Thymidylate synthase maintains the de-differentiated state of triple negative breast cancers

Cell Death Differ. 2019 Nov;26(11):2223-2236. doi: 10.1038/s41418-019-0289-6. Epub 2019 Feb 8.

Abstract

Cancer cells frequently boost nucleotide metabolism (NM) to support their increased proliferation, but the consequences of elevated NM on tumor de-differentiation are mostly unexplored. Here, we identified a role for thymidylate synthase (TS), a NM enzyme and established drug target, in cancer cell de-differentiation and investigated its clinical significance in breast cancer (BC). In vitro, TS knockdown increased the population of CD24+ differentiated cells, and attenuated migration and sphere-formation. RNA-seq profiling indicated repression of epithelial-to-mesenchymal transition (EMT) signature genes upon TS knockdown, and TS-deficient cells showed an increased ability to invade and metastasize in vivo, consistent with the occurrence of a partial EMT phenotype. Mechanistically, TS enzymatic activity was found essential for maintenance of the EMT/stem-like state by fueling a dihydropyrimidine dehydrogenase-dependent pyrimidine catabolism. In patient tissues, TS levels were found significantly higher in poorly differentiated and in triple negative BC, and strongly correlated with worse prognosis. The present study provides the rationale to study in-depth the role of NM at the crossroads of proliferation and differentiation, and depicts new avenues for the design of novel drug combinations for the treatment of BC.

Publication types

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

MeSH terms

  • Animals
  • CD24 Antigen / metabolism
  • Cell Dedifferentiation / physiology*
  • Cell Movement
  • Cell Proliferation / physiology
  • Dihydrouracil Dehydrogenase (NADP) / metabolism
  • Epithelial-Mesenchymal Transition / genetics
  • Female
  • Human Umbilical Vein Endothelial Cells
  • Humans
  • Mice
  • Mice, Nude
  • Neoplasm Invasiveness / genetics
  • Prognosis
  • Pyrimidines / metabolism
  • Spheroids, Cellular
  • Thymidylate Synthase / genetics
  • Thymidylate Synthase / metabolism*
  • Triple Negative Breast Neoplasms / pathology*
  • Tumor Cells, Cultured

Substances

  • CD24 Antigen
  • CD24 protein, human
  • Pyrimidines
  • Dihydrouracil Dehydrogenase (NADP)
  • Thymidylate Synthase