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A SIRT1-centered circuitry regulates breast cancer stemness and metastasis.

Abstract
Cancer stem cell (CSC)-dictated intratumor heterogeneity accounts for the majority of drug-resistance and distant metastases of breast cancers. Here, we identify a SIRT1-PRRX1-KLF4-ALDH1 circuitry, which couples CSCs, chemo-resistance, metastasis and aging. Pro-longevity protein SIRT1 deacetylates and stabilizes the epithelial-to-mesenchymal-transition (EMT) inducer PRRX1, which inhibits the transcription of core stemness factor KLF4. Loss of SIRT1 destabilizes PRRX1, disinhibits KLF4, and activates the transcription of ALDH1, which induces and functionally marks CSCs, resulting in chemo-resistance and metastatic relapse. Clinically, the level of PRRX1 is positively linked to SIRT1, whereas KLF4 is reversely correlated. Importantly, KLF4 inhibitor Kenpaullone sensitizes breast cancer cells and xenograft tumors to Paclitaxel and improves therapeutic effects. Our findings delineate a SIRT1-centered circuitry that regulates CSC origination, and targeting this pathway might be a promising therapeutic strategy.
AuthorsLei Shi, Xiaolong Tang, Minxian Qian, Zuojun Liu, Fanbiao Meng, Li Fu, Zimei Wang, Wei-Guo Zhu, Jian-Dong Huang, Zhongjun Zhou, Baohua Liu
JournalOncogene (Oncogene) Vol. 37 Issue 49 Pg. 6299-6315 (12 2018) ISSN: 1476-5594 [Electronic] England
PMID30038266 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Homeodomain Proteins
  • Isoenzymes
  • KLF4 protein, human
  • Klf4 protein, mouse
  • Kruppel-Like Factor 4
  • Kruppel-Like Transcription Factors
  • PRRX1 protein, human
  • Aldehyde Dehydrogenase 1 Family
  • ALDH1A1 protein, human
  • ALDH1A1 protein, mouse
  • Retinal Dehydrogenase
  • SIRT1 protein, human
  • Sirtuin 1
Topics
  • Aging (genetics, metabolism, pathology)
  • Aldehyde Dehydrogenase 1 Family
  • Animals
  • Breast Neoplasms (metabolism, pathology)
  • Cell Line, Tumor
  • Drug Resistance, Neoplasm (physiology)
  • Female
  • Gene Expression Regulation, Neoplastic (physiology)
  • Homeodomain Proteins (metabolism)
  • Humans
  • Isoenzymes (metabolism)
  • Kruppel-Like Factor 4
  • Kruppel-Like Transcription Factors (metabolism)
  • Mice
  • Mice, Nude
  • Neoplasm Invasiveness (genetics, pathology)
  • Neoplastic Stem Cells (metabolism, pathology)
  • Retinal Dehydrogenase (metabolism)
  • Signal Transduction (physiology)
  • Sirtuin 1 (metabolism)
  • Xenograft Model Antitumor Assays

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