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Publication : Regulation of lung cancer metastasis by Klf4-Numb-like signaling.

First Author  Vaira V Year  2013
Journal  Cancer Res Volume  73
Issue  8 Pages  2695-705
PubMed ID  23440423 Mgi Jnum  J:197060
Mgi Id  MGI:5490709 Doi  10.1158/0008-5472.CAN-12-4232
Citation  Vaira V, et al. (2013) Regulation of lung cancer metastasis by Klf4-Numb-like signaling. Cancer Res 73(8):2695-705
abstractText  Metastatic traits seem to be acquired by transformed cells with progenitor-like cancer-initiating properties, but there remains little mechanistic insight into this linkage. In this report, we show that the polarity protein Numbl, which is expressed normally in neuronal progenitors, becomes overexpressed and mislocalized in cancer cells from a variety of human tumors. Numbl overexpression relies on loss of the tumor suppressor miRNA-296-5p (miR-296), which actively represses translation of Numbl in normal cells. In turn, deregulated expression of Numbl mediates random tumor cell migration and invasion, blocking anoikis and promoting metastatic dissemination. In clinical specimens of non-small cell lung cancer, we found that Numbl overexpression correlated with a reduction in overall patient survival. Mechanistically, Numbl-mediated tumorigenesis involved suppression of a "stemness" transcriptional program driven by the stem cell programming transcription factor Klf4, thereby preserving a pool of progenitor-like cells in lung cancer. Our results reveal that Numbl-Klf4 signaling is critical to maintain multiple nodes of metastatic progression, including persistence of cancer-initiating cells, rationalizing its therapeutic exploitation to improve the treatment of advanced lung cancer.
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