ATM kinase sustains breast cancer stem-like cells by promoting ATG4C expression and autophagy
Martina Antonelli1,2, Flavie Strappazzon1, Ivan Arisi3
1Instituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Santa Lucia, Rome, Italy.
Abstract:
The efficacy of Ataxia-Telangiectasia Mutated (ATM) kinase signalling inhibition in cancer therapy is tempered by the identification of new emerging functions of ATM, which suggests that the role of this protein in cancer progression is complex. We recently demonstrated that this tumor suppressor gene could act as tumor promoting factor in HER2 (Human Epidermal Growth Factor Receptor 2) positive breast cancer. Herein we put in evidence that ATM expression sustains the proportion of cells with a stem-like phenotype, measured as the capability to form mammospheres, independently of HER2 expression levels. Transcriptomic analyses revealed that, in mammospheres, ATM modulates the expression of cell cycle-, DNA repair- and autophagy-related genes. Among these, the silencing of the autophagic gene, autophagy related 4C cysteine peptidase (ATG4C), impairs mammosphere formation similarly to ATM depletion. Conversely, ATG4C ectopic expression in cells silenced for ATM expression, rescues mammospheres growth. Finally, tumor array analyses, performed using public data, identify a significant correlation between ATM and ATG4C expression levels in all human breast cancer subtypes, except for the basal-like one.Overall, we uncover a new connection between ATM kinase and autophagy regulation in breast cancer. We demonstrate that, in breast cancer cells, ATM and ATG4C are essential drivers of mammosphere formation, suggesting that their targeting may improve current approaches to eradicate breast cancer cells with a stem-like phenotype.
Insights
Ataxia-Telangiectasia Mutated (ATM) kinase sustains cancer stem-like cells by regulating autophagy-related gene ATG4C. Targeting ATM and ATG4C may improve eradication of breast cancer stem cells.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The role of Ataxia-Telangiectasia Mutated (ATM) kinase in cancer is complex, with emerging functions beyond its tumor suppressor gene status.
- ATM has been shown to promote tumor progression in HER2-positive breast cancer.
- Understanding ATM's multifaceted roles is crucial for developing effective cancer therapies.
Purpose of the Study:
- To investigate the role of ATM in maintaining stem-like cell phenotypes in breast cancer.
- To explore the relationship between ATM expression and autophagy regulation in cancer stem cells.
- To identify potential therapeutic targets for eradicating cancer stem cells.
Main Methods:
- Mammosphere formation assays to measure stem-like cell populations.
- Transcriptomic analysis to identify ATM-modulated genes.
- Gene silencing and ectopic expression experiments to assess gene function.
- Analysis of public tumor array data for ATM and ATG4C expression correlation.
Main Results:
- ATM expression sustains a stem-like cell phenotype, measured by mammosphere formation, independent of HER2 levels.
- ATM modulates cell cycle, DNA repair, and autophagy genes in mammospheres.
- Silencing ATG4C impairs mammosphere formation, while its ectopic expression rescues growth in ATM-silenced cells.
- ATM and ATG4C expression are correlated in most human breast cancer subtypes, excluding basal-like.
Conclusions:
- ATM kinase and autophagy regulation are interconnected in breast cancer.
- ATM and ATG4C are essential for mammosphere formation, highlighting their role in breast cancer stem cells.
- Targeting ATM and ATG4C presents a potential strategy to eliminate cancer stem cells.
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