Frequent downregulation of the transcription factor Foxa2 in lung cancer through epigenetic silencing

Daniela S Basseres1, Francesco D'Alò, Beow Y Yeap

  • 1Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; University of São Paulo, São Paulo, SP, Brazil.

Abstract

Insights

Loss of Foxa2 expression is common in lung cancer, primarily due to epigenetic silencing via promoter hypermethylation. This finding suggests Foxa2 may be a therapeutic target in non-small-cell lung cancer (NSCLC).

Area of Science:

  • Molecular Biology
  • Oncology
  • Epigenetics

Background:

  • Transcription factors regulate gene expression crucial for cellular function.
  • Foxa2 is an airway transcription factor implicated in lung development and homeostasis.
  • Dysregulation of transcription factors is a hallmark of cancer development.

Purpose of the Study:

  • To investigate the mechanisms driving the downregulation of the airway transcription factor Foxa2 in lung cancer.
  • To determine the expression status of Foxa2 in non-small-cell lung cancer (NSCLC).

Main Methods:

  • Assessed Foxa2 protein and mRNA levels, mutations, copy number, and promoter hypermethylation in 25 lung cancer cell lines.
  • Sequenced FOXA2 in 32 NSCLCs and evaluated Foxa2 expression via immunohistochemistry in 173 primary NSCLC tumors.

Main Results:

  • 52% of cell lines showed undetectable FOXA2 mRNA; expression was congruent between mRNA and protein.
  • No FOXA2 mutations or chromosomal deletions were found in primary NSCLCs.
  • Promoter hypermethylation inversely correlated with FOXA2 mRNA levels (p < 0.0001).
  • Absence or low expression of Foxa2 occurred in 80% of primary NSCLC tumors.
  • A trend towards decreased survival was observed in NSCLC patients with low Foxa2 expression (p = 0.122).

Conclusions:

  • Loss of Foxa2 expression is frequent in lung cancer cell lines and NSCLC.
  • Epigenetic silencing via promoter hypermethylation is the primary mechanism for Foxa2 downregulation.
  • Foxa2 and other airway transcription factors represent potential therapeutic targets in lung cancer pathogenesis.

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