Cooperation of Notch and Ras/MAPK signaling pathways in human breast carcinogenesis
Suruchi Mittal1, Deepa Subramanyam, Devaveena Dey
1Department of Molecular Reproduction, Development and Genetics, Indian Institute of Science, Bangalore 560 012, Karnataka, India. suruchi.mittal@gmail.com
Background:
Recent studies have implicated aberrant Notch signaling in breast cancers. Yet, relatively little is known about the pattern of expression of various components of the Notch pathway, or its mechanism of action. To better understand the role of the Notch pathway in breast cancer, we have undertaken a detailed expression analysis of various Notch receptors, their ligands, and downstream targets at different stages of breast cancer progression.
Results:
We report here that there is a general increase in the expression levels of Notch 1, 2, 4, Jagged1, Jagged2, and Delta-like 4 proteins in breast cancers, with simultaneous upregulation of multiple Notch receptors and ligands in a given cancer tissue. While Notch3 and Delta-like1 were undetectable in normal tissues, moderate to high expression was detected in several cancers. We detected the presence of active, cleaved Notch1, along with downstream targets of the Notch pathway, Hes1/Hes5, in approximately 75% of breast cancers, clearly indicating that in a large proportion of breast cancers Notch signaling is aberrantly activated. Furthermore, we detected cleaved Notch1 and Hes1/5 in early precursors of breast cancers - hyperplasia and ductal carcinoma in situ - suggesting that aberrant Notch activation may be an early event in breast cancer progression. Mechanistically, while constitutively active Notch1 alone failed to transform immortalized breast cells, it synergized with the Ras/MAPK pathway to mediate transformation. This cooperation is reflected in vivo, as a subset of cleaved Notch positive tumors additionally expressed phopsho-Erk1/2 in the nuclei. Such cases exhibited high node positivity, suggesting that Notch-Ras cooperation may lead to poor prognosis.
Conclusions:
High level expression of Notch receptors and ligands, and its increased activation in several breast cancers and early precursors, places Notch signaling as a key player in breast cancer pathogenesis. Its cooperation with the Ras/MAPK pathway in transformation offers combined inhibition of the two pathways as a new modality for breast cancer treatment.
Insights
Notch signaling is frequently activated in breast cancers and early precursors, suggesting a key role in disease development. Combined inhibition of Notch and Ras/MAPK pathways may offer a new breast cancer treatment strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- Aberrant Notch signaling is implicated in breast cancer development.
- The precise role and mechanism of Notch pathway activation in breast cancer remain unclear.
- Detailed expression analysis of Notch pathway components is needed to understand its function in breast cancer progression.
Purpose of the Study:
- To analyze the expression of Notch receptors, ligands, and downstream targets in breast cancer.
- To investigate the activation status of the Notch pathway during breast cancer progression.
- To elucidate the mechanism of Notch pathway action and its cooperation with other signaling pathways in breast cancer.
Main Methods:
- Quantitative analysis of Notch receptors (Notch 1-4), ligands (Jagged1, Jagged2, Delta-like 1, 4), and downstream targets (Hes1/Hes5) expression in breast cancer tissues.
- Detection of active, cleaved Notch1 and phosphorylated Erk1/2 (p-Erk1/2) using immunohistochemistry.
- In vitro transformation assays using immortalized breast cells with constitutively active Notch1 and Ras/MAPK pathway components.
Main Results:
- Increased expression of Notch 1, 2, 4, Jagged1, Jagged2, and Delta-like 4 proteins in breast cancers.
- Aberrant Notch pathway activation, indicated by cleaved Notch1 and Hes1/5, detected in approximately 75% of breast cancers and early precursors.
- Notch1 cooperates with the Ras/MAPK pathway to mediate cell transformation, with Notch-Ras cooperation linked to high lymph node positivity in tumors.
Conclusions:
- Increased Notch receptor and ligand expression and pathway activation in breast cancer and its precursors highlight Notch signaling's critical role in pathogenesis.
- Notch pathway cooperation with Ras/MAPK in transformation suggests combined inhibition as a potential therapeutic strategy for breast cancer.
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