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The role of thrombomodulin in modulating ITGB3 expression and its implications for triple-negative breast cancer
Yu-Jia Chang1,2,3,4, G M Shazzad Hossain Prince1, Po-Li Wei4,5,6,7
1Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Abstract:
Triple-negative breast cancer (TNBC) is the most aggressive subtype of breast cancer (BC) compared to other BC subtypes in clinical settings. Currently, there are no effective therapeutic strategies for TNBC treatment. Therefore, there is an urgent need to identify suitable biomarkers or therapeutic targets for TNBC patients. Thrombomodulin (TM) plays a role in cancer progression and metastasis in many different cancers. However, the role of TM in TNBC is not yet fully understood. First, silenced-TM in MDA-MB-231 cells caused an increase in proliferative and metastatic activity. In contrast, overexpression of TM in Hs578T cells caused a reduction in proliferation, invasion, and migration rate. Using RNA-seq analysis, we found that Integrin beta 3 (ITGB3) expression may be a downstream target of TM. Furthermore, we found an increase in ITGB3 levels in TM-KD cells by QPCR and western blot analysis but a decrease in ITGB3 levels in TM-overexpressing cells. We found phospho-smad2/3 levels were increased in TM-KD cells but decreased in TM-overexpressing cells. This implies that TM negatively regulates ITGB3 levels through the activation of the smad2/3 pathway. Silencing ITGB3 in TM-KD cells caused a decrease in proliferation and migration. Finally, we found that higher ITGB3 levels were correlated with poor overall survival and relapse-free survival in patients with TNBC. Our results indicated a novel regulatory relationship between TM and ITGB3 in TNBC.
Insights
Thrombomodulin (TM) regulates Integrin beta 3 (ITGB3) in triple-negative breast cancer (TNBC). TM suppresses TNBC growth and metastasis by reducing ITGB3, a marker of poor survival.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype lacking effective therapies.
- Thrombomodulin (TM) is implicated in various cancers, but its role in TNBC is unclear.
- Identifying novel therapeutic targets and biomarkers for TNBC is critical.
Purpose of the Study:
- To investigate the role of Thrombomodulin (TM) in triple-negative breast cancer (TNBC).
- To elucidate the regulatory relationship between TM and Integrin beta 3 (ITGB3) in TNBC.
- To assess the potential of TM and ITGB3 as biomarkers or therapeutic targets in TNBC.
Main Methods:
- Manipulating TM expression (silencing and overexpression) in TNBC cell lines (MDA-MB-231, Hs578T).
- Assessing cell proliferation, invasion, and migration.
- Utilizing RNA-sequencing (RNA-seq), quantitative PCR (qPCR), and Western blot analysis.
- Investigating the involvement of the smad2/3 pathway.
- Correlating ITGB3 levels with patient survival data.
Main Results:
- Silencing TM increased proliferation and metastasis; overexpressing TM reduced these.
- TM negatively regulates Integrin beta 3 (ITGB3) expression via the smad2/3 pathway.
- Silencing ITGB3 in TM-silenced cells decreased proliferation and migration.
- High ITGB3 levels correlate with poor overall and relapse-free survival in TNBC patients.
Conclusions:
- Thrombomodulin (TM) acts as a tumor suppressor in triple-negative breast cancer (TNBC).
- TM negatively regulates Integrin beta 3 (ITGB3), a key driver of TNBC progression.
- ITGB3 is a potential prognostic biomarker and therapeutic target for TNBC.
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