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Published on: December 9, 2016
The role of KLF6 and its splice variants in cancer therapy
Analisa DiFeo1, John A Martignetti, Goutham Narla
1Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine, New York, NY 10029, USA.
Abstract:
The Krüppel-like zinc finger transcription factor (KLF6) gene encodes a family of proteins generated through alternative splicing involved in the regulation of cancer development and progression. Alternative splicing of the KLF6 gene results in the production of at least four alternatively spliced isoforms, two of which are extensively discussed in this review. The full length form of the KLF6 gene is a tumor suppressor gene that is frequently inactivated by loss of heterozygozity (LOH), somatic mutation, and/or decreased expression in human cancer. While the exact mechanisms underlying KLF6's tumor suppressor roles are not completely known, a number of highly relevant, overlapping pathways have been described: transactivation of p21 in a p53-independent manner, reduction of cyclin D1/cdk4 complexes via interaction with cyclin D1, inhibition of c-Jun proto-oncoprotein activities, decreased VEGF expression, and induction of apoptosis. Kruppel-like factor 6 splice variant 1 (KLF6-SV1) is an oncogenic splice variant of the KLF6 tumor suppressor gene that is specifically overexpressed in a number of human cancers. Increased KLF6-SV1 expression is associated with poor prognosis in prostate, lung, and ovarian cancer. Furthermore, KLF6-SV1 has been shown to be biologically active, antagonizing the tumor suppressor function of KLF6 and promoting tumor growth and dissemination in both ovarian and prostate cancer models. In addition, a common germline polymorphism in the KLF6 gene associated with increased prostate cancer risk in a large multi-institutional study of 3411 men results in increased expression of KLF6-SV1. Furthermore, recent studies have demonstrated that targeted reduction of KLF6-SV1 results in the induction of spontaneous apoptosis in cell culture, synergizes with chemotherapeutic agents like cisplatin, and results in significant tumor regression in vivo. Combined, these data make the KLF6 gene family a compelling therapeutic target for both the treatment of localized as well as metastatic cancer.
Insights
The Krüppel-like factor 6 (KLF6) gene
Area of Science:
- Molecular Biology
- Cancer Genetics
- Gene Regulation
Background:
- The Krüppel-like zinc finger transcription factor (KLF6) gene regulates cancer development.
- Alternative splicing produces KLF6 isoforms, including tumor-suppressive full-length KLF6 and oncogenic KLF6 splice variant 1 (KLF6-SV1).
- KLF6 is inactivated in cancer, while KLF6-SV1 is overexpressed and linked to poor prognosis.
Purpose of the Study:
- To review the dual role of KLF6 isoforms in cancer.
- To highlight KLF6-SV1 as an oncogenic driver and potential therapeutic target.
Main Methods:
- Review of existing literature on KLF6 gene splicing, function, and cancer association.
- Analysis of KLF6 and KLF6-SV1 expression patterns in human cancers.
- Examination of KLF6-SV1's oncogenic mechanisms and therapeutic potential.
Main Results:
- Full-length KLF6 acts as a tumor suppressor through various pathways.
- KLF6-SV1 antagonizes KLF6, promotes tumor growth, and is associated with poor outcomes in prostate, lung, and ovarian cancers.
- Targeting KLF6-SV1 induces apoptosis, enhances chemotherapy, and reduces tumors in vivo.
Conclusions:
- The KLF6 gene family exhibits complex roles in cancer, with KLF6 acting as a tumor suppressor and KLF6-SV1 as an oncogene.
- KLF6-SV1 represents a promising therapeutic target for various cancers.
- Further research into KLF6-based therapies could offer new treatment strategies for localized and metastatic cancers.
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