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Retinoic acid directs breast cancer cell state changes through regulation of TET2-PKCζ pathway
M-J Wu1,2, M R Kim1,2, Y-S Chen1,2
1Department of Basic Medical Sciences, Purdue University, West Lafayette, IN, USA.
Abstract:
The key molecular mechanism governing the cancer cell state (stem cell-like state vs differentiation state) to control the cancer stem cell (CSC) pool remains elusive. This study provides the first evidence showing that all-trans retinoic acid (ATRA) induces the interaction and chromatin recruitment of a novel RARβ-TET2 complex to epigenetically activate a specific cohort of gene targets, including MiR-200c. TET2-activated miR-200c further targets and suppresses PKCζ, a cell polarity protein that has a pivotal role in directing asymmetric division of mammalian stem cells to sustain the stem cell pool. Our data reveal that pharmacological concentration of ATRA effectively downregulates PKCζ through activation of miR-200c, leading to a decrease of the stem cell-like populations from non-tumorigenic mammary epithelial cells and non-aggressive breast cancer cells. However, aggressive breast cancer cells that manifest TET2-miR-200c dysregulation sustain a CSC pool highly resistant to ATRA, where inhibition of PKCζ directs the resistant CSCs to the luminal cell-like state and sensitization to tamoxifen, resulting in abrogation of mammary tumor growth and progression. Together, these findings elucidate a novel RARβ-TET2-miR-200c-PKCζ signaling pathway that directs cancer cell state changes and also provide previously unidentified therapeutic implications for PKCζ inhibitors in diminishment of breast CSCs to eradicate breast cancer.
Insights
All-trans retinoic acid (ATRA) targets cancer stem cells by activating the RARβ-TET2-miR-200c pathway, suppressing PKCζ. This mechanism reduces stem-like cells in less aggressive cancers and sensitizes resistant cells to tamoxifen.
Area of Science:
- Cancer Biology
- Epigenetics
- Molecular Signaling
Background:
- The regulation of cancer stem cell (CSC) populations and their differentiation states is critical for understanding cancer progression and treatment resistance.
- The molecular mechanisms controlling the balance between stem cell-like and differentiated states in cancer remain largely unknown.
Purpose of the Study:
- To elucidate the molecular mechanism by which all-trans retinoic acid (ATRA) influences cancer stem cell populations.
- To identify novel signaling pathways involved in regulating cancer cell state and CSC pool maintenance.
Main Methods:
- Investigated the interaction between retinoic acid receptor beta (RARβ) and TET2 in response to ATRA treatment.
- Analyzed the epigenetic activation of gene targets, including microRNA-200c (miR-200c), by the RARβ-TET2 complex.
- Assessed the role of miR-200c in targeting protein kinase C zeta (PKCζ) and its impact on cell polarity and stem cell populations.
- Evaluated the effects of ATRA and PKCζ inhibition on both non-aggressive and aggressive breast cancer cells, including their response to tamoxifen.
Main Results:
- ATRA induces RARβ-TET2 complex formation, leading to epigenetic activation of miR-200c.
- TET2-activated miR-200c suppresses PKCζ, a key regulator of stem cell asymmetric division.
- ATRA treatment decreases stem-like populations in non-tumorigenic and non-aggressive cancer cells by downregulating PKCζ via miR-200c.
- Aggressive breast cancer cells with TET2-miR-200c dysregulation exhibit ATRA resistance; PKCζ inhibition sensitizes these CSCs to tamoxifen, reducing tumor growth.
Conclusions:
- A novel RARβ-TET2-miR-200c-PKCζ signaling pathway governs cancer cell state changes and CSC pool dynamics.
- Targeting PKCζ offers a therapeutic strategy to diminish breast CSCs and overcome tamoxifen resistance in aggressive breast cancers.
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