Downregulation of FOXO3a by DNMT1 promotes breast cancer stem cell properties and tumorigenesis

Cell Death Differ. 2020 Mar;27(3):966-983. doi: 10.1038/s41418-019-0389-3. Epub 2019 Jul 11.

Abstract

Breast cancer stem cells (BCSCs) are tumor initiating cells that can self-renew and are highly tumorigenic and chemoresistant. Therefore, the identification of factors critical for BCSC function is vital for the development of therapies. Here, we report that DNMT1-mediated FOXO3a promoter hypermethylation leads to downregulation of FOXO3a expression in breast cancer. FOXO3a is functionally related to the inhibition of FOXM1/SOX2 signaling and to the consequent suppression of BCSCs properties and tumorigenicity. Moreover, we found that SOX2 directly transactivates DNMT1 expression and thereby alters the methylation landscape, which in turn feedback inhibits FOXO3a expression. Inhibition of DNMT activity suppressed tumor growth via regulation of FOXO3a/FOXM1/SOX2 signaling in breast cancer. Clinically, we observed a significant inverse correlation between FOXO3a and FOXM1/SOX2/DNMT1 expression levels, and loss of FOXO3a expression or increased expression of FOXM1, SOX2, and DNMT1 predicted poor prognosis in breast cancer. Collectively, our findings suggest an important role of the DNMT1/FOXO3a/FOXM1/SOX2 pathway in regulating BCSCs properties, suggesting potential therapeutic targets for breast cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Breast Neoplasms / genetics*
  • Breast Neoplasms / pathology*
  • Carcinogenesis / genetics*
  • Carcinogenesis / pathology*
  • Cell Line, Tumor
  • Cell Proliferation / genetics
  • DNA (Cytosine-5-)-Methyltransferase 1 / metabolism*
  • DNA Methylation / genetics
  • Down-Regulation* / genetics
  • Feedback, Physiological
  • Female
  • Forkhead Box Protein M1 / metabolism
  • Forkhead Box Protein O3 / metabolism*
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Mice, Nude
  • Neoplastic Stem Cells / metabolism*
  • Neoplastic Stem Cells / pathology
  • Promoter Regions, Genetic
  • SOXB1 Transcription Factors / metabolism
  • Signal Transduction

Substances

  • FOXO3 protein, human
  • Forkhead Box Protein M1
  • Forkhead Box Protein O3
  • SOXB1 Transcription Factors
  • DNA (Cytosine-5-)-Methyltransferase 1
  • DNMT1 protein, human