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Published on: March 30, 2019
ETS2 mediated tumor suppressive function and MET oncogene inhibition in human non-small cell lung cancer
Mohamed Kabbout1, Melinda M Garcia1, Junya Fujimoto1
1Department of Thoracic/Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Purpose:
The ETS2 transcription factor is an evolutionarily conserved gene that is deregulated in cancer. We analyzed the transcriptome of lung adenocarcinomas and normal lung tissue by expression profiling and found that ETS2 was significantly downregulated in adenocarcinomas. In this study, we probed the yet unknown functional role of ETS2 in lung cancer pathogenesis.
Experimental Design:
Lung adenocarcinomas (n = 80) and normal lung tissues (n = 30) were profiled using the Affymetrix Human Gene 1.0 ST platform. Immunohistochemical (IHC) analysis was conducted to determine ETS2 protein expression in non-small cell lung cancer (NSCLC) histologic tissue specimens (n = 201). Patient clinical outcome, based on ETS2 IHC expression, was statistically assessed using the log-rank and Kaplan-Meier tests. RNA interference and overexpression strategies were used to assess the effects of ETS2 expression on the transcriptome and on various malignant phenotypes.
Results:
ETS2 expression was significantly reduced in lung adenocarcinomas compared with normal lung (P < 0.001). Low ETS2 IHC expression was a significant predictor of shorter time to recurrence in NSCLC (P = 0.009, HR = 1.89) and adenocarcinoma (P = 0.03, HR = 1.86). Moreover, ETS2 was found to significantly inhibit lung cancer cell growth, migration, and invasion (P < 0.05), and microarray and pathways analysis revealed significant (P < 0.001) activation of the HGF pathway following ETS2 knockdown. In addition, ETS2 was found to suppress MET phosphorylation and knockdown of MET expression significantly attenuated (P < 0.05) cell invasion mediated by ETS2-specific siRNA. Furthermore, knockdown of ETS2 augmented HGF-induced MET phosphorylation, cell migration, and invasion.
Conclusion(S):
Our findings point to a tumor suppressor role for ETS2 in human NSCLC pathogenesis through inhibition of the MET proto-oncogene.
Insights
ETS2, a downregulated gene in lung cancer, acts as a tumor suppressor. Reduced ETS2 expression predicts shorter recurrence times and promotes cancer cell growth and invasion by activating the HGF/MET pathway.
Area of Science:
- Oncology
- Molecular Biology
- Gene Regulation
Background:
- ETS2 is an evolutionarily conserved transcription factor.
- ETS2 is frequently deregulated in various cancers.
- ETS2 is significantly downregulated in lung adenocarcinomas compared to normal lung tissue.
Purpose of the Study:
- To investigate the functional role of ETS2 in lung cancer pathogenesis.
- To determine the impact of ETS2 downregulation on lung adenocarcinoma development.
- To elucidate the molecular mechanisms underlying ETS2's function in lung cancer.
Main Methods:
- Transcriptome analysis of lung adenocarcinomas and normal lung tissues using Affymetrix Human Gene 1.0 ST platform.
- Immunohistochemical (IHC) analysis of ETS2 protein expression in 201 non-small cell lung cancer (NSCLC) specimens.
- RNA interference and overexpression studies to assess ETS2's effects on cell phenotypes and gene expression.
- Statistical analysis of patient clinical outcomes based on ETS2 IHC expression.
Main Results:
- ETS2 expression was significantly reduced in lung adenocarcinomas (P < 0.001).
- Low ETS2 IHC expression correlated with shorter recurrence times in NSCLC (P = 0.009) and adenocarcinoma (P = 0.03).
- ETS2 inhibited lung cancer cell growth, migration, and invasion (P < 0.05).
- ETS2 knockdown led to significant activation of the HGF pathway (P < 0.001).
- ETS2 suppressed MET phosphorylation; MET knockdown attenuated ETS2-mediated invasion (P < 0.05).
- ETS2 knockdown augmented HGF-induced MET phosphorylation, migration, and invasion.
Conclusions:
- ETS2 functions as a tumor suppressor in human NSCLC.
- ETS2 inhibits lung cancer progression by suppressing the MET proto-oncogene.
- Targeting the ETS2/MET pathway may offer therapeutic strategies for NSCLC.
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