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Twist1 causes the transcriptional repression of claudin-4 with prognostic significance in esophageal cancer.

Abstract
Twist1 is a transcription factor that is involved in epithelial-mesenchymal transition by suppressing intercellular adhesion. In this study, we aimed to determine the role of Twist1 in the regulation of claudin-4 expression and investigate its specific mechanisms and clinical implications using human esophageal carcinoma cell lines and tissues. As a result, up-regulation of Twist1 decreased both gene and protein expression levels of endogenous claudin-4 and the suppression was mediated by direct binding of Twist1 to the canonical E-box in the promoter region of claudin-4. In addition, there was a significant inverse correlation of claudin-4 with Twist1 in esophageal cancer tissues. High Twist1 and low claudin-4 expression was associated with the poorest prognosis and was more highly correlated with adverse outcome than any other subgroup with statistical significance (p=0.001). Our results indicate that Twist1 induces the repression of claudin-4 expression during the epithelial-mesenchymal transition in esophageal carcinoma.
AuthorsKeun-Woo Lee, Nam Kyung Lee, Jeong Hoon Kim, Myung Soo Kang, Hae Yong Yoo, Hyeon Ho Kim, Sung Hee Um, Seok-Hyung Kim
JournalBiochemical and biophysical research communications (Biochem Biophys Res Commun) Vol. 423 Issue 3 Pg. 454-60 (Jul 06 2012) ISSN: 1090-2104 [Electronic] United States
PMID22668877 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 Elsevier Inc. All rights reserved.
Chemical References
  • CLDN4 protein, human
  • Claudin-4
  • Claudins
  • Nuclear Proteins
  • TWIST1 protein, human
  • Twist-Related Protein 1
Topics
  • Adolescent
  • Adult
  • Aged
  • Base Sequence
  • Carcinoma, Squamous Cell (genetics, mortality, pathology)
  • Cell Line, Tumor
  • Child
  • Child, Preschool
  • Claudin-4
  • Claudins (antagonists & inhibitors, genetics)
  • Disease-Free Survival
  • Down-Regulation
  • E-Box Elements
  • Epithelial-Mesenchymal Transition (genetics)
  • Esophageal Neoplasms (genetics, mortality, pathology)
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Infant
  • Infant, Newborn
  • Middle Aged
  • Molecular Sequence Data
  • Nuclear Proteins (genetics, metabolism)
  • Prognosis
  • Promoter Regions, Genetic
  • Twist-Related Protein 1 (genetics, metabolism)
  • Young Adult

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