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Updated: Jun 7, 2026

Defining Gene Functions in Tumorigenesis by Ex vivo Ablation of Floxed Alleles in Malignant Peripheral Nerve Sheath Tumor Cells
Published on: August 25, 2021
FOXP3 as an X-linked tumor suppressor
Lizhong Wang1, Runhua Liu, Mark Ribick
1Division of Immunotherapy, Department of Surgery, University of Michigan School of Medicine and Cancer Center, Ann Arbor, Michigan 48109, USA. lizhongw@umich.edu
Abstract:
The FOXP3 gene was initially identified because its mutation caused lethal autoimmune diseases in mice and humans. Mice with heterozygous mutations of FoxP3 (mouse version of the FOXP3 gene) succumb to mammary tumors spontaneously, while those with prostate-specific deletions develop prostate intraepithelial neoplasia. Somatic mutations, deletion, and epigenetic inactivation of FOXP3 are widespread among human breast and prostate cancers. Unlike autosomal tumor suppressor genes that are usually inactivated by mutations in both alleles, X-linked FOXP3 mutations in cancer samples are usually heterozygous, with the wildtype allele selectively inactivated in cancer. This skewed X-inactivation suggests a new approach to reactivation of FOXP3 for cancer therapy.
Insights
The FOXP3 gene, linked to autoimmune diseases, also plays a role in mammary and prostate tumors. Its selective inactivation in cancer suggests a potential therapeutic strategy for reactivation.
Area of Science:
- Genetics
- Oncology
- Immunology
Background:
- The FOXP3 gene is crucial for immune regulation and was initially identified due to its role in lethal autoimmune diseases.
- Mutations in the FOXP3 gene (or its mouse homolog, FoxP3) are associated with spontaneous mammary tumors in mice and prostate intraepithelial neoplasia.
- Somatic mutations, deletions, and epigenetic silencing of FOXP3 are frequently observed in human breast and prostate cancers.
Purpose of the Study:
- To investigate the role of the FOXP3 gene in the development of mammary and prostate cancers.
- To explore the mechanism of FOXP3 inactivation in cancer, particularly its X-linked nature.
- To identify potential therapeutic strategies based on FOXP3's function in cancer.
Main Methods:
- Analysis of FOXP3 gene status (mutations, deletions, epigenetic inactivation) in human breast and prostate cancer samples.
- Comparison of FOXP3 inactivation patterns in cancer with those of autosomal tumor suppressor genes.
- Investigation of X-chromosome inactivation patterns in cancer cells with FOXP3 mutations.
Main Results:
- FOXP3 inactivation is widespread in human breast and prostate cancers.
- Unlike autosomal tumor suppressors, FOXP3 inactivation in cancer is typically heterozygous.
- Evidence of selective inactivation of the wildtype FOXP3 allele in cancer cells, suggesting skewed X-inactivation.
Conclusions:
- The FOXP3 gene functions as a tumor suppressor in mammary and prostate tissues.
- Skewed X-inactivation leading to selective loss of functional FOXP3 is a key mechanism in these cancers.
- Reactivation of FOXP3 presents a novel therapeutic avenue for treating breast and prostate cancers.
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