LEFTY1 Is a Dual-SMAD Inhibitor that Promotes Mammary Progenitor Growth and Tumorigenesis

Maider Zabala1, Neethan A Lobo1, Jane Antony1

  • 1Institute for Stem Cell Biology and Regenerative Medicine, School of Medicine, Stanford University, Stanford, CA, USA.

Cell Stem Cell
|July 22, 2020
PubMed

Insights

LEFTY1, a novel inhibitor, promotes mammary epithelial cell proliferation by suppressing SMAD signaling. Targeting LEFTY1 may offer a new therapeutic strategy for breast cancer treatment.

Area of Science:

  • Cell Biology
  • Developmental Biology
  • Cancer Research

Background:

  • SMAD pathways regulate epithelial cell proliferation and mammary gland development.
  • Transforming growth factor-beta (TGF-β) and bone morphogenetic protein (BMP) signaling pathways have distinct roles in mammary homeostasis.
  • NODAL/SMAD2 signaling is crucial in various developmental processes.

Purpose of the Study:

  • To investigate the role of LEFTY1 in mammary epithelial cell proliferation and breast cancer.
  • To elucidate the interaction between LEFTY1, BMP7, and SMAD signaling in mammary development.
  • To identify potential therapeutic targets in triple-negative breast cancer.

Main Methods:

  • Analysis of LEFTY1 expression in mammary progenitor cells.
  • Investigation of LEFTY1's effect on SMAD2 and SMAD5 signaling.
  • Study of BMP7's role as a NODAL antagonist.
  • Examination of LEFTY1-BMPR2 interaction in breast cancer xenografts.

Main Results:

  • LEFTY1, produced by mammary progenitor cells, suppresses SMAD2 and SMAD5 signaling, promoting epithelial cell proliferation.
  • BMP7, produced by basal cells, restrains progenitor cell proliferation and opposes LEFTY1 in normal mammary epithelium.
  • LEFTY1 binds BMPR2 to inhibit BMP7-induced SMAD5 activation, a mechanism critical for tumor-initiating cells in triple-negative breast cancer.
  • LEFTY1 acts as an endogenous dual-SMAD inhibitor.

Conclusions:

  • LEFTY1 promotes long-term proliferation of normal and malignant mammary epithelial cells.
  • The interaction between LEFTY1 and BMPR2 is specific to tumor-initiating cells and essential for their growth.
  • Inhibition of LEFTY1 function presents a potential therapeutic vulnerability in breast cancer.