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The NOTCH1/SNAIL1/MEF2C Pathway Regulates Growth and Self-Renewal in Embryonal Rhabdomyosarcoma
Myron S Ignatius1, Madeline N Hayes2, Riadh Lobbardi2
1Department of Pathology, Massachusetts General Hospital, Boston, MA 02114, USA; Center of Cancer Research, Massachusetts General Hospital, Charlestown, MA 02129, USA; Harvard Stem Cell Institute, Boston, MA 02114, USA; Greehey Children's Cancer Research Institute and Department of Molecular Medicine, UT Health Sciences Center, San Antonio, TX 78229, USA.
Abstract:
Tumor-propagating cells (TPCs) share self-renewal properties with normal stem cells and drive continued tumor growth. However, mechanisms regulating TPC self-renewal are largely unknown, especially in embryonal rhabdomyosarcoma (ERMS)-a common pediatric cancer of muscle. Here, we used a zebrafish transgenic model of ERMS to identify a role for intracellular NOTCH1 (ICN1) in increasing TPCs by 23-fold. ICN1 expanded TPCs by enabling the de-differentiation of zebrafish ERMS cells into self-renewing myf5+ TPCs, breaking the rigid differentiation hierarchies reported in normal muscle. ICN1 also had conserved roles in regulating human ERMS self-renewal and growth. Mechanistically, ICN1 upregulated expression of SNAIL1, a transcriptional repressor, to increase TPC number in human ERMS and to block muscle differentiation through suppressing MEF2C, a myogenic differentiation transcription factor. Our data implicate the NOTCH1/SNAI1/MEF2C signaling axis as a major determinant of TPC self-renewal and differentiation in ERMS, raising hope of therapeutically targeting this pathway in the future.
Insights
Intracellular NOTCH1 (ICN1) drives pediatric embryonal rhabdomyosarcoma (ERMS) growth by increasing tumor-propagating cells (TPCs). This NOTCH1/SNAI1/MEF2C pathway disrupts normal muscle differentiation, offering a potential therapeutic target.
Area of Science:
- Oncology
- Developmental Biology
- Cancer Stem Cell Biology
Background:
- Tumor-propagating cells (TPCs) are crucial for sustained tumor growth and share self-renewal properties with normal stem cells.
- The mechanisms governing TPC self-renewal remain largely unknown, particularly in embryonal rhabdomyosarcoma (ERMS), a prevalent pediatric muscle cancer.
Purpose of the Study:
- To investigate the role of intracellular NOTCH1 (ICN1) in regulating TPC self-renewal and differentiation in ERMS.
- To elucidate the molecular mechanisms by which ICN1 influences TPC expansion and muscle differentiation.
Main Methods:
- Utilized a zebrafish transgenic model of ERMS to study TPC dynamics.
- Analyzed the expression and function of NOTCH1, SNAIL1, and MEF2C in both zebrafish and human ERMS cells.
- Investigated the impact of ICN1 on cell differentiation and self-renewal capacity.
Main Results:
- Identified that ICN1 significantly increased TPCs by 23-fold in a zebrafish ERMS model.
- Demonstrated that ICN1 promotes TPC self-renewal by enabling dedifferentiation of ERMS cells, overriding normal muscle differentiation hierarchies.
- Confirmed conserved roles for ICN1 in human ERMS self-renewal and growth, mechanistically linked to SNAIL1 upregulation and MEF2C suppression.
Conclusions:
- The NOTCH1/SNAI1/MEF2C signaling axis is a key determinant of TPC self-renewal and differentiation in ERMS.
- Targeting this pathway presents a promising future therapeutic strategy for ERMS treatment.
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