Loss of DLX3 tumor suppressive function promotes progression of SCC through EGFR-ERBB2 pathway

Deepti Bajpai1, Spencer Mehdizadeh1, Akihiko Uchiyama2

  • 1Laboratory of Skin Biology, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, MD, USA.

Oncogene
|May 5, 2021
PubMed

Insights

DLX3 acts as a tumor suppressor in cutaneous squamous cell carcinoma (cSCC). Loss of DLX3 accelerates skin tumor development and activates the EGFR-ERBB2 pathway, suggesting new therapeutic targets.

Area of Science:

  • Oncology
  • Dermatology
  • Molecular Biology

Background:

  • Cutaneous squamous cell carcinoma (cSCC) is the second most common skin cancer.
  • Disrupted keratinocyte proliferation and differentiation underlie cSCC development.
  • DLX3, a homeobox transcription factor, is crucial for epidermal homeostasis.

Purpose of the Study:

  • To investigate the role of DLX3 expression in cSCC prognosis.
  • To model the function of Dlx3 in skin tumorigenesis.
  • To identify molecular pathways affected by Dlx3 loss in cSCC.

Main Methods:

  • Clinicopathologic analysis of DLX3 expression in human cSCC.
  • Kaplan-Meier survival analysis.
  • A two-stage DMBA/TPA skin tumorigenesis study in Dlx3 conditional knockout (Dlx3cKO) mice.
  • Whole transcriptome analysis of mouse tumor and skin tissue.

Main Results:

  • Higher DLX3 protein expression correlated with lower cSCC pathologic grade.
  • Low DLX3 expression was associated with poor patient survival.
  • Dlx3cKO mice exhibited increased tumor incidence and accelerated tumorigenesis.
  • Loss of Dlx3 led to spontaneous activation of the EGFR-ERBB2 pathway.

Conclusions:

  • DLX3 functions as a tumor suppressor in the skin.
  • Therapeutic strategies targeting the EGFR-ERBB2 pathway may be effective for cSCC.

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