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ETHE1 Accelerates Triple-Negative Breast Cancer Metastasis by Activating GCN2/eIF2α/ATF4 Signaling
Shao-Ying Yang1,2,3, Li Liao1,2,3, Shu-Yuan Hu1
1Fudan University Shanghai Cancer Center and Institutes of Biomedical Sciences, Fudan University, Shanghai 200032, China.
Abstract:
Triple-negative breast cancer (TNBC) is the most fatal subtype of breast cancer; however, effective treatment strategies for TNBC are lacking. Therefore, it is important to explore the mechanism of TNBC metastasis and identify its therapeutic targets. Dysregulation of ETHE1 leads to ethylmalonic encephalopathy in humans; however, the role of ETHE1 in TNBC remains elusive. Stable cell lines with ETHE1 overexpression or knockdown were constructed to explore the biological functions of ETHE1 during TNBC progression in vitro and in vivo. Mass spectrometry was used to analyze the molecular mechanism through which ETHE1 functions in TNBC progression. ETHE1 had no impact on TNBC cell proliferation and xenograft tumor growth but promoted TNBC cell migration and invasion in vitro and lung metastasis in vivo. The effect of ETHE1 on TNBC cell migratory potential was independent of its enzymatic activity. Mechanistic investigations revealed that ETHE1 interacted with eIF2α and enhanced its phosphorylation by promoting the interaction between eIF2α and GCN2. Phosphorylated eIF2α in turn upregulated the expression of ATF4, a transcriptional activator of genes involved in cell migration and tumor metastasis. Notably, inhibition of eIF2α phosphorylation through ISRIB or ATF4 knockdown partially abolished the tumor-promoting effect of ETHE1 overexpression. ETHE1 has a functional and mechanistic role in TNBC metastasis and offers a new therapeutic strategy for targeting ETHE1-propelled TNBC using ISRIB.
Insights
ETHE1 promotes triple-negative breast cancer (TNBC) metastasis by enhancing eIF2α phosphorylation and ATF4 expression. Targeting ETHE1 or eIF2α phosphorylation with ISRIB offers a novel therapeutic strategy for TNBC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metastasis Research
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype with limited treatment options.
- Understanding TNBC metastasis mechanisms is crucial for developing effective therapies.
- The role of ETHE1, linked to ethylmalonic encephalopathy, in TNBC is currently unknown.
Purpose of the Study:
- To investigate the function and mechanism of ETHE1 in triple-negative breast cancer progression.
- To identify potential therapeutic targets for TNBC metastasis.
Main Methods:
- Generation of stable cell lines with ETHE1 overexpression or knockdown.
- In vitro assays for cell migration and invasion.
- In vivo studies of lung metastasis in mouse models.
- Mass spectrometry for molecular mechanism analysis.
- Western blotting and co-immunoprecipitation to study protein interactions.
Main Results:
- ETHE1 overexpression significantly promoted TNBC cell migration, invasion, and lung metastasis in vivo, without affecting proliferation or tumor growth.
- ETHE1's pro-metastatic effect was independent of its enzymatic activity.
- ETHE1 enhanced eIF2α phosphorylation by promoting the eIF2α-GCN2 interaction, leading to increased ATF4 expression.
- Inhibition of eIF2α phosphorylation or ATF4 knockdown partially reversed ETHE1's pro-metastatic effects.
Conclusions:
- ETHE1 plays a critical role in promoting TNBC metastasis through the eIF2α/ATF4 pathway.
- ETHE1 represents a potential therapeutic target for aggressive TNBC.
- ISRIB, an inhibitor of eIF2α phosphorylation, shows promise for treating ETHE1-driven TNBC metastasis.
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