The CDK1/TFCP2L1/ID2 cascade offers a novel combination therapy strategy in a preclinical model of bladder cancer

Jinbeom Heo1,2, Jinyoung Lee1, Yun Ji Nam1,2

  • 1Department of Biomedical Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Insights

Aberrant activation of embryogenesis-related pathways in bladder cancer (BC) involves TFCP2L1. We found ID2 acts as a key mediator, and its restoration suppresses BC stemness and tumor growth.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Aberrant activation of embryogenesis pathways in urothelial bladder cancer (BC) correlates with stemness, dedifferentiation, and metastasis.
  • Overexpression and phosphorylation of transcription factor CP2-like protein-1 (TFCP2L1) by cyclin-dependent kinase-1 (CDK1) are implicated in bladder carcinogenesis.

Purpose of the Study:

  • To investigate the clinical relevance and therapeutic potential of the CDK1-TFCP2L1 molecular network in bladder cancer.
  • To elucidate the role of inhibitor of DNA binding-2 (ID2) as a mediator in this pathway.

Main Methods:

  • Analysis of ID2 as a direct repressive target of TFCP2L1.
  • Correlation of ID2 and CDK1 expression with clinical characteristics.
  • Investigation of TFCP2L1's effect on ID2 promoter activity.
  • Assessment of ID2 ectopic expression and apigenin treatment on BC cell behavior.
  • Evaluation of combination therapy (RO-3306 and apigenin) in an orthotopic BC xenograft model.

Main Results:

  • ID2 acts as a crucial mediator, directly repressed by TFCP2L1, modulating BC cell stemness and survival.
  • Low ID2 and high CDK1 expression are significantly associated with unfavorable clinical characteristics.
  • Ectopic ID2 expression or apigenin treatment induced apoptosis, impaired proliferation, suppressed stemness, and reduced invasion in BC cells.
  • Combination treatment with a CDK1 inhibitor and apigenin significantly suppressed tumor growth in vivo.

Conclusions:

  • ID2 is a direct target of the CDK1-TFCP2L1 pathway, playing a critical role in modulating BC stemness.
  • The CDK1-TFCP2L1-ID2 axis represents a potential therapeutic target for bladder cancer treatment.

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