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Prox1 Suppresses the Proliferation of Breast Cancer Cells via Direct Inhibition of c-Myc Gene Expression
Artemis Michail1,2, Dimitrios Gkikas1, Dimitris Stellas3
1Center for Basic Research, Biomedical Research Foundation of the Academy of Athens, 4 Soranou Efesiou Str., 115 27 Athens, Greece.
Abstract:
Breast cancer is one of the most lethal malignancies in women worldwide and is characterized by rapid growth and low survival rates, despite advances in tumor biology and therapies. Novel therapeutic approaches require new insights into the molecular mechanisms of malignant transformation and progression. To this end, here, we identified Prox1 as a negative regulator of proliferation and tumor-related metabolism in breast cancer. In particular, we showed that breast tumors from human patients exhibited reduced levels of Prox1 expression, while high expression levels of Prox1 were associated with a favorable prognosis in breast cancer patients. Moreover, we experimentally demonstrated that Prox1 was sufficient to strongly suppress proliferation, migration, and the Warburg effect in human breast cancer cells without inducing apoptosis. Most importantly, over-expression of Prox1 inhibited breast tumor growth in vivo in both heterotopic and orthotopic xenograft mouse models. The anti-tumorigenic effect of Prox1 was mediated by the direct repression of c-Myc transcription and its downstream target genes. Consistently, c-Myc over-expression from an artificial promoter that was not targeted by Prox1 reversed Prox1's anti-tumor effects. These findings suggest that Prox1 has a tumor suppressive role via direct transcriptional regulation of c-Myc, making it a promising therapeutic gene for breast cancer.
Insights
Prox1 suppresses breast cancer growth and metabolism by inhibiting c-Myc. Higher Prox1 levels in patients correlate with better breast cancer prognosis, indicating its potential as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer remains a leading cause of cancer-related deaths in women globally.
- Despite therapeutic advancements, understanding molecular mechanisms driving malignant progression is crucial for novel treatments.
Purpose of the Study:
- To investigate the role of Prox1 as a potential regulator in breast cancer development and progression.
- To explore Prox1's impact on cancer cell proliferation, metabolism, and tumor growth.
Main Methods:
- Analysis of Prox1 expression in human breast tumors and correlation with patient prognosis.
- In vitro experiments assessing Prox1's effects on breast cancer cell proliferation, migration, and the Warburg effect.
- In vivo studies using xenograft mouse models to evaluate Prox1's anti-tumorigenic potential.
- Investigation of Prox1's regulatory mechanism involving c-Myc transcription.
Main Results:
- Reduced Prox1 expression was observed in human breast tumors; high Prox1 levels correlated with favorable patient prognosis.
- Prox1 overexpression suppressed breast cancer cell proliferation, migration, and the Warburg effect without inducing apoptosis.
- In vivo, Prox1 overexpression inhibited tumor growth in both heterotopic and orthotopic mouse models.
- Prox1's anti-tumorigenic effects were mediated by direct repression of c-Myc transcription and its downstream targets.
Conclusions:
- Prox1 acts as a tumor suppressor in breast cancer.
- Prox1 exerts its anti-tumorigenic effects through the direct transcriptional repression of c-Myc.
- Prox1 represents a promising therapeutic target for breast cancer treatment.
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