal phenotype
epithelial-mesenchymal transition
Medicine (miscellaneous)
Estrogen receptor
Breast Neoplasms
Biology
medicine.disease_cause
OVARIAN-CANCER
Metastasis
PATHWAY
03 medical and health sciences
breast cancer
Breast cancer
estrogen receptor alpha
Internal medicine
medicine
Humans
TUMOR-SUPPRESSOR
TRANSCRIPTION
Epithelial–mesenchymal transition
skin and connective tissue diseases
Receptor
Notch3

Pharmacology
Toxicology and Pharmaceutics (miscellaneous)

CHEMORESISTANCE
Notch3
estrogen receptor α
medicine.disease
Gene Expression Regulation
Neoplastic

Cell Transformation
Neoplastic

030104 developmental biology
Endocrinology
Receptors
Estrogen

Cancer research
Female
OVEREXPRESSION
Signal transduction
CELL-FATE
Carcinogenesis
Ovarian cancer
Estrogen receptor alpha
Research Paper
MUC5AC EXPRESSION
Zdroj: Theranostics, 7(16), 4041-4056. IVYSPRING INT PUBL
Theranostics
ISSN: 1838-7640
DOI: 10.7150/thno.19989
Popis: The luminal A phenotype is the most common breast cancer subtype and is characterized by estrogen receptor α expression (ERα). Identification of the key regulator that governs the luminal phenotype of breast cancer will clarify the pathogenic mechanism and provide novel therapeutic strategies for this subtype of cancer. ERα signaling pathway sustains the epithelial phenotype and inhibits the epithelial-mesenchymal transition (EMT) of breast cancer. In this study, we demonstrate that Notch3 positively associates with ERα in both breast cancer cell lines and human breast cancer tissues. We found that overexpression of Notch3 intra-cellular domain, a Notch3 active form (N3ICD), in ERα negative breast cancer cells re-activated ERα, while knock-down of Notch3 reduced ERα transcript and proteins, with alteration of down-stream genes, suggesting its ability to regulate ERα. Mechanistically, our results show that Notch3 specifically binds to the CSL binding element of the ERα promoter and activates ERα expression. Moreover, Notch3 suppressed EMT, while suppression of Notch3 promoted EMT in cellular assay. Overexpressing N3ICD in triple-negative breast cancer suppressed tumorigenesis and metastasis in vivo. Conversely, depletion of Notch3 in luminal breast cancer promoted metastasis in vivo. Furthermore, Notch3 transcripts were significantly associated with prolonged relapse-free survival in breast cancer, in particular in ERα positive breast cancer patients. Our observations demonstrate that Notch3 governs the luminal phenotype via trans-activating ERα expression in breast cancer. These findings delineate the role of a Notch3/ERα axis in maintaining the luminal phenotype and inhibiting tumorigenesis and metastasis in breast cancer, providing a novel strategy to re-sensitize ERα negative or low-expressing breast cancers to hormone therapy.
Databáze: OpenAIRE