51. Elevated GRHL2 Imparts Plasticity in ER-Positive Breast Cancer Cells.
- Author
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Zheng, Christy, Allen, Kaelyn O., Liu, Tianrui, Solodin, Natalia M., Meyer, Mark B., Salem, Kelley, Tsourkas, Phillipos K., McIlwain, Sean J., Vera, Jessica M., Cromwell, Erika R., Ozers, Mary Szatkowski, Fowler, Amy M., and Alarid, Elaine T.
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FLOW cytometry , *HORMONE receptor positive breast cancer , *RESEARCH funding , *T-test (Statistics) , *NEUROPLASTICITY , *CELL physiology , *CELL proliferation , *TRANSCRIPTION factors , *DESCRIPTIVE statistics , *TUMOR markers , *XENOGRAFTS , *ESTROGEN receptors , *CELL lines , *GENE expression , *IMMUNOHISTOCHEMISTRY , *DATA analysis software , *BIOLOGICAL assay - Abstract
Simple Summary: High levels of the transcription factor Grainyhead-like protein 2 (GRHL2) contribute to worse outcomes for patients with breast cancer tumors that express estrogen receptor (ER). Using multiple methods to increase GRHL2 expression in breast cancer cells, we found that high GRHL2 promotes both epithelial and mesenchymal phenotypes. This is indicative of an intermediate state between epithelial and mesenchymal cells, which is associated with metastasis. We also observed that elevated GRHL2 stimulates properties characteristic of cellular plasticity, including a decrease in cellular proliferation with a reciprocal increase in dormancy and stem cell markers. Elevated levels of GRHL2 broadly changed its control of gene expression at the level of DNA and shifted nearby transcription factor binding sites from those associated with development to those associated with disease progression. These results provide a possible explanation for how elevated GRHL2 levels could contribute to poorer prognosis in ER-positive breast cancer. Estrogen receptor (ER)-positive breast cancer is characterized by late recurrences following initial treatment. The epithelial cell fate transcription factor Grainyhead-like protein 2 (GRHL2) is overexpressed in ER-positive breast cancers and is linked to poorer prognosis as compared to ER-negative breast cancers. To understand how GRHL2 contributes to progression, GRHL2 was overexpressed in ER-positive cells. We demonstrated that elevated GRHL2 imparts plasticity with stem cell- and dormancy-associated traits. RNA sequencing and immunocytochemistry revealed that high GRHL2 not only strengthens the epithelial identity but supports a hybrid epithelial to mesenchymal transition (EMT). Proliferation and tumor studies exhibited a decrease in growth and an upregulation of dormancy markers, such as NR2F1 and CDKN1B. Mammosphere assays and flow cytometry revealed enrichment of stem cell markers CD44 and ALDH1, and increased self-renewal capacity. Cistrome analyses revealed a change in transcription factor motifs near GRHL2 sites from developmental factors to those associated with disease progression. Together, these data support the idea that the plasticity and properties induced by elevated GRHL2 may provide a selective advantage to explain the association between GRHL2 and breast cancer progression. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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