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Updated: Feb 15, 2026

Isolation and Functional Assessment of Human Breast Cancer Stem Cells from Cell and Tissue Samples
Published on: October 2, 2020
SALL4 - KHDRBS3 network enhances stemness by modulating CD44 splicing in basal-like breast cancer
Yoshiaki Matsumoto1, Junji Itou1, Fumiaki Sato1
1Department of Breast Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Abstract:
Understanding the mechanism by which cancer cells enhance stemness facilitates cancer therapies. Here, we revealed that a stem cell transcription factor, SALL4, functions to enhance stemness in basal-like breast cancer cells. We used shRNA-mediated knockdown and gene overexpression systems to analyze gene functions. To evaluate stemness, we performed a sphere formation assay. In SALL4 knockdown cells, the sphere formation ability was reduced, indicating that SALL4 enhances stemness. CD44 is a membrane protein and is known as a stemness factor in cancer. CD44 splicing variants are involved in cancer stemness. We discovered that SALL4 modulates CD44 alternative splicing through the upregulation of KHDRBS3, a splicing factor for CD44. We cloned the KHDRBS3-regulated CD44 splicing isoform (CD44v), which lacks exons 8 and 9. CD44v overexpression prevented a reduction in the sphere formation ability by KHDRBS3 knockdown, indicating that CD44v is positively involved in cancer stemness. In addition, CD44v enhanced anoikis resistance under the control of the SALL4 - KHDRBS3 network. Basal-like breast cancer is an aggressive subtype among breast cancers, and there is no effective therapy so far. Our findings provide molecular targets for basal-like breast cancer therapy. In the future, this study may contribute to the establishment of drugs targeting cancer stemness.
Insights
Stem cell transcription factor SALL4 enhances stemness in basal-like breast cancer by upregulating KHDRBS3, which modulates CD44 splicing. This SALL4-KHDRBS3-CD44v pathway offers potential therapeutic targets for aggressive breast cancer.
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Biology
Background:
- Cancer stemness is a key driver of tumor progression and therapeutic resistance.
- Basal-like breast cancer is an aggressive subtype with limited treatment options.
- Understanding the regulatory mechanisms of cancer stemness is crucial for developing novel therapies.
Purpose of the Study:
- To elucidate the role of stem cell transcription factor SALL4 in basal-like breast cancer stemness.
- To identify the downstream effectors and molecular mechanisms by which SALL4 enhances stemness.
- To explore the potential of targeting the SALL4 pathway for basal-like breast cancer treatment.
Main Methods:
- shRNA-mediated knockdown and gene overexpression systems were employed to analyze gene functions.
- Sphere formation assays were utilized to evaluate cancer stemness.
- Analysis of CD44 alternative splicing and its regulation by SALL4 and KHDRBS3 was performed.
Main Results:
- SALL4 was identified as a crucial factor that enhances stemness in basal-like breast cancer cells, as evidenced by reduced sphere formation upon SALL4 knockdown.
- SALL4 upregulates KHDRBS3, a splicing factor that modulates CD44 alternative splicing, leading to the production of CD44 variants (CD44v) lacking exons 8 and 9.
- Overexpression of CD44v rescued the sphere formation defect caused by KHDRBS3 knockdown and enhanced anoikis resistance, highlighting its role in cancer stemness and survival under the SALL4-KHDRBS3 network.
Conclusions:
- SALL4 plays a significant role in promoting cancer stemness in basal-like breast cancer through the KHDRBS3-mediated regulation of CD44 splicing.
- The identified SALL4-KHDRBS3-CD44v axis represents a promising molecular target for developing new therapeutic strategies against aggressive basal-like breast cancer.
- Targeting cancer stemness pathways, such as the one involving SALL4, holds potential for future drug development in oncology.
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