SRRM4-mediated REST to REST4 dysregulation promotes tumor growth and neural adaptation in breast cancer leading to

Krutika Deshpande1,2, Vahan Martirosian1,3, Brooke N Nakamura4,3

  • 1Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Neuro-Oncology
|September 16, 2023
PubMed
Abstract

Insights

Serine/Arginine Repetitive Matrix Protein 4 (SRRM4) drives breast cancer brain metastasis by promoting neural adaptation. Targeting SRRM4 may offer a new therapeutic strategy for controlling brain metastases and improving patient survival.

Area of Science:

  • Oncology
  • Neuroscience
  • Cancer Biology

Background:

  • Effective control of brain metastasis is a significant clinical challenge due to poorly understood underlying mechanisms.
  • While neuro-adaptive traits in breast-to-brain metastases (BBMs) are recognized, the specific drivers of neural acclimation and brain colonization competency remain unclear.
  • This study investigates the role of the neural-specific splicing factor Serine/Arginine Repetitive Matrix Protein 4 (SRRM4) in breast cancer's adaptation to the brain microenvironment.

Purpose of the Study:

  • To define the role of SRRM4 in regulating microenvironmental adaptation in breast cancer cells.
  • To elucidate the mechanisms by which SRRM4 influences brain metastasis colonization.
  • To evaluate SRRM4 as a potential therapeutic target for breast cancer brain metastasis.

Main Methods:

  • Utilized pure neuronal cultures and both brain-naive and patient-derived breast-to-brain metastasis (BBM) tumor cells.
  • Employed in vivo tumor modeling to survey early induction of neural acclimation mediators in tumor cells.
  • Assessed the impact of SRRM4 overexpression and knockdown on tumor cell behavior, proliferation, chemotherapy resistance, and colonization in a brain microenvironment model.

Main Results:

  • Overexpression of SRRM4 in breast cancer cells enhanced BBM and correlated with poorer overall survival in vivo.
  • SRRM4 knockdown slowed breast cancer cell proliferation and increased chemotherapy resistance.
  • Elevated SRRM4/RE-1 Silencing Transcription Factor (REST4) levels promoted tumor cell growth in nutrient-deprived conditions and enhanced adaptation to the brain microenvironment, including increased expression of neurotransmitter and synaptic signaling mediators.

Conclusions:

  • SRRM4 acts as a key regulator of brain metastasis colonization in breast cancer.
  • SRRM4 influences breast cancer cell adaptation to the brain microenvironment and promotes colonization.
  • SRRM4 represents a potential therapeutic target for managing breast cancer brain metastasis.