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Publication : Breast tumor cell-specific knockout of <i>Twist1</i> inhibits cancer cell plasticity, dissemination, and lung metastasis in mice.

First Author  Xu Y Year  2017
Journal  Proc Natl Acad Sci U S A Volume  114
Issue  43 Pages  11494-11499
PubMed ID  29073077 Mgi Jnum  J:256931
Mgi Id  MGI:6095544 Doi  10.1073/pnas.1618091114
Citation  Xu Y, et al. (2017) Breast tumor cell-specific knockout of Twist1 inhibits cancer cell plasticity, dissemination, and lung metastasis in mice. Proc Natl Acad Sci U S A 114(43):11494-11499
abstractText  Twist1 is an epithelial-mesenchymal transition (EMT)-inducing transcription factor (TF) that promotes cell migration and invasion. To determine the intrinsic role of Twist1 in EMT and breast cancer initiation, growth, and metastasis, we developed mouse models with an oncogene-induced mammary tumor containing wild-type (WT) Twist1 or tumor cell-specific Twist1 knockout (Twist1(TKO)). Twist1 knockout showed no effects on tumor initiation and growth. In both models with early-stage tumor cells, Twist1, and mesenchymal markers were not expressed, and lung metastasis was absent. Twist1 expression was detected in approximately 6% of the advanced WT tumor cells. Most of these Twist1(+) cells coexpressed several other EMT-inducing TFs (Snail, Slug, Zeb2), lost ERalpha and luminal marker K8, acquired basal cell markers (K5, p63), and exhibited a partial EMT plasticity (E-cadherin(+)/vimentin(+)). In advanced Twist1(TKO) tumor cells, Twist1 knockout largely diminished the expression of the aforementioned EMT-inducing TFs and basal and mesenchymal markers, but maintained the expression of the luminal markers. Circulating tumor cells (CTCs) were commonly detected in mice with advanced WT tumors, but not in mice with advanced Twist1(TKO) tumors. Nearly all WT CTCs coexpressed Twist1 with other EMT-inducing TFs and both epithelial and mesenchymal markers. Mice with advanced WT tumors developed extensive lung metastasis consisting of luminal tumor cells with silenced Twist1 and mesenchymal marker expression. Mice with advanced Twist1(TKO) tumors developed very little lung metastasis. Therefore, Twist1 is required for the expression of other EMT-inducing TFs in a small subset of tumor cells. Together, they induce partial EMT, basal-like tumor progression, intravasation, and metastasis.
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