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Updated: Jan 8, 2026

Studying TGF-β Signaling and TGF-β-induced Epithelial-to-mesenchymal Transition in Breast Cancer and Normal Cells
Published on: October 27, 2020
Loss of ALK4 promotes cancer progression through regulating TGF-β receptor N-glycosylation
Manqi Zhang1, Jian Chen1, Mary C Leupold1
1Department of Medicine, Division of Medical Oncology, Duke University Medical Center, Durham, NC, USA.
Abstract:
The transforming growth factor-β (TGF-β) pathway typically inhibits tumorigenesis but can promote metastasis during cancer progression. Activin receptor-like kinase 4 (ALK4), a type I TGF-β family receptor, is frequently downregulated or mutated in cancers, and reduced ALK4 expression correlates with poorer outcomes. However, its role and mechanism of action in cancer progression remains unclear. We demonstrate that ALK4 loss enhances anchorage-independent growth, migration, invasion, and epithelial-mesenchymal transition in vitro, as well as cancer progression in breast and pancreatic cancer models in vivo. Importantly, ALK4 loss promotes canonical TGF-β signaling by increasing TGF-β receptor N-linked glycosylation and stabilizing these receptors at the cell surface. Mechanistically, ALK4 loss upregulates β1,6 N-acetylglucosaminyltransferase V (MGAT5) and galectin-3, which binds MGAT5-modified glycoproteins to stabilize surface receptors. Consistent with prior observations that galectin-3 preferentially binds to MGAT5-modified glycoproteins to stabilize cell surface receptors like TGF-β receptors, we demonstrate that ALK4 loss enhances MGAT5-mediated glycosylation of TGF-β receptors, promoting their stabilization and signal transduction. Depleting MGAT5 or inhibiting N-glycosylation effectively suppresses ALK4-loss-induced TGF-β signaling and cancer progression.
Insights
Loss of Activin receptor-like kinase 4 (ALK4) promotes cancer progression and metastasis. ALK4 loss enhances transforming growth factor-β (TGF-β) signaling by altering receptor glycosylation, which can be targeted to suppress cancer growth.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- The transforming growth factor-β (TGF-β) pathway plays a dual role in cancer, inhibiting initial tumor formation but promoting metastasis later.
- Activin receptor-like kinase 4 (ALK4), a TGF-β family receptor, is often lost or mutated in cancers, correlating with poor patient outcomes.
- The precise role and molecular mechanisms of ALK4 in cancer progression are not fully understood.
Purpose of the Study:
- To investigate the function and mechanism of ALK4 in cancer progression.
- To elucidate how ALK4 loss influences TGF-β signaling pathways.
- To identify potential therapeutic targets based on ALK4's role in cancer.
Main Methods:
- In vitro assays assessing anchorage-independent growth, migration, invasion, and epithelial-mesenchymal transition.
- In vivo studies using breast and pancreatic cancer models.
- Analysis of TGF-β receptor N-linked glycosylation and cell surface stabilization.
- Investigation of the roles of β1,6 N-acetylglucosaminyltransferase V (MGAT5) and galectin-3.
Main Results:
- ALK4 loss significantly enhanced cancer cell growth, migration, invasion, and epithelial-mesenchymal transition in vitro.
- ALK4 deficiency promoted tumor progression in vivo in breast and pancreatic cancer models.
- ALK4 loss led to increased N-linked glycosylation and cell surface stabilization of TGF-β receptors.
- Upregulation of MGAT5 and galectin-3 by ALK4 loss was identified as a key mechanism promoting receptor stabilization and TGF-β signaling.
Conclusions:
- Loss of ALK4 expression drives cancer progression and metastasis by enhancing canonical TGF-β signaling.
- The mechanism involves increased MGAT5-mediated glycosylation and galectin-3 binding, stabilizing TGF-β receptors at the cell surface.
- Targeting MGAT5 or N-glycosylation represents a potential therapeutic strategy to counteract ALK4-loss-induced cancer progression.
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