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Published on: August 23, 2019
Notch1 Signaling Regulates the Aggressiveness of Differentiated Thyroid Cancer and Inhibits SERPINE1 Expression
Xiao-Min Yu1, Renata Jaskula-Sztul2, Maria R Georgen2
1Endocrine Surgery Research Laboratories, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. jessica.xm.yu@gmail.com herbchen@uab.edu.
Purpose:
Notch1, a transmembrane receptor, has been recently shown to aid in the determination of thyroid cell fate associated with tumorigenesis. This study aimed to investigate the clinical relevance of Notch1 and its role in the regulation of differentiated thyroid cancer (DTC) behavior.
Experimental Design:
We examined Notch1 expression level and its relationship with clinicopathologic features and outcomes of DTC. Notch1 intracellular domain (NICD) was further characterized both in vitro and in vivo by gain-of-function assays using an inducible system.
Results:
Notch1 expression levels were downregulated in primary DTC tissue samples compared with contralateral nontumor and benign thyroid tissues. Decreased Notch1 expression in DTC was associated with advanced patient age (P = 0.032) and the presence of extrathyroidal invasion (P = 0.005). Patients with lower Notch1 expression had a significantly higher recurrence rate (P = 0.038). Restoration of NICD in a stably doxycycline-inducible metastatic DTC cell line reduced cell growth and migration profoundly. Using an orthotopic thyroid cancer model, NICD induction significantly reduced the growth of the primary thyroid tumor and inhibited the development of lung metastasis. Serpin peptidase inhibitor, clade E, member 1 (SERPINE1) was discovered by microarray as the most significant gene downregulated by NICD. Further validation showed that the induction of NICD reduced SERPINE1 expression in a dose-dependent manner, whereas restoration of a relative higher level of SERPINE1 was observed with NICD back to minimal level. In addition, SERPINE1 knock-down inhibited DTC cell migration.
Conclusions:
Notch1 regulates the aggressive phenotypes of DTC, which could be mediated by SERPINE1 inhibition. Notch1/SERPINE1 axis warrants further investigation as a novel therapeutic target for advanced DTC. Clin Cancer Res; 22(14); 3582-92. ©2016 AACR.
Insights
Downregulated Notch1 is linked to aggressive differentiated thyroid cancer (DTC) and recurrence. Restoring Notch1 signaling inhibits DTC growth and metastasis, potentially via SERPINE1, suggesting a new therapeutic target.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Notch1 signaling plays a role in cell fate determination and tumorigenesis.
- Its specific involvement in differentiated thyroid cancer (DTC) behavior requires further elucidation.
Purpose of the Study:
- To investigate the clinical relevance of Notch1 expression in DTC.
- To explore the functional role of Notch1 intracellular domain (NICD) in regulating DTC progression.
Main Methods:
- Examined Notch1 expression in DTC tissues versus normal and benign thyroid tissues.
- Correlated Notch1 levels with clinicopathologic features and patient outcomes.
- Utilized in vitro and in vivo gain-of-function assays for NICD.
- Identified downstream targets of NICD using microarray analysis.
Main Results:
- Notch1 expression was downregulated in DTC tissues and associated with advanced age and extrathyroidal invasion.
- Lower Notch1 expression correlated with higher DTC recurrence rates.
- NICD restoration significantly reduced DTC cell growth, migration, and metastasis in vitro and in vivo.
- SERPINE1 was identified as a key gene downregulated by NICD, and its knockdown promoted DTC migration.
Conclusions:
- Notch1 signaling negatively regulates aggressive phenotypes in DTC, potentially through SERPINE1 inhibition.
- The Notch1/SERPINE1 axis represents a promising therapeutic target for advanced DTC.
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