Identification of TENM4 as a Novel Cancer Stem Cell-Associated Molecule and Potential Target in Triple Negative Breast Cancer
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Updated: Nov 15, 2025

Isolation and Functional Assessment of Human Breast Cancer Stem Cells from Cell and Tissue Samples
Published on: October 2, 2020
Roberto Ruiu1, Giuseppina Barutello1, Maddalena Arigoni1
1Molecular Biotechnology Center, Department of Molecular Biotechnology and Health Sciences, University of Torino, Via Nizza 52, 10126 Torino, Italy.
Abstract:
Triple-negative breast cancer (TNBC) is insensitive to endocrine and Her2-directed therapies, making the development of TNBC-targeted therapies an unmet medical need. Since patients with TNBC frequently show a quicker relapse and metastatic progression compared to other breast cancer subtypes, we hypothesized that cancer stem cells (CSC) could have a role in TNBC. To identify putative TNBC CSC-associated targets, we compared the gene expression profiles of CSC-enriched tumorspheres and their parental cells grown as monolayer. Among the up-regulated genes coding for cell membrane-associated proteins, we selected Teneurin 4 (TENM4), involved in cell differentiation and deregulated in tumors of different histotypes, as the object for this study. Meta-analysis of breast cancer datasets shows that TENM4 mRNA is up-regulated in invasive carcinoma specimens compared to normal breast and that high expression of TENM4 correlates with a shorter relapse-free survival in TNBC patients. TENM4 silencing in mammary cancer cells significantly impaired tumorsphere-forming ability, migratory capacity and Focal Adhesion Kinase (FAK) phosphorylation. Moreover, we found higher levels of TENM4 in plasma from tumor-bearing mice and TNBC patients compared to the healthy controls. Overall, our results indicate that TENM4 may act as a novel biomarker and target for the treatment of TNBC.
Insights
Triple-negative breast cancer (TNBC) research identifies Teneurin 4 (TENM4) as a potential therapeutic target. High TENM4 expression correlates with poorer outcomes, and its inhibition impacts cancer cell behavior, suggesting its role in TNBC progression.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Triple-negative breast cancer (TNBC) lacks targeted therapies, necessitating novel treatment strategies.
- Cancer stem cells (CSCs) are implicated in TNBC's rapid relapse and metastasis.
- Identifying CSC-associated targets is crucial for TNBC therapeutic development.
Purpose of the Study:
- To identify and characterize novel therapeutic targets for triple-negative breast cancer.
- To investigate the role of Teneurin 4 (TENM4) in TNBC, particularly in relation to cancer stem cells.
Main Methods:
- Comparative gene expression profiling of TNBC cancer stem cell-enriched tumorspheres and parental cells.
- Meta-analysis of breast cancer datasets to assess TENM4 mRNA levels and patient survival.
- Functional assays including TENM4 silencing to evaluate effects on tumorsphere formation, migration, and Focal Adhesion Kinase (FAK) phosphorylation.
- Analysis of TENM4 levels in plasma from tumor-bearing mice and TNBC patients.
Main Results:
- Teneurin 4 (TENM4) was identified as a significantly upregulated gene in TNBC CSCs.
- High TENM4 mRNA expression in invasive breast carcinoma correlates with shorter relapse-free survival in TNBC patients.
- TENM4 silencing reduced tumorsphere formation, migration, and FAK phosphorylation in mammary cancer cells.
- Elevated TENM4 levels were detected in plasma from tumor-bearing mice and TNBC patients.
Conclusions:
- TENM4 is upregulated in TNBC and associated with poor prognosis.
- TENM4 plays a role in key cancer stem cell functionalities, including tumorsphere formation and migration.
- TENM4 represents a promising novel biomarker and therapeutic target for triple-negative breast cancer.
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