Lymphatic metastasis-related TBL1XR1 enhances stemness and metastasis in gastric cancer stem-like cells by activating ERK1/2-SOX2 signaling

Oncogene. 2021 Feb;40(5):922-936. doi: 10.1038/s41388-020-01571-x. Epub 2020 Dec 7.

Abstract

The poor prognosis of gastric cancer (GC) results largely from metastasis and chemotherapy resistance. Toward novel therapeutic strategies that target or evade these phenomena, we evaluated the function of the transcriptional regulator transducin (β)-like 1 X-linked receptor 1 (TBL1XR1) in GC cells, including stem-like cells. In this study, the correlation of expression of TBL1XR1 and clinical features and GC patients' outcomes was evaluated. Knockdown or exogenous expression of TBL1XR1 was combined with in vitro (2D and 3D cultures) and in vivo (mouse lung and lymphatic metastasis models) assays to evaluate the function of TBL1XR1. TBL1XR1's downstream signaling was delineated by phospho-kinase array and knockdown of candidate mediators. Analysis of clinical data showed that TBL1XR1 overexpression was correlated with worse prognosis. Functional assays showed that TBL1XR1 promoted stemness, epithelial-mesenchymal transition (EMT), and lung and lymphatic metastasis in GC cells. TBL1XR1 activated ERK1/2-Sox2 signaling and was dependent on signaling via PI3K/AKT, in GC stem-like cells distinguished by CD44 expression. Moreover, inhibition of these signaling proteins reversed chemoresistance in in vitro and in vivo models. Taken together, our results indicate that TBL1XR1 promotes stemness and metastasis in GC, making it a potential prognostic indicator. The PI3K/AKT-TBL1XR1-ERK1/2-Sox2 axis may represent a target for the treatment of GC.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Retracted Publication

MeSH terms

  • Cell Line, Tumor
  • Cell Proliferation / genetics
  • Epithelial-Mesenchymal Transition / genetics
  • Gene Expression Regulation, Neoplastic / genetics
  • Humans
  • Hyaluronan Receptors / genetics
  • Lymphatic Metastasis / genetics*
  • Lymphatic Metastasis / pathology
  • MAP Kinase Signaling System / genetics
  • Mitogen-Activated Protein Kinase 3 / genetics
  • Neoplasm Metastasis
  • Neoplastic Stem Cells / pathology
  • Receptors, Cytoplasmic and Nuclear / genetics*
  • Repressor Proteins / genetics*
  • SOXB1 Transcription Factors / genetics*
  • Stomach Neoplasms / genetics*
  • Stomach Neoplasms / pathology

Substances

  • Hyaluronan Receptors
  • Receptors, Cytoplasmic and Nuclear
  • Repressor Proteins
  • SOX2 protein, human
  • SOXB1 Transcription Factors
  • TBL1XR1 protein, human
  • MAPK3 protein, human
  • Mitogen-Activated Protein Kinase 3