A Sox2-Sox9 signalling axis maintains human breast luminal progenitor and breast cancer stem cells

Oncogene. 2019 Apr;38(17):3151-3169. doi: 10.1038/s41388-018-0656-7. Epub 2019 Jan 8.

Abstract

Increased cancer stem cell content during development of resistance to tamoxifen in breast cancer is driven by multiple signals, including Sox2-dependent activation of Wnt signalling. Here, we show that Sox2 increases and estrogen reduces the expression of the transcription factor Sox9. Gain and loss of function assays indicate that Sox9 is implicated in the maintenance of human breast luminal progenitor cells. CRISPR/Cas knockout of Sox9 reduces growth of tamoxifen-resistant breast tumours in vivo. Mechanistically, Sox9 acts downstream of Sox2 to control luminal progenitor cell content and is required for expression of the cancer stem cell marker ALDH1A3 and Wnt signalling activity. Sox9 is elevated in breast cancer patients after endocrine therapy failure. This new regulatory axis highlights the relevance of SOX family transcription factors as potential therapeutic targets in breast cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Breast / cytology
  • Breast / metabolism*
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / genetics
  • Breast Neoplasms / metabolism*
  • Cell Line
  • Cell Proliferation
  • Drug Resistance, Neoplasm*
  • Epithelial Cells / cytology
  • Estrogens / pharmacology
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • MCF-7 Cells
  • Neoplastic Stem Cells / metabolism*
  • SOX9 Transcription Factor / genetics
  • SOX9 Transcription Factor / metabolism*
  • SOXB1 Transcription Factors / metabolism*
  • Signal Transduction
  • Tamoxifen / pharmacology
  • Up-Regulation

Substances

  • Estrogens
  • SOX2 protein, human
  • SOX9 Transcription Factor
  • SOX9 protein, human
  • SOXB1 Transcription Factors
  • Tamoxifen